Peter Brambleby is an English Public Health doctor. From 1996 he was director of public health for Norwich

Primary Care Trust Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May ...

. In 2003 he received requests from senior clinicians at the Norfolk and

Norwich Hospital The Norwich State Hospital, originally established as Norwich State Hospital for the Insane and later shortened to Norwich Hospital, was a psychiatric hospital that is located in Preston and Norwich, Connecticut. It opened its doors in October ...

to look into their concerns about changes to the design and build of the new

Private Finance Initiative The private finance initiative (PFI) was a United Kingdom government procurement policy aimed at creating "public–private partnerships" (PPPs) where private firms are contracted to complete and manage public projects. Initially launched in 199 ...

hospital that they believed put patients at risk. He was later warned by the press officer at the

strategic health authority Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013. Each SHA was responsible for managing performance, enacting directives and implementing health policy as required by the ...

that unless he dropped the whole matter he would end up “like Dr. David Kelly who was found dead in the woods with his wrist slashed.” He was the Director of Public Health in

Croydon Croydon is a large town in south London, England, south of Charing Cross. Part of the London Borough of Croydon, a local government district of Greater London. It is one of the largest commercial districts in Greater London, with an extensi ...

from March 2010 to 29 February 2012 he announced his retirement in September 2011. On hearing of the results of the

Ernst and Young Ernst & Young Global Limited, trade name EY, is a multinational professional services partnership headquartered in London, England. EY is one of the largest professional services networks in the world. Along with Deloitte, KPMG and Pricewaterh ...

review in July 2012 of the PCTs finances he wrote a letter to Andrew Lansley. He complained that patients in Croydon known to be at high risk of stroke or heart disease were no longer invited to screenings, however, the annual report for Croydon PCT 2011/12 provided clear evidence that this screening programme exceeded the targets previously agreed by the PCT board (CPCT Board Paper March 2011) as per the original plan submitted by Peter Brambleby. Brambleby was, and is, an enthusiastic supporter of clinical commissioning with a particular interest in a health economics approach called “programme budgeting”. This is a way of relating costs to outcomes grouped by health programmes such as heart health, bone health, mental health and so on, rather than the traditional breakdown by hospitals, GPs and community services.

References

{{DEFAULTSORT:Brambleby, Peter 21st-century British medical doctors Year of birth missing (living people) Living people