Apothercary 2016
Journal of the Worshipful Society of Apothecaries, Society year 15-16
Journal of the Worshipful Society of Apothecaries, Society year 15-16
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<strong>2016</strong>
APOTHECARY<br />
<strong>2016</strong><br />
ALL CORRESPONDENCE SHOULD BE DIRECTED TO:<br />
The Editor<br />
Apothecary<br />
© The Worshipful Society of Apothecaries of London<br />
Black Friars Lane<br />
London<br />
EC4V 6EJ
Contents<br />
The Court and the Livery Committee 1<br />
Editorial 2<br />
Profile of the New Master 3<br />
Profile of the Master’s Chaplain 5<br />
Master’s Chaplain’s Sermon 7<br />
Bioethics in Deep Space Exploration 9<br />
Clerk’s Report 11<br />
Past Master’s Report 2015-<strong>2016</strong> 16<br />
Treasurer’s Report 18<br />
Treatment of Vitamin B12 Deficiency 19<br />
The Centenary of the Society’s Roll of Honour 1916 23<br />
A Sabbatical in Italy 29<br />
Registrar’s Report 31<br />
Faculty of the History and Philosophy of Medicine and Pharmacy 32<br />
Curator’s Notes 34<br />
The Anniversaries Committee 35<br />
The Charity Committee 36<br />
Anniversary Year Events 37<br />
Faculty of Conflict and Catastrophe Medicine 39<br />
Livery Committee Chairman’s Report 2015-<strong>2016</strong> 41<br />
The Friends of the Archives 45<br />
Apothecaries on Vacation 46<br />
Society Contacts 48
Master:<br />
The Court<br />
<strong>2016</strong> - 2017<br />
Dr D W Adams BSc MA PhD FRPharmS<br />
Senior Warden: Dr C G Mackworth-Young MA MD FRCP<br />
Junior Warden: Prof M N Rossor MA MB BChir MD<br />
FRCP FMed Sci<br />
Immediate Past<br />
Master: Dr R N Palmer LLB MB BS FFFLM HonFRCPath<br />
Past Masters:<br />
Assistants:<br />
Mr M H Jourdan BSc PhD MS FRCS<br />
Dr P A Knapman DL FRCP FRCS DMJ<br />
Mr A M I Paris OStJ MB BS FRCS<br />
Mr N L Wood BPharm FRPharmS FIPharmM<br />
Professor T Beedham MB BS BDS FRCOG<br />
Hon DSc<br />
Dr R G H Bethel MA MB BChir MRCGP<br />
Dr T L Chambers OBE FRCP JP DL<br />
Professor R H Taylor BSc MA MBA MD FRCP<br />
DHMSA DPMSA<br />
Dr PJH Tooley LLM MB BS MRCGP MFPM (Dis)<br />
DMJ DFFP<br />
Dr J C Moore-Gillon MA LLB MD FRCP<br />
Prof M J G Farthing BSc MD FRCP<br />
Dr P D Simmons MB ChB FRCP<br />
Dr JJC Holliday MB BS DCH DObstRCOG<br />
MRCGP DFFP<br />
Prof J Anderson PhD MB BS FRCP<br />
Air Vice Marshal A Mozumder MB BS<br />
MSc FRCGP DTM&H DAvMed DMCC C Dir<br />
Dr. P.J.T. O’Mórdha MA MSc FRCP FRCGP<br />
MFMLM DPMSA<br />
*Dr M A Spencer MA MEng MB BS MRCGP<br />
DObstRCOG<br />
The Livery Committee<br />
<strong>2016</strong> - 2017<br />
Chairman:<br />
Dr Mike Spencer MA MEng (Cantab)<br />
MBBS MRCGP DRCOG DFFP<br />
Honorary Secretary: Colonel Jane Carey-Harris<br />
TD VR RGN RCNT DMS FRGS<br />
Honorary Treasurer: Mr Harry Crook<br />
BSc (Hons) FRPharmS FRI MIPharmM<br />
Dr Simon Bailey BSc MB FRCGP<br />
Dr Nicholas Cambridge MD LRCP MRCS FSA FLS FRSA<br />
Dr Alan Collett MBBS LRCP MRCS DObstRCOG<br />
Dr Judith Dixon (Lady Dixon) LRCP MRCS MB BS DCH<br />
Air Commodore Mike Gibson OStJ PhD MPhil MB ChB FRCP<br />
FFOM DAvMed DDAM RAF (retd)<br />
Dr Colin Gillespie MB BS DObst RCOG<br />
Dr John Harcup OBE OStJ LRCP MRCS DObst RCOG MRCGP<br />
Dr Susan Horsewood-Lee MB BS FRCGP<br />
Ms Wanda Jay B Pharm(Hons) MRPharmS<br />
Dr Vanessa Jenkins MBBS MRCS LRCP DObst RCOG<br />
Mr Omar Khan MB MS FRCS<br />
Mr Chris Khoo MA MB MChir (Cantab) FRCS (Eng) FRCS (Ed) ad hom<br />
Major Sean Kibbey<br />
Dr Joy Main MA MB B Chir DObst RCOG FRCGP FHEA<br />
Dr Brian Matthews B Pharm PhD FRPharmS FTOPRA<br />
Dr Celia Palmer MB BS DA AFOM<br />
Dr Elizabeth Stearns FFFLM MB BS BDS Barrister<br />
Dr Ralph Stephenson TD CStJ MBBS MRCS LRCP DA DObst RCOG<br />
Dr Frank Wells MBBS FRCP FRCPE FFPM<br />
Ms Nicola Whatley NNEB Dip HE Nursing<br />
* Appointed ex officio as Chairman of the Livery Committee<br />
1
Editorial<br />
As I become older and wiser, my career paths are<br />
starting to converge in pleasant ways I did not expect.<br />
Jerome Burne, who is writing about Vitamin B12<br />
deficiency in this issue, is not an Apothecary but he does<br />
sit with me on the Executive Committee of the Medical<br />
Journalists’ Association and is a prominent medical<br />
writer. The MJA also now use the beautiful<br />
Apothecaries' Hall for their annual Christmas quiz, to<br />
which the Master and the Clerk are always invited. I<br />
thought you would like to read his views on an issue<br />
which may mean that many people do not receive the<br />
medical treatment they need.<br />
Like many Apothecaries, I found that <strong>2016</strong> was a<br />
fruitful year for branching into the digital age. Back in<br />
March, I launched the world’s first global blogging site<br />
An Apothecary box of delights for you<br />
on medical issues, www.hippocraticpost.com, which<br />
features blogs by members of this Worshipful Society,<br />
under the section ‘An Apothecary Writes’ as well as<br />
many other distinguished medical professionals from<br />
all over the world. Read Dr Simon Read’s blog on his<br />
recent sabbatical in Italy – he is an Apothecary and a<br />
blogger and has recently launched his own secure<br />
intranet app for NHS GPs.<br />
My keen hope is that you will all soon be able to read<br />
this august journal in digital form online, as well as a<br />
paper version to browse at your leisure, and I know that<br />
many others feel the same. We shall be working to try<br />
and make that happen in the not too distant future.<br />
In this issue, there is also a fascinating discourse into<br />
the Bioethics in Deep Space Exploration by Andrew<br />
Papanikitas, Course Director, Diploma in Philosophy of<br />
Medicine. Among other things, he reports how<br />
members of the faculty considered whether someone<br />
who goes into space needs a different set of ethics to<br />
someone who stays on terra firma. He considers<br />
whether normal rules of Society can be suspended in a<br />
harsh and hostile environment and even strays onto the<br />
subject of sex.<br />
Finally, we feature a focus on the 1916 Roll of<br />
Honour which contains the names of many of the<br />
members of the Society who had a military role in the<br />
Great War. Authors Edward Wawrzynczak and Janet<br />
Payne have gone to some considerable trouble to<br />
describe the varied roles of those who served the nation<br />
during the Great War in the Armed Forces or as<br />
civilians; in particular, to remember those who lost their<br />
lives, to acknowledge some of those who received<br />
special honours related to their war work, and to<br />
highlight a number of their more memorable<br />
contributions. It is well worth the read.<br />
Thea Lord, Editor<br />
2
Profile of the New Master<br />
Dr Derek Adams<br />
I was born in Leeds in<br />
1941 and moved<br />
immediately to York<br />
where, a little later on, I<br />
attended Archbishop<br />
Holgate’s Grammar<br />
School. After a year<br />
and a term, I transferred<br />
to Roundhay<br />
School, at the age of 12,<br />
when my family<br />
moved back to Leeds.<br />
These two schools<br />
convinced me, with<br />
very little difficulty,<br />
that I was destined for<br />
a career in science and<br />
resulted in my securing<br />
a place at Manchester<br />
University Pharmacy<br />
Department. On graduating,<br />
I returned to<br />
Leeds and employment<br />
with Timothy Whites<br />
and Taylor’s. I soon<br />
decided that I was not<br />
temperamentally fitted<br />
to deal with poorly<br />
people and started<br />
looking for a change<br />
of career. While at<br />
Manchester, I had<br />
made a half-day trip,<br />
with the Pharmacy<br />
Students Association,<br />
to the Geigy factory<br />
at Macclesfield and<br />
Dr Derek Adams<br />
3
emembering how the sight of medicine being made<br />
on a grand scale had impressed me, I successfully<br />
applied for a job with Merck, Sharp and Dohme at<br />
Hoddesdon, where I was to remain for 33 years. My<br />
decision to leave the retail scene – as it was called in<br />
those days – was met by very definite advice from my<br />
District Manager that I was making a big mistake and<br />
how I had excellent prospects with the Company.<br />
Unbeknown to me, and I suspect to him, Timothy<br />
Whites was about to be taken over by Boots. What<br />
this would have done for my career is difficult to<br />
assess, but it certainly didn’t do much for his. My<br />
friends at the time divided into those who generously<br />
suggested that the firm had been unable to manage<br />
without me, and the remainder who declared that I<br />
had brought a once glorious enterprise to its knees<br />
within 18 months. I started at MSD in Pharmaceutical<br />
Development, creating new dosage forms for<br />
existing products and finding solutions to<br />
formulation related problems occurring in the market<br />
place. While remaining in Pharmaceutical<br />
Development, I then spent a period manufacturing<br />
clinical trial materials for use in studies worldwide.<br />
These were presented as sterile preparations and as<br />
solid and liquid oral dosage forms. After a while, I<br />
was looking for a bigger role and the half-day at<br />
Geigy came to mind. There was a vacancy for a<br />
Manufacturing Manager in the Production<br />
Department and I was lucky enough to be appointed.<br />
A further stroke of luck occurred six months later<br />
when the Production Manager left the Company and<br />
I was promoted to that position. After a good number<br />
of enjoyable years in Production, I was told that my<br />
portfolio would benefit from some commercial<br />
experience and I was put in charge of warehousing,<br />
transport, export shipping and importation. After<br />
about two years, I changed direction again to become<br />
head of Quality Operations in the U.K. with ultimate<br />
responsibility, under the terms of the Medicines Act,<br />
for the quality of all U.K. manufactured products. A<br />
reorganisation about two years later gave me<br />
responsibility for quality in two chemical and two<br />
pharmaceutical plants in Great Britain and Ireland<br />
and a later development saw me finishing my career<br />
as a Director of Compliance in Europe; a job that took<br />
me all over Europe and to much of the rest of the<br />
world as well. While all this was taking place, I<br />
managed to find time to seek out and marry Kay,<br />
who was working for a Stockbroking firm at the time<br />
and was one of the first few women to pass the Stock<br />
Exchange Examination and be admitted a Member of<br />
the Stock Exchange. Professionally, I was appointed<br />
by the Pharmaceutical Society as an assessor of those<br />
seeking Qualified Person status as defined by<br />
Directive 75/319 EEC. I served on the Antibiotics<br />
Subcommittee of the British Pharmacopoeia<br />
Commission for 10 years and was the Pharmaceutical<br />
Society’s representative on the committee that<br />
decided on the planned distribution of pharmacies in<br />
Hertfordshire. I was designated a Fellow of the<br />
Royal Pharmaceutical Society in 1989 for distinction<br />
in the practice of pharmacy. Having taken early<br />
retirement in 1999, I went on to read history at<br />
Cambridge and followed this with a PhD concerning<br />
the fortunes of the Apothecaries’ Assistants– just for<br />
the fun of it.<br />
4
Profile of the Master’s Chaplain<br />
The Rev’d Susannah Underwood<br />
I was born in Barnet – a 70’s power cut child - and<br />
grew up in Welwyn in Hertfordshire, three miles<br />
from the parishes I now serve.<br />
The Rev Susannah Underwood<br />
Apart from a fleeting desire, aged 10, to become a<br />
monk (they seemed so much more fun than the nuns<br />
I had met), I don’t think anyone would have guessed<br />
that I would enter into full-time ministry. Not least<br />
because, when I was growing up, women’s<br />
ordination was not yet authorized by the Church of<br />
England. Even some years after having completed a<br />
Theology degree at Westminster College, Oxford, it<br />
still came as a surprise to me, as much as to anyone<br />
else.<br />
I trained for ordination with the Cambridge<br />
Theological Federation of colleges, completing an<br />
MA in Pastoral Theology and allowing me to<br />
balance family life with work as well as studies.<br />
They were a busy three years, but set me up well for<br />
the practice of juggling the competing demands of<br />
parish ministry.<br />
I was ordained deacon in 2008 and served a<br />
curacy in Stevenage. It was a good place to be. The<br />
command to ‘love your neighbour’ is shown by the<br />
churches of Stevenage in a variety of ways. There<br />
was the historic establishing of ‘The Haven’, a<br />
shelter for the homeless. ‘Street Pastors’, see trained<br />
volunteers from the churches go out into the early<br />
hours of the weekend to ensure drunken revelers<br />
are given a bit of TLC and a safe passage to get<br />
home. ‘The Living Room’ is a Christian-run centre,<br />
supporting those wrestling with addictions, and a<br />
place I got quite involved with. If you struggle to<br />
believe in resurrection, that is the place to see it for<br />
yourself.<br />
It was also in Stevenage that I became connected<br />
to the charity Mercy Ships, which I talk about in my<br />
sermon for Master’s Day. This international charity<br />
had its UK office in our parish, and they asked me<br />
to act as chaplain for the three years I was there.<br />
In 2011, I moved to my current position as Team<br />
Vicar within the Welwyn Team of churches. I have<br />
particular responsibility for two beautiful village<br />
parishes, All Saints Datchworth (where I live), and<br />
St. Peter’s Tewin (where Derek Adams is a part of<br />
the congregation).<br />
5
At home I have two children. Annabel is studying<br />
childcare at a local college and Rebecca who, having<br />
graduated from Sheffield with a Geography degree,<br />
is currently training to be a solicitor. I’m married to<br />
Bob, a Director of a bespoke furniture-making<br />
company. We also have Tilly, a cockerpoo, and<br />
Oscar, a black cat who is beyond adorable.<br />
Small things make me happy; reading poetry,<br />
wallowing in jazz, pondering the pictures of Stanley<br />
Spencer. I am an expert in none of these, but all bring<br />
me to life.<br />
I am very pleased to have been asked to serve for<br />
this year as Master’s Chaplain and I look forward to<br />
sharing in the life of the Worshipful Society of<br />
Apothecaries with you.<br />
St. Peter’s Church Tewin<br />
6
The Master's Chaplain’s Sermon<br />
Master’s Day, 25 September <strong>2016</strong><br />
1 Kings 17:17-24, Luke 8:43 – 48<br />
Firstly I’d like to thank Derek for asking me to be his<br />
chaplain for this year. I’ve already tested the meals in<br />
Apothecaries’ Hall so I know I shall be well fed (it’s an<br />
important part of the discernment process for any<br />
chaplain). But also the invitation has provided me<br />
with the opportunity to explore a little of what you do<br />
as a society, which has been of great interest.<br />
I also think in Derek you will have a hard working<br />
and wise Master. He has vast and varied experience in<br />
his profession. His unassuming and steady manner<br />
will guide and serve you well.<br />
I do not have a scientific or medical background,<br />
but I did act as chaplain to the UK fundraising office<br />
of the charity Mercy Ships for a few years. You may<br />
have heard of this charity, they operate the world’s<br />
largest hospital ship, infact are in the process of<br />
building a brand new one. This floating hospital<br />
spends most of her time on the West coast of Africa<br />
offering free surgery and medical care to some of the<br />
world’s poorest people. They specialize particularly in<br />
maxillofacial and ophthalmic surgeries as well as<br />
other general medical procedures. Staffed entirely by<br />
volunteers - doctors, nurses, dentists and a whole host<br />
of extras make up the ship’s crew, people give two<br />
weeks, two months, two years and in some case over<br />
two decades of their time and skill for free, in what is<br />
an amazing place of healing and kindness.<br />
And one thing I learned in my time as chaplain to<br />
them, and I witnessed first hand on the occasion I was<br />
able to visit the ship in Togo, was something you will<br />
all know – that healing is rarely just physical – that ill<br />
health has most often a social, emotional, economic,<br />
sometimes political edge – and that the gift of<br />
medicine and skilled practitioners has the potential to<br />
transform not only physical health, but also restore<br />
livelihoods, relationships and mental wellbeing.<br />
I witnessed this whilst watching simple cataract<br />
surgery and surgery correcting a child’s squint. The<br />
strength of the sun in that part of the world, combined<br />
with constant dust in the air, and lack of early<br />
intervention meant cataract patients were literally<br />
blind. They would queue up in the morning and be<br />
admitted on to the ship, each one clinging on to the<br />
back of the other, their feet fumbling along the gang<br />
way.<br />
The skill of a surgeon’s fingers fascinated me, how<br />
transformation can happen with just the smallest of<br />
movements, and about 20 minutes in surgery led to<br />
the return not only of sight, but also of livelihoods.<br />
And the boy who I watched have his squint corrected<br />
was able to return to a village where his mother had<br />
been told she must throw him out, because he was<br />
seen as having an evil eye that would curse them all.<br />
And I saw this whilst having the privilege to share<br />
in a ceremony held regularly for women who had<br />
received fistula-corrective surgery. The constant<br />
leakage of urine caused them great embarrassment<br />
and stigma.<br />
One woman told me how her husband had taken a<br />
new wife. When she was very sick even her children<br />
were not allowed to help her. Another woman spoke<br />
about having lived with the condition for 20 years and<br />
the smell that people complained of.<br />
A third woman spoke of her traumatic experience<br />
of childbirth. ‘They thought I was dead’, she said ‘and<br />
