There are four Chief Medical Officers (CMO) in the United Kingdom who are appointed to advise their respective governments on health related matters: Her Majesty's Government, the Northern Ireland Executive, the Scottish Government[1] and the Welsh Assembly Government. The CMO is the most senior advisor on health matters in each government, and each CMO is assisted by one or more Deputy Chief Medical Officers.
In England, the CMO is a member of the board of the National Health Service (NHS), a civil servant in the Department of Health, and head of the medical civil service. The Republic of Ireland has a similar officer.
The Chief Medical Officer is a qualified medical doctor whose specialty is in public health and in the health of communities, rather than health of individuals. The CMO is one of the six chief professional officers, one for each of six professions, who advise the government in their respective specialty.[2]
The equivalent U.S. term is Surgeon General. The term Surgeon General is also a used in the British Armed Forces for the head of medical services. In non-government organisations, such as policing, chief medical officer may refer to a senior medical post in the organisation. When appointed outside government the chief medical officer will often decide on physical and mental fitness to serve issues, and the role may not be in public health.
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The historic post was created in Victorian times to help to prevent cholera epidemics.[3] In 1969 the post of Chief Medical Officer for Wales was created, and prior to this both England and Wales were covered by the post of Chief Medical Officer of England and Wales.[4]
Through various reorganisations, the CMOs for Scotland has been the chief medical officer in the Local Government Board for Scotland, Scottish Board of Health, Department of Health for Scotland, the Scottish Home and Health Department, the Scottish Executive Health Department and now the Scottish Government:[4]
The Welsh regional post was created in 1969, prior to this there was one post for both England and Wales, the Chief Medical Officer for England and Wales.[4]