The half century between 1885 and 1935 witnessed an unprecedented expansion of preventive and therapeutic services offered by the state through its local authorities. Behind the expansion in public services were also profound changes in attitudes toward poverty and dependency and toward the political and cultural significance of health; changes in social policy and administration; and changes in the understanding of the causes of disease. This book examines this time of change through the ideas and experiences of one prominent participant, Sir Arthur Newsholme. Professor Eyler draws particular attention to Newsholme's role in constructing a highly successful local health programme; his tenure as the Medical Officer of the Local Government Board in Whitehall where he launched some of its boldest programmes including national health insurance; his post-retirement studies of international health systems; and his statistical and epidemiological studies and their connection to his policy recommendations.

This book studies the evolution of medical theory and education in Germany between 1750 and 1820.

This book focuses on a formative period in the development of modern general practice. The foundations of present-day health care in Britain were created in the century before the National Health Service of 1948, when medicine was transformed in its structure, professional status, economic organization, and therapeutic power. In the first full-length study of general practice for these years, Anne Digby deploys an impressive range of hitherto unused archival material and oral testimony to probe the character of general practitioners careers and practices, and to assess their relationships with local communities, a wider society, and the state. An evolutionary approach is adopted to explain the origins and nature of the many changes in medical practice, and the lives of ordinary doctors. The study also explores the gendered nature of medical practice as reflected in the experience of a golden band of women GPs, and examines the hidden role of the doctors wife in the practice.

This text examines the history of the medical services provided by workhouses, both in Britain and its former colonies, during the 18th and 19th centuries.

Although articles in this volume fall into three thematic clusters, each of those groups exemplifies three general themes: micro-social processes; innovations and the question of continuity versus discontinuity; and the relationship between ideas and practice. Most of these essays touch upon, and some of them are exclusively concerned with, small scale social processes: e.g. the routines of the all-female early-modern childbirth ritual, the different ways that male practitioners were summoned to such occasions, the functioning of voluntary hospitals, the protocols underlying patient records. Such social practices are well worth studying as both the sites and drivers of larger-scale historical change. Whenever there comes into being something new - whether an institution (a hospital), a social practice (the summoning of men as midwives) or a concept (a new approach to disease) - the question arises as to its relationship with what went before. This concept resonates throughout these essays, but is most to the fore in the chapters on early Hanoverian London (which asks explanatory questions) and on Porter versus Foucault (who represent the extremes of continuity and discontinuity respectively). A couple of generations ago, the ’history of ideas’ was pursued largely without reference to practice; in recent times, the danger has appeared of the very reverse taking place. This book ranges across a broad spectrum in this respect, the emphasis being sometimes upon practice (Eleanor Willughby’s work as a midwife) and sometimes upon ideas (concepts of pleurisy across the centuries); but in every case there is at least the potential for relating the two to one another. None of these themes is specific to medical history; on the contrary, they are the bread-and-butter of historical reconstruction in general.

When did medicine become modern? This book takes a fresh look at one of the most important questions in the history of medicine. It explores how the cultures, values and meanings of medicine were transformed across the late eighteenth and early nineteenth centuries as its practitioners came to submerge their local identities as urbane and learned gentlemen into the ideal of a nationwide and scientifically-based medical profession. Moving beyond traditional accounts of professionalization, it demonstrates how visions of what medicine was and might be were shaped by wider social and political forces, from the eighteenth-century values of civic gentility to the radical and socially progressive ideologies of the age of reform. Focusing on the provincial English city of York, it draws on a rich and wide-ranging archival record, including letters, diaries, newspapers and portraits, to reveal how these changes took place at the level of everyday practice, experience and representation.

At the core of this book are three central contentions: That medical welfare became the totemic function of the Old Poor Law in its last few decades; that the poor themselves were able to negotiate this medical welfare rather than simply being subject to it; and that being doctored and institutionalised became part of the norm for the sick poor by the 1820s, in a way that had not been the case in the 1750s. Exploring the lives and medical experiences of the poor largely in their own words, Sickness, medical welfare and the English poor offers a comprehensive reinterpretation of the so-called crisis of the Old Poor Law from the later eighteenth century. The sick poor became an insistent presence in the lives of officials and parishes and the (largely positive) way that communities responded to their dire needs must cause us to rethink the role and character of the poor law.