they took me outside the village to bury my body. It<br />
was only when I started shaking that they knew I was<br />
alive’.<br />
But these women who knew not only physical<br />
suffering but also social stigma, before they leave the<br />
ship – are dressed in the most beautiful new clothes.<br />
Someone styles their hair and wraps colourful fabric<br />
7
around them. Their makeup is done and they are<br />
made new jewelry, and they enter the ward anew, a<br />
new start, a new beginning to the sound of a beating<br />
drum. When I was at the ceremony, the ward sister, a<br />
large beaming Ugandan woman, read from Psalm 103<br />
as they entered, the psalm we have sung together<br />
tonight:<br />
“Bless the Lord and do not forget all his benefits –<br />
who forgives all your iniquity and heals all your<br />
diseases. Who redeems your life from the pit.” These<br />
words which were followed by exuberant, excited,<br />
joyous, flamboyant dancing – and I too celebrated<br />
with them, in a slightly more British manner by stilted<br />
clapping and self-conscious, awkward bobbing from<br />
the sideline.<br />
And I saw it when I met 9-year-old Tanni, who had<br />
fallen into the fire as a young child, and lost her lips,<br />
ears, nose – which the surgeons had been patiently<br />
rebuilding. We played endless snap together -<br />
interrupted on occasion by the little phrase she would<br />
chant “You are beautiful” she would sing “I love you”.<br />
“You are beautiful and I love you” She, a girl who was<br />
quite unlikely to find a husband, in a society where<br />
that would make her vulnerable financially and<br />
socially, she knew these words well – as the American<br />
nurse who tended her said that to her over and over<br />
again, every day, morning and night – “you are<br />
beautiful, and I love you. You are beautiful and I love<br />
you”. Words, as well as medicine and scalpels, can be<br />
powerful agents of healing.<br />
Our lessons this evening are also aware of this mix<br />
of physical, social and spiritual healing. Elijah brings<br />
back to life the widow’s son; her grief and despair<br />
compounded not just by loss of her child, but coming<br />
also from a place of great poverty, her life completely<br />
at the fate of his wellbeing. And then we’ve heard the<br />
account of the healing of the haemorrhaging woman –<br />
blood and gender contributing to her uncleanness<br />
before others. Her healing, brought by her daring to<br />
trust in Jesus’ regard for her. Healing which would be<br />
more than just a physical restoration. So often, biblical<br />
accounts of healing, and Jesus’ interactions in<br />
particular, show God’s concern with those on the<br />
edges and margins - those whom the world rejects.<br />
Those where shame and sin, poverty and politics, are<br />
as much a part of the burden they bear as the ill health<br />
which marks them. In physical healing is revealed<br />
God’s desire for wholeness in all its forms.<br />
And it struck me, looking at the work of the<br />
Apothecaries Guild, and the educational programmes<br />
that you offer, that there also is a very gospel edge to<br />
the work you are investing in. Victims of sexual<br />
assault, people living with HIV and sexually<br />
transmitted diseases, refugees and others suffering<br />
catastrophes. You have in your commitments a<br />
distinctive social and marginal edge. We may see, in<br />
those very recipients of your concern, some of the<br />
most vulnerable and excluded people – for whom<br />
physical needs are woven tightly with social and<br />
emotional wellbeing.<br />
Perhaps those programmes won’t quite resurrect<br />
the dead, like Elijah, but they will, in their own way,<br />
bring life. They may not be instant in their cure, like<br />
Jesus and the bleeding woman, but they will play their<br />
part in compassionate reminding of a shared and<br />
valued humanity with some of the most traumatised<br />
and rejected people.<br />
We come today to begin a new phase in this<br />
society’s long and prestigious history in which you,<br />
with the Master, will all play your part – and with that<br />
we thank God for the people whose lives will benefit<br />
from the efforts of this guild, and we ask God to bless<br />
again, all the work, that together, you do. Amen.<br />
8
Ethics and Deep Space Exploration<br />
Andrew Papanikitas, Course Director, Diploma in Philosophy<br />
of Medicine, Society of Apothecaries<br />
When we attach the words ‘ethics and deep space<br />
exploration’, we might be forgiven for thinking of<br />
the Prime Directive of the television and movie series<br />
Star Trek. A community of virtuous people take<br />
what is ostensibly the best of Western cultural values<br />
out to beautiful worlds that support life in a<br />
spaceship that is luxurious even by ocean-going<br />
cruise-ship standards. The possibilities currently<br />
however are slightly grimmer. The best scenarios<br />
that are offered are of a one-way mission in<br />
conditions the human body is not evolved for, which<br />
may if successful, result in a subsequent generation<br />
reaching an inhospitable world that may be prepared<br />
in some way for human habitation.<br />
Last year the History and Philosophy Faculty<br />
Fellows of the Society of Apothecaries, prompted by<br />
the fact that people are nonetheless volunteering for<br />
such missions, considered the bioethics of the<br />
scenario. One of our group had been invited to<br />
discuss the issue on the radio, and he reflected on the<br />
fact that such individuals would require<br />
psychological preparation for a lifelong mission.<br />
Potentially they would need a different set of ethics<br />
to those of us who enjoy the freedoms of terra firma.<br />
We did not dwell on the reasons for deep space<br />
exploration. Species survival was a key reason – the<br />
Earth has finite resources and a limited (thought one<br />
no given human might truly appreciate) lifespan.<br />
Therefore for humanity to expand and flourish, the<br />
stars beckon. Our discussion included a<br />
consideration of current societal taboos and was<br />
conducted under Chatham House Rule – none of<br />
what follows should be attributed as the opinion of<br />
any one of our group.<br />
The first question is whether the normal rules of<br />
society should be suspended in a harsh environment.<br />
We can consider how a group of people might<br />
The Cybermen from the 1960s Doctor Who story 'The Tenth Planet.' In this<br />
story humans from a parallel earth enhance themselves with technology to<br />
survive the rigours of harsh environmental space travel. They also remove all<br />
illogical emotions and sentiments as love and compassion with the result that<br />
they are no longer fully human<br />
9
ehave differently stranded in a desert, in a lifeboat with<br />
limited supplies and no immediate prospect of rescue or<br />
deep in a warzone. Long term survival of the group and<br />
completion of the mission might become more<br />
important moral goals than the liberty or even survival<br />
of any one individual. We reflected that a military chain<br />
of command might be realistic. The further question we<br />
then asked was at what point a militaristic morality<br />
would end. Should deep space pioneers carry two<br />
moralities within them – that of the mission and that of<br />
home. Could a guardian of morality, some sort of earthpriest,<br />
be justified aboard the mission? It made sense<br />
that pioneers should in some way be prepared for those<br />
who would follow in less extreme circumstances.<br />
The second question we considered was how to<br />
tackle issues around sex and reproduction on-board a<br />
lifelong mission. Should either sex for relationships<br />
and/or sex for reproduction be abandoned or controlled<br />
in some way? One of the sillier examples in the media<br />
is the pairs of ‘beautiful people’ selected to repopulate<br />
the world in the movie adaptation of ‘James Bond:<br />
Moonraker.’ We reflected on how this phenomenon<br />
eventuates in arctic expeditions (again thinking about<br />
harsh environments). One approach offered was that<br />
pioneers might be matched or selected for attitudes to<br />
polygamy. Another was that an IVF process should take<br />
place before leaving earth or orbit so that there would be<br />
a bank of fertilised ova compatible with women on the<br />
mission. IVF is an arduous process for women in terms<br />
of ovarian stimulation and egg-harvesting, and might<br />
not be considered practical once a deep-space mission<br />
left orbit (arguably the same could be said for<br />
pregnancy). Conceptually, reproduction and<br />
relationships are treated differently in this instance. A<br />
lifetime spent in close proximity with little if any<br />
privacy would inevitably alter many of the conditions<br />
taken for granted in sexual relationships.<br />
We naturally considered rationing and medical<br />
treatment. When even the air is finite, rationing becomes<br />
a starker necessity. Justice – or treating equals equally<br />
and unequals unequally according to the relevant<br />
inequality- might take a more Marxist turn: From each<br />
according to their ability and to each according to their<br />
needs. Luxury and pleasure might been to be redefined<br />
and themselves rationed in the interests of morale.<br />
Anyone whose sickness or function fell below an<br />
acceptable threshold might need to be ejected into space<br />
or possibly recycled along with other ‘human waste.’<br />
We discussed the difference between the drive to<br />
survive, set against the horror of taboos being broken –<br />
the case of the shipwrecked sailors who ate the cabin<br />
boy was mentioned. Palliative care and medicines might<br />
only be appropriate for someone who could still<br />
contribute to the mission and the group. We reflected on<br />
whether this reflected utilitarianism or other schools of<br />
ethical thinking. The greater good might be a guiding<br />
principle, or ‘the commandments of space’.<br />
Finally we considered the morality of preparing<br />
people for such an endeavour. Should resilient and/or<br />
virtuous people be selected? Are survivors preferable to<br />
martyrs? We considered whether existing citizens of<br />
Earth should undergo preparation or whether children<br />
should be educated into the role. The novel and movie,<br />
‘Ender’s Game’ offers a thought provoking example of<br />
preparation for a role in space warfare. Two key issues<br />
arose here – the first was whether we might be prepared<br />
to effectively brutalise our children in order to give<br />
them the best chances of saving themselves and the<br />
human species. The second issue returned us to the very<br />
beginning of our discussion. As a society would we<br />
want to meet the survivors of our deep-space pioneer<br />
programme? Would they still be, ethically-speaking,<br />
human?<br />
This article represents insights from two discussion<br />
groups hosted by the Faculty of History and Philosophy<br />
fellowship scheme. All Faculty members are entitled to<br />
subscribe. The philosophy fellows meet 3-4 times a year<br />
to present work, discuss current issues and hear visiting<br />
speakers.<br />
For more information contact<br />
facultyhp@apothecaries.org<br />
10
Clerk’s Report<br />
The recent Activities of the Society<br />
At the Election Court held on 17 August <strong>2016</strong>, the<br />
following were elected for the year <strong>2016</strong>-17:<br />
Master Derek Westwood Adams<br />
Senior Warden Charles Gerard Mackworth-Young<br />
Junior Warden Martin Neil Rossor<br />
The Activities of the Society<br />
September 2015 – August <strong>2016</strong><br />
Mr WS Shand and Professor B Livesley retired from the<br />
Court on 13 August <strong>2016</strong> at the end of their tenure, with<br />
the gratitude of the Court for their long and exemplary<br />
service. The Court was joined on the same day by Dr PJT<br />
O’Mordha as Court Assistant.<br />
<strong>2016</strong> has been a year of change in the Society’s staff. After<br />
13 years dedicated service as Clerk, following his<br />
previous appointment of 11 years as Registrar, Mr<br />
Andrew Wallington-Smith took a well-earned<br />
retirement, for which the Society wishes Sarah and<br />
himself well in their new house in Southwold. Andrew’s<br />
successor is Mr Nick Royle, who joins us from the Royal<br />
College of Veterinary Surgeon’s charity RCVS<br />
Knowledge, having formerly served for nine years as The<br />
Cochrane Collaboration’s Chief Executive.<br />
A new Clerk’s Secretary joined us, Miss Rosanna Youssef,<br />
and we also saw the appointment of an Assistant Clerk,<br />
Miss Verity Mitchell, who will be managing the Society’s<br />
events, and functions in the Hall.<br />
In the Exams Office, Ms Rita Pulga returned to Italy, to be<br />
replaced by Ms Smita Shah as Examinations Officer.<br />
The 2015-16 Court<br />
Seated: (left to right) Prof B Livesley, Mr WS Shand, Senior Warden<br />
Dr DW Adams, Master Dr RN Palmer, Junior Warden Dr CG Mackworth-<br />
Young, Past Masters Mr MH Jourdan and Dr PA Knapman.<br />
Standing front row (left to right): the Registrar Mrs JME Maclean, Immediate<br />
Past Master Dr JC Moore-Gillon, Past Masters Mr AMI Paris, Mr NL Wood,<br />
Prof T Beedham, Dr RGH Bethel, Dr PJH Tooley, Dr TL Chambers, Clerk Mr<br />
NS Royle, Beadle Mr GR Howe.<br />
Standing rear row (left to right): Court Assistants Dr PD Simmons, Dr JJC<br />
Holliday, Prof MJG Farthing, AVM A Mozumder, Prof J Anderson.<br />
Not present: Past Master Prof RH Taylor, Dr MA Spencer, Chairman of the<br />
Livery Committee<br />
11<br />
Society Membership<br />
Congratulations are due to the following 27 Liverymen<br />
who were clothed by the Master during the year:<br />
Mr Jeremy Aspden, Dr Mahmoud Barbir, Dr Nicholas<br />
Cambridge, Dr Simon Chaplin, Mr Marshall Davies,<br />
Dr John East, Mr Richard Giangrande, Mr Terence<br />
Gosling, Mr Mohamed Hammadeh, Mr Richard Harker,<br />
Mr Jonathan Jewell, Mr Jonathan Johnson, Dr Lee Kayne,<br />
Prof Parveen Kumar, Dr Caje Moniz, Dr Beatrix<br />
Nagyova, Prof David Radstone, Mr Richard Rawlins,<br />
Dr Judith Rissik, Prof James Ryan, Dr Simon Scott,<br />
Dr Oliver Seyfried, Mr Andrew Wallington-Smith,<br />
Mr Alexander Watson, Prof Anthony Weetman, Miss<br />
Nicola Whatley, and Dr Fiona Wilcox.<br />
25 candidates made their declaration as Freemen and<br />
were welcomed to the Society by the Master:<br />
Dr Clive Archer, The Hon Dr Thomas Balchin, Mr David<br />
Britton, The Hon Richard Broadbridge, Dr Ian Cole,<br />
Dr Emma Dalton, Mr Mark Davis, Dr Craig Goldsack,
Dr Henrietta Hughes, Prof Michael Joy, Dr Fergus<br />
Keating, Maj Sidney Kibbey, Air Cdre Stephen Kilbey, Dr<br />
Robin Knill-Jones, Lt Col Deborah Malins, Miss Louise<br />
McCullough, Dr Kristian Mears, Mr Makarand Oak, Prof<br />
Robert Peckitt, Prof John Schofield, Prof Michael Seed, Dr<br />
Priya Singh, Dr Christopher Timmis, and Mr Andrew<br />
Wallington-Smith.<br />
All were admitted by redemption except Mr Wallington-<br />
Smith, who was admitted by gift, in recognition of his<br />
service to the Society.<br />
In addition, three Apprentices were bound, there was one<br />
resignation, and 26 notices of deaths.<br />
On 1 September, <strong>2016</strong>, the strength of the Society stood at<br />
1,583, discounting Honorary membership. 1,202 were<br />
Liverymen and 381 Yeomen and, of these, 83 were<br />
pharmacists, and 216 other non-medical members. 18% of<br />
the Society’s membership is female.<br />
In terms of Quarterage, 612 members have declared<br />
Guardant, 330 declared Couchant,118 are not yet eligible<br />
to declare, having less than five years’ seniority, and the<br />
remainder are Couchant by default.<br />
The Society’s Property<br />
The Society is fortunate to own the property immediately<br />
adjacent to the Hall. This has the great advantage of<br />
providing sufficient income to fund our activities, and to<br />
put some aside for long-term care and maintenance, but<br />
with property comes responsibility and potentially<br />
significant cost, and this year has brought that home to us.<br />
On the plus side, we are pleased to report that during the<br />
year all of the lettable property has became tenanted. There<br />
has been continuing work to ensure that our properties are<br />
of a high standard and attract competitive market rental<br />
rates, and this is now paying off.<br />
However, during the year a serious problem was<br />
discovered in the fabric of the Courtyard, which was<br />
identified as a dry rot infestation. The cause of this was<br />
water seeping behind cement render applied to the<br />
Courtyard walls in the mid-1980s. In retrospect this cement<br />
rendering was an unfortunate mistake. Not knowing the<br />
extent of the problem, and mindful of mitigating against<br />
future damage, with a heavy heart the decision was taken<br />
to remove all of the Courtyard render, and replace this<br />
with a more appropriate lime-based render.<br />
12<br />
During the Courtyard work a further problem has been<br />
found in the roof beams of the Great Hall. One of these in<br />
particular needs to be repaired as a matter of some<br />
urgency, as does the roof itself, the disrepair of which is the<br />
most likely culprit for the damage, and which we have<br />
known for some time needs to be replaced. This will entail<br />
major expenditure.<br />
The Courtyard in disguise<br />
This work has been very disruptive to the Hall and our<br />
tenants. However, once the work is complete and<br />
new decoration applied, we should have a glorious<br />
“new” Courtyard in good time to celebrate the 400 th<br />
Anniversary of the Charter. The cost is high, but as we<br />
start to celebrate our “first 400 years”, we plan for the<br />
next 400.<br />
Honours and Awards<br />
The Society is aware of the following members of the<br />
Society having been honoured by the Queen during the<br />
year:<br />
Dr RCD Staughton LVO<br />
Dr S Fitzpatrick MBE<br />
Mr Andrew Wallington-Smith received the Hon LMSSA<br />
on 17 March <strong>2016</strong> in recognition of his long and loyal<br />
service to the Society.
