The evolution of community medicine. Part 5, The poor law and the national health.

Date:
1984
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Credit

The evolution of community medicine. Part 5, The poor law and the national health. Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Source: Wellcome Collection.

About this work

Description

The fifth in an 8-part series of short lectures by Sidney Chave from the London School of Hygiene and Tropical Medicine. The series charts the rise of the Public Health Movement and the different ways this initial reform evolved into community medicine. This part looks at the changing face of the Poor Law. 4 segments.

Publication/Creation

London : University of London Audio-Visual Centre, 1984.

Physical description

1 encoded moving image (21.29 min.) : sound, color

Contributors

Duration

00:21:29

Copyright note

University of London

Terms of use

Unrestricted
CC-BY-NC
Creative Commons Attribution-Non-Commercial 2.0 UK: England & Wales

Language note

In English

Creator/production credits

Presented by Dr Sidney Chave, London School of Hygiene and Tropical Medicine. Produced by John Winn and Paul Wilks. Edited by David Crawford. Made by University of London Audio-Visual Centre.

Notes

This video is one of around 310 titles, originally broadcast on Channel 7 of the ILEA closed-circuit television network, given to Wellcome Trust from the University of London Audio-Visual Centre shortly after it closed in the late 1980s. Although some of these programmes might now seem rather out-dated, they probably represent the largest and most diversified body of medical video produced in any British university at this time, and give a comprehensive and fascinating view of the state of medical and surgical research and practice in the 1970s and 1980s, thus constituting a contemporary medical-historical archive of great interest. The lectures mostly take place in a small and intimate studio setting and are often face-to-face. The lecturers use a wide variety of resources to illustrate their points, including film clips, slides, graphs, animated diagrams, charts and tables as well as 3-dimensional models and display boards with movable pieces. Some of the lecturers are telegenic while some are clearly less comfortable about being recorded; all are experts in their field and show great enthusiasm to share both the latest research and the historical context of their specialist areas.

Contents

Segment 1 Chave, seated, speaks to the camera. He says how the Poor Law of 1834 had become outdated and defective - financial assistance for the poor was not equally distributed by the various Boards of Guardians appointed in different regions. For instance, some would help out the elderly while others wouldn't. Poor Law infirmaries and hospitals brought stigma to patients as to be admitted to the infirmary, in particular, meant to be classified as a pauper. In 1905, the Balfour Government set up the Royal Commission on the Poor Law and Relief of Distress, it was a commission with 18 distinguished members, the like of which had not been seen before in England. Portraits of Beatrice Webb and Sidney Webb are shown - they were a partnership which was to do much for the development of social policy, social enquiry, social action and social science. The Royal Commission initially agreed on one thing: to do away with the Boards of Guardians. Time start: 00:00:00:00 Time end: 00:05:08:17 Length: 00:05:08:17
Segment 2 Chave continues to describe the results of the Royal Commission. The Majority Report of the Commission proposed that the work previously done by the Boards of Guardians should be passed onto the local authorities who should set up Public Assistant Committees to administer public assistance to the needy. The Minority Report was more radical, suggesting the Poor Law be abolished entirely. They also suggested that a National Medical Service be set up. In 1909, Prime Minister Campbell-Bennerman read the two reports and was unable to make a decision as to which one to support. This lack of decision spanned 20 years with subsequent Prime Ministers also unable to choose between the two reports until finally the Majority Report was brought into action. Time start: 00:05:08:17 Time end: 00:09:28:17 Length: 00:04:20:00
Segment 3 Chave discusses old age pensions which were introduced in England in 1908. Although the yearly sum of £21 was a pittance, it enabled old people to stay out of the workhouse and it was not associated with the stigma of the Poor Law. Also introduced in this year was the Labour Exchanges Act which aimed to set up a Labour Exchange Office in every district to enable unemployed people to find work more easily. Winston Churchill backed this scheme and drafted the Act. Chave shows a photograph of Winston Churchill with Lloyd George and describes how Lloyd George introduced the National Health Insurance scheme of 1911. This scheme not only provided free health care but also an insurance benefit to help sick people to survive financially whilst unable to work. Time start: 00:09:28:17 Time end: 00:15:13:00 Length: 00:05:44:08
Segment 4 Chave talks about how contributions were made from salaries to the National Health Insurance Scheme. The scheme also provided maternity benefit, a benefit for injuries sustained at work and a benefit for those having to go to a sanatorium with tuberculosis. Lloyd George employed Robert Morant as the first administrator of the National Insurance Grants Commission - we see a photograph of Morant. Morant organised the scheme and negotiated with doctors who were not keen to participate. The scheme came into being in 1913, liberating the factory worker, in particular, from the factory system policy: no work, no pay. Chave sums up by saying that this was the first important step on the path that would lead to comprehensive medical care for all. Time start: 00:15:13:00 Time end: 00:21:29:10 Length:00:06:16:10

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