4. 90-second Statements

Part of the debate – in the Senedd at 3:14 pm on 4 July 2018.

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Photo of David Rees David Rees Labour 3:14, 4 July 2018

Diolch, Llywydd. During the week in which we celebrate the seventieth anniversary of our national health service, we also lost one of its pioneers in primary care. Julian Tudor Hart was born in 1927 in London, the son of politically active doctors. His early life growing up in a home steeped in radical politics, which was regularly used as a transit centre for refugees fleeing fascist oppression in Europe, shaped his values and beliefs—values and beliefs that he never moved away from throughout his life.

Julian followed his father's career path and studied medicine at Cambridge before moving on to London. After graduating, he took up posts in hospitals and urban general practice before working at the Archie Cochrane-led Medical Research Council Epidemiology Unit, where he met his wife and research partner, Mary. Now, this background in epidemiology taught him to study how his patients' lifestyles caused their ill health, and he worked with them to improve this.

In 1961, he moved to the coal mining community of Glyncorrwg in the Afan valley and set up practice, where he stayed for 30 years until he retired. Julian turned Glyncorrwg into an international name associated with innovative general practice. He was a man of theory and action. He was a researcher, lecturer, writer of articles, papers and books, with many of his most innovative ideas making their way into everyday practice. His concept of the inverse care law is as relevant now as it was when it was published in The Lancet decades ago—in fact, as far back as 1971. A true visionary, he undertook many research projects in a community setting, which many said could not be done, but was successful because he had faith in the altruism of the citizens of Glyncorrwg and the upper Afan valley, and they trusted and respected him.

He felt passionately that good healthcare was the right of everyone, and that services couldn't be targeted at those most in need unless the national health service was free of market influences and allowed to concentrate solely on patient welfare.

Llywydd, I could go on for another 90 seconds, because his life went well beyond that, even after retirement. Julian Tudor Hart was, and remains, one of the true giants of the national health service.