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This article presents research on nurses' perceptions of the 2005 UK NHS reform 'Agenda for Change' (AfC) in order to identify lessons to inform future NHS policy development. Semi-structured interviews (n ¼ 18) were conducted with NHS nurses who were in post prior to the reform and subsequently subjected to the policy reform. Interviews were undertaken by a single researcher and lasted between 40-60 minutes. Interviews were recorded and transcribed verbatim and thematic analysis was used to identify key concepts and findings. The article finds that each facet of the Agenda for Change was not perceived to have achieved the policy goals it intended to. The article concludes that repeated political re-organisation of the National Health Service (NHS) in England has been demoralising for hospital staff.

Public health is the science and art of conscious physical adjustment between man and his surroundings in the universe. The modern conception of man as a product of and a part of nature brings the subject of man's individual physical adjustments with his immediate surroundings into its proper place as the fundamental study-the basis of every form of education. Hence, public health is not only eligible for a position as an independent faculty in any university but is as definitely entitled to such a place as any of those now recognized. It is futile to consider the ordinary 45 hour course in public health, furnished as an incident in the ordinary 4000 to 5000 hour medical course, as more than a smattering, offered to medical students alone, of the 900 to 4500 hour courses in public health offered to professional public health students.

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