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Migrant Architects draws on 45 oral history interviews and extensive archival research to offer a radical reappraisal of how the National Health Service was made. It tells the story of migrant South Asian doctors who became general practitioners in the NHS. Imperial legacies, professional discrimination and an exodus of UK-trained doctors combined to direct these doctors towards work as GPs in some of the most deprived parts of the UK. In some areas, they made up over half of the general practitioner workforce. The NHS was structurally dependent on them and they shaped British society and medicine through their agency. This book is aimed at students and academics with interests in the history of immigration, immigration studies, the history of medicine, South Asian studies and oral history. It will also be of interest to anyone who wants to know more about how Empire and migration have contributed to making Britain what it is today.
Migrant architects of the NHS draws on forty-five oral history interviews and extensive archival research to offer a radical reappraisal of how the National Health Service was made. It tells the story of migrant South Asian doctors who became general practitioners in the NHS. Imperial legacies, professional discrimination and an exodus of UK-trained doctors combined to direct these doctors towards work as GPs in some of the most deprived parts of the UK. In some areas, they made up over half of the general practitioner workforce. The NHS was structurally dependent on them and they shaped British society and medicine through their agency. Aimed at students and academics with interests in the history of immigration, immigration studies, the history of medicine, South Asian studies and oral history. It will also be of interest to anyone who wants to know more about how Empire and migration have contributed to making Britain what it is today.
This book makes a major contribution to the community cohesion literature and adds a new dimension to our understanding of community cohesion in the UK. Previous research in this area has remained overly focused on the experiences of low/semi skilled migrants. The author provides an analysis of her funded empirical research that investigated the first time the integration experiences of overseas-trained South Asian doctors in three different UK geographical locales. She reflects on their experiences from the point of migration to settlement in the UK society and describes this elite group as existing somewhere between privilege and marginalisation. The book highlights how identities are more plural than discourses of belonging often allow. “In this excellent work of scholarship, Farooq provides us with a rich and insightful account of the experiences of a remarkably important migrant group – South Asian doctors who came to Britain to work in the NHS. This rich and multifaceted work provides a vital and engaging account of this remarkable group. Essential reading for anyone interested in the role of migrant workers in the NHS, and in the experiences and challenges faced by migrants settling to Britain during the 1960s and 1970s.” – Robert Ford, Professor of Political Science, University of Manchester, UK “Dr Farooq’s research into the lives and contributions of South Asian doctors working in NHS GP practices in the North of England is insightful as well as timely. Her work examines the complex intersections between class, race and migration. The analysis are supplemented with some wonderful quotes by the doctors on how they responded to their migration journeys, and adapted to their local communities and the changing demands of working within the NHS. The research provides a unique insight into the experiences of different generations of South Asian GPs who contributed so much to our local communities. – Tarani Chandola, Professor of Medical Sociology, University of Manchester, UK “Often seen as a uniquely British institution, the NHS is really an international institution where international medical graduates, international nurses and migrant labour have contributed to it its values, its identity and its purpose. Yasmin Farooq, together with her contemporary Julian Simpson who both worked with me to document this history will ensure that future historians will acknowledge and recognise the hidden contribution of these architects and pioneers to British Society and the International NHS.” – Aneez Esmail, Professor of General Practice, University of Manchester, UK . Contents Foreword by Aneez Esmail Preface and Acknowledgements Introduction Chapter 1: The Context of Migration Chapter 2: Navigating the UK Medical System upon Arrival Chapter 3: Understanding Entrepreneurship within the General Practice Chapter 4: Integration and Sense of Belonging Chapter 5: Experiences of Racism and Coping Strategies Chapter 6: Discussion and Conclusions
It was only a coincidence that the NHS and the Empire Windrush (a ship carrying 492 migrants from Britain's West Indian colonies) arrived together. On 22 June 1948, as the ship's passengers disembarked, frantic preparations were already underway for 5 July, the Appointed Day when the nation's new National Health Service would first open its doors. The relationship between immigration and the NHS rapidly attained - and has enduringly retained - notable political and cultural significance. Both the Appointed Day and the post-war arrival of colonial and Commonwealth immigrants heralded transformative change. Together, they reshaped daily life in Britain and notions of 'Britishness' alike. Yet the reciprocal impacts of post-war immigration and medicine in post-war Britain have yet to be explored. Contagious Communities casts new light on a period which is beginning to attract significant historical interest. Roberta Bivins draws attention to the importance - but also the limitations - of medical knowledge, approaches, and professionals in mediating post-war British responses to race, ethnicity, and the emergence of new and distinctive ethnic communities. By presenting a wealth of newly available or previously ignored archival evidence, she interrogates and re-balances the political history of Britain's response to New Commonwealth immigration. Contagious Communities uses a set of linked case-studies to map the persistence of 'race' in British culture and medicine alike; the limits of belonging in a multi-ethnic welfare state; and the emergence of new and resolutely 'unimagined' communities of patients, researchers, clinicians, policy-makers, and citizens within the medical state and its global contact zones.
