Migrant Architects of the NHS

Author(s):  
Julian M. Simpson

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.

Author(s):  
Julian M. Simpson

The histories of the National Health Service (NHS) and of British general practice are profoundly intertwined with the history of the imperial legacy and of medical migration. This book shows that the NHS, which was established in 1948, would not have been what it had become by the 1980s without being able to draw on the labour of migrant South Asian...


2020 ◽  
Vol 9 (18) ◽  
pp. 37
Author(s):  
Matt Melia

While much has been written on post war British film and television comedy, there has been no critical focus on one of its key sub-genres – the medical comedy. This article aims to fill (at least some) of the gap in this scholarship. It chooses to focus on how several key medical comedies engaged the politics and ideological tensions of the fledgling National Health Service from the late 1950s to the 1980s. It will focus on the microcosmic representation of medical architectures and environments and consider how they provide spaces for political and ideological debate.


1989 ◽  
Vol 155 (5) ◽  
pp. 720-723
Author(s):  
Hugh Freeman

In the current furore over fundamental changes proposed for the NHS, it would be much better if everyone involved clearly understood how and why the service was established, how it evolved early on, and what had existed before. A fairly safe bet, though, is that given an MCQ on those subjects, most participants in today's events would emerge with little credit. Yet the whole story is now accessible to them -told by Charles Webster (1988) with outstanding scholarship and clarity, lightened by a slightly acerbic wit.


1991 ◽  
Vol 9 (2) ◽  
pp. 72-74 ◽  
Author(s):  
Eryl Selly

The integration of acupuncture into a National Health Service (NHS) group practice is described, and its advantages and problems are discussed.


1998 ◽  
Vol 61 (7) ◽  
pp. 311-315 ◽  
Author(s):  
Catherine F Paterson

Much of the history of occupational therapy is associated with the history of the National Health Service (NHS). As the nation celebrates the 50th anniversary of the founding of the NHS on 5 July 1948, it is fitting to reflect on the development of the profession over the past half century and how it has adapted to the many medical, technological, demographic and social changes. In 1948, the profession comprised a small band of mainly middle-class women, who worked under medical direction with long-stay patients in a hospital setting. In 1998, over 18,000 occupational therapists are state-registered. Having gained degree-entry status practitioners are increasingly self-directed and research-focused, and they work in a wide range of settings with all age-groups: a profession reflecting the ideals of the NHS to provide a service from ‘the cradle to the grave’.


1995 ◽  
Vol 166 (3) ◽  
pp. 306-310 ◽  
Author(s):  
Tony Jaffa

BackgroundThe way in which psychiatric services for adolescents in the UK are developing will be affected by recent changes in the organisation of the National Health Service.MethodThe history of these services, and the different opportunities for development are reviewed.ResultsWays in which high-quality clinical care can still be provided are indicated.ConclusionAdolescent psychiatric services should be judged on their ability to provide such care, not merely on their ability to survive.


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