Part II What the voices tell us... about:
Most importantly, the voices and words of one-time Starcross Hospital residents were recorded. Staff however, especially senior staff, were easier to engage and more forthcoming.
The interviews explored how people (staff and patients) came to be at the hospital, and the pros and cons of life there.
They are presented objectively, in the hope that they are an honest reflection of the realities of institutional life and the varied experience of transition.
The interview extracts gathered here cannot, of course, claim to be fully representative of the range of views held at the time.
There is far more material in the interviews than has been selectively reproduced here; what has been left out is no less important, but found no place in the format of this compilation.
The time-consuming work of recording and transcribing the interviews failed to continue for long enough to capture experiences of community care as it developed in later years, or to show how views may have changed over subsequent years.
Nor are there the voices of those who know community care now, but never experienced institutional living.
However, the project captured voices and words at an important milestone.
Please note appendices will be published at a later date.
This completes Part I of the book, the next instalment will commence Part II.
The oral history’s intended purpose
In April 1986, I wrote about the aims of the oral history, as David King was going to send a letter about it to the Principal Medical Officer at the Department of Health and Social Security in London:
The project will give a refreshingly telling, new approach to the recording of a service at the point of change.
Both staff and residents will, in their own words, be able to record their personal experience of change itself, and of life before and after the change. What more fitting memorial to the lives of these people?
The project achieved much of this, but fell short when it came to following up on experiences in the years after the change. Nevertheless...
By presenting the words of the staff and the residents themselves, rather than impersonal and dehumanising facts and figures, a unique impression of the reality of Starcross will unfold. Supporting documentation will be preserved so that points of fact may be substantiated.
This was done. (See the appendices for details.)
Such an archive will not be one researcher’s analytical viewpoint – with all the bias that that inevitably carries with it. This will, instead, be a vehicle for these people to present themselves for what they really are; a series of snapshots or portraits of people at this fascinating point in history.
This is the evidence we need to bring to people who continually put the point that “they” would be better off in hospital. Documentation relating to management and committee work would only serve to put “them” over even less as people. We do not want to promote the idea of people with mental handicap [today I would prefer to say learning difficulties or special needs] merely being statistics.
My view, looking back, is that the later interviews, carried out in collaboration with the university, were conducted from a more analytical viewpoint. Instead of being quite so simple and objective as the early ones had set out to be, they focused to a greater extent on the management of change.
The project will, in the exciting and well-received mode employed by the best of America’s current researchers, be a revelation to the many people who have no idea what has transpired behind the walls of institutions like Starcross, and it will illuminate the plight of people who lived there.
Overly-grandiose words! It was really to try to preserve a first-hand record of reality, before time distorted it.
The tape-recorded interviews will be a valuable resource of candid first-hand accounts for future researchers, historians, other health authorities, and the public to benefit from. Much interest in the project has already been expressed, both by the people who will be the subjects and by academics here in Exeter, London, Essex and even Canada.
I also saw it as a gift back to the village of Starcross, because the institution had been central to life there, to employment, to family life, and the building was such an imposing landmark. I anticipated creating access to the stories, through exhibitions, open days...
Today, we wonder what went on in the minds of the Starcross builders. However, future generations will know through this project what was on the minds of people now [at the time of closure in 1986 and the subsequent demolition of the building]. The intentions of carrying through change to care in the community should not be lost along the way.
The recording of impressions at the moment of change, as distinct from a written evaluation, surely has its place.
This is a story of Starcross Hospital which could not be told so colourfully or so memorably in any other words, or by looking in the records.
Although many documents were preserved [see Appendices], this oral history, as with any, is arguably more truly representative of the realities, and at the very least balances, or contrasts with, the written evidence.
Please note appendices will be published at a later date.
STARCROSS HOSPITAL what the voices tell us
This is a link to the whole of the 160 page oral history project on the history of The Royal Western Counties Hospital in Starcross.
This will take a while to download and so the project will also be presented in installments on this weblog
On your mobile phone: you can open in incognito tab, or use your Google account, or share on Facebook. Tap and hold the link to view the drop-down menu of all the options of how you can view this booklet.
If you are using a computer to here view the web version of The Starcross History Society's weblog: just click on the link to view the booklet.
Did this revive memories for you? Was there something that stuck you as particularly poignant or interesting? Do you have something to add? Would you please leave feedback by commenting below, or by contacting
Thankyou
Many thanks to Caroline Hill for allowing The Starcross History Society to publish this remarkable book.
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| Why can't I live in a house? |
Foreword
A case study about moving to Care in the Community, written by David King, was published by the Nuffield Trust in 1991. [1]
It sought to describe how and why the institutions around Exeter, in Devon, were closed in the 1980s, and to inspire and enable other health areas to follow suit.
It was written from the perspective of overseeing the push from hospital to community care, as David was at the helm of the Exeter Health Authority throughout this period, before moving to New Zealand where he would lead similar change.
Before the first of the institutional hospitals in the Exeter area closed – the Royal Western Counties Hospital at Starcross – David set in train a project to create an oral archive.
Now, the opportunity has come to publish extracts from the interviews alongside a commentary drawn from David’s words – from then (1988 and 1989), from 1991, and with fresh eyes from 2020.
I hope this will be a useful companion to the 1991 publication but also a tribute to those who lived and worked at Starcross Hospital as well as a window on an important part of the social history of the village of Starcross.
Caroline Hill
Caroline Hill is to present, on this weblog, a remarkable project about The Royal Western Counties Hospital. An oral record was made about the hospital shortly after it closed in 1986.
Caroline has collected together the interview transcripts and reproduced extracts in an easy-to-read compilation, bringing what was said back to life.
"After more than 30 years, most of the contributors will no longer be with us, but their families and people who knew them may value being able to read what they had put on tape back in the late 1980s."
Caroline hopes that this project will be of interest to anyone seeking to know more about the history of the village of Starcross because of the memories it contains of life inside and outside the hospital, going back to the 1930s.
The full interview transcripts will be lodged with other Starcross documentation at the Devon archives in the Devon Heritage Centre.