British voluntary hospitals, 1871-1938: The geography of provision and utilization

Journal of Historical Geography

Volumn 25, Issue 4, 1999, Pages 463-482

  Gorsky, Martin ^a,d   Mohan, John ^b,d   Powell, Martin ^c,d  

^a UNIVERSITY OF WOLVERHAMPTON   (United Kingdom)

^b UNIVERSITY OF PORTSMOUTH   (United Kingdom)

^c University of Bath   (United Kingdom)

^d NONE

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE; HISTORICAL GEOGRAPHY; HOSPITAL SECTOR; NINETEENTH CENTURY; SOCIAL POLICY;

UNITED KINGDOM;

EID: 0033213166     PISSN: 03057488     EISSN: None     Source Type: Journal    
DOI: 10.1006/jhge.1999.0162     Document Type: Article

References (122)

1. B. Abel-Smith, The Hospitals 1800-1948: A Study in Social Administration in England and Wales (London 1964);
2. H. Marland, Medicine and Society in Wakefield and Huddersfield, 1780-1870 (Cambridge 1987);
3. J. V. Pickstone, Medicine and Industrial Society (Manchester 1985);
4. G. Rivett, The Development of the London Hospital System, 1823-1982 (London 1986);
5. M. Powell, Hospital provision before the National Health Service: a geographical study of the 1945 Hospital Surveys, Social History of Medicine 5 (1992) 483-504.
6. Burden's Hospitals and Charities: The Yearbookof Philanthropy and Hospital Annual (London, various dates); Central Bureau of Hospital Information, The Hospitals Yearbook issued under the auspices of the Joint Council of the Order of St John and the British Red Cross Society and the British Hospitals Association (London, various dates).
7. Ongoing research by Karl Wilding of the University of Leeds will address the question of distribution in the period 1851-1901, drawing on the Census as its main source.
8. P. Hudson, Regions and Industries: A Perspective on the Industrial Revolution in Britain (Cambridge 1989);
9. C. H. Lee, The British Economy since 1700: A Macro-Economic Perspective (Cambridge 1986).
10. H. R. Southall, The origins of the depressed areas: unemployment, growth and regional economic structure in Britain before 1914, Economic History Review 41 (1988) 236-58;
11. E. H. Hunt, Industrialization and regional inequality: wages in Britain, 1760-1914, Journal of Economic History 46 (1986) 935-66;
12. W. D. Rubinstein, The size and distribution of the English middle classes in 1860, Historical Research 61 (1988) 65-89.
13. J. C. Riley, Sick Not Dead: The Health of British Workingmen during the Mortality Decline (London 1997).
14. F. Driver, The historical geography of the workhouse system in England and Wales, 1834-1883, Journal of Historical Geography 15 (1989) 269-86;
15. M. Purvis, The development of co-operative retailing in England and Wales, 1851-1901: a geographical study, Journal of Historical Geography 16 (1990) 314-31.
16. M. Purvis, Popular institutions, in J. Langten and R. J. Morris (Ed.), Atlas of Industrializing Britain (London 1986) 195;
17. M. Gorsky, The growth and distribution of English Friendly Societies in the early nineteenth century, Economic History Review li (1998) 489-511.
18. A. Digby, Making a Medical Living: Doctors and Patients in the English Market for Medicine, 1720-1911. (Cambridge 1994) 20-3.
19. R. M. Titmuss, Problems of Social Policy (London 1950) Chap, v, part iii, 504.
20. D. G. Green, Medical Care without the state, in A. Seldon (Ed.), Re-Privatising Welfare After the Lost Century (London 1996),
21. 33-4-; F. Prochaska, Philanthropy and the Hospitals of London: The King's Fund, 1897-1990 (Oxford 1992) 90-1, 104.
22. P. Hirst, Associative Democracy: New Forms of Economic and Social Governance (Oxford 1994);
23. C. Ham, Public, Private or Community: What Next for the NHS? (London 1996) 37-51.
24. B. A. Weisbrod, Toward a theory of the voluntary non-profit sector in a three-sector economy, in E. S. Phelps (Ed.), Altruism, Morality and Economic Theory (New York, 1975) 171-95;