Service Affiliations<br />
The Society continues to enjoy affiliations with HMS<br />
Somerset; 256 Field Hospital, RAMC; 4626 (County of<br />
Wiltshire) Aeromedical Evacuation Squadron; 201<br />
(Harrow) RAMC Cadet Detachment; and the Middlesex<br />
and North West London Army Cadet Force. The Senior<br />
Warden and Liveryman Lt Col Jane Carey-Harris<br />
enjoyed dinner with the Officers and crew of HMS<br />
Somerset, followed by a passage from Devonport to<br />
Newcastle. The Apothecaries’ Prize for Excellence was<br />
awarded to Petty Officer Engineering Technician<br />
(Weapons Engineering) Neil Smith. The Master visited<br />
256 Field Hospital in Braganza, and the Society was<br />
pleased to welcome them to the Hall for their annual<br />
cocktail party.<br />
Cadets from 201 Detachment continue to provide stair<br />
guards for Society events, and were honoured and<br />
delighted to provide this for a visit by the Lord Mayor in<br />
June.<br />
Close and warm relations with the Chelsea Physic<br />
Garden have been maintained. Our representative on<br />
their Advisory Committee has for some years been Dr PA<br />
Knapman, and he will be replaced in October <strong>2016</strong> by Dr<br />
PJH Tooley. The Clerk visited the Garden during the<br />
summer, and was assured that the potting shed used to<br />
be the Apothecaries’ Boathouse.<br />
The original Apothecaries’ Boathouse, now Chelsea Physic Garden’s shed<br />
Events at the Hall<br />
On Sunday 18 September, <strong>2016</strong>, the Society again opened<br />
its doors for the City Open House Scheme. 1,387 visitors<br />
were received, and feedback was extremely positive.<br />
Cadets from 201 (Harrow) Detachment line the stairs for the<br />
Lord Mayor’s visit<br />
Visitors on<br />
Open House day<br />
13
The Galen Dinner, four Livery Dinners, the Livery Lunch<br />
and two Guest Nights were held. In addition, three<br />
dinners celebrated special links and events. In April, a<br />
joint dinner was held with the Courts of the Society and<br />
the Barbers Company (the “Pestle and Pole” Dinner)<br />
marking our common medical purpose in the City;<br />
Penfolds wines, continuing our special association with<br />
the company founded by Apothecary Dr William<br />
Penfold, in July sponsored a fundraising dinner to raise<br />
funds for the 400 Appeal; and a dinner was held at<br />
Barbers’ Hall to mark Andrew Wallington-Smiths’s<br />
retirement.<br />
The Galen and Farr Medals<br />
At a ceremony at the Hall on 19 May, <strong>2016</strong>, the Master<br />
presented the Society’s Galen Medal in Therapeutics to<br />
Professor Alastair Compston in recognition of his<br />
research into human demyelinating disease. Professor<br />
Martin Rossor delivered the citation.<br />
On 17 June, <strong>2016</strong>, the Court were pleased to welcome the<br />
Lord Mayor, The Lord Mountevans, Alderman and<br />
Sheriff Charles Bowman, Sheriff Dr Christine Rigden and<br />
their spouses to dinner, and a most pleasant and informal<br />
evening was enjoyed by all.<br />
Professor Alastair Compston receives the Galen Medal from the Master<br />
The William Farr Medal was presented on the same<br />
occasion to Professor Gillian Mead in recognition of her<br />
major contribution to the promotion of safe and effective<br />
exercise for frail and older stroke survivors. Dr Jonathan<br />
Holliday delivered the citation.<br />
Society Lectures<br />
The Lord Mountevans, The Master, and Lady Mountevans<br />
The Curator and Archives volunteers arranged displays<br />
of archival material to mark these events, which were<br />
much appreciated.<br />
A total of 1,068 Society guests, members and their guests<br />
were entertained at these functions.<br />
The Society of Occupational Medicine Apothecary<br />
Lecture was held on 20 May, <strong>2016</strong> at the Royal Society of<br />
Medicine and given by Lord Freud, Minister of State for<br />
Welfare Reform at the Department for Work and<br />
Pensions, on initiatives to improve mental health in the<br />
workplace, and particularly to support those with mental<br />
health problems into work. The medal was presented by<br />
the Senior Warden.<br />
The Strickland Goodall and Keats Lectures will next be<br />
held in 2017.<br />
14
Gifts<br />
On behalf of the Society, the Court received the following<br />
gifts:<br />
Penelope Hunting, <strong>2016</strong>, They Built London, The History of<br />
the Tylers and Bricklayers’ Company, Beaconsfield. A gift<br />
from the Worshipful Company of Tylers and Bricklayers,<br />
marking the 600 th anniversary of the Company’s first<br />
Master in 1416.<br />
Patrick J Pead, <strong>2016</strong>, Benjamin Jesty, Grandfather of<br />
Vaccination, Chichester, Timefile Books, from the author.<br />
Christopher J Duffin, 2008, “Fossils as Drugs:<br />
pharmaceutical palaeontology”, Natural History<br />
Museum of Luxembourg.<br />
Harold Lipman, <strong>2016</strong>, “ Preventive Cardiology: How can<br />
we reduce CVD risk?”, Lambert Academic Publishing<br />
A plaque from Dr JC Moore-Gillon and Dr RN Palmer, to<br />
mark their earlier gift of a piano.<br />
The Lord Mayor’s Show: 800 Years 1215-2015 from Dr BR<br />
Matthews, Liveryman<br />
Uncovering the Origins of Thomas Hamilton Ayliffe and<br />
Elizabeth, Countess of Egremont from the author Mr Jeremy<br />
Masters<br />
Two copies of The Syon Abbey Herbal AD 1517 from the<br />
editor Mr John Adams<br />
The Historical Apothecary Compendium from Sir Colin Berry<br />
The C19 Haselar Family Recipe and Cook Book [they were<br />
Licentiates & Apothecaries]<br />
from Miss Turner<br />
Indenture and Charter restored by the Friends<br />
A mayoral banner used during his term of office,<br />
presented by Past Master and former Lord Mayor Sir<br />
John Chalstrey.<br />
Andrew Caillard MW, 2013, “The Rewards of Patience”<br />
(Seventh Edition), Richmond, Victoria. A gift from Mr<br />
Peter Gago, Chief Winemaker, Penfolds.<br />
Portrait reproductions of Elizabeth Garrett Anderson,<br />
presented by the Immediate Past Master, the Senior<br />
Warden, and the Junior Warden.<br />
An armorial window bearing his arms, presented by the<br />
Master, Dr RN Palmer.<br />
The following bequest from members’ estates was<br />
received:<br />
Sir Ralph Dodds £1,000.<br />
Deaths<br />
The deaths of the following members are reported with<br />
regret:<br />
Wellesley Howin, BATSTONE<br />
George Hilary Lanyon BULLMORE<br />
Derek Hubert Patrick COPE<br />
John Pilkington CLAYTON<br />
Anthony John CLEMENT<br />
Michael Christopher Langton COX<br />
William Joshua Caddell CURRIE<br />
Maurice Frederick CUTHBERT<br />
Edward Walter Leslie FLETCHER<br />
James Malcolm GOLDIE<br />
Bernard, HARDISTY<br />
John Richard, HARPER<br />
Philip JAMES<br />
Brian Knight MADDEN<br />
Peter Stanley MAGAURAN<br />
John MARKS<br />
Edward John MCGUIRE<br />
Robin John Russell MOFFAT<br />
Kenneth Harry NIXON<br />
Jack Havill OAKLEY<br />
Robin Gooch ORR<br />
Vincent O’SULLIVAN<br />
Kirit Chimanbhai PATEL<br />
Thomas Henry TAYLOR<br />
Lord Walton of DETCHANT<br />
James Lyndall WHITBY<br />
15
Past Master’s Report 2015-<strong>2016</strong><br />
Every Past-Master tells the new, incoming Master A later challenge was the discovery of dry rot in<br />
that he or she will have a most enjoyable year and so<br />
it has proved to be. It is a somewhat daunting<br />
prospect, but once elected it is indeed a great privilege<br />
to serve the Society and the year has passed enjoyably<br />
and all-too-swiftly. Past Masters also warn that each<br />
Master has one or more challenges (crises might be a<br />
more realistic word!) during his year and so it has<br />
proved!<br />
My first challenge was to be put in charge of recruiting<br />
a new Clerk (effectively Chief Executive) to succeed<br />
Andrew Wallington-Smith, who was due to retire at<br />
Easter after almost a quarter-century of service to the<br />
Society. Andrew was a marvellous support to me in the<br />
one wing of the building (happily, not in the Great<br />
Hall). It has been treated with radical chemotherapy<br />
and the walls of the Courtyard are currently being<br />
restored to their full glory in good time for the<br />
quarter-centenary celebrations next year of the<br />
granting of our Royal Charter.<br />
I am grateful to so many for making my year such<br />
a pleasure. The staff of the Hall is unfailingly friendly<br />
and welcoming – nothing is too much trouble. My<br />
colleagues on Court have been helpful and supportive<br />
and forgiving of my shortcomings. My Chaplain, the<br />
Reverend Prebendary Bill Scott CVO, has graced all<br />
the dinners with friendship and good humour. Celia,<br />
first two-thirds of my year and<br />
I owe him great thanks.<br />
Members of the Society<br />
responded magnificently to<br />
my appeal for a leaving gift.<br />
He was made free of the<br />
Society and given a splendid<br />
‘send-off’, with a handsome<br />
cheque, the wherewithal for a<br />
Coat of Arms and, from the<br />
Court, a valedictory dinner at<br />
which he and his family were<br />
guests.<br />
I was pleased to welcome<br />
his successor, Nick Royle, in<br />
April and am delighted that he<br />
has settled in well and been<br />
welcomed by all with whom<br />
he has had contact. There is,<br />
inevitably, much for a new<br />
Clerk to learn about the quirks<br />
and quiddities of an ancient<br />
livery company but Nick is a<br />
keen student and fast learner. The Great Hall of the Merchant Adventurers of York<br />
16
my wife, a fellow Liveryman, was a great support both<br />
at events in Hall and in supporting me ‘behind the<br />
scenes’. The Livery Committee is one of the Society’s<br />
great assets and produced many splendid social<br />
events. To all of them I express heartfelt thanks.<br />
The Master has the privilege of seeing the<br />
Examinations Department in action, attending (as<br />
silent observer) the OSCE examinations and the<br />
Examiners’ Meetings. It was a pleasure to preside at<br />
the Diploma Ceremony and to welcome so many of<br />
our new Diplomates.<br />
Of external events there were many, all of them<br />
most enjoyable. I attended many lunches and dinners<br />
of other city livery companies and was able to view<br />
their Halls – albeit none quite as ancient as ours, save<br />
for the visit to the Merchant Adventurers of York and<br />
their hall, dating from 1357, which makes our 1672<br />
Hall seem positively adolescent! Visits to the Mansion<br />
House and to the Guildhall were especially<br />
memorable. The ceremonies to elect the Lord Mayor<br />
and the Sheriffs and the United Guilds Service in St<br />
Paul’s Cathedral were particularly colourful.<br />
Another happy memory, albeit shortly before I was<br />
elected Master, was to sail in HMS Somerset (the RN<br />
ship that we support) from Neath to Plymouth and to<br />
witness the calm efficiency of the ship’s company as<br />
well as to present the Society’s prizes to the three<br />
winners.<br />
Of the many, enjoyable internal events in Great<br />
Hall two remain especially memorable: first, the<br />
dinner to commemorate the 150 th anniversary (almost<br />
to the exact day) that Elizabeth Garrett (later Garrett-<br />
Anderson, after her marriage) received the Society’s<br />
Licence, the first woman on this side of the Atlantic to<br />
qualify as a doctor. The other was the visit of the Lord<br />
Mayor and Sheriffs and the dinner following the June<br />
Court meeting.<br />
I have already utilised more than the space allotted<br />
to a Past-Master by the Editor so I must desist from<br />
longer discourse. The one blessed relief on completing<br />
my year is that I shall never have to prepare and<br />
deliver another speech! Other than that challenge, I<br />
have had a marvellous year in office as The Master<br />
Apothecary and I am grateful indeed to all who<br />
helped make it such a happy one.<br />
Dr Roy Palmer<br />
17
Treasurer’s Report<br />
What words characterise the year? “Brexit”?<br />
“Trump”? …..no, for the Treasurer, the words must<br />
be “Dry Rot”! The Monarch’s sympathetic<br />
correspondent who, in 1992, coined for her the term<br />
“annus horribilis” might well suggest “annus<br />
cariosus” (if my schoolboy Latin is up to it).<br />
At the end of my report last year, I mentioned the<br />
discovery of dry rot in the building. This has been<br />
thoroughly investigated and more than one<br />
professional opinion has been obtained. We have<br />
acted upon the advice and the courtyard is scheduled<br />
to emerge from its covering of scaffolding and plastic<br />
sheeting early in 2017 when the (incorrect) cement<br />
rendering of the 1980s has been replaced by the<br />
(correct) lime mortar version and, moreover,<br />
redecoration is complete. We have every confidence<br />
that the courtyard will look splendid for the Society’s<br />
400 th birthday.<br />
So far, the cost of the work is between £300,000 and<br />
£400,000.<br />
Alas, in October, <strong>2016</strong>, further dry rot was<br />
discovered in some beams above the Great Hall.<br />
Initially, we were alarmed about possible safety issues<br />
if we continued to use the Great Hall, but were quickly<br />
reassured by structural engineers that there was no<br />
hazard. Nevertheless the situation has to be remedied<br />
and this will be done alongside the courtyard work.<br />
The cost of this extra work is, as yet, unknown but will<br />
run into several thousands.<br />
Last year we were able to put £190,000 back into<br />
reserves (£1.2 million having been needed to refurbish<br />
the Warehouses prior to re-letting) but, this year we<br />
have already withdrawn £205,000 to cover the extra<br />
and unexpected costs.<br />
How valuable and sensible it is to have reserves! If<br />
we need convincing about this, the unheralded but<br />
essential dry rot works are surely enough to persuade us.<br />
Additionally, this year we have needed more<br />
expenditure on Human Resources with the<br />
recruitment of several new staff and sickness cover for<br />
others. Nevertheless, I am pleased that the Court<br />
approved an appropriate improvement in staff<br />
salaries and an increase (to 10%) in the employers’<br />
