VOICES FROM THE NHS A PEOPLE'S HISTORY

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VOICES FROM THE NHS A PEOPLE'S HISTORY
VOICES
FROM THE NHS
A PEOPLE’S HISTORY

   DARRYL CUNNINGHAM
VOICES FROM THE NHS A PEOPLE'S HISTORY
THE NHS WAS BORN 5 JULY 1948. ON THAT DAY, DOCTORS, NURSES, PHARMACISTS,
  OPTICIANS, DENTISTS AND HOSPITALS CAME TOGETHER FOR THE FIRST TIME TO
 PROVIDE COMPREHENSIVE HEALTH SERVICES FOR ALL ACROSS THE FOUR NATIONS
                                OF THE UK.

   ANEURIN ‘NYE’ BEVAN, THE HEALTH          HERE HE MET THE NHS’S FIRST PATIENT,
     MINISTER WHO WAS THE NHS’S            13-YEAR-OLD SYLVIA DIGGORY, WHO HAD
  CREATOR, VISITED PARK HOSPITAL IN         ACUTE NEPHRITIS, A LIFE-THREATENING
    DAVYHULME, MANCHESTER (NOW                        LIVER CONDITION.
    TRAFFORD GENERAL HOSPITAL).

 YEARS LATER IN AN INTERVIEW, SYLVIA         YOUNG SYLVIA HAD EAVESDROPPED
RECALLED HOW BEVAN HAD ASKED HER IF         ON ADULTS’ CONVERSATIONS AND SO
 SHE UNDERSTOOD THE SIGNIFICANCE OF          KNEW THAT A GREAT CHANGE WAS
THE OCCASION? IT WAS, HE TOLD HER, A          COMING. IT SEEMED TO HER THAT
 MILESTONE IN HISTORY AND THE MOST          MOST PEOPLE COULD HARDLY BELIEVE
   CIVILISED STEP THE COUNTRY HAD                 WHAT WAS HAPPENING.
              EVER TAKEN.

                                       1
VOICES FROM THE NHS A PEOPLE'S HISTORY
THE FIRST BABY TO BE        ANEIRA BECAME KNOWN AS NYE. WHEN SHE
                 BORN IN THE NHS WAS            WAS A CHILD, HER MOTHER WOULD
                  ANEIRA THOMAS. ON           INTRODUCE ANEIRA TO OTHERS WITH
                 MONDAY 5 JULY 1948.         THE WORDS, ‘THIS IS NYE. MY NATIONAL
                SHE WAS NAMED BY HER                    HEALTH BABY.’
                  MOTHER AFTER THE
                    ARCHITECT OF
                 THE HEALTH SERVICE.

   SHE WAS THE YOUNGEST OF SEVEN            ANEIRA BELIEVED THAT NOT HAVING TO
 CHILDREN AND THE FIRST IN THE FAMILY         PAY FOR THE STAY IN HOSPITAL AND
TO BE BORN AT HOME. THE BIRTH DIDN’T          THE ATTENDANCE OF THE DOCTOR
COST HER PARENTS A PENNY. WHEN HER          WOULD HAVE BEEN A BIG RELIEF TO HER
 SIBLINGS HAD BEEN BORN, HER PARENTS          MOTHER. AS WAGES WERE LOW AND
HAD TO PAY A MIDWIFE ONE SHILLING AND       MONEY WAS TIGHT IN THEIR HOUSEHOLD.
  SIXPENCE TO COME AND DELIVER THE
                 BABY.

 ANEIRA THOMAS’S FAMILY LIVED IN A SOUTH WALES MINING COMMUNITY. TOO POOR TO
AFFORD GOOD HEALTH CARE BEFORE THE CREATION OF THE NHS. IT WAS ANEIRA’S VIEW
     THAT THE NHS WAS SET UP TO MAINTAIN LIFE. SHE NEVER KNEW ANY OF HER
   GRANDPARENTS BECAUSE THEY DIED BETWEEN THE AGES OF 30 AND 50. BUT HER
        MOTHER LIVED UNTIL SHE WAS 95, WHICH SHE PUT DOWN TO THE NHS.

                                        2
VOICES FROM THE NHS A PEOPLE'S HISTORY
HOWEVER THE TREATMENT OF                     ONE CRITIC WAS THE MOTHER AND
EXPECTANT MOTHERS IN THE EARLY DAYS             AUTHOR SARAH CAMPION (A PSEUDONYM
 OF THE NHS WAS NOT ALWAYS PERFECT.            FOR THE AUTHOR MARY ROSE COULTON),
                                               WHO HAD HER FIRST BABY IN 1949, JUST A
 IS THAT                                       YEAR AFTER THE FORMATION OF THE NHS.
  TRUE?

    CAMPION’S BOOK NATIONAL BABY,               MUCH OF CAMPION’S ACCOUNT IS CRITICAL
   PUBLISHED IN 1950, IS A FIRST-HAND           OF THE NHS. SHE OBSERVED HOW MEDICAL
ACCOUNT OF PREGNANCY AND BIRTH UNDER             PROFESSIONALS WERE DEEMED TO KNOW
 THE NEW NHS. IT IS WRITTEN AS A DIARY,         WHAT WAS BEST FOR THE PATIENT, AND
 AND FOLLOWS CAMPION’S EXPERIENCE OF           THE MOTHER WAS SEEN AS COMPARATIVELY
ANTENATAL CLINICS, BIRTH, HOSPITAL LIFE,                INFERIOR AND IGNORANT.
       AND POSTNATAL SERVICES.
                                                                    THANK YOU,
                                                                     DOCTOR.

