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While all of the comments are valid, Governments of all persuasions tend to carry out short-term tasks - such as white papers, organisational change (CCGs, SHAs, PCTs, PCGs, CHI, HC, CQC etc) which are easier to implement and usually meet with public support - and at the expense of medium and long-term action. Public health challenges however, need more than the life of one government - from implementation of policy to visible improvement in health outcomes. The way forward for public health seems to be about professionals demonstrating the value of Public Health in their Boroughs/Counties coupled with sustained longterm vision and support from Public Health England.