181:
224:. It proposed that the composition of the NHS' democratic structure could involve elected neighbourhood health committees, where local communities would pursue measures to improve the health of the community. This would provide a grass roots structure for the control of the NHS, with district, regional and national tiers partly elected directly and partly built up from below. The proposed neighbourhood health committees would consist partly of local residents elected by the local community, partly of health workers elected by their colleagues, and partly of health workers elected by the local community. This made it possible to for health workers and elected community representatives to both be in the majority group.
248:
278:
all doctors, including MPU members, and gave the MPU seats on the committee representing general practitioners. In return, the MPU withdrew its request for seats on the
Doctors and Dentists Whitley Council. That agreement remains in force to this day, and is the means by which UNITE accesses the negotiating machinery for doctors and hospital dentists in the NHS. The agreement also applied to local government from 1950 to 1974, when the NHS negotiating machinery extended to health workers in local government. As that is no longer the case, UNITE is now the only recognised medical trade union in negotiations with local government.
289:. They stated that the most appropriate way for the HCSA to access negotiations would be by reaching a similar agreement to that of the MPU and the BMA. Failure to resolve this issue led to a situation in which the BMA, UNITE and the BDA accessed negotiations through BMA machinery, whilst the HCSA met employers separately.
231:'s government where GPs held budgets for their patients' care. The MPU proposed its replacement - locality commissioning, where local communities would plan, and allocate resources for, health care which serves their community. Locality commissioning became Labour Party policy in the 1992 election. The document
235:, which expanded on these ideas, was produced following the 1997 election. In 1993 it initiated a campaign for a salaried GP option and published "Salaried Service; Threat or Opportunity" in 1997. The policy favoured providing a salaried option for general practitioners who would be employed by the NHS.
238:
Locality commissioning was widely endorsed by doctors, including the BMA, and was implemented by the incoming Labour government in 1997. Sadly, its roots in communities and primary care were soon eroded by commercialisation and competitive markets. The MPU once again had to advocate for an NHS which
212:
union, which detailed proposals on how hours of work could be reduced. There were a series of associated demonstrations, including sleep-ins. Eventually the campaign enabled the BMA to negotiate a new deal on hours of work. The MPU also conducted research documenting racial discrimination in medical
167:
Initially the MPU focused on providing trade union services to GPs in their dealings with local administration of the
National Health Insurance scheme, and arguing the case for the extension of the scheme to everyone. The MPU's aims from the outset were to extend the provision of medical care by the
277:
When the medical negotiating machinery was set up in 1948 the BMA sought to exclude the MPU, because of its opposition to trade unionism. Following a campaign by the union, an agreement was reached between the BMA and the MPU in
December 1950. The BMA agreed to maintain universal franchise open to
273:
The MPU was the only TUC affiliated medical trade union until 1979, when the HCSA also affiliated. It was the only TUC affiliated trade union party to medical negotiating machinery until 2016, when the HCSA also gained recognition. It is committed to restoring the NHS as a publicly owned, publicly
284:
The recognition of the HCSA in 2016 led to a dispute about the negotiating machinery, which remains unresolved. The HCSA suggested a joint negotiating committee, with representatives from the HCSA and BMA. However, the BMA and UNITE protested that the BMA machinery also represented UNITE and (for
199:
In the 1970s the MPU renewed its demands for the introduction of part-time posts. It promoted a resolution at the Junior
Doctors' Conference calling for such posts. The resolution initially passed, but was then rejected by the BMA's Annual Representative Meeting. However, because of the autonomy
195:
In the 1960s the MPU produced the first ever study of the working patterns of women doctors. This led to demands by the MPU and the
Medical Women's Federation for the establishment of part-time posts. The MPU also produced the Family Doctors' Charter, and called for the modernisation of general
207:
which addressed the needs of women doctors, women's health and issues of family-friendly employment for doctors of all genders. It also fought a long campaign to reduce the hours of work of junior doctors. This including several
Parliamentary bills promoted by MPs allied to the
263:'s plans. The BMA however was concerned by issues that arose in local authority hospitals in the 1930s, and abandoned its previous support for an NHS run by county councils. Instead it firmly opposed nationalisation of hospitals and state employment for doctors.
200:
guaranteed to MPU representatives, it was still possible for junior doctors to pursue the issue, despite BMA opposition. They succeeded, placing medicine ahead of many other professions in the recognition of part-time work.
148:
The union was founded as the Panel
Medical Practitioners' Union in 1914. It was then renamed the Medico Political Union, and then the Medical Practitioners' Union in 1922. It amalgamated with the
209:
149:
1281:
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would be the mechanism for society to pursue health as a social goal. In 2019 it published proposals for public health and primary care in local neighbourhoods.