   NATIONAL BABY SHOWS THAT THIS                  CAMPION DESCRIBED HOW DOCTORS
    VIEW WAS WIDESPREAD AMONGST                REFUSED TO GIVE MOTHERS INFORMATION
 DOCTORS AND NURSES IN THE LATE 1940s.         ABOUT THEIR OWN BODIES. FOR INSTANCE,
                                               AT THE ANTENATAL CLINIC CAMPION WAS
                                                   TOLD SCOLDINGLY BY A NURSE...
 I’LL DECIDE
WHAT IS BEST                                              DON’T TOUCH
   FOR THE                                                  THAT FILE.
  PATIENT.                                                   BUT IT’S
                                                             MY FILE.

                                           3
VOICES FROM THE NHS A PEOPLE'S HISTORY
HOWEVER CAMPION ULTIMATELY URGED            ONE AREA WHERE THE NHS WAS HUGELY
MOTHERS TO USE THE FACILITIES OFFERED          SUCCESSFUL WAS IN THE CARE OF
   BY THE NHS, DESPITE THE LACK OF            PREMATURE BABIES. THE LAUNCH OF
  PERSONAL SERVICE. SHE UNDERSTOOD           THE NHS COINCIDED WITH AN INCREASED
 THAT THIS MAY BE A SACRIFICE WORTH         COMMITMENT TO PROVIDING SYSTEMATIC
PAYING FOR A BIRTH WITH EXPERTS, FREE                 NEONATAL CARE.
         AT THE POINT OF USE.

 AT THE BEGINNING OF THE TWENTIETH          BUT AFTER THE SECOND WORLD WAR
CENTURY INFANT MORTALITY REMAINED              THERE WAS AN INCREASE IN THE
HIGH AND THE LIKELIHOOD OF A PRETERM        TYPES OF ANTENATAL AND NEONATAL
  BABY SURVIVING INFANCY WAS LOW.            MEDICAL TECHNOLOGIES AVAILABLE
                                            TO MIDWIVES AND OBSTETRICIANS FOR
                                              THE SAFE DELIVERY AND CARE OF
                                                    PREMATURE BABIES.

SPECIAL BABY CARE UNITS WERE CREATED,       HOWEVER, WHILE BIRTH IN THE NHS HAS
     WITH EARLY UNITS AT BRISTOL,              IMPROVED, EVEN TODAY NOT ALL
 MANCHESTER AND BIRMINGHAM. THE NEW,        MOTHERS AND BABIES SURVIVE. RECENT
    EXPANDING NHS MADE SUCH UNITS            RESEARCH* ALSO SHOWS THAT FOR
          AVAILABLE TO MOST.                  BLACK, ASIAN AND MIXED HERITAGE
                                            WOMEN AND THOSE WITH PRE-EXISTING
                                             CONDITIONS, SOME OF THE PROBLEMS
                                                 CAMPION DESCRIBED PERSIST.

                                                     *SEE INSIDE BACK PAGE FOR REFERENCE.

                                        4
VOICES FROM THE NHS A PEOPLE'S HISTORY
WHAT WAS THE EXPERIENCE OF CHILDREN        I KNEW I HAD TO BE BRAVE AND HAVE THIS
IN THE EARLY NHS? HERE ARE THE WORDS       OPERATION, BUT I DID CRY WHEN MY MUMMY
OF NICOLA KINGSTON WHO WAS FIVE WHEN        AND DADDY LEFT ME THERE AND I HAD TO
  SHE HAD AN OPERATION TO HAVE HER            SPEND THE NIGHT IN A BIG WARD WITH
   TONSILS AND ADENOIDS OUT AT THE                      OTHER CHILDREN.
   WESTMINSTER CHILDREN’S HOSPITAL,
               LONDON.

 MY MOST VIVID MEMORY THOUGH WAS            I HAVE ALWAYS REMEMBERED HOW THAT
WAKING UP FROM THE OPERATION, AND MY       SWAN SHOWED ME MY DAD LOVED ME EVEN
 THROAT WAS SO SORE AND STILL NO             THOUGH PARENTS WERE ONLY ALLOWED
 MUMMY OR DADDY, BUT THERE WAS A                TO VISIT FOR TWO HOURS IN THE
  VASE OF A SWAN, FULL OF FLOWERS.                       AFTERNOONS.

 I THINK THINGS CHANGED AFTER THAT          NOT ALL CHILDREN HOSPITALISED IN THE
WHEN RESEARCH SHOWED THAT CHILDREN             EARLY NHS HAVE HAPPY MEMORIES.
 SEPARATED FROM THEIR PARENTS AND          HERE’S AN ANONYMOUS CONTRIBUTOR TO
    RECOVERED MUCH SLOWER. I STILL             THE PEOPLE’S HISTORY OF THE NHS
      REMEMBER THAT SWAN VASE.              WEBSITE, WHO WAS ADMITTED TO BOW
                                           ARROW CHILDREN’S HOSPITAL, DARTFORD,
                                                  WITH TUBERCULOSIS IN 1956.
                                            I WAS NOT ALLOWED OUT OF BED FOR
                                              ANYTHING, NOT ALLOWED TO SIT UP
                                              EVEN TO EAT, EVERYTHING DONE ON
                                                           MY SIDE.

