| This month, EHJ focuses on two policy areas which have
a profound effect on our cities and towns, transport and the
night economy. Despite all the carping and cynicism voiced
by politicians and the press in the run up to the launch of
congestion charging, Londoners, one year on, will tell you
that life has improved. They claim they can get around more
easily, hear each other talk on the street and breathe better.
In this issue, EHJ investigates whether air quality has
really improved and what the longer term effect on the capital
will be if the zone spreads west to include London's major
pollution hot spot, Heathrow.
Congestion charging has not just improved people's quality
of life. It has also been a shinning example of how a public
authority can take a seemingly intractable problem, like traffic
congestion, and provide a solution. Central government gave
up on the problem abandoning its target to lower car traffic
by 6 per cent over the next 10 years. Transport secretary
Alistair Darling said nothing could be done. Regional government
however, had the guts to provide the solution and took the
electorate with it. This should be an inspiration for local
government and hopefully dispel the myth that anything public
authorities attempt is likely to fail. A moment to savour.
Handing over licensing powers to local government may also
provide the opportunity for local democracy to show what can
be achieved. It will bring the profession in contact with
one of the nation's most serious public health threats, binge
drinking, by giving EHPs input into their boroughs' licensing
policy. This should be one area where the profession has a
direct influence and is allowed to show its commitment to
the new public health agenda.
But of course there have to be enough hours in the day. In
the daily routine of food inspections, audits, health and
safety visits and paperwork, fine ideas about widening the
public health agenda turn to dust. Lisa Harvey argued at this
year's CIEH conference in Belfast that there needs to be a
more coherent approach to the work loads of EHPs if there
is any hope of the profession really engaging with these exciting
new areas of public health. She lays out her case, having
asked front-line EHPs what the real obstacles are to them
getting involved. Hopefully her research will be part of a
larger debate on how the profession can realistically help
tackle health inequality. Remember the Chief Medical Officer
has already made clear he sees EHPs as front-line troops being
the only full-time public health practitioners in local government.
Finally, I would like to say how pleased I am to be taking
over on EHJ and wish the previous editor Tracey Khanna all
the best in her new role as editor of Occupational Therapy
News.
Stuart Spear
Editor
|