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Peter Brambleby is an English Public Health doctor.

From 1996 he was director of public health for Norwich Primary Care Trust. In 2003 he received requests from senior clinicians at the Norfolk and Norwich Hospital to look into their concerns about changes to the design and build of the new Private Finance Initiative hospital that they believed put patients at risk. He was later warned by the press officer at the strategic health authority 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.”^[1]

He was the Director of Public Health in Croydon from March 2010 to 29 February 2012 he announced his retirement in September 2011. On hearing of the results of the Ernst and Young review in July 2012 of the PCTs finances he wrote a letter to Andrew Lansley.^[2] 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.^[3]

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.^[4]

References

^ Hammond, Dr Phil (20 September 2010). "Dr Phil's Private Eye Column, Issue 1271 September 15". Private Eye. Retrieved 18 April 2014.
^ "Former Croydon public health chief Peter Brambleby's letter to Andrew Lansley, in full". Croydon Advertiser. 13 July 2012. Retrieved 18 April 2014.
^ "Patient welfare damaged by blackhole claims former NHS boss Dr. Peter Brambleby". Croydon Guardian. 26 September 2012. Retrieved 18 April 2014.
^ "Dr Peter Brambleby and the N&N PFI Flagship". Medical Harm. Retrieved 18 April 2014.

[1] Hammond, Dr Phil (20 September 2010). "Dr Phil's Private Eye Column, Issue 1271 September 15". Private Eye. Retrieved 18 April 2014.

[2] "Former Croydon public health chief Peter Brambleby's letter to Andrew Lansley, in full". Croydon Advertiser. 13 July 2012. Retrieved 18 April 2014.

[3] "Patient welfare damaged by blackhole claims former NHS boss Dr. Peter Brambleby". Croydon Guardian. 26 September 2012. Retrieved 18 April 2014.

[4] "Dr Peter Brambleby and the N&N PFI Flagship". Medical Harm. Retrieved 18 April 2014.