                                       5
VOICES FROM THE NHS A PEOPLE'S HISTORY
IF MY MEMORY SERVES ME RIGHT, I WAS IN          I WASN’T ALLOWED TO JOIN IN THE
HOSPITAL FOR BETWEEN 9 TO 10 MONTHS           SCHOOL LESSONS ON THE WARD FOR AGES.
WITH 3 MONTHS RECUPERATION AT HOME            HOW I CRAVED THE CARDBOARD BOX THE
BEFORE BEING ALLOWED BACK TO SCHOOL.            OTHER CHILDREN HAD FULL OF PENCILS,
                                                        RUBBER AND RULER.

IT WAS A WONDERFUL DAY WHEN HER BOX           CHRISTMAS CAME AND NO VISITORS WERE
ARRIVED. SHE STILL HAD TO WORK ON HER         ALLOWED ON CHRISTMAS DAY. THE WARD
  SIDE, BUT SHE WAS SO PLEASED THERE           WAS DECORATED WITH GARLANDS AND
WAS MORE TO DO OTHER THAN LISTEN TO                       BALLOONS.
   THE RADIO ON HEADPHONES OR READ
                 BOOKS.

 MY MUM TOLD ME TO STAY AWAKE ON                     WELL, I DID TRY, BUT I SLEPT
 CHRISTMAS EVE AS THE NURSES WOULD                        THROUGH IT ALL.
TURN THEIR CLOAKS INSIDE OUT TO SHOW
 THE RED LINING AND COME TO EACH BED
            TO SING CAROLS.

                                          6
VOICES FROM THE NHS A PEOPLE'S HISTORY
I REALISE HOW NEAT AND TIDY AND             IT IS SO MUCH BETTER FOR PARENTS
BARREN THE WARDS WERE FOR CHILDREN              BEING ABLE TO SPEND AS MUCH TIME
 IN THOSE DAYS AND VISITING WAS THE                AS THEY LIKE WITH THEIR SICK
              BARE MINIMUM.                            CHILDREN THESE DAYS.

I HAD MY OWN CHILDHOOD NHS EXPERIENCE.
                                               I WAS PLACED IN A ROOM WITH ONLY
 IN DECEMBER 1963, AT THE AGE OF THREE,
                                               ONE OTHER CHILD; A BABY IN A COT.
 I WAS ADMITTED TO THE MORTON BANKS
                                                  NO VISITORS WERE ALLOWED IN
   HOSPITAL IN KEIGHLEY, YORKSHIRE, WITH
                                                           THIS ROOM.
              SCARLET FEVER.

   DARRYL
 CUNNINGHAM

   I COULD ONLY SEE MY FATHER AND               WHEN CHRISTMAS CAME, A MASKED
 GRANDMOTHER AS THEY WAVED AT ME               FATHER CHRISTMAS BROUGHT TOYS,
   THROUGH A WINDOW IN THE DOOR.                 THAT INCLUDED A RED TRICYCLE.
  MY MOTHER WAS GIVING BIRTH TO MY
YOUNGER BROTHER IN ANOTHER HOSPITAL,
       SO I DIDN’T SEE HER AT ALL.

                                           7
VOICES FROM THE NHS A PEOPLE'S HISTORY
WAS I TRAUMATISED BY THIS EXPERIENCE?          YET MY GRANDMOTHER TOLD ME YEARS
 I DON’T RECALL FEELING ILL APART FROM       LATER THAT I WAS QUITE CHANGED AFTER
   A BAD HEADACHE. NOR DO I REMEMBER         MY STAY IN HOSPITAL. I WAS A BOISTEROUS
   BEING DISTRESSED BY THE SEPARATION         CHILD BEFORE, BUT AFTERWARDS, QUIET
  FROM MY FAMILY. ALL THE STAFF WERE                     AND WITHDRAWN.
               KIND TO ME.

    CERTAINLY, I WAS A SHY CHILD WHO             UP UNTIL THE LATE 1940 s, IT WAS
 SUFFERED MUCH ANXIETY, BUT WHETHER            THOUGHT UNDESIRABLE FOR CHILDREN
THIS WAS CAUSED BY MY HOSPITAL STAY,            TO BE VISITED REGULARLY BY THEIR
I CAN’T SAY. I MAY WELL HAVE DEVELOPED       PARENTS IN HOSPITAL. THE INSTITUTION’S
         THOSE TRAITS ANYWAY.                   DESIRE FOR ORDER AND CLEANLINESS
                                                   OVERRODE EMOTIONAL NEEDS.

    MANY HOSPITALS PERMITTED ONLY            SLOWLY, CAMPAIGNERS DROVE FORWARD
MONTHLY VISITS AND SOME NONE AT ALL.         CHANGES MAKING IT EASIER FOR PARENTS,
    IN THE 1950 s THERE BEGAN TO BE           ALTHOUGH IT WASN’T UNTIL THE 1970 s
CONCERN OVER LEAVING YOUNG CHILDREN           THAT UNRESTRICTED VISITING BECAME
IN HOSPITAL AWAY FROM THEIR PARENTS            STANDARD POLICY IN NHS HOSPITALS.
    AND THE THREAT OF ‘SEPARATION
                ANXIETY.’

