Palliative medicine in the UK c.1970-2010 : the transcript of a witness seminar held by the History of Modern Biomedicine Research Group, Queen Mary, University of London, on 28 February 2012

2013·1.1 MB·English

by  Overy, Caroline

Palliative Medicine in the UK
c.1970–2010
The transcript of a Witness Seminar held by the History
of Modern Biomedicine Research Group, Queen Mary,
University of London, on 28 February 2012
edited by c Overy and e M tansey
volume 45 2013
©the trustee of the Wellcome trust, london, 2013
First published by Queen Mary, University of london, 2013
the history of Modern Biomedicine Research Group is funded by the Wellcome trust, which is
a registered charity, no. 210183.
iSBn 978 0 90223 882 4
all volumes are freely available online at www.history.qmul.ac.uk/research/modbiomed/
wellcome_witnesses/
Please cite as: Overy c, tansey e M. (eds) (2013) Palliative Medicine in the UK c.1970–2010.
Wellcome Witnesses to twentieth century Medicine, vol. 45. london: Queen Mary,
University of london.
cOntentS
illustrations and credits v
abbreviations vii
Witness Seminars: Meetings and publications; acknowledgements
E M Tansey and C Overy ix
introduction
William Notcutt xxi
transcript
Edited by C Overy and E M Tansey 1
appendix 1
Drugs commonly used at St Christopher’s Hospice (1968) 83
appendix 2
Participants at the inaugural meeting that approved the formation
of the Association of Palliative Care and Hospice Doctors in
October 1985 87
appendix 3
Minutes of the inaugural meeting that approved the formation
of the Association of Palliative Care and Hospice Doctors in
October 1985 91
appendix 4
Some thoughts and personal reflections on nurses’ contributions
to the start of multi-disciplinary teams in some hospitals by
Ms Janet Gahegan 97
References 99
Biographical notes 111
index 123

illUStRatiOnS and cReditS
Figure 1 Meeting at St Christopher’s Hospice c.1976.
Provided and reproduced by permission of Sir
Kenneth Calman. 4
Figure 2 Dame Cicely Saunders at the Witness Seminar
‘Innovation in Pain Management’, December 2002.
Reproduced by permission of the Wellcome Library,
London. 7
Figure 3 Tom West’s leaving party, 6 February 1992, held in
Mary Baines’ home. Image and key provided and
reproduced by permission of Dr Mary Baines. 8
Figure 4 Our Lady’s Wing, St Joseph’s Hospice, Hackney,
1957. Provided by Dr Michelle Winslow and
reproduced by permission of St Joseph’s Hospice,
Hackney. 25
table 1 Outline programme for ‘Palliative Medicine in the
UK c.1970–2010’ Witness Seminar. 6
v

aBBReviatiOnS
AHP Allied Health Profession
APM Association for Palliative Medicine
CRMF Cancer Relief Macmillan Fund
DGH District General Hospital
DHSS Department of Health and Social Security
DoH Department of Health
FFA Fellow of the Faculty of Anaesthetics
FRCS Fellow of the Royal College of Surgeons
ICRF Imperial Cancer Research Fund
IPE Interprofessional Practice Education
JCHMT Joint Committee on Higher Medical Training
LOROS Leicestershire and Rutland Organisation for the Relief of
Suffering
MRC Medical Research Council
MRCGP Member of the Royal College of General Practitioners
MRCP Member of the Royal College of Physicians
NICE National Institute for Health and Clinical Excellence
NSCR National Society for Cancer Relief
PCT Primary Care Trust
RCGP Royal College of General Practitioners
RCT Randomized Control Trial
SAC Specialist Advisory Committee
SHO Senior House Officer
SR Senior Registrar
UCH University College Hospital
vii

WitneSS SeMinaRS:
MEETINGS AND PUBLICATIONS
The Witness Seminar is a particularly specialized form of oral history, where
several people associated with a particular set of circumstances or events are
invited to meet together to discuss, debate, and agree or disagree about their
memories. This format was first used by the Wellcome Trust’s History of
Twentieth Century Medicine Group in 1993 to address issues associated with
the discovery of monoclonal antibodies, and since then more than 50 meetings
have been held on biomedical topics. This has proved an ideal way to bring
together clinicians, scientists, historians and others interested in contemporary
medical history and to encourage the creation and deposit of archival sources
for present and future use.
The History of Twentieth Century Medicine Group became a part of the
Wellcome Trust’s Centre for the History of Medicine at UCL from October 2000
until September 2010. It has been part of the School of History, Queen Mary,
University of London, since October 2010, as the History of Modern Biomedicine
Research Group, which the Wellcome Trust continues to fund under a Strategic
Award entitled ‘The Makers of Modern Biomedicine’.
Once an appropriate topic has been identified, often with the help of external
advisers, suitable participants are invited. This inevitably leads to further
suggestions of people to invite. As the organization of the Seminar progresses, a
flexible outline plan for the meeting is devised, usually with assistance from the
meeting’s chairman.
Each Witness Seminar is fully recorded, the discussion is transcribed and the
unedited transcript immediately sent to every participant. Each is asked to
check his or her own contribution and to provide brief biographical details.
The editors turn the transcript into readable text, and incorporate participants’
minor corrections and comments. Biographical and bibliographical details are
added as footnotes, as are more substantial comments provided by participants.
The final scripts are then sent to every contributor, accompanied by forms
assigning copyright to the Wellcome Trust. Copies of the original, and edited,
transcript and additional correspondence generated by the editorial process
are deposited with the records of each meeting in Archives and Manuscripts,
Wellcome Library, London.
ix
For all our volumes, we hope that even if the precise details of the more technical
sections are not clear to the non-specialist, the sense and significance of the events
will be understandable to all readers. Our aim is that the volumes inform those
with a general interest in the history of modern medicine and medical science;
provide historians with new insights, fresh material for study, and further themes
for research; and emphasize to the participants that their own working lives are of
proper and necessary concern to historians.
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