25. H. B. Hansmann, The role of nonprofit enterprise, The Yale Law Journal 89 (1980) 835-901.
26. L. M. Salamon, Partners in Public Service: Government-Nonprofit Relations in the Modern Welfare State (London 1995).
27. R. Wuthnow, The voluntary sector: legacy of the past, hope for the future? In L. M. Salamon (Ed.), The Voluntary Sector in Comparative Perspective (Princeton 1991) 22-5.
28. Salamon, Partners in Public Service, 45-7.
29. S. Cherry, Change and continuity in the Cottage Hospitals, c. 1859-1948: the experience of East Anglia, Medical History 36 (1992) 271-89.
30. H. Swete, Handy Book of Cottage Hospitals (London 1870) 3.
31. A. Wilson, The Making of Man-Midwifery: Childbirth in England, 1660-1770 (London 1995);
32. J. Donnison, Midwives and Medical Men: A History of the Struggle for the Control of Childbirth (London 1988 [1977]).
33. M. Worboys, The sanatorium treatment for consumption in Britain, 1890-1914, in J. Pickstone (Ed.), Medical Innovations in Historical Perspective (London 1992) 47-71.
34. Pickstone, Medicine and Industrial Society, 113-22.
35. R. Porter, The gift relation: philanthropy and provincial hospitals in eighteenth-century England, in L. Granshaw and R. Porter (Ed.), The Hospital in History (London 1989);
36. A. Berry, Patronage, funding and the hospital patient, c.1750-1815: three English regional case studies (unpublished D.Phil thesis, University of Oxford 1995).
37. A. Borsay, "Persons of honour and reputation": the voluntary hospital in an age of corruption, Medical History 35 (1991) 281-94;
38. K. Wilson, Urban culture and political activism in Hanoverian England: the example of voluntary hospitals, in E. Hellmuth (Ed.), The Transformation of Political Culture: England and Germany in the Late Eighteenth Century (Oxford 1990) esp. 172-3, 180-1.
39. M. E. Fissell, Patients, Power, and the Poor in Eighteenth Century Bristol (Cambridge 1991);
40. Berry, op. cit.
41. B. Boss, The Bristol Infirmary 1761-2 and the "laborious-industrious Poor" (unpublished Ph.D thesis, University of Bristol 1995) 116-28.
42. A. Wilson, Conflict, consensus and charity: politics and the provincial voluntary hospitals in the eighteenth century, English Historical Review 111 (1991) 599-619.
43. Marland, op cit., 117-45.
44. P. J. Corfield, Power and the Professions in Britain 1700-1850 (London 1995);
45. I. Loudon, Medical Care and the General Practitioner 1750-1850 (Oxford 1986).
46. Fissell, op. cit., Chap. 7;
47. G. B. Risse, Hospital Life in Enlightenment Scotland: Care and Teaching at the Royal Infirmary of Edinburgh (Cambridge 1986).
48. John Fothergill, cited in A. Deutsch, Historical inter-relationships between medicine and social welfare, Bulletin of the History of Medicine 11 (1942) 491.
49. P. Dobkin Hall, The Organization of American Culture 1700-1900: Private Institutions, Elites and the Origins of American Nationality (New York 1982) 70-3.
50. Lancet, 27th January 1849;
51. Loudon, op. cit., Chap. 10, 306-9.
52. H. Marland, Lay and medical conceptions of medical charity during the nineteenth century: the case of the Huddersfield General Dispensary and Infirmary, in J. Barry and C. Jones (Ed.), Medicine and Charity Before the Welfare State (London 1991) 159-67; L. Granshaw, "Fame and fortune by means of bricks and mortar": the medical profession and specialist hospitals in Britain, 1800-1948,
53. in Granshaw and Porter, op. cit., 199-220;
54. Digby, op. cit., Chaps. 4 and 5.
55. Granshaw, op. cit., 206-12.
56. See note 14.
57. C. Webster, The crisis of hospitals during the Industrial Revolution, in E. G. Forbes (Ed.), Human Implications of Scientific Advance (Edinburgh 1977) 214-23.