                                         8
VOICES FROM THE NHS A PEOPLE'S HISTORY
WHAT WAS THE EXPERIENCE OF WORKING                SO WHEN SHE HAD A FAMILY AND WENT
   IN THE NHS LIKE? AN ANONYMOUS                 BACK TO WORKING NIGHTS WHEN WE WERE
       COMMENTATOR WROTE...                        YOUNG SHE WAS ALWAYS AWARE OF
 MY MOTHER WAS A MIDWIFE AND SPENT                NURSES WHO WERE FAR FROM HOME AT
 CHRISTMASES IN LODGINGS AND ON HER                          CHRISTMAS.
OWN WHEN SHE CAME OVER FROM IRELAND
   TO TRAIN AS A NURSE IN LONDON.

 THIS MEANT WE REGULARLY HAD NURSES                 SO I GREW UP WITH THIS SENSE OF
 FROM IRELAND, JAMAICA, NIGERIA OR THE               NURSING BEING SOMETHING OF A
   PHILIPPINES FOR CHRISTMAS DINNER.              COMMUNITY AND QUITE INTERNATIONAL.

  GILLIAN SINGLETON REMEMBERS WHAT                THERE WERE ABOUT 50 STUDENT NURSES
     NURSING WAS LIKE IN THE 1970 s.             IN MY SET AND WE STARTED OUR TRAINING
                                                    IN THE SCHOOL OF NURSING WHERE WE
 IN APRIL 1974, I APPLIED TO LEEDS GENERAL
                                                 SPENT SIX WEEKS STUDYING ANATOMY AND
INFIRMARY AND WAS ACCEPTED FOR NURSE
                                                  PHYSIOLOGY, AN INTRODUCTION TO SOME
   TRAINING IN THE FOLLOWING NOVEMBER.
                                                       DISEASE PROCESSES, EMERGENCY
                                                               PROCEDURES...

                                             9
...AND THE PRACTICAL SKILLS THAT                AFTER THE SIX-WEEK INTRODUCTORY
WOULD BECOME SO FAMILIAR TO US (BED             PERIOD WE WERE PLACED ON THE WARDS
 BATHING, MOBILITY ASSISTANCE, AND             AND EXPOSED TO SOME TYRANNICAL WARD
              FEEDING).                                SISTERS AND MATRONS.

 THE LEARNING CURVE WAS STEEP DURING           ...THAT THE EMERGENCY PROCEDURE WAS
OUR FIRST THREE MONTHS ON THE WARDS.               ALL VERY WELL IF EVERYONE COULD
 WE DISCOVERED THAT IT WAS DIFFICULT            REMAIN CALM AND THAT ‘LAST OFFICES’
   TO BED BATH FIVE PATIENTS EVERY                (THE LAYING OUT OF A DEAD PERSON)
  MORNING BEFORE LUNCH EXACTLY HOW              WAS AN EXTREMELY PAINFUL EXPERIENCE
   THEY HAD ADVOCATED IN SCHOOL...                  THE FIRST TIME WE HAD TO DO IT.

WE WERE BARELY INTO OUR SECOND YEAR               BY THE TIME WE WERE IN OUR THIRD
BEFORE WE WERE PUT IN CHARGE OF THE              YEAR WE WERE BEING TRAINED TO GIVE
   WARDS ON NIGHT DUTY, MANAGING                  DRUGS AND WOULD BE EXPECTED TO
ACUTELY ILL PATIENTS AND LIVING IN FEAR          OVERSEE JUNIOR NURSES WHILST STILL
       OF OUR NIGHT SISTERS.                        LEARNING NEW SKILLS OURSELVES.
                                                   ‘SEE ONE, DO ONE,TEACH ONE’ WAS
                                                         HOW WE ALL LEARNED.

                                          10
NOT ALL STUDENTS NURSES HAD A             IN HONG KONG SHE’D HAD AN AMAH (GIRL OR
 POSITIVE EXPERIENCE. IN 1963, MAGGS         WOMAN EMPLOYED BY A FAMILY TO CLEAN,
LATTER FLEW FROM HONG KONG WHERE                LOOK AFTER CHILDREN, AND PERFORM
 SHE HAD BEEN LIVING, AND HEADED TO              OTHER DOMESTIC TASKS) AND SO
THE UK AND THE ROYAL FREE HOSPITAL                COULDN’T IRON OR MAKE A BED.
        SCHOOL OF NURSING.

 THE SIX WEEKS TRAINING WAS HARD              SHE WAS CONSTANTLY AWARE OF THE
 WORK, WITH STRANGE RULES: DON’T              LOWLY STATUS OF STUDENT NURSES.
WEAR YOUR HOSPITAL CRESTED SCARF,              WHEN CONSULTANTS CAME INTO THE
ESPECIALLY NEAR MEN. BECAUSE NURSES           WARD, STUDENTS HAD TO HIDE IN THE
  WERE REGARDED AS EASY SEXUAL                             SLUICE.
            CONQUESTS.

   ONE TIME SHE HAD LIPSTICK ON              MEN’S SURGICAL WARDS WERE A HIVE OF
   AND WAS TOLD BY SISTER TO...              SEXUAL INNUENDO FROM THE PATIENTS,
                                               TOO. EVENTUALLY, FEELING TOTALLY
  SCRUB YOUR PAINTED FACE. WHERE                  BEMUSED, FRIGHTENED OF THE
 DO YOU THINK YOU ARE, A MAY BALL?            RESPONSIBILITY, AND THOROUGHLY FED
                                               UP, SHE HANDED IN HER RESIGNATION.

