Free pre-NHS health care in Middlesex

This online exhibition on Shenley Hospital is a reminder of how the former county council organised a county-wide health service between the wars. In 1930 it rebranded as Middlesex’s ‘County Hospitals’ a clutch of former poor-law infirmaries : North Middlesex in Edmonton, Redhill (now Edgware Community Hospital), Central Middlesex (formerly Park Royal hospital), Hillingdon Hospital (the county council developed this from scratch from a former workhouse) and West Middlesex in Isleworth. Almoners at these hospitals investigated patients’ means and charged them according to their ability to pay. Middlesex CC  had already started some free health care, especially in the fight against tuberculosis. From 1910 onwards any TB patient in the county was treated, and the council found funds to support their families. Then from 1936 onwards all TB treatment became free. Middlesex built two TB sanitoria and also concentrated  on mental health (a particular issue for the thousands traumatised in World War I.)  According to The Times in a 1927 article the council wanted to create in Shenley somewhere that would use the “most modern methods of treatment” and “for a period, at least, be the finest institution of its kind in the world”. The council made full use of its powers under the 1930 Lunacy and Mental Treatment Act to invest in mental health provision just as it channelled other income during the Great Depression (see below) into creating the modern infrastructure of much of Greater London.

A corridor in Shenley Hospital soon after its opening in 1934

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