contribution to all staff pensions.<br />
As I write, all our rental properties are let and<br />
generating income and the market is showing our<br />
portfolio of investments to be in rude health having<br />
risen in value by almost 17% over the last 12 months.<br />
The portfolio has weathered the Brexit storm<br />
reasonably well. Movements in the Economy have led<br />
our investment managers to put some possible future<br />
inflation protection into the portfolio.<br />
By the end of the Society’s next year, I am confident<br />
that visitors to the Hall will see significant<br />
improvements in its appearance. There is ambition for<br />
other works to be scheduled including internal relighting,<br />
re-carpeting, and improvement in audiovisual<br />
equipment. The Hall always needs repair and<br />
maintenance and to assist in planning for these<br />
eventualities we have instituted a regular professional<br />
structural assessment of our properties.<br />
The Grand Old Building needs continuous care and<br />
frequent attention but it is one of which we are<br />
privileged to be the present custodians.<br />
Dr. Robert Bethel<br />
18
Treatment of Vitamin B12 Deficiency<br />
Time for a Reassessment?<br />
Jerome Burne is a medical writer and editor and is also<br />
on the executive committee of the Medical Journalists’<br />
Association which holds its annual festive gathering at<br />
Apothecaries’ Hall.<br />
As far as the official medical guidelines are<br />
concerned vitamin B12 deficiency is pretty<br />
straightforward to diagnose and treat. Like any<br />
deficiency it certainly should be. But many patients<br />
report the current system fails to meet their needs,<br />
claiming the treatment they get is unreliable and<br />
inadequate.<br />
According to NHS choices the most common cause<br />
is a lack of ‘intrinsic factor’ in the stomach which is<br />
needed for B12 absorption from food, a condition<br />
known as pernicious anaemia.<br />
(http://www.nhs.uk/conditions/Anaemia-vitamin-<br />
B12-and-folate-deficiency/Pages/Introduction.aspx)<br />
Other causes recognised by the NHS include a diet<br />
very low in extractable B12 or a side effect of the drugs<br />
metformin – for diabetes – and the stomach acid<br />
suppressing PPIs. Recommended treatment is a<br />
limited number of replacement injections<br />
Complications, such as damage to the nervous system<br />
or during pregnancy, are said to be rare.<br />
Among the patients who don’t share this<br />
reassuring assessment is Tracey Witty. She runs a<br />
campaigning website http://www.b12deficiency.info<br />
that receives over 20,000 hits a month and paints a<br />
very different picture of the realities of life for those<br />
who are permanently unable to absorb vitamin B12 for<br />
a variety of reasons and have to rely on injections for<br />
life.<br />
Tracey Witty<br />
Witty suffered from a number of non-specific<br />
symptoms including memory problems, a sore swollen<br />
tongue and blurred vision. There are many others<br />
symptoms listed on her site which indicate a possible<br />
deficiency and should trigger a test for it but all too often<br />
don’t. These include tremor, numbness, confusion,<br />
dizziness, impotence, IBS, constipation and anaemia.<br />
19
The range of symptoms is wide because being<br />
deficient in B12 can gradually cause very fundamental<br />
damage to the nervous system (loss of the myelin sheath)<br />
as well as problems with repair of DNA and with<br />
making new red blood cells. What that means is that if<br />
the problem isn’t correctly diagnosed and effectively<br />
treated, the long term results can be disastrous. As<br />
patients deteriorate they can be wrongly diagnosed with<br />
conditions such as diabetic neuropathy, bipolar disorder,<br />
Parkinson’s disease, blindness, paralysis and dementia.<br />
(doi:http://dx.doi.org/10.1136/bmj.g5226)<br />
What Witty claims is that she and tens of thousands<br />
of other patients aren’t being speedily diagnosed or<br />
properly treated. Instead they are ‘at the mercy of<br />
health professionals who are not educated adequately<br />
about this condition and as a result frequently label<br />
those who are deficient as lazy, depressed<br />
hypochondriacs.’<br />
This can happen when patients visit their GP to say<br />
the supplement they have been given is not relieving<br />
their symptoms. The response is often to treat them<br />
with anti-depressants even though depression may be<br />
a perfectly reasonable response to their continuing<br />
symptoms and is also a well documented deficiency<br />
symptom.<br />
(http://www.twitlonger.com/show/n_1s0ggga)<br />
A correct diagnosis and being treated with a<br />
sufficient number of injections usually results in a<br />
seemingly miraculous recovery from such symptoms<br />
linked with a serious deficiency as: becoming mentally<br />
impaired, debilitating pain, being bed-ridden, chronic<br />
fatgue, memory loss and losing the ability to walk.<br />
Yet a recent survey<br />
(https://www.ncbi.nlm.nih.gov/pubmed/24732991)<br />
by the Pernicious Anaemia Society found that nearly<br />
66% of 889 respondents were dissatisfied with current<br />
treatment and that 14% of patients had waited more<br />
than 10 years for a correct diagnosis.<br />
What’s going wrong, according to Witty, is that,<br />
rather than treating symptoms, doctors rely on<br />
unreliable blood tests to decide who is deficient and<br />
guidelines on how frequently injections need to be<br />
given that are not based on any research at all.<br />
Of course her critique can be dismissed as mere<br />
anecdotes, since she is not a medical researcher and<br />
has no clinical background; she trained as a furniture<br />
maker and upholsterer. But with extensive<br />
information available on the internet and increasing<br />
calls for patients to take more responsibility for their<br />
chronic conditions, her voice and those using her<br />
website deserve to be more widely heard. They<br />
provide just the kind of feedback that should be<br />
welcomed.<br />
http://www.b12deficiency.info/what-to-do-next<br />
Witty’s first encounter with B12 deficiency was not<br />
due her own problems but the result of the psychiatric<br />
problems one of her family was having. ‘My online<br />
researches suggested low B12 was a possible factor so<br />
I asked the GP to test for it,’ she says. ‘She refused.<br />
Subsequently I found a reluctance to test or treat was<br />
common. Later many other patients contacting me via<br />
the website reported experiencing the same problem.’<br />
When the test was eventually carried out, the GP<br />
claimed the result showed she was normal. In fact it<br />
showed a deficiency.<br />
When her relative was sectioned the psychiatrist<br />
told Witty that B12 was not a relevant factor. But she<br />
won this battle too and after being given regular<br />
injections of vitamin B12 a dramatic recovery<br />
followed. The psychiatrist later agreed that lack of B12<br />
was the culprit.<br />
This experience allowed Witty to understand that<br />
her own chronic B12 deficiency had been a factor in<br />
her failure to conceive rather than her doctor’s<br />
diagnosis of an early menopause. She arranged a gene<br />
test for herself which revealed several mutations,<br />
including MTHFR and MTRR, which interfered with<br />
absorption and meant she would require<br />
supplementation for life.<br />
20
At first she was reassured by her by her doctor’s<br />
kindly comment: ‘We’ll have to look after you. But it<br />
soon became apparently she and many other patients<br />
weren’t being ‘looked after’ at all. The route to<br />
effective treatment for B12 deficiency was littered with<br />
obstacles.<br />
To start with the routine test is seriously flawed<br />
because measures both the version of the vitamin from<br />
animals that the body can use (holotranscobalamin)<br />
and the version from plants (holohaptocorrin) that is<br />
inert. This problem, known about for years according<br />
to a recent review in The BMJ<br />
(doi:http://dx.doi.org/10.1136/bmj.g5226), generates a<br />
large number of false positives.<br />
Then the result of the test is compared with the<br />
Serum B12 reference range, which also has a major<br />
flaw. The results it gives varies greatly between UK<br />
labs. One NHS Trust, for instance, rates a test result of<br />
over 110 pg/mL as sufficient, while others define<br />
deficiency as below 220pg/mL. There are other tests<br />
that establish deficiency more reliably, such as ones<br />
for homocysteine and for methylmelonic acid, but<br />
they are not routinely used in the UK.<br />
Even when a patient is diagnosed as deficient there<br />
can still be a problem. Guidelines mandate an initial<br />
series of six injections over two weeks. But then<br />
standard practice is to give everybody, regardless of<br />
symptom severity or individual differences, exactly<br />
the same amount - one injection every three months.<br />
‘For some this is fine,’ says Witty ‘but it is quite<br />
obvious that a great many patients do extremely badly<br />
on 3 monthly injections,’ says Witty. ‘I certainly do<br />
and patients email me regularly with phrases in the<br />
subject line such as; ’Desperate’, ‘Please help’ or ‘Am I<br />
going mad?’<br />
This rationing, one-size fits all, rule seemed to<br />
Witty not just unnecessary - B12 is cheap and has<br />
virtually no toxic side-effects - but also potentially<br />
very damaging. Insufficient replacement significantly<br />
raises the risk of further diagnoses of far more serious<br />
conditions.<br />
When she asked the medical bodies responsible for<br />
guidelines what the evidence base for this ruling was,<br />
none could provide any. The Parliamentary Health<br />
Committee said that unfortunately they couldn’t track<br />
this information, and suggested contacting NHS<br />
England/Department of Health.<br />
But NHS England couldn’t help and suggested<br />
trying the National Institute for Health and Care<br />
Excellence (NICE), but a spokesperson said it had no<br />
guidelines because no one had asked them to produce<br />
any. Public Health England said it was outside their<br />
remit. BNF (British National Formulary) said they<br />
couldn’t check what the evidence was as they were<br />
‘unable to access our archives’.<br />
Witty is well aware of the distress this arbitrary<br />
rule can cause. If she has an injection once a week she<br />
remains well. ‘Without it the old symptoms start to<br />
return: my memory fails, my tongue starts to swell, I<br />
bump into things, I can’t sleep. I get the amount I need<br />
because I’m assertive and I know the literature. But<br />
others shouldn’t have to suffer because they don’t<br />
have my advantages. And it’s not just horrible for<br />
them, failing to treat their symptoms costs the NHS a<br />
fortune in the long run.’<br />
Her solution has been to start a campaign to allow<br />
patients to buy injectable B12 at the chemist so they<br />
can treat themselves. That’s what happens in several<br />
countries in the EU,’ Witty says. ‘Patients with<br />
diabetes aren’t rationed in this way, in fact they have<br />
access to all the insulin they feel they need.’<br />
But even if treatment was given with the aim of<br />
reversing symptoms that still wouldn’t mean that<br />
everyone with a deficiency got adequate treatment.<br />
That’s because the common medical assumption about<br />
B12 deficiency is that it always goes hand in hand with<br />
macrocytic anaemia and due to a lack of “intrinsic<br />
factor’ in the stomach.<br />
(http://www.nhs.uk/conditions/Anaemia-vitamin-<br />
B12-and-folate-deficiency/Pages/Introduction.aspx)<br />
21
So patients with classic symptoms of pernicious<br />
anaemia – pale, thin, with overly large blood cells,<br />
numbness and tingling in hand and feet are very likely<br />
to be tested. People complaining of a different<br />
combination of deficiency symptoms, such as,<br />
memory loss, depression, blurred vision and<br />
constipation, but who have no macrocytic red blood<br />
cells are likely to find it far harder to get a test or<br />
achieve a diagnosis.<br />
My hope is to persuade health professionals to<br />
familiarise themselves with the many surprising<br />
symptoms and causes of this deficiency and to make a<br />
point of ruling it out first. It could save a fortune and<br />
prevent a lot of misery.’ For all the basics please see<br />
(http://www.b12deficiency.info/what-to-do-next/).<br />
By Jerome Burne<br />
Many doctors, in Witty’s<br />
experience, are not aware of<br />
B12’s crucial role in<br />
methylation, a biochemical<br />
process that is involved in a<br />
wide range of essential<br />
functions such as: thinking,<br />
repairing DNA, turning on and<br />
off genes, fighting infections<br />
and getting rid of<br />
environmental toxins. Without<br />
adequate amounts of B12 some<br />
of these will begin to fail,<br />
generating a wide variety of<br />
symptoms.<br />
‘I’m not suggesting that B12<br />
deficiency is at the root of many<br />
common problems that GP’s<br />
have to deal with’, says Witty.<br />
‘But it can be a reversible cause<br />
of conditions such as fatigue,<br />
depression, infertility, balance<br />
problems, widespread pain and<br />
neuropathy.<br />
22
The Centenary of the Society’s Roll<br />
of Honour 1916<br />
Edward Wawrzynczak and Janet Payne<br />
INTRODUCTION<br />
On 18 May 1915, the Court of Assistants resolved:<br />
...that a Roll of Honour be made containing the names of all<br />
those members of the Society employed in active service in His<br />
Majesty’s Navy or Army during the present War...<br />
The Clerk was instructed to address a circular letter<br />
to all members of the Society enquiring whether they<br />
were in any way so engaged. More than a year later, at<br />
the beginning of October 1916, it was proposed that:<br />
... the names and ranks of such members should be engraved<br />
upon a Copper Tablet to be placed in some conspicuous<br />
position on the Society’s premises to be chosen later...<br />
After further consideration, however, the Court<br />