                                       11
FORTUNATELY FOR THE NHS, BETWEEN 1948 AND 1973 THOUSANDS OF PEOPLE ARRIVED IN
 THE UK FROM THE COMMONWEALTH. THEY WERE KNOWN AS THE ‘WINDRUSH’ GENERATION,
DERIVED FROM THE ‘HMT EMPIRE WINDRUSH’ SHIP, WHICH BROUGHT ONE OF THE FIRST LARGE
   GROUPS OF CARIBBEAN PEOPLE TO THE UK. MANY OF THESE PEOPLE TOOK UP JOBS IN
                                    THE NHS.

    VERILINE VASSELL MADE THE                I WAS EMPLOYED AS AN AUXILIARY NURSE
     JOURNEY FROM JAMAICA.                          AT THE ROYAL HOSPITAL
                                                WOLVERHAMPTON BEFORE SPENDING
                                                    25 YEARS AT NEW CROSS
I ANSWERED THE CALL FOR NURSES BY
                                                   HOSPITAL AND FINALLY PENN
  THE UNITED KINGDOM AND FLEW TO
                                                          HOSPITAL.
    ENGLAND IN THE EARLY 1960 s.

I WORKED ON THE GERIATRIC WARD.            I WAS SHOCKED TO FIND ELDERLY ‘WHITE’
 THIS WARD WAS EXCLUSIVELY FOR            PEOPLE EXISTING IN SOMETIMES A STATE OF
          THE ELDERLY.                    DEGRADATION, RIGHT HERE IN THE ‘MOTHER
                                           LAND’, IT NEVER OCCURRED TO ME THAT
                                              WHITE PEOPLE COULD LIVE LIKE THIS.

                                     12
EVERY NOW AND AGAIN, YOU’D ENCOUNTER          SOME PATIENTS COULD BE REALLY UNKIND
  A PATIENT WHO DID NOT WANT TO BE             WITH THEIR WORDS AND ACTIONS BUT I
TREATED BY A ‘BLACK’ NURSE AND WOULD           LEARNT EVENTUALLY TO SHRUG IT OFF.
  SCREAM OUT LOUD IF YOU CAME NEAR.           FORTUNATELY THIS WAS NOT THE NORM.

               GET YOUR                                        WOULD YOU
               HANDS OFF                                       LIKE A CUP
                  ME.                                           OF TEA?
                                                           WHY, YES.
                                                          THANK YOU,
                                                            NURSE.

THE FIRST TIME I SAW SNOW WAS DURING              I MISTOOK SNOWFALL FOR COTTON
 A SHIFT, MY COLLEAGUES AND PATIENTS           BLOWING ON THE WIND. WHEN THEY TOLD
WERE MOST AMUSED WHEN I INQUIRED AS           ME IT WAS SNOW, I RAN STRAIGHT OUTSIDE
TO THE LOCATION OF THE COTTON FIELD.          WITHOUT A COAT TO FEEL IT ON MY SKIN.

      BEV MORRIS TELLS HER STORY.                 I WAS ONLY FIVE YEARS OLD AND
                                                       I REMEMBER THINKING...
I CAME TO THIS COUNTRY (FROM JAMAICA)
  ON THE 25TH OF OCTOBER IN 1966, WITH                 OH MY GOD, WHAT’S GOING ON,
   MY MUM, AND JOINED MY DAD HERE - HE                      IT’S REALLY COLD!
       CAME HERE IN ‘61. I ARRIVED AT
           HEATHROW AIRPORT.

  ARRIVALS

                                         13
BEV’S MOTHER BECAME A MENTAL              I THINK MOST OF US HAD PARENTS
  HEALTH NURSE IN THE NHS, MOVING            WHO WANTED US TO SUCCEED AND I
 LATER TO MIDWIFERY, WHERE SHE HAD          THANK THAT DROVE A LOT OF US TO
           A LONG CAREER.                       DO WHAT WE WANTED TO DO.

                                              BEV
                                             MORRIS

FOLLOWING HER MOTHER’S FOOTSTEPS,           I WORKED IN MENTAL HEALTH SERVICES
     BEV ALSO BECAME A NURSE.                 FOR A COUPLE OF YEARS, BECAME AN
    I WORKED IN MIDWIFERY, WORKED IN          ASSISTANT MANAGER IN ONE OF THE
 NEUROLOGY, WORKED IN ELDERLY CARE.         DEMENTIA WARDS BECAUSE THAT WAS
 I WORKED IN DIFFERENT AREAS AROUND                      MY PASSION.
             THE HOSPITAL.

 AT TIMES THERE WERE OPPORTUNITIES          DESPITE THIS INSTITUTIONAL BIAS, BEV
THAT WERE OFFERED TO ‘ENGLISH PEOPLE         STILL ACHIEVED MUCH IN HER CAREER.
  AND IRISH NURSES’ BUT NOT BLACK             SHE IS CURRENTLY HEAD OF SERVICE
 NURSES. IT MEANT SHE HAD TO WORK              FOR CONTINUING HEALTH CARE AT
   TWICE AS HARD TO BE NOTICED.                SANDWELL AND WEST BIRMINGHAM
                                            CCG (CLINICAL COMMISSIONING GROUP).

