Papworth 100

Patients on the balcony of the Bernhard Baron Hospital, Papworth Village Settlement

Royal Papworth Hospital is a leading cardiothoracic hospital and is best known for its trailblazing work in transplantation since performing the UK’s first successful heart transplant in 1979. However, Papworth has a long standing tradition of pioneering work since its inception as a tuberculosis colony, 100 years ago.

At a time when 41,800 in the UK died from tuberculosis, a young Welshman Dr (later Sir) Pendrill Varrier-Jones was appointed Cambridgeshire TB Officer during WWI. Following sanatorium treatment patients would risk a relapse when they returned to the overcrowded, unsanitary and damp conditions which had led to infection in the first instance. Frustrated by this cycle, Varrier-Jones took a holistic approach to care and wanted to develop a combined treatment and rehabilitation facility that would leave patients, “a useful and productive member of society, a man who, though a consumptive, has learned to be a consumptive, to lead the life of a consumptive and even enjoy that life.”

Having successfully established treatment for a small number of patients in 1916 in the nearby village of Bourn, Varrier-Jones’ vision went through a process of rapid expansion. Papworth Hall was purchased following a large charitable donation in 1917 with the first patients arriving on 12 February 1918.  Patients were prescribed bed rest, a hearty diet and ample fresh air. Once the patient’s condition had improved they were moved onto graduated work within one of the light industries and provisions were available for family members to also settle in the village. Sir Varrier-Jones’ revolutionary aim was to treat the “whole-person,” by providing treatment, suitable employment and allowing patients a home life.

With the discovery of streptomycin in the 1940s, the number of TB patients declined and what was then known as the Papworth Village Settlement opened its remit to include people with other disabilities. This led to the creation of the Papworth Trust, a charity which continues to support disabled people. In 1948, the hospital officially became part of the NHS and became known as Papworth Hospital which moved from the treatment of TB to specialise in chest medicine.

2018 is an important next chapter for us. It’s the year when we become Royal Papworth Hospital, commemorate our centenary, celebrate the 70th anniversary of the NHS, and move from the village of Papworth Everard to our new state-of-the-art hospital located in the Cambridge Biomedical Campus. We’ve made a film to commemorate with the support of the Heritage Lottery Fund (for trailer click here) with the first screening coinciding with the NHS’ 70th birthday on 5th July at the Cambridge Arts Picturehouse, this will be followed by screenings in the village of Papworth Everard on 21st July (to book click here) with additional screenings planned for the autumn. This film and screenings were made possible with a generous grant from the Heritage Lottery Fund and the Papworth Hospital Charity

Nico Ferguson, Heritage Assistant
Royal Papworth Hospital NHS Foundation Trust

The Mesmerist: John Elliotson (1791-1868)

In 1837, when 19-year-old Queen Victoria ascended the British throne, medicine was a bleak and brutal business. Operations were performed without pain relief while the standard medical therapies were bloodletting, purging and dosing with toxic potions. But that summer a promising medical innovation crossed the Channel from Paris: mesmerism. Most of the British medical establishment scorned this new-fangled French idea but one doctor, the highly esteemed physician John Elliotson, embraced mesmerism with zeal. For 18 months in 1837 and 1838 Elliotson staged dramatic demonstrations on his patients at University College Hospital which drew fascinated audiences, provoked sensational headlines and – ultimately – split the medical profession.

The Mesmerist: John Elliotson (1791-1868) is an exhibition at the Library of the Royal Society of Medicine.
1 Wimpole Street, LONDON  W1G 0AE

This exhibition tells the story of John Elliotson and his battle to promote mesmerism – hypnotism as it was later renamed – in the face of furious opposition from the medical establishment and medical press.  Elliotson was President of the Medical and Chirurgical Society of London in 1833, and it was during his term of office that the Society was granted a Royal Charter to become, in 1834, the Royal Medical and Chirurgical Society.

Robert Greenwood, Heritage Officer, The Royal Society of Medicine Library

Farewell Dr Finlay – repeat broadcast

Dr Finlay was a  character based on a pre-NHS General Practitioner

There is another opportunity to hear the BBC Radio 4, 2-part series ‘Farewell Dr Finlay’ which charts the history and development of General Practice from the surgeon-apothecaries of the 18th and 19th centuries to present day general practice.

There are contributions from Martin Edwards (BSHM/RCGP),  John Ford (Worshipful Society of Apothecaries), Julian Tudor Hart (GP researcher) as well as Professor Anne Digby (Oxford Brookes University), Bill Reith (RCGP) and others.

The programmes include information about surgeon-apothecaries, the importance of the National Health Insurance Act of 1911, the Dewar Committee of 1912 which led to the establishment of the Highlands and Islands Medical Service, the Beveridge Report of 1944, the Tredegar Medical Society, the GP Charter of 1965, fundholding, the change in out of hours care and much more.

The evolution of general practice has been shaped by resource issues, rising patient expectations and what work is carried out in general practice as opposed to the hospital.

Would you agree with Martin Edwards that ‘The history of medicine is the history of general practice’?

Dates for your diary:

Part 1 (General Practice up to the creation of the NHS): 9.02 pm, Wednesday 18th January 2017
Part 2 (General Practice since the creation of the NHS): 9.02 pm, Wednesday 25th January 2017

The original programme page for the series is still on the BBC website at http://www.bbc.co.uk/programmes/b07j7nty, although it won’t show the repeats until nearer the dates.

Dr Martyn Thomas

Open House London

Open-House

During the weekend of 17/18th September 2016 many private and public buildings in Greater London are open for viewing with free admission.

These include several premises related to the history of medicine:

The Royal College of Physicians (+herb garden)
Apothecaries Hall
The Royal College of GPs
The Royal College of Nursing
The College of Optometrists
The Old Operating Theatre Museum

For details go to http://www.openhouselondon.org.uk/

Dr Isaac ‘Harry’ Gosset Collection

Dr Isaac Henry Gosset sitting outside in front of weeping willow tree at spring around teatime by daughtr Janet

Future 20th century medical historians will lament that there is very little surviving United Kingdom archival material relating to the development of premature baby units and general paediatrics from the end of the Second World War to the mid 1960’s.

‘The Gosset Collection’ is an online repository of the life and work of Dr Isaac ‘Harry’ Gosset, consultant paediatrician Northampton General Hospital, illustrating exemplary general paediatric and premature baby care (1947-1965). Within it, you can take the healthcare journey of the newborn child or paediatric case of that time.

Established as part of a commemoration of the 50th anniversary of Dr Gosset’s untimely death, the ‘Gosset Collection’  has complete premature baby and general paediatric care protocols, together with original film taken by Dr Gosset of the Premature Baby Unit as well as the General Paediatric Ward.

There is also a section on the development of the ‘Gosset icterometer, which Dr Gosset invented, developed and introduced into perinatal practice from the 1950’s and in use until the 1970’s. Made of Perspex the icterometer could rapidly and accurately identify neonatal jaundice, saving unnecessary blood tests and focusing attention on the sicker jaundiced newborn. The ‘Gosset Collection’ also contains the 1960 Lancet paper of a successful trial of the icterometer (through permission of Elsevier) an important landmark in neonatal medicine.  

Lastly, there is a short vodcast placing Dr Gosset’s pioneering work in premature baby care within the context of the early development of this sub speciality.

 http://www.northamptongeneral.nhs.uk/AboutUs/Ourhistory/Dr-Gosset/The-Dr-Isaac-Harry-Gosset-Collection.aspx

submitted by Dr Andrew Williams