resolved:<br />
...that the preparation of the Tablet and the engraving thereof<br />
should stand over until after the War and the Clerk was<br />
meanwhile directed to add to the list from time to time and to<br />
keep a Type written copy in a Book in the Court Room...<br />
This typewritten manuscript, produced in October<br />
1916 and updated with handwritten amendments up to<br />
1920, was preserved in the Society’s archives and<br />
represents a contemporary record of the service of<br />
Society members engaged in the Armed Forces and warrelated<br />
civilian roles.<br />
On 18 October 1920, the then Clerk, Bingham<br />
Watson, wrote to members inviting them to send<br />
particulars of their rank and any honours held so that<br />
the Roll of Honour could be brought up to date. His<br />
request evoked a mixed bag of letters in response: some<br />
brief, some detailed; many from those who served, a few<br />
from those who did not; the majority confirming entries<br />
in the Roll of Honour, a minority providing new<br />
evidence. There is no record that an updated list was<br />
compiled, however, and it seems that the planned<br />
copper tablet was never commissioned.<br />
The centenary of the first compilation of the Roll of<br />
Honour serves as a fitting anniversary on which to bring<br />
the information contained within the original<br />
manuscript, subsequent correspondence and other<br />
documents in the Society’s archives together with that<br />
contained in readily accessible professional, military<br />
and biographical records to create an updated and more<br />
complete picture of the activities of the Society’s<br />
members. This article aims to describe the varied roles<br />
of those who served the nation during the Great War in<br />
the Armed Forces or as civilians; in particular, to<br />
remember those who lost their lives, to acknowledge<br />
some of those who received special honours related to<br />
their war work, and to highlight a number of the more<br />
memorable contributions.<br />
THE ROLL OF HONOUR<br />
The list of names in the updated Roll of Honour refers<br />
exclusively to the period of the Great War: it includes<br />
any individuals admitted to freedom of the Society up to<br />
1920 but excludes any who may have served in the war<br />
and were admitted later. In the Official Year Book and<br />
List of Members of 1913-14, the members of the Society<br />
numbered 325 in total, comprising the Master, the two<br />
Wardens, eighteen Assistants, 129 Liverymen, 174<br />
Yeomen and one Honorary Freeman. Between 1914-15<br />
and 1920-21, the Society had 45 new members including<br />
thirty-nine admitted to the Yeomanry and six elected to<br />
Honorary Freedom of the Society.<br />
From the potential membership of 370 from this<br />
period there is documentary evidence for the<br />
involvement of 135 members of the Society –<br />
representing more than a third of the total – in warrelated<br />
work. The majority – four-fifths of the total –<br />
served in the Armed Forces, predominantly the Army.<br />
A similar proportion of this group – four-fifths – served<br />
23
in the Royal Army Medical Corps (RAMC), Army<br />
Medical Service (AMS) or as Surgeons in the Royal<br />
Navy (RN) and its Volunteer Reserve. Of the civilians,<br />
the majority – again some four-fifths – undertook a<br />
direct medical role. Overall, then, eighty per cent served<br />
in some medical capacity and more than fifty per cent<br />
were commissioned in the RAMC.<br />
A few of the members who served in the Armed<br />
Forces had undertaken military careers prior to the<br />
Great War, often achieving some distinction, and were<br />
part of the British Expeditionary Force (BEF) which left<br />
for France and Flanders in August 1914. For instance,<br />
Algernon Cautley Jeffcoat (Liveryman) had graduated<br />
from the Royal Military College, Sandhurst and entered<br />
the Royal Inniskilling Fusiliers in 1897. In 1901, he<br />
received the Distinguished Service Order (DSO) in<br />
recognition of his service during operations in the South<br />
African War of 1899-1902. He served with the BEF in<br />
France, was Assistant Adjutant and Quartermaster<br />
General, 9 th Division, British Armies in 1916 and given<br />
the Brevet of Lieutenant-Colonel in 1917. Mentioned in<br />
Dispatches five times, he received the Legion of<br />
Honour, Croix de Chevalier and Belgian Croix de<br />
Guerre.<br />
Others enlisted when the Great War began. A<br />
notable example is Ronald Ogier Ward (Liveryman<br />
1918), a urological surgeon who had served with the<br />
British Red Cross during the Balkan War of 1912-13. In<br />
the Great War, he served in a military capacity as Major,<br />
The Honourable Artillery Company, commanding C<br />
Battery, 293 rd Brigade, Royal Field Artillery. In 1918,<br />
under attack from a German advance, C Battery found<br />
itself on the front line, and was forced to abandon its<br />
five guns. That night, under the cover of a heavy mist<br />
and working as quietly as possible with teams of men<br />
and horses, Ward rescued four of the guns from No<br />
Man’s Land. He was awarded the DSO for his bravery<br />
and ingenuity, having been already Mentioned in<br />
Dispatches and awarded the Military Cross (MC).<br />
Two members commissioned in the Army were<br />
killed in action. Captain Mortimer Fisher (Yeoman) had<br />
joined the West Yorkshire Regiment in 1900 and served<br />
with the 2 nd Battalion in South Africa. He accompanied<br />
the 1 st Battalion (Prince of Wales’s Own) as part of the<br />
BEF and was involved in severe fighting during the<br />
early stages of the campaign. He died, aged 31, on 20<br />
September 1914 at Troyon in France and is remembered<br />
with honour at La Ferte-Sous-Jouarre Memorial.<br />
Captain Charles Gordon Paramore (Yeoman) enlisted in<br />
September 1914, being commissioned in the 8th<br />
Battalion, The Royal Berkshire Regiment. He was killed,<br />
aged 30, leading his company on 25 September 1915, the<br />
first day of the Battle of Loos. He is remembered with<br />
honour at Dud Corner Cemetery, Loos.<br />
Some of the Society’s more senior members, either in<br />
terms of their experience of military or naval medicine<br />
or through their association with the RAMC Territorial<br />
Force (TF), had their talents used at a high level within<br />
the Army’s medical services. Notably, Benjamin<br />
Bloomfield Connolly (Master 1918-19), Colonel, AMS<br />
(retired) had had a distinguished career as a military<br />
surgeon starting with the Franco-German War of 1870-<br />
71 and including a number of later conflicts for which he<br />
received several decorations. He had retired in 1891 but<br />
was re-employed as principal Medical Officer (MO) at<br />
the Royal Arsenal, Woolwich during the South African<br />
War. During the Great War, he acted as Assistant<br />
Director of Medical Services (ADMS) in the Sussex<br />
District and was brought to the notice of the Secretary<br />
State of War for his valuable services.<br />
Others took on important responsibilities at home<br />
and abroad. Sir George Henry Makins (Liveryman),<br />
who had travelled to South Africa as a civilian<br />
24
consulting surgeon, became an expert on gunshot<br />
injuries. He was commissioned Major in the RAMC<br />
Territorial Force (TF) on its formation in 1908. In<br />
September 1914, he left for France as consulting surgeon<br />
to the BEF and supervised newly established hospital<br />
centres at Camiers and Etaples, He retired in March<br />
1918 with the rank of Major-General, AMS. Sir William<br />
Arbuthnot Lane, Bt. (Liveryman), who had also joined<br />
the RAMC (TF) in 1908, held the rank of Captain at the<br />
2 nd London General Hospital at the outbreak of the war<br />
and was gazetted Colonel, AMS in September 1917. He<br />
worked with the French Red Cross, served as consulting<br />
surgeon to the Aldershot Command and acted as<br />
supervisor of Queen Mary’s Hospital, Sidcup, which<br />
pioneered the treatment of facial injuries. He was made<br />
CB and was a Chevalier of the Legion d’Honneur.<br />
A number of members who served in the Great War<br />
had begun their military careers in the Medical<br />
Department of the Army before the RAMC had been<br />
formed in 1898. Charles Thomas Samman (Liveryman,<br />
Master 1928-31), Lieutenant-Colonel, RAMC had been<br />
commissioned Surgeon Lieutenant in the Army Medical<br />
Department in 1893. He served in France with the 10 th<br />
General Hospital and the 2/2nd London Field<br />
Ambulance. Ernest Carrick Freeman (Liveryman, Master<br />
1931-32) had joined the Army Medical Department in<br />
1887 and served in the South African War. In the Great<br />
War, he was Colonel, RAMC and ADMS, 54 th (East<br />
Anglian) Division (TF), which deployed to Gallipoli in<br />
July 1915 and later to Egypt. He was Mentioned in<br />
Dispatches and created CMG for his work. Robert<br />
James Blackham (Yeoman 1917) had joined the Army<br />
Medical Staff in 1895. He served in France from 1915 as<br />
ADMS, 23 rd Division and was promoted Colonel,<br />
RAMC. Also serving in Belgium, Italy and Russia, he<br />
was made Deputy Director, Medical Services, 11 th<br />
Corps. Mentioned in Dispatches five times, he received<br />
the DSO, CMG, CB, French Croix de Guerre, and made<br />
a Chevalier of the Legion d’Honneur.<br />
The majority of members commissioned in the<br />
RAMC after the start of the war served abroad on many<br />
fronts. John Oglethorpe Wakelin Barratt (Liveryman,<br />
Master 1933-34), Captain, RAMC (TF) served as<br />
Commanding Officer (CO), 71 st Sanitary Section, 1 st<br />
London (City of London) Sanitary Company. The<br />
Section deployed to Egypt in December 1915 as part of<br />
the 31 st Division. He later served as MO to a variety of<br />
general, base and veterinary hospitals in France and<br />
Italy. Thomas Bramley Layton (Yeoman, Master 1940-<br />
41), Major (acting Lieutenant-Colonel), RAMC (T) had<br />
been mobilised at the outbreak of the war. He served as<br />
CO, 2/4 London Field Ambulance in France from June<br />
1916 and later in Salonika, Palestine and Egypt. In 1918,<br />
he was twice Mentioned in Dispatches and awarded the<br />
DSO for distinguished service in connection with<br />
military operations in Egypt.<br />
25
Three others who served in the RAMC are worthy of<br />
mention. Captain William Linnell Partridge (Yeoman)<br />
was Regimental MO, 14 th Battalion, The Gloucestershire<br />
Regiment in France from January to September 1916 and<br />
later in Egypt and Palestine. He was awarded the MC in<br />
1917 for distinguished service in the field. Captain Eric<br />
Morse Townsend (Yeoman) was commissioned in<br />
March 1915, and served as Regimental MO, 11 th<br />
Battalion, The King’s Royal Rifle Corps, 1915-17 and 20 th<br />
Division, Royal Engineers, 1917-19. He was Mentioned<br />
in Dispatches and awarded the MC. Major John<br />
Bernard Cavenagh (Yeoman 1915) was awarded the MC<br />
in 1917 for conspicuous gallantry and devotion to duty.<br />
Later, attached to 113 th Field Ambulance in France, he<br />
was awarded a Bar to the MC.<br />
Two members lost their lives while serving in the<br />
RAMC during the war. Lieutenant William<br />
Trengweath Harris (Yeoman), a medical practitioner in<br />
private practice, was commissioned in February 1917<br />
and sent to serve in Egypt though he was never to reach<br />
his destination. He drowned, aged 40, on 15 April 1917<br />
when the transport ship on which he was travelling<br />
HMT Arcadian was torpedoed in the Eastern<br />
Mediterranean. He is remembered with honour at the<br />
Mikra Memorial. Major Percival Thomas Priestley<br />
(Yeoman) completed his medical studies in 1913 and was<br />
commissioned at the end of July 1914. He accompanied<br />
the BEF to France in August and later worked with 25 th<br />
Casualty Clearing Station in Salonika where he died,<br />
aged 30, on 28 September 1918. He is remembered with<br />
honour at Salonika (Lembet Road) Military Cemetery.<br />
A number of members had volunteered to serve in<br />
France under the British Red Cross Society and Order of<br />
St. John before accepting a commission in the RAMC.<br />
Hugh Lett (Yeoman, Master 1937-38), a general surgeon,<br />
served in France as MO, the Anglo-American (Lady<br />
Hadfield’s) Hospital, Wimereux, France from<br />
November 1914 to March 1915. He was also visiting<br />
surgeon, The King George Hospital, Waterloo from May<br />
to October 1915. He later served in Belgium and Egypt<br />
and was promoted Major, RAMC. He was made CBE in<br />
1920. John Prescott Hedley (Yeoman 1915, Master 1944-<br />
45) was an obstetrician and gynaecologist who served as<br />
MO and Captain, RAMC (TF) at the Duchess of<br />
Westminster’s (No.1 British Red Cross) Hospital, Le<br />
Touquet from November 1914 and was later surgical<br />
specialist to the 5 th London General Hospital.<br />
26<br />
A significant proportion of those commissioned in<br />
the RAMC served in military hospitals at home, often<br />
though not exclusively in London. Captain Reginald<br />
Whiteside Statham (Liveryman, Master 1927-28) was in<br />
charge of No.4 War Hospital at Topsham Barracks,<br />
Exeter. Lieutenant-Colonel Christopher Thackray<br />
Parsons (Liveryman, Master 1946-47), formerly medical<br />
superintendent of the Fulham Infirmary, acted as CO of<br />
the Fulham Military Hospital, Hammersmith and also<br />
served in Mesopotamia from July 1916. Captain Robert<br />
Lauder Mackenzie Wallis (Yeoman) was MO in charge<br />
of Fishmongers’ Hall Hospital for Officers from October<br />
1914 to June 1915 and then served in France, Egypt and<br />
India.<br />
Sanitation was another important role on the home<br />
front. At the beginning of the war, Sir Shirley Forster<br />
Murphy (Master 1920-21) was commissioned<br />
Lieutenant-Colonel, RAMC (TF) and made Senior<br />
Sanitary Officer to the London Command, organising<br />
the billeting of troops, ensuring the hygiene of quarters,<br />
and dealing with problems caused by cerebrospinal<br />
fever and other contagious diseases. He was appointed<br />
KBE.