                                       14
A KIND WORD BY A GOOD NURSE CAN MAKE              ALL THE DOCTORS THOUGHT I HAD A
 ALL THE DIFFERENCE. AS A TEENAGER HOLLY            BLEED ON MY BRAIN OR THAT I WAS
 WINTER WAS RUSHED INTO HOSPITAL WITH              HAVING A STROKE. I WAS ABOUT 17,
A MIGRAINE SO SEVERE THAT SHE BEGGED HER                    I THINK, MAYBE 16.
 DAD TO KILL HER IF THE PAIN DIDN’T STOP.

    I HAVE THIS WEIRD MEMORY. I FELT LIKE         EVERYTHING UNDER THE ‘ICE’ WAS SWIRLY
     I WAS UNDER THIS HUGE SHEET OF ICE,          AND WEIRD, FOGGY. I COULDN’T SPEAK AT
   AND THERE WAS THIS TINY CRACK IN IT           ALL, AND COULD ONLY SEE OUT OF ONE EYE,
     THAT I COULD PEEK UP THROUGH AND            AND THAT WAS PARTIAL AND DISTORTED.
  LISTEN TO DISTANT PEOPLE AND SOUNDS,              I COULDN’T MOVE ANYTHING ON THE
        BUT THEY SEEMED MILES AWAY.                    LEFT- HAND SIDE OF MY BODY.

  BUT THE NURSE WHO HAD BEEN LOOKING             ALL NIGHT TO THE NEXT DAY I REPLAYED
 AFTER ME, HELD MY HAND AND SAID TO ME...        HER VOICE IN MY HEAD, ‘I’M SARAH-JANE
      HOLLY, I’M SARAH-JANE AND I’LL              AND I’LL BE BACK TOMORROW’. THAT’S
          BE BACK TOMORROW. .                     MY MOST SPECIAL NHS MEMORY. I KNEW
                                                   ‘SARAH-JANE’ WAS COMING BACK TO
                                                              LOOK AFTER ME.

                                            15
EMMA QIAO TELLS HER FATHER’S STORY.              DURING THE SECOND WORLD WAR,
                                                EMMA’S FATHER WAS A PRISONER OF
 MY FATHER GIUSEPPE GIANCOLA WAS               WAR IN WALES, HAVING BEEN CAPTURED
 BORN IN SOUTHERN ITALY IN 1921 AND                     IN NORTH AFRICA.
  DIED IN ENGLAND IN 2001. HIS FAMILY
   WERE PEASANT FARMERS AND MY
  MOTHER (TERESA IACOBUCCI) WAS
       FROM THE SAME VILLAGE.

 AFTER THE WAR HE WORKED AS A MINER               IN 1957 HE WAS KNOCKED OFF HIS
IN FRANCE BEFORE RETURNING TO THE UK                BICYCLE BY A CAR RESULTING IN
     TO WORK FOR A BRICK MAKING                 SEVERE FRACTURES TO HIS RIGHT LEG.
       COMPANY IN THE MIDLANDS.

HE HAD SEVERAL OPERATIONS TO SAVE             HE MADE A FULL RECOVERY ALBEIT WITH A
 THE LEG, SPENDING MONTHS IN ONE OF          SMALL LIMP, RETURNED TO WORK, AND STILL
THE NOTTINGHAM HOSPITALS. HIS RIGHT          RODE A BICYCLE. HE WAS LEFT WITH TERRIBLE
  HAND WAS ATTACHED TO HIS RIGHT              SCARS, BUT WAS ALWAYS GRATEFUL FOR
 THIGH. THIS WAS DONE TO HELP GROW             ALL THE MEDICAL AND NURSING CARE HE
   SKIN TISSUE FOR SKIN GRAFTING.                             RECEIVED.

                                        16
MY DAD SPENT MOST OF HIS LIFE IN         EMMA ULTIMATELY BECAME HER PARENTS’
ENGLAND WORKING IN THE LOCAL FACTORY.             CARER IN THEIR LATER YEARS.
   JUST AS HE RETIRED HE DEVELOPED            THE NATIONAL HEALTH SERVICE GAVE
 PARKINSON’S DISEASE AT 65, AND SPENT        THEM PEACE OF MIND. THEY UNDERSTOOD
  MANY YEARS IN AND OUT OF HOSPITAL.         THAT THE TAXES THEY PAID MADE THIS
                                               SERVICE AVAILABLE TO THEM. THEY
                I’VE GOT A BIT OF                WOULD NEVER HAVE ACCEPTED
                  A SHAKY HAND.                            CHARITY.

  SADLY AT THE END OF THEIR LIVES,             WE ENCOUNTERED MANY CARING,
THE CARE THEY NEEDED WAS DIFFICULT              COMPASSIONATE DOCTORS AND
TO ACCESS DUE TO BUREAUCRACY AND             WONDERFUL NURSES, BUT ALSO OTHERS
AN ATTITUDE THAT UNLESS YOU KNEW             WHO SHOULD NEVER HAVE BEEN IN THE
 WHAT TO ASK OR WHO TO ASK, YOU                     CARING PROFESSION.
        WERE ON YOUR OWN.

WHAT WAS LACKING WAS SOMEONE WHO                WHAT HAS MADE THE NHS GREAT
ACTIVELY SUPPORTED THE FAMILY AS A              ARE THE INDIVIDUALS WITHIN THE
  WHOLE UNIT. WHAT WE NEEDED WAS                 ORGANISATION WHO VALUE ITS
SOMEONE WHO KNEW US AS PEOPLE, NOT            PRINCIPLES AND APPLY THEM TO THEIR
      JUST THE NEXT ‘FAMILY’.                 ROLE, WHETHER IT’S THE BIG WIGS AT
                                               THE TOP, OR THE CHEERY TEA LADY.

