Migrant architects of the NHS draws on forty-five oral history interviews and extensive archival research to offer a radical reappraisal of how the National Health Service was made. It tells the story of migrant South Asian doctors who became general practitioners in the NHS. Imperial legacies, professional discrimination and an exodus of UK-trained doctors combined to direct these doctors towards work as GPs in some of the most deprived parts of the UK. In some areas, they made up over half of the general practitioner workforce. The NHS was structurally dependent on them and they shaped British society and medicine through their agency. Aimed at students and academics with interests in the history of immigration, immigration studies, the history of medicine, South Asian studies and oral history. It will also be of interest to anyone who wants to know more about how Empire and migration have contributed to making Britain what it is today. -- .
Migrant architects of the NHS draws on forty-five oral history interviews and extensive archival research to offer a radical reappraisal of how the National Health Service was made. It tells the story of migrant South Asian doctors who became general practitioners in the NHS. Imperial legacies, professional discrimination and an exodus of UK-trained doctors combined to direct these doctors towards work as GPs in some of the most deprived parts of the UK. In some areas, they made up over half of the general practitioner workforce. The NHS was structurally dependent on them and they shaped British society and medicine through their agency. Aimed at students and academics with interests in the history of immigration, immigration studies, the history of medicine, South Asian studies and oral history. It will also be of interest to anyone who wants to know more about how Empire and migration have contributed to making Britain what it is today. -- .
Introduction: writing the history of the 'International' Health
Service
Part I: Healthcare and migration in Britain during the post-war
period
1. The making of a cornerstone
2. Empire, migration and the NHS
Part II: The colonial legacy, racism and the staffing of
surgeries
3. The empire of the mind and medical migration
4. Discrimination and the development of general practice
5. From ‘pairs of hands’ to family doctors
Part III: Shaping British medicine and British society
6. ‘The more you did, the more they depended on you’: memories of
practice on the periphery
7. Beyond the surgery boundaries: doctors’ organisations and
activist medics
8. Adding to the mosaic of British general practice
Conclusion: Historicising a ‘revolution’
Bibliography
Index
Julian M. Simpson is an independent writer, researcher and translator
‘Easy to follow and highly recommended, Julian Simpson’s book
provides a clear and comprehensive account of this suddenly very
topical slice of history, and does exactly what he set out to do —
writes migrants back into the history of the NHS.’
Anjna Harrar, British Journal of General Practice, August 2018
‘The detailed individual narratives, and the author’s meticulous
historical and political analysis, offer a model for making sense
of medical migration.’
John Launer, Postgraduate Medical Journal
‘Simpson has previously stated his desire to ‘write migrant doctors
back into the history of the NHS’, claiming that British medical
historians (unlike those in North America) have been much less
attuned to the role of immigration in shaping contemporary society.
He has certainly achieved that goal. This is the first full-length
scholarly book to examine the contribution of migrant doctors to
the NHS and, as such, constitutes an importance reconsideration of
post-war British health services. […] the book does succeed
marvellously in denationalising the NHS, by looking at health care
and medical practice through a transnational lens. As such, it
paves the way for other important studies of health care diasporas
in Britain.’
David Wright, McGill University, Social History of Medicine, Volume
32 Issue 1, February 2019
‘Simpson has previously stated his desire to ‘write migrant doctors
back into the history of the NHS’, claiming that British medical
historians (unlike those in North America) have been much less
attuned to the role of immigration in shaping contemporary society.
He has certainly achieved that goal. This is the first full-length
scholarly book to examine the contribution of migrant doctors to
the NHS and, as such, constitutes an importance reconsideration of
post-war British health services. […] the book does succeed
marvellously in denationalising the NHS, by looking at health care
and medical practice through a transnational lens. As such, it
paves the way for other important studies of health care diasporas
in Britain.’
David Wright, McGill University, Social History of Medicine, Volume
32 Issue 1, February 2019
'Migrant Architects of the NHS will have significant interest for
historians of post-war Britain. It merits a wide readership and
will undoubtedly be a valued addition to reading lists for students
and researchers alike.'
Martin Moore, University of Exeter, Contemporary British History,
May 2019
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