Welcome

Gathering the Jewels features over 30,000 images of objects, books, letters, aerial photographs and other items from museums, archives and libraries throughout Wales.

Search the map

Thumbnail image of Wales,

New to Gathering the Jewels is G.I.S. A geographical search facility that will enable searching by location and place name.

Topics

Home » Health, Welfare and Charity » Hospitals and medical care » National Health Service

Displaying results 1 to 5 out of 5

Page 1

  • On this page Archie records his gratitude to the Nuffield Provincial Hospitals Trust for inviting him to give the Sir Richard Rock-Carling lecture, and sets out his intention to focus his lecture on several aspects of National Health Service practice. The lecture was very influential in raising the profile of evidence-based medicine and was subsequently published as a book: A. L. Cochrane, 'Effectiveness and efficiency: random reflections on Health Services' (London, Nuffield Provincial Hospitals Trust, 1972).
Typescript text of the 1971 Rock-Carling lecture by medical pioneer Archie Cochrane, page 1 [image 1 of 15]
  • On this page Archie sets out his intention to focus his lecture on what he sees as the growing discrepancy between the 'input' and 'output' of the National Health Service. By this he means that the technological and financial investment in the service has not brought a general improvement in patient health.
Typescript text of the 1971 Rock-Carling lecture by Wales-based medical pioneer Archie Cochrane, page 2 [image 2 of 15]
  • On this page Archie goes on to define one crude measures of National Health Service (NHS) 'output': time off certified by an NHS doctor. He goes on to note that the NHS has not been particularly effective at lowering national levels of time off.
Typescript text of the 1971 Rock-Carling lecture by Wales-based medical pioneer Archie Cochrane, page 3 [image 3 of 15]
  • On this page Archie continues to explore potential sources of inefficiency in the National Health Service - particularly in relation to the length of stays in hospital.
Typescript text of the 1971 Rock-Carling lecture by Wales-based medical pioneer Archie Cochrane, page 6 [image 6 of 15]
  • On this page Archie attributes the inefficiency of the National Health Service to a surplus of pure rather than applied research.
Typescript text of the 1971 Rock-Carling lecture by Wales-based medical pioneer Archie Cochrane, page 10 [image 10 of 15]