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8 - Health Visiting and Disability Issues in England before 1948

Pamela Dale
Affiliation:
University of Exeter
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Summary

Introduction

At the start of the twentieth century the development of services for disabled children in the United Kingdom accelerated and changed in a number of significant ways. Firstly, there was simply more provision as local councils gradually acquired permissive powers to develop (independently and in partnership with voluntary sector organizations) both specialist services for children and other health and welfare services accessible to people of all ages and utilized by disabled children and their families. Secondly, the new services were not just designed to respond to expressed need; they actively sought clients. This contrasted with the exclusive admissions policies designed to limit access to nineteenth-century residential special schools run by charities and the deterrent principles of the Poor Law. Thirdly, there was a shift away from traditional forms of institutional care to a more complicated network of services delivered in a variety of settings.

These developments have been explored through histories of the school medical service in England and Wales, which draw attention to the importance of establishing both regular medical inspections for school-age children and a number of clinics to diagnose and treat various disabling conditions. Although it has not been a strong theme in the historiography these clinics often worked in close partnership with other local authority services targeted at younger children, and also designed to identify, treat and crucially prevent childhood disability.

Type
Chapter
Information
Disabled Children
Contested Caring, 1850–1979
, pp. 117 - 130
Publisher: Pickering & Chatto
First published in: 2014

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