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 '''Peter Brambleby''' is an English Public Health doctor.
-From 1996 he was Director of Public Health for Norwich [[primary care trust|Primary Care Trust]]. In 2003 he received requests from senior clinicians at the  Norfolk and [[Norwich Hospital]] to look into their concerns about changes to the design and build of the new [[Private Finance Initiative]] hospital that they believed put patients at risk. He was later warned by the press officer at the [[strategic health authority]] 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.”<ref>{{cite news|last=Hammond|first=Dr Phil|title=Dr Phil’s Private Eye Column, Issue 1271 September 15|url=http://drphilhammond.com/blog/tag/dr-peter-brambleby/|accessdate=18 April 2014|newspaper=Private Eye|date=20 September 2010}}</ref> Although he had raised concerns to the National Audit Office (NAO) the NAO declined to investigate independently and allowed the hospital Trust to investigate itself. Neither of the two senior executives named in Brambleby's disclosure were interviewed. The internal inquiry made several recommendations about clinical governance and remedial works but no-one was held accountable.  Brambleby had to face down accusations of libel and professional misconduct, and criticism from very senior Department of Health sources, but received sufficient support from other sources to continue in post.  Years later one of the senior managers named in Brambleby's disclosure was sacked for corrupt behaviour in Australia, and the Private Eye coverage had been instrumental in uncovering the malpractice.
+From 1996 he was director of public health for Norwich [[primary care trust|Primary Care Trust]]. In 2003 he received requests from senior clinicians at the  Norfolk and [[Norwich Hospital]] to look into their concerns about changes to the design and build of the new [[Private Finance Initiative]] hospital that they believed put patients at risk. He was later warned by the press officer at the [[strategic health authority]] 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.”<ref>{{cite news|last=Hammond|first=Dr Phil|title=Dr Phil’s Private Eye Column, Issue 1271 September 15|url=http://drphilhammond.com/blog/tag/dr-peter-brambleby/|accessdate=18 April 2014|newspaper=Private Eye|date=20 September 2010}}</ref>
-Brambleby remains an advocate for NHS staff who wish to raise concerns, which he feels is still a significantly unaddressed issue.
-Brambleby went on to posts as Director of Public Health in North Yorkshire and York PCT and Croydon PCT.  In Croydon he again uncovered malpractice, with top-level cover-up and unwillingness to hold individuals to account or to uphold the Nolan Principles of conduct in public life.
-He announced his retirement in September 2011. On hearing of the results of the [[Ernst & Young|Ernst and Young]] review in July 2012 of the Croydon PCTs finances he wrote a letter to Health Secretary Andrew Lansley.<ref>{{cite news|title=Former Croydon public health chief Peter Brambleby's letter to Andrew Lansley, in full |url=http://www.croydonadvertiser.co.uk/Croydon-public-health-chief-Peter-Brambleby-s/story-16531132-detail/story.html|accessdate=18 April 2014|newspaper=Croydon Advertiser|date=13 July 2012}}</ref>.<ref>{{cite news|title=Patient welfare damaged by blackhole claims former NHS boss Dr. Peter Brambleby|url=http://www.croydonguardian.co.uk/news/9949892.Patient_welfare_damaged_by_blackhole_claims_former_NHS_boss/?ref=rss|accessdate=18 April 2014|newspaper=Croydon Guardian|date=26 September 2012}}</ref>
+He was the Director of Public Health in [[Croydon]] from March 2010 to 29 February 2012 he announced his retirement in September 2011. On hearing of the results of the [[Ernst & Young|Ernst and Young]] review in July 2012 of the PCTs finances he wrote a letter to Andrew Lansley.<ref>{{cite news|title=Former Croydon public health chief Peter Brambleby's letter to Andrew Lansley, in full |url=http://www.croydonadvertiser.co.uk/Croydon-public-health-chief-Peter-Brambleby-s/story-16531132-detail/story.html|accessdate=18 April 2014|newspaper=Croydon Advertiser|date=13 July 2012}}</ref> 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.<ref>{{cite news|title=Patient welfare damaged by blackhole claims former NHS boss Dr. Peter Brambleby|url=http://www.croydonguardian.co.uk/news/9949892.Patient_welfare_damaged_by_blackhole_claims_former_NHS_boss/?ref=rss|accessdate=18 April 2014|newspaper=Croydon Guardian|date=26 September 2012}}</ref>
-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. This approach is based on the key questions: where does the money go? what good does it do? how do we compare on costs and outcomes? what other resources can we draw on than money? and how can we do better with what we have next year?  These questions are not systematically addressed in the NHS.  <ref>{{cite web|title=Dr Peter Brambleby and the N&N PFI Flagship|url=http://medicalharm.org/doctor-stories/dr-peter-brambleby-and-the-nn-flagship-pfi/|publisher=Medical Harm|accessdate=18 April 2014}}</ref>
-In retirement, Brambleby has set up Whitewoods Wellbeing Ltd with the twin aims of "restoring woodland: restoring wellbeing". See www.whitewoodswellbeing.co.uk  In raising funds for this "Natural Health Service" concept he did brief interim Director of Public  roles in Westminster Triborough, Gloucestershire,  West Sussex, Hartlepool and Salford. This broad experience taught him to address the underlying causes of ill health  and the importance of focusing on strengths and assets  not weaknesses and deficits.
+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.<ref>{{cite web|title=Dr Peter Brambleby and the N&N PFI Flagship|url=http://medicalharm.org/doctor-stories/dr-peter-brambleby-and-the-nn-flagship-pfi/|publisher=Medical Harm|accessdate=18 April 2014}}</ref>
-Brambleby sums up his philosophy in the old proverb: "Better to light a candle than curse the darkness", and his prescription for wellbeing as "Purposeful activity, outdoors, with other people."
 ==References==