58. Beds and inpatients are used as indicators of provision and utilization to the neglect of outpatients for two reasons. First, there are considerable inconsistencies between hospitals in reporting, particularly over the distinction between numbers of out-patients treated and the (much larger) numbers of attendances. Second, a full geographical comparison of hospital out-patient treatment would only be meaningful if other forms of primary care such as panel doctors and dispensaries were also considered; data on such sources are simply not available on a consistent basis. None the less, voluntary hospitals should not be viewed as principally residential institutions, and the growth of outpatient treatment and its relationship with other forms of primary care will be the subject of future work.
59. The absence of detailed information on patient flows has necessitated reliance here upon local government boundaries-counties and county boroughs. The wartime Hospital Surveys (1945-6) proposed a scheme of hospital districts based on some limited information on patient flows in the late 1930s, but a backwards extrapolation from this would be of doubtful value. In any case, the information available usually gives only a breakdown of the numbers of patients treated by county or county borough which still leaves the problem of delimiting the boundary of a given hospital's catchment within those units. Derivation of a set of catchments for the entire period under consideration is therefore beyond the scope of this paper.
60. W. F. Bynum, Physicians, hospitals and career structures in eighteenth-century London, in W. F. Bynum and R. Porter (Eds), William Hunter and the Eighteenth-Century Medical World (Cambridge 1985) 105-28.
61. Digby, op. cit., 22-3;
62. Public Record Office FS 1 69 Devonshire, 1 (1793), 7 (1809); M. Neve, Science in a commercial city: Bristol 1820-60, in I. Inkster and J. Morrell (Eds), Metropolis and Province: Science in British Culture, 1780-1850 (London 1983);
63. Fissell, op. cit.
64. O. Checkland, Philanthropy in Victorian Scotland (Edinburgh 1980);
65. Risse, op. cit.
66. M. Powell, Hospital provision before the NHS: territorial justice or inverse care law? Journal of Social Policy 21 (1992) 145-63;
67. J. Tudor Hart, The inverse care law, The Lancet (27 February 1971)405-12.
68. Abel-Smith, op. cit., 406-7.
69. Political and Economic Planning (PEP), Report on the British Health Services (London 1937) 159.
70. Granshaw, op. cit., 212-4.
71. K. Waddington, "Grasping gratitude": charity and hospital finance in late-Victorian London, in M. Daunton (Ed.), Charity, Self-interest and Welfare in the English Past (London 1996) 181-202;
72. S. Cherry, Beyond national health insurance: the voluntary hospitals and hospital contributory schemes-a regional study, Social History of Medicine 5 (1992) 455-82.
73. For example, London Metropolitan Archives (hereafter LMA) H33/RN/A12/34-52, Royal Northern Hospital Annual Reports, 1921-41 passim.
74. W. T. R. Pryce, Towns and their regional setting, in Idem. (Ed.), From Family History to Community History (Cambridge 1994) 123-4.
75. S. Cherry, The Role of the provincial hospital: the Norfolk and Norwich Hospital, 1771-1880, Population Studies 26 (1972);
76. Risse, op. cit.;
77. Boss, op. cit.;
78. M. E. Fissell, The "sick and drooping poor" in eighteenth-century Bristol and its region, Social History of Medicine 2 (1989) 35-58; BRI Reports Vol. 1: 1878-9 245-308; BRO 35893 (21) i-r, Stale of the Bristol Infirmary passim.
79. Hospitals Yearbook (1937) xxxv-vi.
80. J. Woodward, Medicine and the city: the nineteenth-century experience, in R. Woods and J. Woodward (Eds), Urban Disease and Mortality in Nineteenth-Century England (London 1984), esp. 77;
81. A. Hardy, The Epidemic Streets: Infectious Diseases and the Rise of Preventive Medicine, 1856-1900 (Oxford 1993).
