Studying England’s National Health Service

Daily Journal Entries

Sunday, March 11
Today, I learned about the architecture of the Bloomsbury area in London. My tour guide discussed the estates and areas that prestigious families secured and maintained throughout generations. Despite my review of various pieces of literature, it took some time for me to adjust to the public health topic because of the cultural shift here in London. What I learned today showed me that London truly treasures its history. It is that same history that plays a vital role in our modern society. Also, to increase my understanding of healthcare in London, I visited the Jubilee Market. One exciting thing that I did today was attend church at Hillsong United in the Palladium Theatre.

Tuesday, March 13
Today, my class traveled to the Old Operating Theater. I had the opportunity to see and listen firsthand to the surgical operations that occurred in the past. Without the rapid advancement of technology, many surgeons used tools such as sharp knives to, for example, amputate a leg. Additionally, a panel of individuals delivered a variety of perspectives on England’s National Service. I learned women can receive free birth control in the United Kingdom. I also learned that people self medicate when they cannot get into the NHS soon. This may or may not be beneficial. Also, public health started out as a service outside of the NHS. Today, I visited the London Bridge and the Millennium Bridge!

Thursday, March 15
​I learned about the history of London by studying "The Ghost Map: The Story of London's Most Terrifying Epidemic - and How it Changed Science, Cities and the Modern World." What was very interesting about this lesson was that I was able to clearly understand why London's buildings were placed so closely together in the 1850s! Additionally, I learned the difference between an epidemic, a pandemic, and an outbreak. Also, the miasma theory really helped me understand the various perspectives for the cause of cholera. Outside of class, I visited the Supreme Court of the United Kingdom, Buckingham Palace, London Eye, and China Town!

Monday, March 12
​I received an introduction to London’s public health system. The National Health Service (NHS) was “born” in 1948. I learned that the country’s objectives are to satisfy the expectations of its users and remain a national service responsive to local needs. I was curious to figure out why dentistry is not fully covered (cost-wise) like other health services. Outside of formal classroom time, I visited the British Museum to better understand healthcare not just in the United Kingdom, but also in other countries such as South America and Africa. One of the fun things I did today was visit the St. Paul’s Cathedral Garden!

Wednesday, March 14
Today, I learned there are many requirements for a nation to have a healthcare system. These requirements include: people, funding, vision, planning, recognition, adaptability, good leadership, management, and governance. This really helped me understand healthcare on a broader level. It is imperative these requirements are met so that a healthcare system is sustained. Also, I had trouble understanding the concept of “co-morbidities” and how it pertains to elderly patients. Later, I went on the "Jack the Ripper Tour."

Friday, March 16
I just want to send a special thank you to Professor Duszynski, Professor Bishop, and Ms. Jansen for coordinating this program. I had a spectacular time learning about another country's healthcare system! Because I will be furthering my education through my Juris Doctor program, I believe this experience will definitely be an asset to my academia. Thank you for playing such a vital role in my college career. Have safe travels back to the US! Thank you so much!