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Open Access (free)
Gareth Millward

relevant to the overall narrative, they will be discussed. However, the chapters that are included here exemplify the broad trends and concepts that are crucial to understanding the relationship between the public and public health authorities during the post-war period. Finally, any history of Britain needs to engage with the “four nations” question. Political events from devolution in the 1990s to the Scottish and European independence referenda in the 2010s have made British citizens even more aware that “Britain” is not simply “England”. The

in Vaccinating Britain
Martin D. Moore

. The Ministry's only recourse to implementation was exhortation to RHBs, whilst the muddled relationships between RHBs and hospital units meant that regional plans rarely had a direct relationship with the service delivered. 54 Efforts to ‘generalise the best’ in diabetes care, to paraphrase Bevan, were difficult to achieve in a system which sought to guarantee the maximum possible devolution of decision-making. 55 The creation of the NHS, therefore, confirmed diabetes’ status as a hospital disease, but dashed hopes for effective regional

in Managing diabetes, managing medicine
Martin D. Moore

cities. Community schemes, mini-clinics, GP care based on diabetes days or hours, and travelling clinics could be found everywhere from Kirkcaldy to Poole and from Norwich to Cardiff. Schemes spread despite warnings about efficacy. As one exchange of letters to the British Medical Journal ( BMJ ) indicated, conflict about the devolution of responsibilities to GPs could be fierce. In a co-authored letter reviewing the extant literature in 1984, the GP Brian Hurwitz and the renowned epidemiologist John Yudkin proposed that motivated general practice care could match

in Managing diabetes, managing medicine