                                        17
...ADMINISTRATION, PHARMACEUTICAL AND
CONTRIBUTORS ALSO REMIIND US THAT THERE
                                               SCIENTIFIC STAFF. ALL OF WHOM WORK TO
 IS FAR MORE TO THE NHS THAN NURSES OR
                                                   PROVIDE A SERVICE ‘FROM CRADLE
     DOCTORS.THERE ARE THE PORTERS,
                                                             TO GRAVE’.
   CATERERS, HOUSEKEEPERS, PARAMEDICS
           LAUNDRY WORKERS...

     HERE AN ANONYMOUS BIOMEDICAL                   CHECKING, STARTING UP, AND
     SCIENTIST DESCRIBES A TYPICAL             CALIBRATING THE ANALYTICAL MACHINES
             WORKING DAY.                      WAS THE MAIN JOB. ONCE THE MACHINES
                                                  WERE RUNNING IT WAS A CASE OF
  WE WOULD START AT 9AM. THERE WERE
                                               STARTING TO LOAD SAMPLES FROM THE
  ABOUT 20 STAFF IN THE MAIN LAB, WITH
                                                 PREVIOUS DAY TO PROCESS THEM.
    MAYBE 20 MORE IN OTHER PARTS OF
           CLINICAL CHEMISTRY.

 AS THE DAY PROGRESSED SAMPLES WOULD           AT THE END OF THE DAY MOST MACHINES
 START TO COME IN FROM THE WARDS AND           WERE CLOSED BY 5PM. ALTHOUGH SOME OF
     GP SURGERIES. AS SAMPLES WERE              THE MACHINES THAT WERE PROCESSING
  COMPLETED THEY NEEDED FILING AWAY IN          THE BULK OF THE GP WORK WERE KEPT
         RACKS IN A COLD ROOM.                          RUNNING UNTIL 7PM.

                                          18
THE BIOCHEMIST DESCRIBED HOW THINGS                SOME HAVE SAID THAT IN THE
    HAD CHANGED IN THE NHS OVER                LABORATORY WORLD THIS WAS DUE
             THE YEARS.                       TO INCREASING AWARENESS OF SAFETY,
 IN 1972 THERE WAS FUN, THERE WAS A                  OR FINANCIAL SCRUTINY.
   COMMUNITY, THERE WAS A SENSE OF
    BELONGING. IT’S IMPOSSIBLE TO SAY
 WHEN THIS CHANGED - POSSIBLY IN THE
     MID-1980 s - OR WHY IT CHANGED.

   IN TRUTH IT WAS PROBABLY JUST               ANOTHER BIG CHANGE WAS THAT FAR
  SOCIETY CHANGING. PEOPLE NO LONGER          FEWER STAFF USED PUBLIC TRANSPORT.
LIVED AS CLOSE TO WHERE THEY WORKED          YOU DIDN’T SPEAK TO THEM ON THEIR WAY
   AS THEY ONCE DID, AND NO LONGER           TO AND FROM WORK. THEY BEGAN TO GET
   WANTED TO SOCIALISE AROUND THE                    COCOONED IN THEIR CARS.
             WORKPLACE.

STRESS CAUSED BY NHS RESTRUCTURING             I FELT, WHEN I HAD TO RETIRE, THAT
  PUSHED THIS WORKER INTO EARLY              THE NHS HAD BETRAYED ME, LET ME DOWN,
           RETIREMENT.                        AND HAD THROWN 39 YEARS OF SERVICE
  THE NHS WAS THE CORE OF MY BEING                         IN MY FACE.
  FROM THE TIME I LEFT SCHOOL UNTIL
  I RETIRED. WHEN I LEFT WORK I FELT
 THAT MY CORE HAD BEEN COMPLETELY
              REMOVED.

                                        19
THE NHS IS NOT PERFECT. ATTEMPTS TO               IN 2018, WHEN THE NHS TURNED 70,
  FRAGMENT AND PRIVATISE THE NHS             MORE THAN TWO-THIRDS OF RESPONDENTS
 HAVE UNDERMINED ITS CORE VALUES.             IN A YOUGOV POLL SAID THEY CONSIDERED
  YET, DESPITE THIS, PUBLIC PRIDE AND         THE ESTABLISHMENT OF THE INSTITUTION
 CONFIDENCE IN THE NHS REMAINS HIGH.         TO BE BRITAIN’S GREATEST ACHIEVEMENT.*

                                                         * SEE INSIDE BACK PAGE FOR REFERENCE.

  POSITIVE VIEWS OF THE NHS AND ITS              NHS STAFF SHOWED ASTONISHING
 WORKERS ONLY INCREASED DURING THE           SELFLESSNESS AND COMMITMENT, DESPITE
    2020 CORONAVIRUS PANDEMIC.                THE EXHAUSTING HOURS AND THE LIFE-
                                              THREATENING RISKS THEY FACED JUST
                                                       BY GOING TO WORK.

