Article ID: CBB316916920

Beyond the asylum and before the ‘care in the community’ model: Exploring an overlooked early NHS mental health facility (2020)


This article discusses the Admission and Treatment Unit at Fair Mile Hospital, in Cholsey, near Wallingford, Berkshire (now Oxfordshire). This was the first new hospital to be completed in England following the launch of the National Health Service. The building was designed by Powell and Moya, one of the most important post-war English architectural practices, and was completed in 1956, but demolished in 2003. The article relates the commission of the building to landmark policy changes and argues for its historic significance in the context of the NHS and of the evolution of mental health care models and policies. It also argues for the need for further study of those early NHS facilities in view of current developments in mental health provision.

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Authors & Contributors
Hilton, Claire
Andrews, Jonathan
Scull, Andrew T.
Denham, Michael
Gorsky, Martin
Freeman, Richard
Social History of Medicine
History of Psychiatry
Bulletin of the History of Medicine
The Bridge: Journal of the National Academy of Engineering
University of California Press
Duke University Press
Boydell & Brewer
Manchester University Press
University of Wisconsin Press
Health care
Health policy
Hospitals and clinics
Psychiatric hospitals
Public health
Medicine and society
Monro, John
Clinton, Bill
Manuel I, King of Portugal
Robb, Barbara
United States
Great Britain
New York (U.S.)
20th century, late
21st century
20th century, early
19th century
18th century
16th century
National Health Service (Great Britain)

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