scholarly journals Professional regulation of nutritionists: where are we now?

2007 ◽  
Vol 66 (2) ◽  
pp. 269-276 ◽  
Author(s):  
Jacqueline P. Landman ◽  
Stephen A. Wootton

Waterlow's (1981) Sixth Boyd Orr Lecture on a ‘crisis of identity for nutrition’ stimulated the Nutrition Society's drive to professionalisation. Twenty-five years on, the Society begins a new stage; first, towards an independent voluntary regulator, and then towards statutory regulation. It is timely to reflect on progress and identify the remaining challenges. The Society has made impressive progress as a voluntary regulator since 1991 when the Insitute of Biology opened a register in cooperation with the Institute of Food Science and Technology and the Nutrition Society; the present register is 2·75-fold larger. The Society has specialist standards for course accreditation that enable graduates to apply for direct entry to the register, having met standards of competency in nutrition or public health nutrition. A code of ethics and a statement of professional conduct underpin a functioning system for oversight and governance that protects the public, the hallmark of all professions. Registered nutritionists lay easy claim to a unique science basis for their profession. A scheme for continuing professional development (CPD) started in July 2006, 1 year before a sample audit starts to show the link between CPD and re-registration. The scheme will be piloted in the first year. The critical challenge is the issue of identity. Waterlow (1981) stated that professional registration must lead explicitly and formally to a specific vocation, an occupation that provides services that society requires and one that contributes to the well-being and health of all. The present time may be the last and best chance for nutritionists, as nutrition has a higher priority for government in the UK than ever before. The Society has begun to help in strategic public health workforce planning and development; new and still plastic, it is the ideal locus from which a discipline and a profession can emerge. The CPD scheme will work if it helps nutritionists meet their own needs; more mutual cooperation and consensus about real world standards of performance are needed. Nutritionists need to show how they actually contribute to national health and/or wealth. Then, sustained resources can be advocated for and the support of the voting public and legislators secured, without which it will not be possible to get the legal protection that is desirable for the profession.

2018 ◽  
Vol 20 (1) ◽  
pp. 73-83 ◽  
Author(s):  
Shanti Dahal ◽  
Anjali Sharma ◽  
Sanjay Zodpey

Introduction: Public health programmes work to improve the health and well-being of communities by identifying the risks affecting people at different stages of life and finding best ways to minimize them. This article attempts to map the public health jobs available in India and contribute towards providing new insights in recruitment strategies for public health professionals (PHPs). Methods: A total of 427 public health jobs advertised in recruitment portals, newspapers and websites of organizations during 2012–2015 were analysed for title, qualification, location and job disciplines. Results: Higher qualification in public health and/or social sciences is much preferred followed by MBBS and management. The largest group of vacancies consisted of programme management responsibilities followed by profiles in RMNCH. Delhi, Orissa, Madhya Pradesh and Bihar had the highest number of jobs. Recommendations: A dedicated public health jobs web portal can be a rich resource for employers for easy access to profiles of PHPs. It will also give due emphasis to public health as a profession. Building a public health cadre in state health services shall be a desirable step to ensure creation of enough job opportunities. Conclusion: Research should be undertaken to understand the changing trends in public health employment. Such studies can be beneficial for public health workforce planning and monitoring.


2018 ◽  
Vol 11 ◽  
pp. 117822421878037
Author(s):  
Julian Abel ◽  
Allan Kellehear

The UK Palliative Medicine Syllabus is critically evaluated to assess its relationship and relevance to contemporary palliative care policy and direction. Three criteria are employed for this review: (1) relevance to non-cancer dying, ageing, caregivers, and bereaved populations; (2) uptake and adoption of well-being models of public health alongside traditional illness and disease models of clinical understanding; and (3) uptake and integration of public health insights and methodologies for social support. We conclude that the current syllabus falls dramatically short on all 3 criteria. Suggestions are made for future consultation and revision.


