This report finds that there is evidenced room for growth in the public health consultant and specialist workforce. However, international recruitment may not be needed. To increase consultant capacity in the short term, ‘top-up training’ could be extended. This offers candidates from backgrounds other than medicine the opportunity to gain the additional competencies necessary for inclusion on the UK voluntary register. In the medium-long term, A High Quality Workforce (DH, June 2008) proposes dual accreditation in public health for specialists in other areas such as cardiology and diabetology to gain expertise in prevention and health promotion.