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Alastair Robson

A Prophet in His Own Country: A Biography of Henry Lilley Smith, MRCS, (1788-1859), Surgeon, of Southam, Warwickshire

A Prophet in His Own Country: A Biography of Henry Lilley Smith, MRCS, (1788-1859), Surgeon, of Southam, Warwickshire

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  • More about A Prophet in His Own Country: A Biography of Henry Lilley Smith, MRCS, (1788-1859), Surgeon, of Southam, Warwickshire


Henry Lilley Smith was a surgeon-apothecary who was born in Southam, Warwickshire, and attended Guys Hospital. He was appointed Parish Surgeon and established an 'Infirmary for the Treatment of Diseases of the Eye and Ear' and a Provident Dispensary for the medical care of the local working-class population. Despite professional opposition, his schemes were adopted by Lloyd George in his National Insurance Act of 1911, restoring his reputation as a Victorian country surgeon.

Format: Paperback / softback
Length: 192 pages
Publication date: 28 April 2023
Publisher: Troubador Publishing


Henry Lilley Smith, born in Southam, Warwickshire, in 1788, embarked on a remarkable journey that would shape his professional life. After completing an apprenticeship as a surgeon-apothecary, he attended Guys Hospital, where he served as a surgical dresser to the esteemed Guys surgeon Sir Astley Cooper. His dedication and commitment led to a period of secondment to the Army, where he provided invaluable medical care to repatriated soldiers following the disastrous Battle of Corunna in the Peninsular War. Upon his return to Guys, Smith completed his studies and earned Membership of the Royal College of Surgeons in 1810.

Smith's dedication to his profession remained unwavering throughout his career. He spent his entire professional life in Southam, initially serving as the Parish Surgeon. In 1818, he took a pioneering step by establishing an "Infirmary for the Treatment of Diseases of the Eye and Ear" in the town, offering his services entirely free of charge. His unwavering commitment to the well-being of his community continued to shine as he opened a Provident (or "self-sufficient") Dispensary in 1823, which was the first of its kind in the Kingdom. This dispensary provided medical care to the local working-class population and their families, offering affordable and accessible healthcare.

Despite facing sustained professional opposition throughout his lifetime, Smith's vision and innovative schemes for affordable health care for Warwickshire's working-class families have largely been forgotten. A Prophet in His Own Country is a passionate attempt to restore the reputation of this Victorian country surgeon and his remarkable contributions to healthcare.

In his lifetime, Smith faced numerous challenges and obstacles. He encountered resistance from established medical institutions and professionals who were skeptical of his unconventional approaches to healthcare. However, Smith's unwavering determination and commitment to his cause allowed him to persevere. His innovative schemes, such as the Provident Dispensary, challenged the traditional healthcare system and provided a much-needed alternative for the working-class population.

Smith's vision for healthcare was not limited to his own community. He recognized the importance of spreading his ideas and advocating for affordable health care on a national level. He actively engaged with policymakers and politicians, presenting his proposals and seeking support for his initiatives. His efforts eventually paid off, as his principles of self-sufficiency and affordable healthcare were adopted by Lloyd George in his National Insurance Act of 1911.

The legacy of Henry Lilley Smith extends far beyond his own time. His pioneering work in healthcare and his commitment to the well-being of the working-class population have inspired generations of healthcare professionals and activists. His vision of a society where everyone has access to affordable and quality healthcare remains a guiding principle in the fight for a healthier and more equitable society.

In conclusion, Henry Lilley Smith's life and career are a testament to his unwavering dedication to healthcare and his commitment to the well-being of his community. His innovative schemes for affordable health care, despite facing opposition, have left a lasting impact on the healthcare system and have inspired generations to come. His legacy serves as a reminder of the importance of accessible and affordable healthcare for all, and his vision for a society where everyone has access to quality healthcare remains a guiding light in our ongoing pursuit of a healthier and more equitable world.

Weight: 258g
Dimension: 138 x 216 x 18 (mm)
ISBN-13: 9781803134895

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