82. S. Sturdy, The political economy of scientific medicine: science, education and the transformation of medical practice in Sheffield, 1890-1922, Medical History 36 (1992) 125-59.
83. R. Pinker, English Hospital Statistics 1861-1938 (London 1966) Chap. 13;
84. Return relating to Workhouses & co., PP 1890-91 Ixviii, 679-97;
85. Forty-first annual report of the Local Government Board 1911-12, PP 1912-13 xxxv, xv.
86. Ministry of Health/Nuffield Provincial Hospitals Trust, Hospital surveys (10 vols, London 1945-6).
87. PEP Report, 259-61, 367-8.
88. Berry, op. cit., 33.
89. G. H. Hume, The History of the Newcastle Infirmary (Newcastle-upon Tyne 1906) 84-7;
90. Royal Victoria Infirmary Annual Reports Tyne and Wear Archives (hereafter TWA) HO/ RVI/72/81: 1909, 1912, 1919, 1921, 1925, 1928, 1932, 1935, 1946.
91. LMA H9/GY/A94/7-10 Guy's Hospital Annual Reports, 1921-W, passim; BRO 35893 (21) n-r, State of the Bristol Infirmary passim; Public Record Office MH/58/205, Evidence to Cave Committee, 17th day, Mr T. Ratcliff, Chairman of General Hospital, Birmingham.
92. LMA H33/RN/A12/6, 1891/42, 1931; TWA HO/RVI/72/81, 1919. See note 57.
93. Pryce, op. cit., 131-8.
94. J. Douglas, Political theories of non-profit organization, in W Powell (Ed.), The Nonprofit Sector: A Research Handbook (New Haven 1987) 43-54.
95. Ministry of Health Voluntary Hospitals Commission Report on Voluntary Hospital Accomodation in England and Wales (1925), House of Commons Cmd. 2486, 5.
96. Boss, op. cit., 40, 58-9.
97. Berry, op. cit., 212-3.
98. Swete, op. cit., 5, 10, 11, Appendix ii.
99. Ibid, ix-xi; British Medical Journal, 12 May 1866.
100. PP 1864 xxviii Sixth Report of the Medical Officer of the Privy Council, 1863: Appendix 15: Report by Dr John Syer Bristowe and Mr Timothy Holmes on the Hospitals of the United Kingdom, 469-70.
101. Ibid. 468-70, 473.
102. H. C. Burdett, Hospital Annual and Yearbook of Philanthropy 1891-1892 (London 1891)
103. cvi-cix; Idem., Hospitals and Asylums of the World: Volume III-Hospitals: History and Administration (London 1893) Chap, xi;
104. Rivett, op. cit., 124-5, 134.
105. Rivett, op. cit., 94-102, 161-70;
106. Prochaska, op. cit., 66-70.
107. MH/58/204 and 205: Evidence to the Cave Committee e.g. Day 5, Vernor Miles, Day 15, Charles Irwin and R. Orde.
108. MH/58/172 Hospital Accomodation Enquiry 1923-5, L. G. Brock to Onslow, 20 Feb 1924.
109. Report on Voluntary Hospital Accomodation, Appendix 1.
110. Proceedings of the Newcastle Council, 5 March, 1930: Medical Services and Hospitals, 403-9.
111. J. Mohan, Neglected roots of regionalism? The Commissioners for the Special Areas and Grants to Hospital Services in the 1930s, Social History of Medicine 10 (1997) 243-62, 257-8.
112. The Hospital Gazette (March 1926) 8;
113. Ibid. (June 1926) 4-7.
114. PEP Report, 256-62; Powell, Hospital provision before the NHS.
115. Ministry of Health, A Hospital Plan for England and Wales (London 1962) Cmnd. 1604; DHSS, Sharing Resources for Health in England: Report of the Resource Allocation Working Party (London 1976) 7;
116. M. J. Buxton and R. E. Klein Allocating Health Resources: A Commentary on the Report of the Resource Allocation Working Party (1978);
117. R. Haynes, Regional anomalies in hospital bed use in England and Wales, Regional Studies 19 (1991) 19-27;
118. R. R. West and C. R. Lowe, Regional variations in need for and provision and use of child health services in England and Wales, British Medical Journal 2 (1976) 843-6.
119. DHSS, Sharing Resources, 7;
120. N. Mays and G. Bevan, Resource Allocation in the Health Service (Occasional Papers in Social Administration, No. 81, London 1987);
121. J. Allsop Health Policy and the NHS (Harlow 1995) 66;
122. C. Donaldson and K. Gerard, The Economies of Health Care Financing (Basingstoke 1993) 161.