National publications/papers on the history of community hospitals

 

 

 

 

Archie Cochrane wrote in his seminal publication: Effectiveness and Efficiency - Random Reflections on Health Services: The cottage hospital is the direct ancestor of the community hospital and I was brought up in a town, Galashiels, which had such a cottage hospital. I have clearcut memories of that hospital, which fully support the two main points at present being in favour of community hospitalsThere is no doubt that a community hospital would be easier to visit than a district general hospital. The other is local pride. Every community which is a sociological entity needs foci of interest and the cottage hospital certainly was one such focus which made it the recipient of voluntary help and financial aid in a way that a district general hospital, serving largely ill-defined areas can never hope to emulate. The NHS would be unwise to neglect this. The publication is available to download from the Nuffield Trust here 

 

Gillian Wilce wrote an account of Lambeth Community Care Centre - an urban community hospital.  As a journalist, Wilce offered a number of insights that are as relevant today as they were in the 1980s.The most important distinguishing feature of the Centre is that it is equipped, not just with a new building and set of services, but with a coherent philosophy, a conviction that the patient should be enabled to share in his/her own health care as part of a multidisciplinary team.People who work in or with the Centre ....see it is a positive amplification of the health service, adding in a level of general medical care with intensive nursing which is particularly appropriate for some conditions, and which saves only on the unnecessary use of acute medical facilities. It offers, moreover, a genuine invitation to patients to become full partners in their own health care. It is also committed to operating democratically and becoming a genuine part of the community in which it is set.

‘History of the CHA’
Dr David Pope 2020

'History of the CHA' Dr David Pope 2020

 

 

'History of the Community Hospitals' 
Dr Helen Tucker 

History of the Community Hospitals Dr Helen Tucker 

Dr Phil Moore has written his reflections.

Dr Phil Moore has written his reflections

Tom Brooks' paper on the history of community hospitals in Wales.

Tom Brooks' paper on the history of community hospitals in Wales.

Dr Alastair Noble's paper on the next 50 Years.

Dr Alastair Noble's paper on the next 50 Years - download

A message from Dr Shauna Fannin from Northern Ireland.

A message from Dr Shauna Fannin from Northern Ireland
 

Tom Brooks on community hospitals and rural health care.

Tom Brooks on community hospitals and rural health care

"The Cottage Hospitals 1859-1990 – Arrival, Survival, Revival" Meryck Emrys-Roberts Tern Publications 1991 Dr David Pope 2020

A fascinating account of cottage hospitals, illustrating their development with well-informed and thoroughly researched local accounts. The late Dr Emrys-Roberts helped to found the Community Hospitals Association, and was President for many years. He wrote this publication to coincide with the 21st Anniversary of the formation of the CHA.
The Cottage Hospital 1859-1990

Profiling Community Hospitals in England 2008

The Department of Health (DH) with Community Health Partnership (CHP) commissioned a study from the Community Hospitals Association (CHA) to provide a profile of community hospitals in England in 1998 and 2008, demonstrating changes and trends over the 10-year period. This was the CHA Profiling Report.

The study found that there was an increase in diversification of community hospitals. In addition to the 296 classic community hospitals with beds, there were 16 community hubs (without beds), 1 community ward in a DGH, 3 rehabilitation/intermediate care units and 7 examples of partnerships with care homes.

 

Community Hospitals Association Directory 1999 Dr David Pope 2020

The Directory was published in 1999 and recorded 468 community hospitals in the UK.

The directory listed community hospitals by name, location, address, population served, the name of the nearest DGH and the distance from the community hospital to the DGH. A profile of the hospital services was listed, including number of beds, and whether the hospital had services such as casualty, X-ray etc

Community Hospitals Association Directory 1999 Dr David Pope 2020

The Association of General Practitioner Hospitals Directory 1985

The CHA, (previously known as the Association of General Practitioner Hospitals) published a directory in 1985 that listed 415 community hospitals in the UK. 

In addition to profile data, the directory also provided activity data.  This included the number of beds, the number of discharges/deaths, occupancy rate and the length of stay. Also recorded were the number of surgical procedures carried out under general anaesthetic, casualty and outpatient clinic attendances and X-ray units.

The Association of General Practitioner Hospitals Directory 1985