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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, 1823-1963

CONTENTS		  
   
The shaping of London’s hospital system  
The voluntary hospitals The voluntaries, great and small; their origins and objectives
Hospitals and medical schools The relationship of the voluntary hospitals and the medical schools
The development of poor law infirmaries Health care for the indigent - the paupers.  Scandals and upgrading
Smallpox and fever hospitals The development of a system purely for the infectious diseases
Defining problems and debating solutions, 1860—1889 Debates on how hospitals in London should be organised, and the emergence of skilled nursing
Reviewing the past and shaping the future, 1889—1914 London County Council, and the King's Fund
Developments in the hospital services between the world wars An unstable system, its financial and organisational problems
Regions and districts The 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 war The effect of wartime organisation  (the Emergency Medical Service), on the hospitals and the NHS that followed
Bevan and the National Health Service, 1945—1948 Bevan's plan, and the build up to the NHS
Hospital development, 1947—1968 The early days of the NHS, and the effect on London's hospitals
Rationalisation and reorganisation 1968-1974 The effect of the political decision to reorganise the NHS in 1974
Strategy and stringency 1974-1982 Resource reallocation and the hospitals; the 1982 restructuring
Years of turmoil - 1982-2006

THIS CHAPTER IS IN DRAFT

Griffiths, the Conservative and Labour NHS reforms. The NHS Plan and changes in the pattern of administration (regions, SHAs etc) in London. University decisions and the restructuring of London's medical schools and hospitals. 
Overview This chapter has been substantially rewritten in the light of subsequent events