Turning the World Upside Down

Lord Nigel Crisp has unique experience of health in both rich and poor countries. He ran the UK's National Health Service for more than 5 years and was, exceptionally, head of the Department of Health at the same time. The NHS is the world's biggest health system and the 4th biggest organisation in the world with 1.3 million staff and AGBP90 billion annual turnover. He has subsequently worked extensively in poor countries as an advisor to Tony Blair and consultant to the World Health Organisation and the Gates Foundation. He is currently supporting Sarah Brown with the Maternal Mortality Campaign and has founded the Zambia UK Health Workforce Alliance to promote mutual learning and development. He has published two very influential reports - Global Health Partnerships in 2007 and Scaling up, Saving Lives in 2008 as well as several chapters and articles in journals such as The BMJ and The Lancet and is in demand globally as a thinker and speaker on global health. Nigel Crisp is an independent Peer in the House of Lords, Chair of Sightsavers International, a Professor at the London School of Hygiene and Tropical Medicine, a Senior Fellow of the Institute for Healthcare Improvement in Cambridge, Massachusetts and an Honorary Fellow of St John's College, Cambridge and of the Royal College of Physicians. More information is available at http: //www.nigelcrisp.com

1. Introduction 2. Health and poverty 3. Health and wealth 4. Unfair trade (1) – exporting health workers 5. Unfair trade (2) – importing ideas and ideology 6. Learning from low- and middle-income countries 7. Practical knowledge for the twenty-first century (1) – people and patients 8. Practical knowledge for the twenty-first century (2) – science and systems 9. The paradigm shift to global health 10. Action