1. Afterword


    We are lucky in Scotland that it is rarely necessary for us as Directors of Public Health to take concerns directly to the public because our advice is being disregarded. The current economic climate, however, causes me some concern. This is my third period of austerity as a doctor. I was a junior doctor in the 1980s and a new consultant in London in the 1990s. Careful analysis of the impact of previous recessions on health and health services in Scotland and in other countries enables me to conclude that, managed in line with the evidence from around the globe, things will be really difficult for between two and five years but they will get better.
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