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“Open the Other Eye”: payment, civic duty and hospital contributory schemes in Bristol, c. 1927–1948

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Gosling, George Campbell (2010) “Open the Other Eye”: payment, civic duty and hospital contributory schemes in Bristol, c. 1927–1948. Medical History, Volume 54 (Number 4). pp. 475-494. doi:10.1017/S0025727300006372 ISSN 0025-7273.

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Official URL: http://dx.doi.org/10.1017/S0025727300006372

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Abstract

On the appointed day of 5 July 1948, the National Health Service (NHS) came into existence in Britain. What existed before had been a complex and constantly evolving mixed economy of healthcare, within which hospital services were provided by a combination of public and voluntary sectors. The public sector accounted for the majority of hospital beds and dominated treatment of the chronic and aged sick. However, it is the voluntary hospitals that have often been seen as at the heart of this system because of their historic foundations—many having been established as charitable institutions in the eighteenth and nineteenth centuries—as well as their perceived clinical superiority.1 In fact, the move towards a national health service, which ultimately nationalized the hospitals, gave great credence to an approach Daniel Fox has described as “hierarchical regionalism”. This placed such institutions as leading specialist and teaching centres at the top of a hierarchy of regional service providers, and in doing so reinforced this view of the primacy of the voluntary hospitals.2

Item Type: Journal Article
Divisions: Faculty of Arts > History
Journal or Publication Title: Medical History
Publisher: Cambridge University Press
ISSN: 0025-7273
Official Date: October 2010
Dates:
DateEvent
October 2010Published
17 May 2012Available
Volume: Volume 54
Number: Number 4
Page Range: pp. 475-494
DOI: 10.1017/S0025727300006372
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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