Fringe Benefits by Colin Ward

Fringe Benefits

By Colin Ward

Colin Ward remembers the Peckham Health Centre

Being Me and Also Us: Lessons from the Peckham Experiment. Allison Stallibrass, Scottish Academic Press, paperback, £7.95

Kenneth Clarke expostulated to a radio interviewer the other day: ‘We’ve never run the health service as some kind of workers’ cooperative.’

More’s the pity, I would say. But the real tragedy is that we have never run a health service, only an illness service. By stressing the word health, I don’t mean preventive medicine. I mean the pursuit of the conditions for personal, family and social well-being.

There was one unforgettable experiment in this direction, and it died with the foundation of the NHS. This was the Pioneer Health Centre at Peckham.

For people like me, curious about the preconditions for resourcefulness and independence, it was a verification of our deepest convictions. The founders were a husband-and-wife pair of doctors, Innes Pearse and George Scoot Williamson.

In 1938, they wrote about their Family Health Club: ‘It seems that ‘a sort of anarchy’ is the first condition in any experiment in human applied biology. This condition is also that to which our members most readily respond…’

It began much earlier, in 1926, when after welfare work in south London they concluded that most urban dwellers were so ‘de-vitalised’ that babies were born deficient in health. To study the characteristics of health they devised the idea of a family club, to be joined on two conditions, first, that the whole family must join; and second, that families must agree to a periodic medical examination.

They started in a small house run as a club until 1929. The next step was to raise the money from charitable trusts to move to a purpose-built family club big enough to be self-supporting from subscriptions. By 1935 they had raised the cash and built the Pioneer Health Centre, designed by Sir Owen Williams.

It was glass-walled inside and out, as the Peckham biologists needed to observe what members actually did. The centre of the building was a swimming pool, and there was a theatre, a gymnasium and a children’s nursery on the ground floor, with dance halls, a cafeteria, a library and medical rooms.

It ran from 1935 to 1939, and after the war from 1946 to 1950. It ended in 1951 after all efforts to get it adopted by local authorities or the NHS had failed. Since ‘health centres’ had become part of official doctrine after the National Health Service Act of 1946, the directors approached the Ministry of Health to incorporate it into official provision.

They failed for five reasons: first, it was concerned exclusively with the study and cultivation of health, not with the treatment of disease; second, it was based exclusively on the integrated family, not on the individual; third, it was based exclusively on a locality, it had no ‘open door’; fourth, its basis was contributory (2s 6d – 12 and a half pence – per family per week), not free; and fifth, it was based on autonomous administration, and so didn’t conform to the NHS structure.

The centre died but the idea did not. Pioneer Health Centre Ltd still exists and in the past ten years has ensured the republication by the Scottish Academic Press of all the old Peckham reports. The same publishers have just brought out, at £7.95, a new study called Being Me and Also Us: Lessons from the Peckham experiment. The author is Allison Stallibrass, a Peckham veteran and author of that modern classic of child development, The Self-Respecting Child.

Her book is fascinating from several points of view. First, she has sought out people who were members as children or young parents and gathered their recollections of what the place meant in their lives. It is an enormously impressive testimony. Second, she shows how ahead of their time the Peckham pioneers were.

They were founder members of the Soil Association and took on a farm to ensure that members could buy nutritious bread, milk and vegetables and to provide holidays in the sun. Fifty years later, old Peckham hands remember that delicious bread.

Third, she demonstrates how the preoccupation with the family was not a limiting, but an enlarging, factor. Members gradually accepted all the children as part of the family, while children and adolescents related to all the adults.

Finally, she asks and ventures answers to the question: could we replicate the experiences of Peckham today? The original building cost about a fifth of the typical super-cinema of the period, though it was expensive to run. A modern equivalent would be far more useful in any community than the standard local ‘leisure centre’ which caters for a narrow band of the population and has no links with the ideology of self-catering, health-counselling, personal and social autonomy.

I only went there once, in 1949. I listen to Scott Williamson wittily addressing a meeting of the London Anarchist Group, and I visited Innes Pearse when she retired to Argos Hill windmill in Sussex. I never realised until I read this book that they must be considered as the truly creative figures in 20th century social medicine.

Review of ‘Being Me and Also Us’ by Allison Stallibrass, Scottish Academic Press.

This article first printed in New Statesman and Society, September 29th 1989.