The Health Protection Agency (HPA), the Association of London Environmental Health Managers (Alehm) and the Chartered Institute of Environmental Health (CIEH) created the joint London environmental health post.
It is known that the work of local authorities varies greatly; including for investigation of infectious diseases. The causes of variation includes: population, local social factors, economic factors, available resources, and the relationship between Environmental Health Departments (EHDs) and Health Protection Units (HPUs).
This questionnaire explores barriers to good communication between London EHDs and HPUs; to identify issues surrounding the notification system; and to review existing gastrointestinal investigation procedures in London.