Discover how to truly integrate public health in local government with NHS systems. This blog explores the barriers structural, cultural, and policy-driven and highlights successful case studies like St Helens Cares and Cheshire & Merseyside ICS. Learn how neighbourhood health models, stronger ICSs, strategic commissioning, and national-local partnerships can transform care, reduce inequalities, and rebuild public trust.

Stepping into the role of DPH means leading with vision, navigating political complexity, and driving change across systems. This guide offers aspiring leaders a clear roadmap: the essential skills to develop, what to focus on in your first 100 days, and the common pitfalls to avoid. If you're ready to lead with courage, compassion, and clarity, this role might just be your calling.