A small number of members served as Surgeons in<br />
the Navy. For example, Gerald Roche Lynch (Yeoman,<br />
Master 1951-2) acted as Surgeon-Lieutenant<br />
(Temporary) to the RN Hospital in Malta, RN College in<br />
Greenwich and RN Depot at Crystal Palace. He was<br />
awarded the OBE for valuable services in 1919.<br />
Among those engaged in civilian roles, some of the<br />
more experienced members had volunteered to work in<br />
hospitals abroad at the beginning of the war. Samuel<br />
Osborn (Master 1919-20) was a general surgeon who<br />
had experienced several conflicts including the Greco-<br />
Turkish War of 1897, the South African War and the<br />
Balkan War. In August 1914, accompanied by three<br />
dressers and three nurses, one of whom was his<br />
daughter, he took charge of a Belgian hospital in a<br />
private house in occupied territory before moving to the<br />
English convent at Bruges. For his work with the<br />
Belgian Red Cross he received the Croix de Chevalier de<br />
l’Ordre de la Couronne. He later served as MO in charge<br />
of the Countess of Dundonald’s Hospital, attached to<br />
Queen Alexandra’s Military Hospital, Millbank.<br />
The majority of civilian members who volunteered to<br />
help with the war effort acted as physicians or surgeons<br />
attached to military or auxiliary hospitals at home. For<br />
instance, William Frederick Richardson Burgess (Court<br />
of Assistants, Master 1921-22) acted as civilian surgeon<br />
attached to the Royal Field Artillery Military Hospital,<br />
Preston Barracks, Brighton and as civilian MO, Grove<br />
Hospital, Tooting. He was awarded the OBE.<br />
There were various other wartime roles that civilians<br />
fulfilled. For example, Reginald Hewett Hayes<br />
(Liveryman, Master 1938-39) was a member of the<br />
Emergency Surgical Aid Corps of the Royal Society of<br />
Medicine, which had been created to offer volunteer<br />
surgical assistance in the event of air raids striking<br />
London or the East Coast.<br />
Finally, between 1915 and 1919, the Society elected<br />
six Honorary Freemen who had made outstanding<br />
contributions in the medical field, both in the Armed<br />
Forces and in public life. Prominent among them was<br />
Sir Ronald Ross (1915) who as Lieutenant-Colonel<br />
(Temporary), RAMC acted as consulting physician on<br />
tropical diseases to the Mediterranean Expeditionary<br />
Force based in Alexandria in 1915. Later he was<br />
consultant to the Southern, Eastern and Aldershot<br />
Commands and the London District, including the<br />
Malaria Department at the 4 th London General Hospital.<br />
He was appointed KCMG in 1918.<br />
27
CONCLUSION<br />
A high proportion of the members of the Society of<br />
Apothecaries who served during the Great War did so<br />
in some medical capacity. The brief biographies<br />
included in this overview underline the many and<br />
diverse roles that members undertook in wartime: frontline<br />
duty with regiment, casualty clearing station, field<br />
ambulance or sanitary company; general and specialist<br />
surgical roles in stationary hospitals and on hospital<br />
ships; high-level administrative and advisory roles; the<br />
running of military and auxiliary hospitals involved in<br />
treating and rehabilitating casualties at home; and a<br />
variety of supporting roles.<br />
It is evident that there was wide spectrum of<br />
expertise among the membership. Some of the senior<br />
members already had extensive experience of battlefield<br />
medicine, either as part of the Army’s medical staff or<br />
by having acted as consulting surgeons in previous<br />
conflicts. The lack of a commission in the military was<br />
no obstacle to those determined to contribute their skills<br />
in France and Flanders by working in Red Cross<br />
hospitals, several of whom were later absorbed by the<br />
RAMC. Others left their established medical positions to<br />
serve with the RAMC, sometimes with tragic<br />
consequences, as noted above. It is also clear that<br />
civilian physicians and surgeons made an important<br />
contribution supporting the war effort at home.<br />
This short summary can only hint at the extent of the<br />
contributions made by the members of the Society who<br />
performed war-related work. Many did their bit but<br />
received no special honours owing to their youth, a<br />
short period of service or the routine nature of their role.<br />
In some instances, the records are brief because<br />
members did not volunteer the relevant information<br />
perhaps out of modesty or a reluctance to dwell on the<br />
past. Lastly, there is an unheralded group beyond the<br />
ordinary age of enlistment who took on the day-to-day<br />
work of general practitioners, hospital physicians and<br />
medical officers of health in order to free their younger<br />
colleagues to join the Armed Forces.<br />
The authors wish to thank Dr. John Ford for his advice,<br />
encouragement and comments on the manuscript. Members<br />
with additional information or enquiries are invited to contact<br />
the Archivist@apothecaries.org.<br />
28
A Sabbatical in Italy<br />
Dr Simon Read<br />
Rigoletto was the catalyst. It had been 12 years since<br />
I last lived in Italy and sitting in Covent Garden<br />
listening to this opera, I suddenly really wanted to go<br />
back. I closed my eyes and was back among the<br />
Umbrian hills with my wife, singing opera in our Mini<br />
while driving to Assisi. The town had glimmered on<br />
the side of Monte Subasio like a gold coin.<br />
Singing in our Mini<br />
In 2002, between finishing 80 hour a week hospital<br />
jobs and starting the GP registrar year, we had driven<br />
down to Italy to live in Perugia. We had rented a tiny<br />
14 th century monolocale (bedsit) in the heart of the old<br />
town and signed up at the University for Foreigners.<br />
In the mornings we learnt Italian with views of the<br />
Umbrian hills and in the afternoon sipped espressi on<br />
the Corso Vannucci, pondered our competi (home<br />
work) and went home to cook. It was fabulous. We<br />
returned to London half decent in Italian, full of<br />
enthusiasm for GP training.<br />
For that sabbatical, we had no big commitments<br />
but we now had six small children. Logistics should<br />
never get in the way of a good plan. My cousin, a<br />
respiratory consultant, had done it with his own<br />
family and gave the idea a resounding “DO IT.” Most<br />
surprisingly for me was the similar reaction of my GP<br />
partners.<br />
We returned to Perugia having found a house to<br />
rent in the centro storico. We didn't do any other<br />
planning as our Italian friends had told us that trying<br />
to organise anything in Italy in advance would be<br />
futile. This approach was validated by some early<br />
failed phone calls to the local schools. When the time<br />
came, we packed up our red transit van as if we were<br />
heading off for a week in the New Forest, adding in<br />
the guinea pig, my sourdough starter and some bikes.<br />
The girls finished school for the summer holidays, and<br />
off we went.<br />
Setting up home was fun: re-familiarizing<br />
ourselves with Perugia’s maze of medieval streets, its<br />
hill top views from every corner, cooking over an<br />
open fire and enjoying the evening passeggiata. We<br />
swam in the warm seas around Ischia, visited the<br />
capital of Umbrian truffle hunting and loved<br />
revisiting old haunts with our new brood. To keep us<br />
on our toes the school admissions procedures were<br />
suitably challenging. It took numerous visits to<br />
different offici, which all had slightly different very<br />
narrow morning-only opening times which are<br />
different for each day of the week. We grew<br />
accustomed to never quite having the right document,<br />
‘Yes I have my daughter’s birth certificate and<br />
passport photocopied and paper-clipped to the<br />
application form with her photo signed by our local<br />
GP, I didn’t realised I would also need her tax code,<br />
would my tax code be sufficient?’ Of course not, I<br />
29
Sabbatical in Assisi<br />
will have to come back tomorrow with the documents<br />
and large family. But we got all six children into the<br />
best local schools.<br />
Now for “sabbaticalling”, visions of long bike rides<br />
and then lazing around in the Italian sun? Not quite.<br />
Family life in many ways remained unchanged: the<br />
organising (very slow or no internet connection),<br />
shopping (no Tescos round the corner), cooking (don’t<br />
use the kettle at the same time as the oven or the lights<br />
fuse), sorting (all school children must wear a white<br />
jacket uniform and have a named glue stick etc) has<br />
the same dose of fun, happiness, joy, frustrations,<br />
tears and tantrums as in London. There are some<br />
broad differences of course. And much of what gives<br />
Italian life its charm has on the flip side of the coin its<br />
frustrations.<br />
The world revolves around<br />
the family in Italy, and<br />
children in particular.<br />
Children are welcomed everywhere,<br />
and indeed expected to<br />
be present and taking centre<br />
stage of attention. There are no<br />
bedtimes. Everyone is late.<br />
Lifestyle takes precedent over<br />
work and priorities of family<br />
life and food are evident in<br />
opening times (late opening,<br />
long lunches), school drop off<br />
(more dads than mums), and<br />
pace (obligatory mid morning<br />
coffee at the bar). The school<br />
day finishes at 1pm when the<br />
town comes to a stop for<br />
several hours for the long<br />
lunch.<br />
The emphasis on family and<br />
eating together is refreshing.The<br />
overbearing nature of<br />
parenting, however, is less charming. I like our<br />
children to play with bare feet, go swimming in cold<br />
water, head out into a head wind with wet hair, wear<br />
shorts and t-shirts if they feel warm in autumn, and<br />
then get cold and wet and dirty knowing that there is<br />
a hot shower and cosy fire at the end of the day. Italian<br />
parents seem so anxious about any possible freddo<br />
(cold) or sporco (dirt) for their children. Italy is<br />
beautifully beguiling but at the same time the culture<br />
is somewhat over protective.<br />
London has the advantage of anonymity when you<br />
want it and huge diversity. It has made me value<br />
London even more as a place to live. Our girls have<br />
gained in confidence: the ability to welcome change<br />
and set up their bedrooms in a new country. For me<br />
the biggest pleasure of the sabbatical has been having<br />
time with my family - volumes of time. I have had the<br />
space to re-evaluate my life. The performance of<br />
Rigoletto seems like a long time ago now. But I am<br />
pleased we brought those tickets…<br />
30
Registrar’s Report<br />
Mrs Jennifer Maclean<br />
2015-16 has<br />
been another<br />
busy year in the<br />
Examinations<br />
Department.<br />
Twelve examination<br />
diets<br />
were held: four<br />
Medical Care of<br />
Catastrophes,<br />
i n c l u d i n g<br />
two staged in<br />
the Netherlands<br />
to fulfil the contract<br />
with the<br />
Dutch Ministry<br />
of Defence, two<br />
each of Genit<br />
o u r i n a r y<br />
Medicine and HIV Medicine, and one each of Medical<br />
Jurisprudence (Pathology), History of Medicine,<br />
Philosophy of Medicine and Forensic Medical Sciences.<br />
Apart from the DMJ (Path), the London-based<br />
examinations, written and practical, are held in the Great<br />
Hall; the photograph shows the Hall when set up for an<br />
objective structured clinical examination (OSCE).<br />
There were 205 candidates over the seven diplomas,<br />
resulting in 175 diplomates. The weather held on the day<br />
of the annual Diploma Ceremony, and some 170<br />
diplomates and their guests enjoyed the Society's<br />
hospitality, mingling with members of the Court and<br />
taking tea in the courtyard. Some had travelled from the<br />
Netherlands while others came from as far afield as<br />
Malaysia.<br />
An important part of the Society's quality assurance<br />
procedures involves assessing the psychometrics of the<br />
examinations. This is achieved via the good offices of Dr<br />
John Patterson, Liveryman and Honorary Senior Lecturer,<br />
Centre for Medical Education, Barts and the London<br />
School of Medicine and Dentistry, who provides reports<br />
on the examinations and attends examination committee<br />
meetings to explain the outcomes to the examiners.<br />
The GMC’s “Standards for Curricula and Assessment<br />
Systems” requires, inter alia, that those who examine are<br />
trained and regularly updated in the appropriate<br />
assessment techniques. Although not all of the Society's<br />
examinations are accountable to the GMC, the<br />
Examinations Board observes the standards as best<br />
practice. Thus, every year to 15 months we stage a<br />
training day for newly-appointed examiners, attendance<br />
at which is compulsory before they are permitted to assess<br />
in a practical examination. The day provides an<br />
opportunity for examiners to learn of the theory of<br />
assessment and to take part in discussions and mock<br />
assessments. Refresher training focuses on the theory and<br />
practice of standard setting and blueprinting, as the<br />
rationale behind those aspects of examination preparation<br />
tends to fall into place more readily once examiners have<br />
been actively involved with their examination committee.<br />
CPD credits are sought from the RCP on each occasion.<br />
A large number of people each play their part towards<br />
the whole examination effort, and I am grateful to them<br />
all, not only for their efforts but also for helping to make<br />
my role so enjoyable. The three groups are: the<br />
Examinations Board, which oversees the Department in<br />
its entirety, and whose advice and broad range of<br />
expertise is so valuable; the Society's 150+ examiners, and<br />
particularly the conveners, deputies and panel chairs,<br />
who voluntarily contribute vast amounts of their "spare"<br />
time to set, support and assess their respective<br />
examinations; and last, but by no means least, my<br />
assistants Maria Green and Rita Pulga, who decided to<br />
return home to Italy after 10 years in London and who<br />
was succeeded by Smita Shah. The dedication, patience<br />
and good humour of all these contributors are an asset to<br />
the Department and to the Society.<br />
31
Faculty of the History and Philosophy of<br />
Medicine and Pharmacy<br />
Fantasy Faculty<br />
Tina Matthews – President<br />
There’s a lot of it about; fantasy this and<br />
fantasy that, teams and leagues and so on.<br />
What about a fantasy Faculty then? ‘Well,<br />
yes’, I hear you say ‘That’s never going to be<br />
mainstream is it? A bit too esoteric perhaps?’<br />
But if you were going to play, how would it<br />
go for you? Take some dreaming spires in<br />
an ancient university city, (too obvious), or<br />
maybe a 17 th century Livery Hall in the city<br />
of London hidden in a narrow cobbled lane<br />
through an arched double wooden door into<br />
a neatly proportioned courtyard.<br />
Then take more tall wooden doors<br />
straddled by a carved coat of arms, leading<br />
into a wood-panelled atrium with sweeping<br />
stairway to a first floor adventure in history<br />
through rooms quaintly termed The Parlour<br />
and The Court Room. These rooms, lined by<br />
antique furniture and fine paintings, could<br />
host lectures for the finest diploma courses<br />
in history, philosophy, ethics of medicine<br />
attended by students, the retired and all between, and<br />
once a year, these studious ones would take<br />
examinations, writing essays to the slow clock tick in The<br />
Court Room, and they would all pass. The Faculty would<br />
be ambitious, and work towards higher qualifications<br />
such as a Masters in Medical History.<br />
There would be entertainment in the evenings<br />
throughout many months of the year; tales of historic<br />
daring-do shared by echoing oration in that classic Hall,<br />
sometimes by a well-known figure, thanked and feted<br />
and rewarded with a medal to rival the Olympics. Follow<br />
this with feasting, wine and passionate debate with new<br />
and old friends.<br />
A sparkling reception in the courtyard<br />
Sometimes there could be the intense exchange of<br />
information, an oasis for those with a thirst for<br />
knowledge in places named Apothecaries’ Hall and<br />
Wellcome Collection with many learned scholars<br />
imparting their colourful threads of information. We<br />
would call them Fellows, some philosophy and some<br />
history, and the latter would creep through the<br />
archives extracting juicy tidbits of the Society’s past.<br />
Once a year, in June when the weather is clement, they<br />
would assemble a glittering symposium to entertain<br />
and inform, with a sparkling reception in the<br />
courtyard.<br />
32
Short courses bursting with information would be<br />
scattered through the academic year, and there would<br />
be development of new ones such as the History of<br />
Pharmacy and the Pharmaceutical Industry.<br />
Does all this sound wonderful? Such a beautiful<br />
