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Zigmond on Neoliberalism and the NHS

Dr David Zigmond served in the NHS from 1969 as a GP and psychiatrist. His long career as a practitioner, writer and teacher was consistently highly regarded. Yet in the last decade he found many healthcare reforms to be problematic: in particular systems to industrialise and corporatise that become increasingly inimical to our best personal care.

David proposes that the healthcare system should be based on the notion of pastoral healthcare and that good healthcare is impossible without nurturing and caring relationships:

However the NHS has undermined this approach by adopting the philosophy of neoliberalism and it has indulged in a series of changes which have industrialised healthcare:

Watch the full series, from which these film clips have been taken, in the playlist below:


The publisher is the Centre for Welfare Reform.

Films produced by Ruskin Kyle of Rivers Rush.

Zigmond on Neoliberalism and the NHS © David Zigmond & the Centre for Welfare Reform 2018.

All Rights Reserved. No part of this paper may be reproduced in any form without permission from the publisher except for the quotation of brief passages in reviews.