ABSTRACT

This chapter develops a critical appreciation of modern organisational forms and principles in respect of the mobility of the sick. Starting from the perversity of requiring mobility of the sick in circumstances where the greater mobility of the professionals and of equipment could provide a lesser transport load and burden on those who are already vulnerable, the silent policy and vital premise of the contemporary National Health Service is that the family will shoulder the transport burden of the mobility of the sick and caring low income families do so in abundance. A time-space constraint analysis of the mobility of the sick that the present institutional interaction between patient transport systems and health system requires is long overdue. The current bureaucracy attending bereavement accentuates the vulnerability of the elderly sick and clearly adds to the level of time space constraints experienced by this vulnerable group by increasing the density of the scheduling load.