fantasy, but wait; this is all true, this is the Faculty of<br />
the History and Philosophy of Medicine and<br />
Pharmacy, of the Worshipful Society of Apothecaries<br />
of London - my fantasy is real! Many real human<br />
beings have been involved in making my dream<br />
reality, and I would like to thank them. Maria Ferran<br />
and the inhabitants of the offices upstairs for<br />
administering, co-ordinating, organising, greeting and<br />
being super friendly and helpful, all the hall staff for<br />
preparing for lectures, symposia and courses. Thanks<br />
also to the support team that constitutes the Executive<br />
Committee, to Edward Wawrzynczak and his band of<br />
followers for producing the symposium in June;<br />
“Doctors and Medicine at the time of the Great War:<br />
Changes, Challenges and Consequences”. Thanks to<br />
Briony Hudson for development of the new short<br />
course in History of Pharmacy and the Pharmaceutical<br />
Industry to debut in November <strong>2016</strong>, and for hours of<br />
hard slog and brain storming by Hilary Morris and<br />
Christopher Gardner-Thorpe to devise a Masters in<br />
Medical History. The “bread-and-butter” of the<br />
Faculty are its diploma courses, now definitely at the<br />
level of deli speciality bread, admirably directed by Dr<br />
Andrew Papanikitas (Philosophy) and Dr Christopher<br />
Gardner-Thorpe (History). The Eponymous lectures<br />
continue as a staple of the Faculty educational<br />
offerings, with programmes arranged in a timely<br />
manner by the Meetings Secretary, Dr Andrew Hilson.<br />
Congratulations are in order for those who have<br />
passed the examinations for our diplomas; especially<br />
those awarded distinctions with the Selwyn Prize<br />
going to Daniel Di Francesco and Maccabaean prizes<br />
winners to be confirmed. Also to Dr Ruth Richardson<br />
and Dr David Misselbrook who became Honorary<br />
Fellows of the Faculty in recognition of their work for<br />
the Faculty.<br />
Finally I would like to thank the Faculty members<br />
and lecture audiences for their continued support, and<br />
I hope enjoyment of the programme we offer and for<br />
making this Faculty my fantasy come true!<br />
33
Curator’s Notes<br />
Nicholas Wood – Curator and Past Master<br />
Work in the Society’s collections has continued for<br />
another year, with progress being made on<br />
cataloguing the collection of photographs, images and<br />
engravings. General cataloguing has continued as<br />
well, an example being the transfer to our Archives<br />
from the Royal Colleges of Surgeons of a number of<br />
our Licences from the 19th century. We have also<br />
continued to provide a few more discreet labels where<br />
possible but one piece of important news is that the<br />
Court has agreed to new lighting in the two main<br />
display cases: the Fairleigh Collection drug jar case in<br />
the Entrance Hall, and the large display cases in the<br />
Parlour. Better lighting will improve the displays and<br />
also, being cooler, will be safer, especially to some of<br />
the more delicate wooden items that we would like to<br />
have on display.<br />
Our Adopt a Book scheme to support conservation<br />
and restoration of the some 250 rare books in the<br />
Society’s library is now in place and a number of<br />
volumes have been restored following generous<br />
sponsorship from a number of individuals and also<br />
from the Friends of the Archives. Of special note is the<br />
restoration of two 1809 Pharmacopoeias Londinensis,<br />
one of which is interspersed with the 200-year-old<br />
working notes from our laboratories. This is a great<br />
resource of 18 th and 19 th century laboratory practice<br />
and has already been consulted by one of our<br />
researchers. We are grateful to the many who have<br />
given this financial support and hope that others will<br />
feel encouraged to make a contribution to our<br />
conservation efforts through the Adopt a Book<br />
scheme. Details of the scheme, including a<br />
sponsorship form, are available around the Hall<br />
during various events, on the web site, and when the<br />
Library is open, now a regular event prior to Faculty<br />
and Friends lectures,<br />
Work continues to index the Court Minutes, and to<br />
review the data base of medical and other artefacts.<br />
We have also hosted a number of researchers, some of<br />
whom have produced books (including a children’s<br />
mystery thriller!) using material supplied by the<br />
Archives. One researcher, Marion Mackonochie from<br />
UCL has written her MSc. dissertation on the Society’s<br />
Materia Medica cases, the largest of which stands on<br />
the Hall landing.<br />
Perhaps the most welcome news is the gift of a “400 th<br />
Birthday Present” from the Royal College of General<br />
Practitioners of the services of their archivist, Sharon<br />
Messenger, for one day a week during our anniversary<br />
year of 2017. We are very grateful to the College and<br />
look forward to having Sharon work with us.<br />
Finally, I am grateful to all the volunteers who<br />
have enthusiastically given of their time this year to<br />
assist in the archives, library and around the Hall<br />
including Roy Sinclair, Liz Wood, Peter Homan, Fiona<br />
Davidson, John Ford, Ann and Norman Smith, John<br />
Ferguson, and Brian Matthews with a special mention<br />
to Janet Payne who keeps the whole show on the road<br />
answering e-mails and undertaking archival<br />
researches.<br />
34
The Anniversaries Committee<br />
Charles Mackworth-Young<br />
Our 400 th Anniversary is not far away. James I<br />
granted us our Charter on 6 December 1617, and we<br />
are hoping that members of the Society will enjoy<br />
celebrating this great moment in our history. The<br />
Anniversaries Committee has been preparing a wide<br />
range of events. They will include:<br />
• The Master’s Day Service: instead of being held<br />
in September, as is usual, it will take place<br />
immediately after the Election Court on<br />
17 August. This will be followed by dinner in<br />
the Hall.<br />
• Evensong in St. Paul’s Cathedral on Tuesday<br />
20 September, which will include a specially<br />
commissioned anthem by the celebrated<br />
composer Michael Berkeley.<br />
Much of the focus of the Committee has been on<br />
the 400 th Appeal. We are particularly grateful to<br />
Members of the Society and to others who have so<br />
kindly contributed to this very worthwhile cause, or<br />
who have taken part in the 400 Club. Thanks to<br />
everyone’s generosity, the Appeal has so far raised<br />
over £200,000; and it is of course still open to<br />
donations. We plan to use this fund for three<br />
purposes: an annual scheme to provide bursaries for<br />
medical student electives abroad; an annual<br />
academic prize for junior doctors at pre-consultant<br />
level; and – in view of our crest, and the prestige that<br />
we have derived from the animal – a grant towards<br />
saving the rhinoceros. If you have not had a chance<br />
to contribute to the Appeal and would still like to do<br />
so, please contact the Clerk’s Office.<br />
• A Banquet in the Guildhall on 6 December.<br />
Details of these and other celebratory events are<br />
given on page 37.<br />
We are also extremely grateful to the Livery<br />
Committee for generously funding the repair and<br />
repainting of the clock in the Courtyard, which will<br />
look very fine indeed, particularly in the context of<br />
the newly restored and decorated walls and<br />
windows.<br />
The Society helps to save the Rhino<br />
35
The Charity Committee<br />
Simon Bailey<br />
I have just taken over the chairmanship of the<br />
Charity Committee from Derek Adams, our current<br />
Master. There has been a decline in direct giving to the<br />
charity and I am sure that this relates to members<br />
giving to the 400 th Appeal and also to assist in the<br />
restoration of the Hall. The charitable giving is so<br />
central to the ethos of the Society and I hope, after our<br />
400 th Celebration, we can look at new ways to increase<br />
the amount of money we have to support the many<br />
worthy causes that come to our attention.<br />
Grants of £1000 were made this year to 32 medical<br />
students and three pharmacy students. Because of<br />
historic funding, seven awards are designated Society<br />
of Apothecaries Colman Kenton Educational Grants,<br />
four awards as Society of Apothecaries Lord Tanlaw<br />
Educational Grants and six awards Society of<br />
Apothecaries Ruth Hoffman Educational Grants. The<br />
remainder were styled Society of Apothecaries<br />
Educational Grants. The recipients of these awards are<br />
in their final two years of training and have been<br />
recommended to the committee by the Deans of their<br />
medical or pharmaceutical colleges. The committee<br />
chooses from the Deans' suggested candidatures. Most<br />
are doing medicine as a second degree and are<br />
carrying a heavy weight of debt.<br />
Additionally £3,500 was given to the Faculty of<br />
History and Philosophy of Medicine and Pharmacy to<br />
assist undergraduate students who are doing our<br />
diploma course. £400 was given to St Paul's Cathedral<br />
Foundation and £650 to the Sheriff and Recorder fund.<br />
£400 was given to St Paul’s Cathedral Foundation<br />
36
Anniversary Year Events<br />
As we prepare for the 400 th Anniversary of the<br />
granting of our Charter on 6 December 2017, here's a<br />
reminder of some of the Anniversary events.<br />
Up to and throughout the year, we're raising money<br />
for our Apothecaries’ charities, supporting medical<br />
education and rhino conservation. For more details<br />
about any of these events contact the Clerk’s Office.<br />
Instant Sunshine Concert<br />
17 February, 2017<br />
The brilliant witty all-singing doctors group "Instant<br />
Sunshine," of BBC Radio 4 fame, will be live on stage<br />
at the Cadogan Hall to celebrate their 50 th<br />
Anniversary, our 400 th , and the baby charity,<br />
Tommy's, 25 th . The band are very generously<br />
performing for free, with all proceeds going to the<br />
Apothecaries' and Tommy's charities.<br />
This should be a fabulous evening, and a great<br />
opportunity to raise money for great charities. Tickets<br />
£15 to £75 from Cadogan Hall.<br />
Advertise, send a message of support in the<br />
programme, or donate direct – all donors of £100 or<br />
more will have their name listed in the programme!<br />
Master's Day Service and Dinner<br />
17 August, 2017<br />
In a change from our usual routine, the Master's Day<br />
Service 2017 will be held immediately after the<br />
Election Court on 17 August, followed by a dinner<br />
rather than the usual lunch. All Guardant Members<br />
are welcome to attend the service and/or dinner.<br />
Provisional timings are 5.30 pm for the service, 7.00<br />
for 7.30 pm for dinner, with booking details to follow<br />
later in the year.<br />
Anniversary Evensong at St Paul's<br />
20 September, 2017<br />
The Society is honoured to be holding a special<br />
evensong at St Paul's, where we will be joined by<br />
Masters and Clerks from other Livery Companies,<br />
invited guests, and the Members of the Society.<br />
The service will see the first performance of a newly<br />
commissioned anthem by Michael Berkeley, which<br />
will become a firm fixture of future Apothecaries<br />
events.<br />
Following the service, there will be a reception at the<br />
Hall, with free entry for Guardant Members.<br />
Booking details later in the year.<br />
Guildhall Banquet<br />
6 December, 2017<br />
400 years to the day, the Society will celebrate the<br />
Charter with a magnificent Banquet at the Guildhall.<br />
After a Reception in the Old Library, there will be a<br />
four-course white tie dinner in the magnificent<br />
surroundings of the Great Hall, in the presence of key<br />
figures in the life of the Society: Royal Freemen, the<br />
Lord Mayor and Sheriffs, Presidents of the Medical<br />
Royal Colleges, the Grocers, the Barbers, and the<br />
Patrons of the 400 th Appeal.<br />
37
Due to the demand for additional tickets, and in a<br />
change to the original dates, "early bird" tickets will<br />
now only be available until March 1 2017, and will<br />
remain limited to two per Guardant Member - this is<br />
to ensure that as many Members as possible are able to<br />
attend, at the special price of £100 per ticket.<br />
From 1 March 2017, tickets will cost £120 per person,<br />
and all Members (Guardant and Couchant) may book<br />
as many tickets as they need for their parties for the<br />
evening. You may apply now to the waiting list (but<br />
please don't send money yet), and receive your<br />
allocation after 1st March.<br />
Tickets from assistantclerk@apothecaries.org<br />
Other Anniversary Year events:<br />
6 February 2017<br />
The Rose Prize is a biennial award presented jointly<br />
by the Faculty of the History and Philosophy of<br />
Medicine and Pharmacy and the Royal College of<br />
General Practitioners. The prize commemorates<br />
William Rose and Fraser Rose. Submissions now<br />
welcome.<br />
23 February 2017<br />
“Keats and Medicine – An Exploration of their<br />
Relationship” with Professor Sean Hughes, Emeritus<br />
Professor of Orthopaedic Surgery at Imperial College<br />
London.<br />
22 November 2017<br />
The Fitzpatrick and Copeman Lectures, in conjunction<br />
with the Royal College of Physicians, presented by Sir<br />
Paul Nurse and Dr David Starkey. Lecture at the RCP,<br />
supper afterwards at Apothecaries Hall. Details to follow.<br />
38
Faculty of Conflict and Catastrophe Medicine<br />
Air Vice-Marshal Aroop Mozumder<br />
CB FRCGP FFPH MSc DTM&H DAvMed DMCC<br />
Last year I opened by mentioning that the relevance of<br />
what we teach and examine in this Faculty has perhaps<br />
never been so starkly exposed, highlighting the brutal<br />
civil war in Syria. The world now is, if anything, in an<br />
even worse position than last year, with a larger number<br />
of humanitarian emergencies, fragile and failing states,<br />
and mass movements of refugees and internally<br />
displaced people than in recent memory. Although<br />
some progress has been made worldwide in the<br />
Millennium Development Goals (now the Sustainable<br />
Development Goals) and towards the control of diseases<br />
such as malaria, TB and polio, it is still shocking to think<br />
that 15 of the 20 poorest<br />
countries in the world are<br />
still affected by significant<br />
conflict. We are being<br />
daily exposed to pictures<br />
of suffering on our TV<br />
screens. This is perhaps<br />
one of the reasons for the<br />
popularity of our course<br />
and why more medical<br />
schools have also<br />
expressed an interest in<br />
this area of medicine.<br />
Care of displaced<br />
populations and the<br />
wider health issues facing<br />
societies dealing with<br />
health emergencies, is a<br />
core part of what we teach<br />
to doctors and nurses on<br />
the Conflict & Catastrophe Medicine course. Indeed, so<br />
popular has the course become, that last year we had to<br />
very reluctantly declare the course numbers at capacity<br />
for the first time. We introduced a ceiling of 50 new<br />
students for each course year starting in January. With<br />
39<br />
over 280 students enrolled, the Saturday lectures are<br />
lively and busy, with often around 70 students<br />
attending. We are now full at the time of writing for the<br />
courses in 2017 and 2018 and the waiting list on the 2019<br />
course is also significant and well over 30. Although<br />
gratifying, in one sense this is also deeply worrying, in<br />
that we are clearly not able to fulfill the demand among<br />
young and enthusiastic healthcare professionals for<br />
teaching in this area.<br />
Due to the importance of evolving the syllabus to<br />
keep up with the requirement to deliver a relevant and<br />
up-to-date course, we increased the number of teaching<br />
days to 13 Saturdays per<br />
year. Course days are<br />
lively and busy and it is<br />
wonderful to see so many<br />
motivated students in<br />
our venerable Hall. This<br />
success is once again due<br />
to the very hard work of<br />
our Course Director Dr<br />
Tim Healing and our<br />
Faculty administrator<br />
Goldy Gullo.<br />
Our evening public<br />
lectures have been once<br />
again excellent this year.<br />
In May we had an<br />
innovative three-part<br />
briefing on the Ebola<br />
Briefing in the Great Hall<br />
crisis in West Africa last<br />
year, given by three of<br />
our distinguished Apothecaries, Dr Tim Healing<br />
(Course Director), Professor Richard Williams (DMCC<br />
Convenor) and Dr Gordon Gancz (DMCC Examiner).<br />
They spoke eloquently and knowledgeably on the<br />
epidemiology and control of the disease, the
psychosocial effects on those affected and those treating<br />
the victims and, lastly a personal view on what it was<br />
like to be treating the patients in the field. In October we<br />
heard a lecture from Sir Mark Walport, the Government<br />
Chief Scientific Advisor, himself an Apothecary, on<br />
Advising Government on how to deal with<br />
Emergencies. It proves to be fascinating and<br />