This book is a response to the binary thinking and misuse of history that characterize contemporary immigration debates. Subverting the traditional injunction directed at migrants to ‘go back to where they came from’, it highlights the importance of the past to contemporary discussions around migration. It argues that historians have a significant contribution to make in this respect and shows how this can be done with chapters from scholars in, Asia, Europe, Australasia and North America. Through their work on global, transnational and national histories of migration, an alternative view emerges – one that complicates our understanding of 21st-century migration and reasserts movement as a central dimension of the human condition. History, Historians and the Immigration Debate makes the case for historians to assert themselves more confidently as expert commentators, offering a reflection on how we write migration history today and the forms it might take in the future.
Traces the history of the British General Medical Council to reveal the persistence of hierarchies of gender, national identity, and race in determining who was fit to practice British medicine.
"Today Singapore ranks sixth in the world in healthcare outcomes well ahead of many developed countries, including the United States. The results are all the more significant as Singapore spends less on healthcare than any other high-income country, both as measured by fraction of the Gross Domestic Product spent on health and by costs per person. Singapore achieves these results at less than one-fourth the cost of healthcare in the United States and about half that of Western European countries. Government leaders, presidents and prime ministers, finance ministers and ministers of health, policymakers in congress and parliament, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think-tanks should know how this system works to achieve affordable excellence."--Publisher's website.
For the first time, this volume explores the identities of leprosy sufferers and other people affected by the disease in medieval Europe. The chapters, including contributions by leading voices such as Luke Demaitre, Carole Rawcliffe and Charlotte Roberts, challenge the view that people with leprosy were uniformly excluded and stigmatised. Instead, they reveal the complexity of responses to this disease and the fine line between segregation and integration. Ranging across disciplines, from history to bioarchaeology, Leprosy and identity in the Middle Ages encompasses post-medieval perspectives as well as the attitudes and responses of contemporaries. Subjects include hospital care, diet, sanctity, miraculous healing, diagnosis, iconography and public health regulation. This richly illustrated collection presents previously unpublished archival and material sources from England to the Mediterranean.
This first open access book in a series of three volumes provides an in-depth analysis of social protection policies that EU Member States make accessible to resident nationals, non-resident nationals and non-national residents. In doing so, it discusses different scenarios in which the interplay between nationality and residence could lead to inequalities of access to welfare. Each chapter maps the eligibility conditions for accessing social benefits, by paying particular attention to the social entitlements that migrants can claim in host countries and/or export from home countries. The book also identifies and compares recent trends of access to welfare entitlements across five policy areas: health care, unemployment, family benefits, pensions, and guaranteed minimum resources. As such this book is a valuable read to researchers, policy makers, government employees and NGO’s.
Brexit will have significant consequences for the country, for Europe, and for global order. And yet much discussion of Brexit in the UK has focused on the causes of the vote and on its consequences for the future of British politics. This volume examines the consequences of Brexit for the future of Europe and the European Union, adopting an explicitly regional and future-oriented perspective missing from many existing analyses. Drawing on the expertise of 28 leading scholars from a range of disciplines, Brexit and Beyond offers various different perspectives on the future of Europe, charting the likely effects of Brexit across a range of areas, including institutional relations, political economy, law and justice, foreign affairs, democratic governance, and the idea of Europe itself. Whilst the contributors offer divergent predictions for the future of Europe after Brexit, they share the same conviction that careful scholarly analysis is in need – now more than ever – if we are to understand what lies ahead for the EU. Praise for Brexit and Beyond 'a wide-ranging and thought-provoking tour through the vagaries of British exit, with the question of Europe’s fate never far from sight...Brexit is a wake-up call for the EU. How it responds is an open question—but respond it must. To better understand its options going forward you should turn to this book, which has also been made free online.' Prospect Magazine 'This book explores wonderfully well the bombshell of Brexit: is it a uniquely British phenomenon or part of a wider, existential crisis for the EU? As the tensions and complexities of the Brexit negotiations come to the fore, the collection of essays by leading scholars will prove a very valuable reference for their depth of analysis, their lucidity, and their outlining of future options.' - Kevin Featherstone, Head of the LSE European Institute, London School of Economics 'Brexit and Beyond is a must read. It moves the ongoing debate about what Brexit actually means to a whole new level. While many scholars to date have examined the reasons for the British decision to leave, the crucial question of what Brexit will mean for the future of the European project is often overlooked. No longer. Brexit and Beyond bundles the perspectives of leading scholars of European integration. By doing so, it provides a much needed scholarly guidepost for our understanding of the significance of Brexit, not only for the United Kingdom, but also for the future of the European continent.' - Catherine E. De Vries, Professor in the department of Government, University of Essex and Professor in the department of Political Science and Public Administration Free University Amsterdam 'Brexit and Beyond provides a fascinating (and comprehensive) analysis on the how and why the UK has found itself on the path to exiting the European Union. The talented cast of academic contributors is drawn from a wide variety of disciplines and areas of expertise and this provides a breadth and depth to the analysis of Brexit that is unrivalled. The volume also provides large amounts of expert-informed speculation on the future of both the EU and UK and which is both stimulating and anxiety-inducing.' -Professor Richard Whitman, Head of School, Professor of Politics and International Relations, Director of the Global Europe Centre, University of Kent