Public Health ◽  
2020 ◽  
Author(s):  
David Hunter

Within the UK there are four public health systems covering each of four countries making up the UK: England is the largest country, followed by Scotland, Wales, and Northern Ireland. There are many commonalities between the systems in terms of their functions and workforce terms and conditions as well as the challenges each faces. But in keeping with the devolved systems of government enjoyed by each country, the public health systems are organized differently and their structures and priorities reflect the differing contexts in which they are located. Drawing on the three domains outlined by Griffiths, Jewell, and Donnelly in their seminal 2005 paper and comprising health protection, health improvement, and health service delivery and quality, UK public health systems exist to protect and promote health improvement and well-being in the population and do so through devising policies and strategies and providing services as well as contributing to the evidence base in regard to what works to improve health. The definition of a public health system is clearly contingent on the definition and scope of public health. The UK public health systems have adopted the definition of public health advanced by the UK Faculty of Public Health and other bodies and first produced by a former Chief Medical Officer for England, Sir Donald Acheson, in 1998: “Public health is the science and art of preventing disease, prolonging life and promoting health through organised efforts of society.” A slightly extended version appeared in a review of public health carried out for the UK government by its appointed independent adviser, Sir Derek Wanless, in 2004: “Public health is the science and art of preventing disease, prolonging life, and promoting health through the organised efforts and informed choices of society, organisations, public and private, communities and individuals.” These definitions share important characteristics including: public health is both a science and an art, essentially and always a combination of knowledge and action; the core purposes of public health are to prevent disease, prolong life, and promote health; public health is an organized societal function. Several aspects of these definitions can be highlighted as being especially pertinent to public health systems. Notable among these is the desire for closer links across health and the environmental sector; addressing social and political determinants of health as an essential and legitimate public health action; and the importance of health systems for public health improvement. Given these definitions with their whole-of-society focus, a public health system is wider and more inclusive than a health system. An effective public health system can be judged by the extent to which relevant groups, organizations, and sectors work effectively together on specific issues.


Public Health ◽  
2005 ◽  
Vol 119 (10) ◽  
pp. 900-906 ◽  
Author(s):  
S. Gray ◽  
F. Perlman ◽  
S. Griffiths

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Tahzib

Abstract Background Our norms and values are key to decision making, policy and practice. Some commentators have highlighted need for greater courage and purpose in public health leaders and systems. There is need for greater appreciation of moral mandate of public health and implications for public health system leadership and capacity building activities and practice Objectives Demonstrate the case for value-driven workforce, systems and leadership Share key findings and learning from research by the Faculty of public health around the public health values, and activities to build capacity and competency around the issue. Body of the session Surveys of the public health workforce and schools of public health have consistently highlighted need for education and training in public health ethics and law for some time and their key role for effective public health policy and practice. In this presentation there will be demonstration of the key findings of the surveys and their consequences, including moral distress for the workforce and potential failings of public health systems Some key activities and initiatives in building competency and capacity in public health ethics and law will be described. This will include activities to develop organisational values and professional values and the important distinctions between them, and development of public health code of ethics and professional conduct as part of efforts for professionalisation of the public health workforce. Conclusions Value-driven workforce, systems and leadership are key in meeting complex public health challenges. Building competency and capacity of the workforce and public health institutions are important part of the agenda.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Newton

