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The Development of the London Hospital System,

1823 - 1982

Geoffrey Rivett

homeshaping the systemvoluntary hospitalspoor law infirmariesmedical schoolsfever hospitalsproblems & solutionsshaping the futureInter-war yearsregions & districtsthe EMSBevanhospital developmentrationalisationstringencydistricts to trustsoverview

The Development of the London Hospital System,
1823 -1982 and a further chapter since then


CONTENTS
 
  
The shaping of London’s hospital system 
The voluntary hospitalsThe voluntaries, great and small; their origins and objectives
Hospitals and medical schoolsThe relationship of the voluntary hospitals and the medical schools
The development of poor law infirmariesHealth care for the indigent - the paupers.  Scandals and upgrading
Smallpox and fever hospitalsThe development of a system purely for the infectious diseases
Defining problems and debating solutions, 1860—1889Debates on how hospitals in London should be organised, and the emergence of skilled nursing
Reviewing the past and shaping the future, 1889—1914London County Council, and the King's Fund
Developments in the hospital services between the world warsAn unstable system, its financial and organisational problems
Regions and districtsThe concept of the region and the district - where they came from, and how they were integrated into the NHS
The Emergency Medical Service and planning during the warThe effect of wartime organisation  (the Emergency Medical Service), on the hospitals and the NHS that followed
Bevan and the National Health Service, 1945—1948Bevan's plan, and the build up to the NHS
Hospital development, 1947—1968The early days of the NHS, and the effect on London's hospitals
Rationalisation and reorganisation 1968-1974The effect of the political decision to reorganise the NHS in 1974
Strategy and stringency 1974-1982Resource reallocation and the hospitals; the 1982 restructuring
From Districts to Trusts - 1982-2008Griffiths, the Conservative and Labour NHS reforms. The NHS Plan and changes in the pattern of administration in London. University decisions and the restructuring of London's medical schools and hospitals. 
OverviewThis chapter has been substantially rewritten in the light of subsequent events

 

 

homeshaping the systemvoluntary hospitalspoor law infirmariesmedical schoolsfever hospitalsproblems & solutionsshaping the future
Inter-war yearsregions & districtsthe EMSBevanhospital developmentrationalisationstringencydistricts to trustsoverview