Analysts of the location of public facilities have tended to ignore the decisionmaking processes whereby these facilities are located. Therefore a detailed consideration of the development of the acute hospital services of Newcastle upon Tyne from 1948–1969 is presented in this paper. In particular, the arguments both for and against a proposal to locate the city's third general hospital at Freeman Road, in northeast Newcastle, are focused upon. Attention is drawn to divisions and divergences of opinion and strategy both within and between various branches of the state, and it is argued that any interpretation of state practice must be sensitive to such divisions and to the specific local circumstances in which state policies are articulated. In a concluding section, the broader theoretical implications of this evidence are drawn out.
AndersonJ, 1973, “Ideology in geography: An introduction”Antipode51–5
3.
Board of Trade, 1963The North East: A Programme for Regional Development and Growth (The Hailsham Report), Cmnd 2206 (HMSO, London)
4.
BurnsW, 1967Newcastle: A Study in Replanning (Leonard Hill, London)
5.
CarneyJHudsonR, 1974, “Ideology, public policy and underdevelopment in the North East” WP-6, North East Area Study, Department of Geography, University of Durham, Durham DH1 3LE, England
6.
CarneyJHudsonR, 1978, “Capital, politics and ideology: The North East of England, 1870–1946”Antipode1064–78
7.
CHSC, 1969The Functions of the District General Hospital (The Bonham-Carter Report), Central Health Services Council (HMSO, London)
8.
CMAC, 1969, “A university hospital complex in Newcastle”Combined Medical Advisory Committee of Newcastle Hospital Management Committee and the United Newcastle upon Tyne Hospitals, 16 April; copy held in the Newcastle Regional Hospital Board's File 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
9.
CrossmanR, 1969, Letter to the Newcastle Regional Hospital Board reporting the Secretary of State's decision; copy held in the Newcastle RHB's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
10.
CrossmanR, 1972A Politician's View of Health Service Planning (University of Glasgow Press, Glasgow)
11.
CrossmanR, 1976The Diaries of a Cabinet Minister, Volume HI (Hamish Hamilton, London)
12.
DahlR, 1961Who Governs? Democracy and Power in an American City (Yale University Press, New Haven CT)
13.
DearM, 1978, “Planning for mental health care: A reconsideration of public facility location theory”International Regional Science Review393–112
14.
DearM, 1981, “A theory of the local state” in Political Studies from Spatial Perspectives Eds BurnettATaylorP, (John Wiley, Chichester, Sussex) pp 183–200
15.
DHSS, 1969, Letter to the Newcastle Regional Hospital Board summarising representations made to the Department of Health and Social Security by Henry Miller; copy held in the Newcastle RHB's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
16.
DuncanS SGoodwinM, 1982, “The local state: Functionalism and autonomy and class relations in Cockburn and Saunders”Political Geography Quarterly177–96
17.
EcksteinH, 1959The English Health Service: Its Origins, Structure and Achievements (Oxford University Press, Oxford)
18.
FrankelB, 1979, “On the state of the state: Marxist theories of the state after Lenin”Theory and Society7199–242
19.
Group Medical Liaison Committee, 1969, “Advice concerning the distribution of beds and specialties in the future Newcastle hospitals” April; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
20.
HamC, 1980Policy-making in the National Health Service (Macmillan, London)
21.
HartJ T, 1971, “The inverse care law”Lanceti405–412
22.
HodgartR L, 1978, “Optimizing access to public facilities: A review of problems, models and methods of locating central facilities”Progress in Human Geography217–48
23.
House of Commons, 1975Twelfth Report from the Expenditure Committee: Cash Limit Control of Public Expenditure (HMSO, London)
24.
House of Commons, 1977Ninth Report from the Expenditure Committee: Selected Public Expenditure Programmes (HMSO, London)
25.
JessopR, 1982The Capitalist State (Martin Robertson, London)
26.
LeonardS, 1982, “Urban managerialism: A period of transition”Progress in Human Geography6190–215
27.
MilibandR, 1969The State in Capitalist Society (Weidenfeld and Nicolson, London)
28.
MillerH, 1969, “Letter to the Chairman of the Newcastle Regional Hospital Board” 13 May; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
29.
MoH, 1946The Hospital Services of North East England (Ministry of Health, London)
30.
MoH, 1962A Hospital Plan for England and Wales Cmnd 1604 (Ministry of Health, London)
31.
MohanJ F, 1983State Policies and Public Facility Location: The Hospital Services of North East England, 1948–1982 PhD thesis, Department of Geography, University of Durham, Durham DH1 3HP, England
32.
MohanJ F, 1984, “State policies and the development of the hospital services of North East England, 1948–1982”Political Geography Quarterly3275–295
33.
NavarroV, 1978Class Struggle, the State, and Medicine (Martin Robertson, London) Newcastle Evening Chronicle1969, “That third hospital—issues that confront the minister” 25 September, page 16
Newcastle Journal1969b, “Deputation plan in hospital dispute” 31 July, page 7
36.
Newcastle Journal1969c, “New £7m hospital will be a backwater” 29 July, page 1
37.
Newcastle Journal1969d, “New hospital is essential for the city's East End” 20 September, page 10
38.
Newcastle RHB, 1963a, “Minutes of the capital development subcommittee” March; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
39.
Newcastle RHB, 1963b, “Notes of a meeting between the Newcastle Regional Hospital Board and the Board of Governors of the United Newcastle upon Tyne Teaching Hospitals” 2 October; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
40.
Newcastle RHB, 1967a, “Appreciation of the consultants' plans” July; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
41.
Newcastle RHB, 1967b, “Memorandum by consultants at the Newcastle General Hospital on the development of hospital services in the Newcastle area”; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
42.
Newcastle RHB, 1967c, “Report of a meeting between consultants at the Newcastle General Hospital and the Regional Hospital Board”; copy held in the Newcastle RHB's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
43.
Newcastle RHB, 1969a, “Chairman's brief for the meeting with the Secretary of State” 16 September; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
44.
Newcastle RHB, 1969b, “Hospital services in the Newcastle area”; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
45.
Newcastle RHB, 1969c, “Minutes of the Newcastle Regional Hospital Board” 6 June; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
46.
Newcastle RHB, 1969d, “Notes of a meeting between the Newcastle Regional Hospital Board and the Newcastle City Council” July; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle, England
47.
Newcastle RHB, 1969e, “Notes on the meeting with the Secretary of State” 26 September; copy held in the Newcastle Regional Hospital Board's file 195; Northern Regional Health Authority, Benfield Road, Newcastle England
48.
OffeC, 1976, “Political authority and class structures” in Critical Sociology Ed. ConnertonP, (Penguin Books. Harmondsworth, Middx) pp 388–421
49.
PoulantzasN, 1973Political Power and Social Classes (New Left Books, London)
50.
SaundersP, 1979Urban Politics: A Sociological Interpretation (Penguin Books, Harmondsworth, Middx)
51.
TeitzM, 1968, “Towards a theory of urban public facility location”Papers of the Regional Sciences Association2135–53
52.
United Newcastle upon Tyne Hospitals, 1949Combined Annual Report of the United Newcastle upon Tyne Teaching Hospitals; copy available in the Newcastle Central Library (Local History Collection), Princess Square, Newcastle upon Tyne NE99 IMC, England
