Abstract
![Graphic][1]</img>One of the major innovations proposed in the Coalition’s Health and Social Care Bill, currently going through parliament in the face of mounting public and professional resistance, is that the public health activities of PCTs should be transferred to Health and Wellbeing Boards, under the aegis of local authorities. This proposal is so uncontroversial that, as the PCTs are being dismantled, the vast majority of top-tier councils are already moving to establish new bodies in which senior council officials — and at least one elected councillor — take on an influential strategic role in the administration of local health services.1 Friends and enemies … [1]: /embed/inline-graphic-1.gif
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