  THE PANDEMIC HAS ONLY EMPHASISED           MAGGIE KEENAN FROM COVENTRY RECEIVED
   HOW ESSENTIAL THE NHS REMAINS                THE WORLD’S FIRST COVID VACCINE
TO THE NATION’S HEALTH, AND WHAT IT           OUTSIDE OF A CLINICAL TRIAL, FROM NHS
 COULD ACHIEVE WITH MORE EFFECTIVE           MATRON MAY PARSONS, ONE OF THE MANY
       SUPPORT AND PLANNING.                  MIGRANTS WHO KEPT THE NHS RUNNING
                                                   THROUGHOUT THE EPIDEMIC.

                                        20
SINCE 1948, THE NHS HAS CARED FOR UK                  ...BARRIERS TO ACCESSING CARE, AND
 RESIDENTS FREE AT THE POINT OF DELIVERY,              PRESSURE TO PRIVATISE SOME SERVICES.
 FUNDED BY TAXES WE ALL PAY: IT OFFERS               BUT THE PRINCIPLE THAT NO PERSON SHOULD
  HEALTHCARE AS A HUMAN RIGHT, NOT A                  BE PENALISED FOR FALLING ILL HAS BEEN AT
  COMMODITY. THIS COMMITMENT HAS BEEN               THE HEART OF THE NHS SINCE ITS FOUNDATION,
       THREATENED BY BUDGET CUTS...                  AND THE BRITISH PUBLIC REMAINS COMMITTED
                                                                     TO IT TODAY.

THE NHS IS THE LARGEST EMPLOYER IN THE UK,          THE NHS HAS BECOME PART OF BRITISH IDENTI-
DIRECTLY EMPLOYING 1.6 MILLION PEOPLE – MORE        TY. OVER THE DECADES IT HAS GROWN INTO A
IF WE COUNT GPS AND OTHER CONTRACTORS.              SYMBOL, INTEGRAL TO THE WAY WE SEE OUR-
    NHS WORKERS, LIKE NHS PATIENTS, ARE               SELVES AND HOW WE WANT TO SEE OUR
        DIVERSE AND MULTICULTURAL.                     NATION:AS COMPASSIONATE AND FAIR.

NONE OF THE PEOPLE PORTRAYED IN THIS BOOK            THIS IS BECAUSE, DESPITE ITS FAILINGS AND
 MENTIONED MONEY AS A MOTIVE. WHATEVER               LIMITATIONS, PEOPLE ARE ATTRACTED TO
  THEY DO, NHS WORKERS OFTEN EXPRESS A               THE VALUES OF THE NHS. LONG MAY THIS
STRONG NEED TO HELP OTHERS AND PATIENTS                             CONTINUE.
USUALLY TRUST THAT CARE IS APPORTIONED
    ACCORDING TO THEIR NEEDS AND NOT
               THEIR MEANS.

                                               21
ACKNOWLEDGEMENTS.

        WE WOULD LIKE TO THANK ALL OF THE CONTRIBUTORS TO THE PEOPLE’S HISTORY OF THE NHS, AND ESPECIALLY
           THOSE – BOTH NAMED AND ANONYMOUS - WHO HAVE KINDLY ALLOWED US TO USE THEIR STORIES HERE.

WE ARE GRATEFUL TO OUR PARTNERS JENNIFER JONES-RIGBY AT THE HEALTH EXCHANGE (WWW.HEALTHEXCHANGE.ORG.UK/) AND
DONNA MIGHTY AT SANDWELL AND WEST BIRMINGHAM HOSPITALS [SWBH] NHS TRUST, WHO HELPED US HEAR OFTEN-SILENCED NHS
WORKERS AND USERS. THANKS ALSO TO THE PARTICIPANTS OF SWBH AND ARTIST INÈS ELSA DALAL (WWW.INESELSA.COM)’S ‘HERE
TO STAY’ PORTRAIT PROJECT, FEATURED ON PAGES 12-14. ALL ARTWORK BY DARRYL CUNNINGHAM. THANKS TO BONNIE MILLARD
                                            FOR TECHNICAL ADVICE.

  MANY STORIES IN THIS BOOK WOULD HAVE REMAINED UNTOLD WITHOUT THE ‘CULTURAL HISTORY OF THE NHS’ TEAM (ROBERTA
 BIVINS, MATHEW THOMSON, JENNIFER CRANE, HANNAH ELIZABETH, GEORGE GOSLING, JANE HAND, NATALIE MANN, JACK SAUNDERS,
AND ESPECIALLY ROSEMARY CRESSWELL); HONORARY MEMBERS ANDREW BURCHELL, ED DEVANE, GARETH MILLWARD, AND CHRIS SIRRS;
                                               AND THE ‘NHS TRIBES’.

               THE ‘PEOPLE’S HISTORY OF THE NHS’ HAS BEEN GENEROUSLY FUNDED BY THE WELLCOME TRUST.
                                   YOU CAN READ MORE AT PEOPLESHISTORYNHS.ORG

                                                   SOURCES:
HOUSE OF COMMONS LIBRARY, BLACK MATERNAL HEALTHCARE AND MORTALITY DEBATE PACK, 14 APRIL 2021. HTTPS://RESEARCH-
                     BRIEFINGS.FILES.PARLIAMENT.UK/DOCUMENTS/CDP-2021-0055/CDP-2021-0055.PDF

 YOUGOV SURVEY RESULTS, 26 FEBRUARY 2018 HTTPS://D25D2506SFB94S.CLOUDFRONT.NET/CUMULUS_UPLOADS/DOCUMENT/
                      IOPAHGU564/INTERNALRESULTS_180205_FEMINISM_SUFFRAGETTES_W.PDF

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