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A framework for the delivery of public health: an ecological approach
  1. Jo Nurse,
  2. Paul Edmondson-Jones
  1. Portsmouth City Teaching PCT, Portsmouth, Hants, UK
  1. Correspondence to:
 Dr J Nurse
 SE Regional Public Health Group, Government Office for the South East, Bridge House, 1 Walnut Tree Close, Guildford GU1 4GA, UK; jo.nurse{at}


The “Framework for the Delivery of Public Health” presented in this paper provides a new structure that brings together the multiple components of public health, relates them to key influencing factors and provides greater clarity, balance and direction for the effective delivery of public health. The paper outlines the development of the framework and describes the significance behind the key constructs. The symbolisms within the picture and interactions between the varied components are compared with the dynamics of an ecosystem; this aims to emphasise that improving health occurs within a constantly changing and interactive environment. Finally, the applications of the framework are explored, including embedding public health within an organisation or setting, assisting in strategy development for specific topics and as a training and educational aid.

  • PCT, Primary Care Trust

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  • Competing interests: None.

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