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Journal of Public Health Medicine 24:130-135 (2002)
© 2002 Faculty of Public Health Medicine of the Royal Colleges of Physicians of the United Kingdom

Professional strategies of Medical Officers of Health in the post-war period – 2: ‘progressive realism’: the case of Dr R. J. Donaldson, MOH for Teesside, 1968–1974


Susan McLaurin
David F. Smith

Department of Social Sciences, University of Teesside, Borough Road, Middlesbrough TS1 3BA. Susan McLaurin, Postgraduate Researcher
Department of History, University of Aberdeen, Meston Walk, Old Aberdeen, Aberdeen AB24 3FX. David F. Smith, Lecturer in the History of Medicine


Address correspondence to Dr D. F. Smith. E-mail: d.f.smith{at}abdn.ac.uk

This paper discusses the work of Raymond J. Donaldson, who served as Medical Officer of Health (MOH) on Teesside in the North-East of England, 1968–1974, and the professional strategy that he adopted during this period is characterized. It is shown that Donaldson effectively withdrew from areas where the local authority public health department and general practitioners offered the same services, and consciously sought the complete attachment of some grades of staff to general practice. This approach, which was based on the view that in the long term the local authority could not compete successfully with general practitioners, allowed him to develop other activities, notably in the area of action research. ‘Progressive realism’ will be suggested as a suitable description for Donaldson's professional strategy during his time in Teesside.

Keywords: Medical Officer of Health, health centres, Teesside, screening


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