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Directors of public health and public health more widely may struggle to influence local government processes. Despite regular reorganisations in the NHS, health spending has steadily increased over the past decades. By contrast, many local governments have had their budgets viciously slashed in the 2013 government budget, particularly those in more deprived areas. More to the point, public health staff are employed on NHS terms and …

Leadership, facilitation, and relationships are key to countering the waning influence of public health