Search results

You are looking at 1 - 10 of 764 items for :

  • Refine by access: All content x
Clear All
South Asian doctors and the reinvention of British general practice (1940s– 1980s)

The NHS is traditionally viewed as a typically British institution; a symbol of national identity. It has however always been dependent on a migrant workforce whose role has until recently received little attention from historians. Migrant Architects draws on 45 oral history interviews (40 with South Asian GPs who worked through this period) and extensive archival research to offer a radical reappraisal of how the National Health Service was made.

This book is the first history of the first generation of South Asian doctors who became GPs in the National Health Service. Their story is key to understanding the post-war history of British general practice and therefore the development of a British healthcare system where GPs play essential roles in controlling access to hospitals and providing care in community settings.

Imperial legacies, professional discrimination and an exodus of British-trained doctors combined to direct a large proportion of migrant doctors towards work as GPs in industrial areas. In some parts of Britain they made up more than half of the GP workforce. This book documents the structural dependency of British general practice on South Asian doctors. It also focuses on the agency of migrant practitioners and their transformative roles in British society and medicine.

Julian M. Simpson

60 2 Empire, migration and the NHS The establishment and development of the NHS in the post-​war period coincided with the dismantling of the British Empire. Colonial-​era language or parallels have been used at times to describe the relationship between the NHS and the migrant labour it has relied on.1 However, the development of the British healthcare system and the impact and legacy of the Empire are two closely linked phenomena that historians have rarely considered together.2 The same can be said of the history of post-​war migration to the UK and the

in Migrant architects of the NHS
Jack Saunders

In 1985 Yorkshire Television made ‘The Halifax Laundry Blues’, a news documentary about plans to shut a National Health Service (NHS) laundry. 1 The Conservative government, as part of plans to reorganise the service, was looking to put laundry services out for tender, allowing private companies to pitch for contracts to perform the work. Although existing in-house services were also permitted to bid, the government’s clear preference for outside contractors often meant that success was unlikely. The

in Posters, protests, and prescriptions
Angelica Michelis

This article engages with the discourse of food and eating especially as related to the representation of the abject eating-disordered body. I will be particularly interested in the gothic representation of the anorexic and bulimic body in samples of medical advice literature and NHS websites and how they reinforce popular myths about anorexia by imagining the eating disordered body as a fixed object of abjection. Focusing on the use of gothic devices, tropes and narrative structure, these imaginations will be read against alternative representations of anorexic/bulimic bodies in autobiographical illness narratives, fictional accounts and a psychoanalytical case history in order to explore how gothic discourses can help opening up new understandings and conceptions of illness, healing and corporeality in the dialogue between medical staff and patients.

Gothic Studies
Open Access (free)
Planned Obsolescence of Medical Humanitarian Missions: An Interview with Tony Redmond, Professor and Practitioner of International Emergency Medicine and Co-founder of HCRI and UK-Med

difficulty is the answer; I am sure some people do, but it is really difficult, whereas if you can move more freely between humanitarian and general medical practice, I think you would also more readily apply in humanitarian settings the technological innovations that are already there. TRM: That is what UK-Med tries to do, right, taking people working for the NHS who are trained in care as we deliver it in this part of the world and take that overseas

Journal of Humanitarian Affairs
Open Access (free)
Writing about Personal Experiences of Humanitarianism
Róisín Read
,
Tony Redmond
, and
Gareth Owen

the sceptics in the UK’s National Health Service (NHS) the value this work brings back to the NHS. Even if you do not share my motives there is an element of enlightened self-interest for us at home when we return with what we’ve learned overseas in these large-scale medical humanitarian crises. GO: I cover some aspects of this in the preface to the book because it was really what the publisher wanted to see. I acknowledge all the criticisms of humanitarianism and I was not intending to mount a defence or rebuttal. Rather, I was seeking to offer some nuance in

Journal of Humanitarian Affairs
Darryl Stellmach
,
Margaux Pinaud
,
Margot Tudor
, and
Larissa Fast

implications, is increasing ( Kak, 2020 ; Lodinová, 2016 ; Deibert, 2013 ; Marino, 2021 ). In a crisis of a different sort, COVID-19 ignited debate over digital tracking in Europe and beyond. Notably, the UK’s National Health Service (NHS) COVID-19 contract-tracing app and resulting parliamentary bills, ignited this debate in the UK ( Clarke, 2020 ), whereas human rights groups highlighted privacy vulnerabilities in Bahrain, Kuwait and Norway contact tracing apps ( Amnesty

Journal of Humanitarian Affairs
Cultural histories of the National Health Service in Britain
Editors: and

The National Health Service (NHS) officially ‘opened’ across Britain in 1948. It replaced a patchy system of charity and local providers, and made healthcare free at the point of use. Over the subsequent decades, the NHS was vested with cultural meaning, and even love. By 1992, the former Chancellor of the Exchequer Nigel Lawson declared that the service was ‘the closest thing the English have to a religion’. Yet in 2016, a physician publishing in the British Medical Journal asked whether the service was, in fact, a ‘national religion or national football’, referring to the complex politics of healthcare. Placards, posters, and prescriptions radically illuminates the multiple meanings of the NHS, in public life and culture, over its seventy years of life. The book charts how this institution has been ignored, worshipped, challenged, and seen as under threat throughout its history. It analyses changing cultural representations and patterns of public behaviour that have emerged, and the politics and everyday life of health. By looking at the NHS through the lenses of labour, activism, consumerism, space, and representation, this collection showcases the depth and potential of cultural history. This approach can explain how and why the NHS has become the defining institution of contemporary Britain.

British hospital contributory schemes in the twentieth century

This book presents a comprehensive account of a major innovation in hospital funding before the NHS. The voluntary hospitals, which provided the bulk of Britain’s acute hospital services, diversified their financial base by establishing hospital contributory schemes. Through these, working people subscribed small, regular amounts to their local hospitals, in return for which they were eligible for free hospital care. The book evaluates the extent to which the schemes were successful in achieving comprehensive coverage of the population, funding hospital services, and broadening opportunities for participation in the governance of health care and for the expression of consumer views. It then explores why the option of funding the post-war NHS through mass contribution was rejected, and traces the transformation of the surviving schemes into health cash plans. This is a substantial investigation into the attractions and limitations of mutualism in health care. It is relevant to debates about organisational innovations in the delivery of welfare services.

Stories from the frontline of the NHS

Healthcare aims to be patient-centred but a large gap remains between the fine words and the reality. Care often feels designed for the convenience of the organisations that deliver it, and not enough around patients and their families, or even around the frontline staff who provide it. Why does this happen? What does it feel like? What can be done about it? This book stimulates reflection on these questions by listening closely to those at the frontline. It provides accounts from patients, carers and healthcare professionals who are patients about what it’s like when services get it right, and wrong, from birth up to the end of life. Quite simply, we want to draw upon the power of storytelling – which is increasingly valued as a tool for learning – to help policymakers and practitioners to understand how to deliver better care. We also hope to enlighten the general reader about how they might go about navigating “the system” while it remains imperfect. There is a growing literature of first-person accounts from patients and from healthcare professionals. This book differs by providing a collection of narratives of experiences of the NHS in England to paint a rich and varied picture. Alongside these narratives we provide some international context, and an overview of the history of moves towards a more patient-centred approach to care. We present the theory and practice of storytelling in the context of healthcare. We also seek to help the reader to draw out the practical learning from the individual accounts.