The Nation's Doctor: The Role of the Chief Medical Officer 1855-1998

Contents: A doctor at the heart of government. Staffing the new state medicine. The insecure system. A Ministry of Health? The formation of the Local Government Board. Conclusion. The line of succession. After John Simon: restructuring the post of Medical Officer. A bigger pool: the appointment of `external` CMOs. 1935: MacNalty vs. Jameson. Jameson: the `Nation`s Doctor`. Charles and Godber: succession crises. Professionalisation of Civil Service appointments. Conclusion. Navigating the corridors of power. Newman and the status of the CMO. Managing the tripartite relationship. The smoking and lung cancer issue. Size matters - re-establishing a strong CMO. Whitehall in the post-Fulton period. Selection of Permanent Secretaries. Accountability. Conclusion. Making advice count. Valuing expertise in Whitehall. The market value of the CMO. Managing the National Health Service. The Department of Health and Social Security. The impact of Whitehall reviews. A new Department of Health. Reviews of senior medical civil servants. The 1994 Banks review. The National Health Service. The importance of location. Conclusion. A doctor`s doctor? The emergence of `state medicine`. Medical Royal Colleges. The British Medical Association and the National Health Service. Engaging with the doctors` trade union. Post-NHS relationships. One of Us? Castle, Yellowlees and the Pay Beds dispute. Conclusion. Engaging External Expertise. The Ministry of Health and the Medical Research Council. External influences on policy. The Nuffield Trust and the Kings Fund. AIDS - a plague for the twentieth century. The BSE crisis. Conclusion. The nation`s doctor. John Simon and freedom of speech. The tradition of Chief Medical Officer`s Annual Reports. On the State of the Public Health. Guidance for the medical profession. Jameson - the fireside CMO. Don`t die of Ignorance. Conclusion. Reflections: a job is what you make it. The essential qualities. Seizing the day. Re-defining the health agenda. A National Medical Service? The wider arena. Crisis management. Life after CMO?