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By Virginia Berridge

British future health coverage has passed through radical swap within the postwar interval and Virginia Berridge presents right here a concise and available survey of those alterations due to the fact that 1939. whereas the increase, and up to date decline, of the NHS is tested intimately, this publication additionally appears on the adjustments within the function of medical professionals and linked scientific professions, and the new emphasis on "health advertising" and "primary care." additionally thought of are the function that lay humans, in particular ladies, play in supplying health and wellbeing care, and the transition of the person from "patient" to "consumer."

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Health and Society in Britain since 1939 (New Studies in Economic and Social History)

British wellbeing and fitness coverage has gone through radical swap within the postwar interval and Virginia Berridge offers right here a concise and obtainable survey of those alterations given that 1939. whereas the increase, and up to date decline, of the NHS is tested intimately, this publication additionally seems to be on the adjustments within the function of medical professionals and linked scientific professions, and the new emphasis on "health merchandising" and "primary care.

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Science, drugs and the pharmaceutical industry The formal health care system was dominated by the ‘medical model’ which set in place an implicit set of assumptions about the role of medical science. Advances in post-war medical science ap2 Debate 7 January 1998 at the King’s Fund on the past, present and future of the NHS (see p. 17 n. 1). 30 Health and society in Britain since 1939 peared to conWrm this view. Trials of streptomycin for TB funded by the Medical Research Council (MRC) in 1946 established both its eYcacy but also began the long post-war rise of the controlled clinical trial.

It was not that at either time dependence was newly structured, or even reinforced, but rather, that it was perpetuated (Thane 1989). This restructuring, and the changing proportion of the very old, had implications for the provision of health and social care. The ‘domiciliary care’ of the elderly became an objective of policy just after the war; by 1956, the Deputy CMO, George Godber, could declare that ‘no geriatric service can be really eVective unless it is run as a safety valve for a service mainly of home care’ (quoted in Webster, 1991, p.

Increasingly, organisational solutions were sought for problems of health service costs. The Salmon Report of 1966 began this process for nursing. , p. 115) of the Ministry of Health’s ambitious plans to modernise the District General Hospitals and also to achieve more eYcient use of nursing labour. It led to a managerial nursing structure, developing a series of managerial grades above the ward sister and replacing the traditional hospital matron. The work structure of local authority nurses was reorganised along similar lines following the Mayston Committee Report (1969).

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