A few things to do to find out more before you arrive...

  • Have a look at the wikipedia entry about Hoxton
  • Work out how to get to the practice (85 Nuttall Street, N1 5HZ)
  • Have a look at your Medicine in Society reading list and complete the essential reading (see below), and the Health and Wellbeing profile for City and Hackney and our particular ward
  • The course summary page will give you some practical details about how the course will run

The Health Effects of Poverty in London in 1896 and 1991 (BMJ 2000;321:1547–51) is an article looking at health in Victorian London to the near present and the effects that deprivation has had, and continues to have, on the health of Londoners. Living in poverty has a great effect on an individual's health and wellbeing. How much income people have coming into the household also has an effect on the health of society as a whole. The Equality Trust website was set up to help the public understand the link between how equality of income in society and health outcomes, such as life expectancy. It has been demonstrated that when a society has a smaller difference between the incomes of the richest and the poorest in that society, health outcomes for that society tend to be better.





Personal introductions, contact details, personal safety

Course overview

What is 'Medicine in Society' and what are the social determinants of health?

Course aims and objectives

Assessment and professionalism: how to pass, how to fail and how to excel.

Useful resources

Our wikispace, reflective writing, reading list

Tour of the practice

Introduction to practice and the staff



Chat to a member of staff

Interview a member of staff

Guided walk

Make notes for your community profile


Looking at your learning objectives for the day and prepare for Day 2

Learning Objectives

By the end of the day, students should be able to:
• Describe the overall aims of the course
• Interview a member of staff about their role and responsibilities within the primary care team
• Report on findings from the interviews and observation with each other
• Reflect upon what their observations tell them about the area and the community

Reflective writing

Click on the pdf to read an article about reflective writing.
Think about how the subject matter and the experiences of the day made you feel then think about why you felt that way.
What do the feelings say about your attitudes and preconceptions?
How does thinking about them change you?

If you would like to use the reflective writing worksheet to aid you in your reflections you can access it here.

Essential reading

Health and Social Care by Stephen Abbott and Elizabeth Perkins, Chapter 10 in Medicine in Society edited by Christopher Dowrick. 2001 p. 200 – 224. Arnold, ISBN 0 340 76027 3
‘Models and Approaches to Health Promotion’ Chapter 5 in Health Promotion - Foundations for Practice by Jennie Naidoo and Jane Wills (on reading list), pages 83 - 100. Balliere Tindall, 1994. ISBN 0-7020-1680-2


Further information

See our reading list for books about local history and general practice in East London
For an overview of a global perspective of medicine in society look at our page on the WHO Commission on Social Determinants of Health