Emergency Hospital Service

During World War II, a centralised state-run Emergency Hospital Service (also known as the Emergency Medical Service, which was strictly speaking the medical staff of the service) employed doctors and nurses to care for those injured by enemy action and arrange for their treatment in whichever hospital was established in the United Kingdom.[1]

Planning

According to David Stark Murray "Until war became imminent it was only with the greatest difficulty that anyone could be persuaded to regard the chaotic and anachronistic structure of medical practice and hospital services as of any real importance to the nation."[2] In 1938 London County Council seconded staff to the Ministry of Health to assist planning of medical and ambulance services. The London Voluntary Hospitals Committee negotiated with the Ministry. One of the first tasks was to survey the assortment of mental asylums, public assistance institutions and other hospitals which had been put at the disposal of the service.[3] A Cabinet paper in March 1939 showed that there were only about 80,000 beds in England and Wales which could be used for the prolonged treatment of casualties.[4] After the surveys in 1937 and 1938 the government had provided nearly 1000 new operating theatres, 48,000,000 bandages and dressings and 250,000 bedsteads in "hutted annexes".[5]

Operation

The Ministry of Health formulated, and at the outbreak of war put into operation, the Emergency Hospitals Scheme. 2,378 hospitals were included in the scheme at the outbreak of war They planned for very much larger numbers of air-raid casualties than actually materialised. 35,000 beds were requisitioned from mental health and mental deficiency hospitals, some of which were provided with X-ray apparatus, laboratories and operating theatres. There were also newly built hutted hospitals which, by the end of 1941, were expected to provide forty-five thousand beds.[6] Many hospitals were removed from cities into the country, so the scheme included provision of an ambulance service for moving patients from one place to another. Hospital blocks of 300 or more beds were allotted for military purposes.[4]

A network of Emergency Medical Service Control Centres was established, but the service did not include General Practitioners or all specialists. Air Raid Precautions casualty services remained under separate control. The Emergency Hospital Service co-ordinated all the hospitals under the Ministry of Health; the hospitals themselves were still administered as in peace time but the Ministry dictated the type of work they did, and the cost of performing it was paid in full to the voluntary hospitals and at 60% to the municipal hospitals. There was a system of area management, co-ordinated by group officers who controlled personnel and equipment which were pooled and allocated to different hospitals as required. London, where there were 68,000 EHS beds, was divided into nine triangular sectors, each with a large teaching hospital at its apex stretching out to base hospitals up to fifty miles away. Doctors, initially employed full time were later paid a retainer fee of £500 a year to carry out part-time duties during the whole of the war and additional duties as needed.[7][8] Similar arrangements were made for dentists, pharmacists and opticians.[4]

By 1942 the hospital service had expanded to include:

A 62 page booklet was issued showing who was eligible.[5]

A number of special treatment centres, were established in particular dealing with plastic surgery and war neurosis, together with staff and laboratory facilities for a national blood transfusion service. Laboratories were established both for routine pathology and public health laboratories to diagnose epidemic disease, and to distribute serological products.[7] The neurosis centres were set up first because of fears that public morale might crack under the strain of air bombardment.[4]

It was estimated in 1943 that 3,000 beds had been lost in the general hospitals within the London County Council area due to bombing, and more were lost in the flying bomb and rocket attacks of 1944.[3]

See also

References

  1. ↑ Paul Addison, "The Road to 1945", Jonathan Cape, 1975, pp. 178–81.
  2. ↑ Stark Murray, David (1942). Health For All. London: Gollancz. p. 28. Retrieved 28 August 2015.
  3. 1 2 Rivett, Geoffrey. "Emergency Medical Services - 1939-1945". NHS History. Retrieved 28 August 2015.
  4. 1 2 3 4 Titmuss, Richard. "Problems of Social Policy". Retrieved 28 August 2015.
  5. 1 2 Timmins, Nicholas (1995). The Five Giants. London: Fontana. p. 103. ISBN 0006863183.
  6. ↑ Webster, Charles (1988). The Health Services Since the War. London: HMSO. p. 328. ISBN 0116309423.
  7. 1 2 Stark Murray, David (1942). Health For All. London: Gollancz. p. 29. Retrieved 28 August 2015.
  8. ↑ Brook, Charles (1943). "Memorandum on an Emergency Domiciliary Medical Service". Socialist Medical Association. Retrieved 28 August 2015.
This article is issued from Wikipedia - version of the Tuesday, March 29, 2016. The text is available under the Creative Commons Attribution/Share Alike but additional terms may apply for the media files.