1296:
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648:
586:
1291:
281:
Because of the MPU's unique position, significant number of BMA members who wish to be affiliated to the TUC maintain a dual membership with the MPU.
274:
provided service which is democratically controlled, planned to meet need and serves as the means by which society pursues health as a social goal.
1064:
Davies, Celia (1981). "Review of The
Division in British Medicine: A History of the Separation of General Practice from Hospital Care, 1911-1968".
196:
practice. After a campaign by the MPU, the BMA also supported this. Its implementation lead to a significant improvement in general practice.
1306:
1164:
453:
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259:. The BMA also campaigned for an NHS at the time, but in the 1940s divisions emerged between the two organisations. The MPU supported
157:
710:
302:
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247:
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501:
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610:
555:
Memorandum on the need for the introduction of an occupational health service with suggestions for its organisation
286:
192:, following the failure to secure the inclusion of occupational health in the NHS when it was established in 1948.
429:
569:
Medical
Practitioners' Union; Jefferys, Margot; Elliott, Patricia M.; Great Britain; Great Britain, eds. (1966).
315:
Caring for
Doctors, Fighting for the NHS - Fighting for doctors, for health and for the people for over 100 years
775:
Lister, John (1974-01-31). "Changing Patterns of Medical Care — Women in Medicine — A Tribute to Long Service".
640:
1301:
834:
How to Improve Your Working Conditions: A Medical Practitioners' Union Factsheet for Junior Hospital Doctors
256:
266:
The MPU was originally the only medical trade union until the BMA registered as a trade union In 1971. The
153:
587:"Women in Medicine: The Results of an Inquiry Conducted by the Medical Practitioners' Union in 1962 – 63"
1140:
539:
169:
91:
365:"The Rise and Decline of the Medical Member: Doctors and Parliament in Edwardian and Interwar Britain"
221:
161:
189:
137:
1097:
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1011:
411:
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17:
203:
In the 1980s the MPU continued to pursue the issue of women's equality, producing the document
1231:
1195:
The British Medical Association is the trade union and professional body for doctors in the UK
1081:
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995:
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486:× LABOUR EDITOR, O 1982, 'UK News and Labour: Legislation likely to boost ASTMS membership',
1223:
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51:
184:
Doctors in Unite members supporting junior doctors outside the Department of Health in 2016
95:
1227:
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873:
125:
67:
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260:
227:
In the 1990s the MPU focused on opposition to GP fundholding, a policy introduced by
1015:
415:
572:
Women in medicine: the results of an inquiry conducted by the ... Union in 1962-63
216:
Towards the end of the 1980s the MPU produced a document on medical ethics called
832:
670:
535:
991:
788:
342:
The only TUC affiliated union formally party to the BMA representative machinery
121:
759:
735:"NATIONAL HEALTH SERVICE (DOCTORS' PAY AND CONDITIONS (Hansard, 17 March 1965)"
570:
553:
1077:
980:
International Journal of Health Services: Planning, Administration, Evaluation
978:
Glennerster, H.; Cohen, A.; Bovell, V. (1998). "Alternatives to fundholding".
1235:
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889:
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513:
467:
391:
364:
1214:
Jones, P. R. (1974). "The British Medical Association and the closed shop".
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407:
1007:
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804:
383:
399:
1093:
1028:
Manufacturing, Science & Finance, Southwark St London October 1997
1257:
47:
1165:""Why should the people wait any longer?" How Labour built the NHS"
711:"NATIONAL HEALTH SERVICE (REGULATIONS) (Hansard, 3 November 1966)"
246:
179:
874:"Racial discrimination against doctors from ethnic minorities"
454:"Arnold Elliott: NHS GP and pioneer of integrated healthcare"
1252:
764:. Medical Practitioners' Union. London: M.P.U. Publications.
106:
305:, and was adopted as the MPU's journal the following year.
301:. This originated in 1913 as the official journal of the
210:
Association of Scientific, Technical and Managerial Staffs
150:
Association of Scientific, Technical and Managerial Staffs
333:
The medical policy think tank for health as a social goal
313:
In a document published in its centenary year, entitled
761:
Pickets in white: the junior doctors' dispute of 1975
687:"NATIONAL HEALTH SERVICE (Hansard, 19 December 1963)"
849:"JUNIOR DOCTORS' CONTRACTS (Hansard, 14 March 1990)"
156:. It underwent a series of mergers which formed the
1141:"BBC News | Special report | Making Britain better"
336:
The medical organisation for equality and diversity
101:
87:
77:
59:
43:
35:
641:"Interview: 100 years at the heart of GP politics"
817:SHERMAN, J 1987, 'New 'staff doctors' proposed',
502:"GPs call for better treatment of asylum seekers"
243:Relationship with the British Medical Association
1282:Medical associations based in the United Kingdom
268:Hospital Consultants and Specialists Association
218:A Charter of Patient's Rights and Medical Ethics
1066:The British Journal for the History of Science
611:"THE FAMILY DOCTOR (Hansard, 22 January 1964)"
339:The organisation for doctors as health workers
255:In the 1930s the MPU produced proposals for a
188:In the 1950s the MPU focused its attention on
1287:Healthcare trade unions in the United Kingdom
8:
1262:Modern Records Centre, University of Warwick
30:
536:Records of the Medical Practitioners' Union
168:state, while retaining the independence of
552:Medical Practitioners' Union, ed. (1953).