Abstract Background The UK Faculty recognises the importance of the effective use of evidence and data in the past, present and future practice of public health. In setting standards for education and training and in its advocacy and leadership roles the Faculty emphasises use of three types of knowledge quantitative information from statistics and surveillance, research evidence and evidence from experience. To equip the public health workforce of the future it is important to understand likely knowledge requirements across these areas. Objectives To describe areas of work in current public health advocacy and leadership where knowledge transfer is being used to improve health and reduce health inequalities. To illustrate how the Faculty works with partner organisation to influence policy based on the best knowledge and evidence. Body of the session The session will briefly consider the current policy context for public health in the UK and propose a set of areas in which the Faculty sees a role for the use of data and evidence to improve health. The talk will give examples of how the Faculty works with partners such as the Academy of Royal Colleges, Government agencies, and other professional groups representing public health professionals to support individual professionals, to develop its own advocacy positions and to influence policy. A recent example of the English Government's Green Paper on prevention will be used to illustrate the approach. Conclusions Effective public health practice can greatly improve the quality and value of public health policy. However, to be effective public health leaders need to be trained and equipped to deliver the best advice effectively and have good access to the relevant evidence. They also need to be supported by strong leadership organisations such as the Faculty that have earned the respect of policy makers.


2018 ◽  
Vol 28 (11) ◽  
pp. 304-308
Author(s):  
Major Chris Carter ◽  
Alan P Finnegan

Defence nurses form the largest registered specialty in the UK defence medical services. Once qualified, defence nurses maintain and develop their nursing and clinical skills in appropriate healthcare settings, and can be deployed in operational environments such as Afghanistan. Workforce planning and staffing establishment levels are defined to meet the needs of British armed forces, allies and, potentially, local populations. Since the workforce is geographically dispersed, deployed or undertaking non-clinical duties, there are constraints on nurses' attempts to maintain basic skills and access continuing professional development. This article explores the concept and the developing role of defence nurse lecturers in improving educational support for defence nurses.


Author(s):  
T.S. Gruzieva ◽  
N.V. Hrechyshkina ◽  
H.V. Inshakova ◽  
S.V. Vlasenko

Aim: substantiation of educational content on the impact of stress on health and countermeasures in a public health curriculum. Materials and methods: bibliographic, information and analytical methods and content analysis were used in the work. The study was carried out as part of the research work of the Bogomolets National Medical University on the topic «Medical and social substantiation of the optimization of the healthcare organization in the context of the public healthcare system development» (state registration number 0120U100807). Sources of information included scientific literature on the research topic, strategic and policy documents of WHO and WHO / Europe, including the WHO-ASPHER Competency Framework for the Public Health Workforce in the European Region, the Health 2020: the European policy for health and well-being, the European Action Plan for Strengthening Public Health Capacities and Services, educational standards for the preparation of Masters in Medicine and Public Health, an exemplary curriculum of the discipline «social medicine, public health» for the preparation of Masters of Medicine. Results. A study of scientific sources of literature has shown the growing influence of psychological factors, including stress, on the formation of population health and the need for countermeasures, which requires, among other things, the training of health care professionals able to determine the impact of stresses on public health, assess their prevalence, justify countermeasures. Justification of educational content on these issues was carried out on the basis of an analysis of the provisions of educational standards for the training of masters of health, an exemplary curriculum "social medicine, public health" for training masters of medicine, WHO documents, including the WHO-ASPHER Competency Framework for the Public Health Workforce in the European Region, the Health 2020: the European policy for health and well-being, the European Action Plan for Strengthening Public Health Capacities and Services etc. Learning content includes a statement of the purpose of the lesson on the topic «Stresses and Conflicts, mechanisms of protecting people from stress actions», its rationale, a list of basic concepts, educational target tasks, pre-classroom training issues, basic theoretical questions, typical examples of solving specific situational tasks, a list of recommended literature. The theoretical part of the lesson includes versatile questions of the prevalence of stressful situations in society, their causes, types and signs of stress, the impact of stressful situations on the health of the population, types of conflicts, their consequences, causes of conflicts, phases of their deployment and methods of settlement, measures to protect people from stress, psychoprophylaxis, strategies and measures to counter the negative impact of stress on public health. Conclusions. Training of Masters of Health Care in countering the negative effects of stressful situations on health will contribute to improving the preventive component in health care, reducing the global burden of disease caused by stressful situations, maintaining and strengthening the health of the population.


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