430:"Trade Union Bill (Hansard, 19 June 1984)"
29:
1277:1914 establishments in the United Kingdom
954:
905:
872:Esmail, A.; Everington, S. (1993-03-13).
531:
529:
327:Supporting grass roots voices in medicine
935:The British Journal of General Practice
558:. London: Medical Practitioners' Union.
352:
330:The medical organisation for the people
831:Union, Medical Practitioners' (1988).
758:Gordon, Harvey; Iliffe, Steve (1977).
675:. Medical Practitioners' Union. 1967.
634:
632:
630:
575:. London: Office of Health Economics.
7:
358:
356:
1297:Trade unions disestablished in 1970
372:Bulletin of the History of Medicine
251:BMA House, Tavistock Square, London
1228:10.1111/j.1468-2338.1974.tb00569.x
1169:British Politics and Policy at LSE
490:, 19 Apr, p. 6, (online NewsBank).
158:Manufacturing, Science and Finance
25:
1038:Watkins, Steve (1 January 2019).
488:Financial Times (London, England)
303:State Medical Service Association
18:Medical Practitioners' Union
1292:Trade unions established in 1914
1040:"Public Health and Primary Care"
929:Fitzpatrick, Mike (2007-05-01).
297:The union published the journal
152:in 1970 under the leadership of
777:New England Journal of Medicine
651:from the original on 2020-08-20
639:Roberts, Neil (1 August 2014).
128:. It was formerly known as the
324:A progressive voice in the BMA
136:) before its affiliation with
1:
1258:Catalogue of the MPU archives
321:The campaigning medical union
1307:Trade unions based in London
1216:Industrial Relations Journal
821:, 28 Oct, (online NewsBank).
819:Times, The (London, England)
500:Shifrin, Tash (2004-06-07).
130:Medical Practitioners' Union
992:10.2190/E5MT-HHGH-5AAA-RC1X
789:10.1056/NEJM197401312900510
672:Design for Family Doctoring
317:the MPU defined itself as:
233:Alternatives to Fundholding
1323:
287:British Dental Association
220:, in conjunction with the
27:UK trade union for doctors
1078:10.1017/S0007087400018410
890:10.1136/bmj.306.6879.691
931:"Supermarket medicine?"
878:British Medical Journal
285:hospital dentists) the
270:followed suit in 1974.
257:National Health Service
1191:"BMA as a trade union"
1116:"The birth of the NHS"
363:COOTER, ROGER (2004).
252:
185:
164:and ultimately Unite.
542:Modern Records Centre
540:University of Warwick
384:10.1353/bhm.2004.0012
250:
183:
170:general practitioners
1189:Scavone, Francesca.
222:Patients Association
190:occupational health
124:for doctors in the
83:Coral Jones (Chair)
32:
253:
186:
884:(6879): 691–692.
853:api.parliament.uk
739:api.parliament.uk
715:api.parliament.uk
691:api.parliament.uk
615:api.parliament.uk
434:api.parliament.uk
229:Margaret Thatcher
205:Women in Medicine
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1171:. 2017-07-07
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1122:. 2008-06-28
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88:Affiliations
44:Headquarters
591:www.ohe.org
122:trade union
1271:Categories
1200:2020-04-18
1175:2020-04-18
1150:2020-04-18
1126:2020-04-18
858:2020-04-18
744:2020-04-18
720:2020-04-18
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439:2020-04-18
347:References
79:Key people
1236:1468-2338
1102:144203692
1086:0007-0874
1000:0020-7314
947:0960-1643
898:0959-8138
797:0028-4793
645:GP Online
514:0261-3077
468:0140-0460
459:The Times
392:0007-5140
1049:18 April
1016:46372270
965:17504609
655:18 April
649:Archived
416:40407166
408:15161087
400:44447953
60:Location
1094:4026085
1008:9493753
956:2047038
916:8471921
907:1677082
805:4587638
293:Journal
176:History
160:union,
102:Website
36:Founded
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