informative.<br />
This year we are again conducted a 4-day<br />
introductory course in Ireland in the principles and<br />
practice of conflict and catastrophe medicine, which has<br />
been well received in the past two years, and perhaps<br />
even more so this year.<br />
We again awarded the medical student prizes this<br />
year, to support elective year projects in developing<br />
countries. The short-listed contributions continue to<br />
impress with their quality and innovative thinking, we<br />
hope to further expand this support in future. This year<br />
we awarded prizes for an elective to two medical<br />
students studying low-cost prosthetic limb replacement<br />
for amputees after natural disasters in Bangladesh,<br />
which was innovative and inspiring. We also supported<br />
another student who supported mental health problems<br />
amongst the Karen refugees from Myanmar, who have<br />
sought asylum in the Minnesota area of the US. These<br />
excellent projects were selected having been whittled<br />
down from over 30 original applications. We as a<br />
Faculty have agreed to support at least two such<br />
projects a year at £750 each.<br />
Our collaboration with the Conflict & Catastrophe<br />
Section at the Royal Society of Medicine is developing,<br />
with their focus being symposia and wider academic<br />
debate, with our Faculty concentrating more on<br />
teaching and examining in a more practical sense.<br />
Although the RSM C&C section is being subsumed into<br />
their larger Global Health programme, we hope to<br />
develop increasing synergy with them and indeed<br />
hopefully host a symposium in the Hall in 2017.<br />
Lastly the financial health of the Faculty remains<br />
good and improving year-on-year, largely due to the<br />
success of the diploma course. Our problem seems to<br />
be that we even more urgently need more capacity to<br />
teach, perhaps remotely broadcast, and we are<br />
looking at innovative web-based or recorded learning<br />
methods to allow the teaching to be more widely<br />
available. The issue, as ever, is finding enough<br />
capable volunteer staff to move these time consuming<br />
projects on further.<br />
I am very pleased to report that the Faculty remains<br />
in good health and good heart and we look forward to<br />
our final few months with this year’s students and to<br />
welcoming our next batch of students in 2017.<br />
Sir Mark Walport addresses members of the Society<br />
40
Livery Committee Chairman’s Report<br />
2015-<strong>2016</strong><br />
Last year’s report was the valedictory report of my<br />
predecessor, Simon Bailey, who served as Chairman<br />
with such distinction. I personally owe him a huge debt<br />
of gratitude which I acknowledge now and I thank him<br />
for his thoughtful and hardworking stewardship of the<br />
previous three years.<br />
The work of the Livery Committee continues as<br />
before, with an interesting programme of events,<br />
varying in location, diversity and length.<br />
Space limitations prevent anything but the barest<br />
bones of individual reports on events, but to continue<br />
the narrative from where Simon’s report finished, our<br />
Secretary, Jane Carey-Harris organised a tour of East<br />
Malling Research Centre and Bradbourne House in<br />
September 2015. Two guides related their talks to the<br />
Society. In October, Chris Khoo and Simon Bailey<br />
organised a visit by Bampton Opera to the Hall for a<br />
lively and engaging performance of Joseph Haydn’s<br />
opera “Lo Speziale”, (The Apothecary ). The two had<br />
just returned from the Livery Committee’s annual<br />
“away trip”, which they had organised, to the<br />
Peloponnese. 32 travellers enjoyed a week visiting the<br />
majority of the most famous sites of the region including<br />
Nafplio, Salamis, Corinth, Mycenae, Epidauros, Tiryns,<br />
Sparta, Mistras, Olympia and Delphi. October<br />
concluded with a visit organised by Ibby Ibrahim to the<br />
annual Regent Street Motor Show.<br />
In November, Brian Matthews and Alan Collett<br />
organised a visit to Spencer House, restored by Lord<br />
Rothschild to one of London’s most splendid residences.<br />
The visit concluded with lunch at the nearby Mark<br />
Mason’s Hall. Later that month, John Harcup organised<br />
the annual UK “away trip”, this time to Bath for two<br />
nights. The packed programme included tours of the<br />
city, the Roman baths, the Pump Room and new<br />
thermal spa, the Royal Mineral Water Hospital and the<br />
Old Theatre Hall, rounded off by seeing a production of<br />
An Inspector calls. The final visit in November,<br />
organised by Judith Dixon and Vanessa Jenkins, was to<br />
the Parliamentary Archives in the Houses of Parliament.<br />
Two groups were given escorted tours of the Well and<br />
Original Act Room. The Apothecaries Act of 1815 and<br />
other relevant documents had been specially prepared<br />
for the visit.<br />
In December we had our AGM when I had the<br />
honour and privilege to be elected Chairman for the<br />
next three years. Eight members of the Committee were<br />
due to rotate off, another resigned for personal reasons<br />
and yet another changed roles. Our current Master had<br />
relinquished his position as our long term Treasurer<br />
earlier in the year to become Senior Warden. I thank him<br />
for the tremendous amount of work he has put in over<br />
about nine years, in getting and keeping our accounts in<br />
such good order before handing over to Harry Crook<br />
(an appropriate name for a treasurer perhaps?). Celia<br />
Palmer, due to rotate off the Committee anyway,<br />
became Mistress before the year end, having<br />
contributed massively to the activities of the Livery<br />
Committee as did Ibby Ibrahim, Tony Taylor and David<br />
Verity. Others were later co-opted back onto the<br />
Committee following vacancies after the elections. We<br />
therefore started <strong>2016</strong> with a very strong Committee<br />
consisting of new blood and experienced “old” hands –<br />
an ideal situation. As ever, our annual Carol Service<br />
followed by supper, organised this time by Nicholas<br />
Cambridge, rounded off a busy year.<br />
The events of <strong>2016</strong> started in mid-January with a<br />
wonderful four day trip to Venice for 24 Apothecaries<br />
and partners organised by Celia Palmer. Entitled<br />
“Music and Medicine”, the group enjoyed visits to sites<br />
41
of historical medical interest, Venice having been at the<br />
forefront of Apothecary evolution. We enjoyed La<br />
Traviata in a Palazzo and visited the world renowned<br />
La Fenice Opera House. At the end of January, 72 people<br />
enjoyed a traditional Burns Night Supper organised by<br />
Mike Gibson who also played the pipes and recited Tam<br />
o’Shanter. Sir Christopher Colville toasted the lasses<br />
and was skilfully rebutted by Agnes Ibrahim.<br />
Apothecaries in Venice<br />
In February, the first visit was to the Bethlem<br />
Museum of the Mind, organised by Brian Matthews.<br />
The Museum Archivist gave a talk on the history of<br />
Bethlem Hospital followed by a viewing of patient<br />
ledgers and an exhibition of paintings by the renowned<br />
Richard Dadd. The second event, organised by Frank<br />
Wells, was a visit behind the scenes at the Royal Albert<br />
Hall. Two groups explored this iconic building and saw<br />
the props set out for a performance by Cirque du Soleil.<br />
The final event of the month, again organised by Brian<br />
Matthews was a visit to the Museum of London<br />
Archives. The tour visited many areas of the facility<br />
which houses the largest archeological archive in the<br />
world.<br />
In early March, Susan Horsewood-Lee organised a<br />
trip “Behind the scenes at Glyndebourne” where we<br />
learnt about the history of Glyndebourne and how<br />
operas are produced there. Our guide, Richard Joiner,<br />
took us on stage as well as behind the scenes. In mid-<br />
March, the busy Brian Matthews organised a fascinating<br />
if slightly macabre visit to the Crime Exhibition at the<br />
Museum of London. The curator gave a talk about the<br />
selection of crimes and artefacts for display, and<br />
about the ethics and potential effects such a<br />
display may have on victims, their relatives, the<br />
investigators and the perpetrators. The final<br />
March event was organised by Mike Gibson. We<br />
met at the Gurkhas base in Winchester where<br />
we had a talk from the Curator of the Museum<br />
about the history of the Gurkhas, their selection<br />
and training and their many campaigns, after<br />
which we had a curry lunch prepared by the<br />
Gurkha wives.<br />
The first April event, again organised by<br />
Brian Matthews, was a visit to 2 Temple Place.<br />
The building was commissioned by William<br />
Waldorf Astor in the early 1890s.The result was<br />
“a little masterpiece” ( Betjeman) and “a perfect<br />
gem” (Pevsner) and was Grade II listed in 1960.<br />
The second was a visit to the Greenwich<br />
Museum and Naval Complex organised by<br />
Colin Gillespie. Two dozen met at the Cutty<br />
Sark. They were given a history of the ship and<br />
then walked along the Thames to the three main<br />
attractions namely, the education centre, the Painted<br />
Hall and the Naval Chapel.<br />
Three events in May commenced with a tour of<br />
Kenwood House and Gardens. This trip was organised<br />
jointly by me and mainly by Alan Nathan who took the<br />
tour of the House. The Adams architecture and<br />
paintings by, amongst others, Gainsborough, Turner,<br />
Vermeer and Rembrandt were astounding and<br />
plentiful. After lunch in the old kitchen, we had a tour<br />
of the gardens with the Senior Gardener and of the old<br />
dairy. The second was a visit to the Phytochemistry<br />
Lab at Kew, organised by Wanda Jay. Lunch preceded<br />
a stroll through Kew Gardens where the Director of<br />
Economic Botany gave a brief history of the<br />
42
development of Kew on the way to the Jodrell<br />
Laboratory. Here, talks on the various aspects of their<br />
work were given by staff members. Concluding the<br />
May trips was a Talk and Tour of the Dulwich Picture<br />
Gallery organised by Alan Collett. The museum<br />
educator gave an illustrated talk on Rubens, his life<br />
and work both as a painter and a high level diplomat.<br />
The group then moved to the gallery to view the<br />
current exhibition.<br />
One week tour of Puglia<br />
The solitary event in June was a visit to Rochester<br />
organised by Omar Khan. 22 Apothecaries enjoyed a<br />
visit to the Huguenot Museum and heard about the<br />
history of their arrival (including our founder Gideon<br />
de Laune). After lunch, the visit moved to Restoration<br />
House which derives its name from a visit by Charles II<br />
on his way from Dover to London for his restoration to<br />
the throne.<br />
Three July events started with a visit to the Langdon<br />
Down Museum and Normansfield Theatre organised by<br />
Brian Matthews. 15 Apothecaries were given a talk<br />
about Langdon Down and his career at the Royal<br />
Earlsfield Asylum. The group visited the restored<br />
Normansfield Theatre and the Museum of Learning<br />
Disability. The next was a visit to the Museum of Army<br />
Music organised by Wanda Jay. A talk by the Archivist<br />
was followed by a rehearsal for the Last Night of the<br />
Proms and then a tour of the Museum. The final July<br />
event was a visit to the Royal Hospital, Chelsea<br />
organised by Brian Matthews and Jane Carey-Harris. 25<br />
Apothecaries visited the home of the Chelsea<br />
Pensioners. Our tour guide was a redoubtable Inpensioner<br />
named Dave Thomson, a real character. We<br />
visited the “show” living quarters, the Hospital, the<br />
Chapel, the Hall and part of the grounds. There was a<br />
talk from the Matron on the Thatcher Infirmary and the<br />
work of the medical staff.<br />
Our event in August was a visit to the Houses of<br />
Parliament organised by Mike Gibson. Fifty<br />
Apothecaries and guests in two groups had a<br />
comprehensive tour of Westminster Hall, St Stephen’s<br />
Hall, the Central Lobby, the Robing Room, the Royal<br />
Gallery and Prince’s Chamber, the Lord’s Chamber and<br />
the Commons. Tea was taken in the splendid setting of<br />
the Terrace Pavilion.<br />
In September, Brian Matthews organised a tour to<br />
the Fire of London Exhibition at the Museum of London.<br />
Following an introductory talk by the Curator,<br />
individuals were free to visit the Exhibition at their own<br />
pace. 36 had a one week tour of Puglia, the “bread<br />
basket“ or garden of Italy. Organised by Chris Khoo,<br />
ably assisted by Simon Bailey, it was a wonderful and<br />
comprehensive tour which covered the geography,<br />
geology, agriculture, religious connections, art and<br />
architecture and gastronomy of this lovely region. It<br />
culminated with a three night stay in Lecce – the<br />
“Florence of the South”. A fuller account of the visit to<br />
Puglia can be seen in an accompanying article.<br />
In October, Jane Carey-Harris organised a visit to the<br />
Military Intelligence Museum. The role of the SOE,<br />
intelligence activities from the Cold War to the present<br />
day in the Middle East and the role of photographic<br />
intelligence were viewed and discussed in three<br />
sessions. These were followed by lunch at in the<br />
Officers’ Mess at Chicksands and this in turn was<br />
followed by a tour of the Priory. Busy Brian Matthews<br />
organised two visits to the Chocolate Factory in Brixton.<br />
All aspects of producing chocolates were covered, from<br />
pod to mouth. Each individual had the opportunity to<br />
design and make their own chocolates.<br />
43
In November, Simon Bailey organised a three-day<br />
trip to Cambridge, Ely and Newmarket. 21 participants<br />
thoroughly enjoyed visiting the Round Church, Trinity,<br />
St Johns and Sidney Sussex. After evening service at<br />
King’s College Chapel, we visited the Parker Library at<br />
Corpus Christi College where we dined the first<br />
evening. The following day we visited the Fitzwilliam<br />
Museum and Peterhouse after which we were punted<br />
up to Magdalene Bridge and visited the College. After<br />
lunch and free time, we had an early evening tour of the<br />
Scott Polar Research Institute. On the last day we visited<br />
Ely Cathedral and then had lunch in the beautiful<br />
dining room of the Jockey Club in Newmarket before<br />
going our separate ways. Also in November, Simon<br />
Bailey organised a talk given in the Hall by Henrietta<br />
McBurney on an exhibition in the Hall of Mark<br />
Catesby’s watercolours from the Royal Collection. The<br />
viewing of the paintings was followed by a buffet<br />
supper. The event had been organised earlier in the year<br />
to celebrate the Queen’s 90 th birthday but had had to be<br />
postponed.<br />
As a gift from the Livery Committee to our Society to<br />
commemorate the 400th Anniversary of the granting of<br />
our Charter, and after much discussion of a number of<br />
options, it was decided that we would have the<br />
Courtyard clock refurbished with a new, Apothecary<br />
blue face which has been agreed by English Heritage. A<br />
new PAR (a “pendulum arrestor regulator”) will be<br />
installed to give the clock excellent accuracy over the<br />
next 400 years! Following a suggestion by Dr Robert<br />
Bethel, the Private Court has agreed that the Livery<br />
Committee should be allowed to commission a small<br />
stained glass window to commemorate the<br />
refurbishment of the Courtyard Clock.<br />
At the time of writing this report, Simon Bailey,<br />
Judith Dixon, Mike Gibson, Colin Gillespie, John<br />
Harcup, Susan Horsewood – Lee, Wanda Jay and Brian<br />
Matthews are due to rotate off the Livery Committee. I<br />
would like to thank them for all the hard work they<br />
have put in during their time on the Committee, their<br />
ideas and execution of events and most importantly for<br />
the enjoyment they have brought to members of the<br />
Society. Owing to a dearth of applicants to join the<br />
Livery Committee this year, I expect we may see some<br />
of them back on the Committee by the time Apothecary<br />
comes out!<br />
Mike Spencer<br />
Chairman of the Livery Committee<br />
44
The Friends of the Archives<br />
Paul Simmons<br />
The Friends support the Society’s Archive<br />
financially by raising funds for its conservation and<br />
also by undertaking research and cataloguing projects<br />
while working as volunteers. We work closely with<br />
the Curator, Past Master Nicholas Wood who is now a<br />
full Committee member.<br />
Our long-serving Chairman, Dr John Ford,<br />
demitted at this year’s AGM but he will continue to<br />
volunteer in the Archives. He deserves a special<br />
mention for his dedicated work in cataloguing the<br />
Society’s 400 years of paperwork as well as leading the<br />
Committee from the front and reporting twice yearly<br />
to the full Court on the Friends’ affairs. Dr John<br />
Moore-Gillon has joined the Committee and kindly<br />
took the chair whilst I was out of action for the early<br />
part of the year.<br />
The lecture after the AGM was given by Caroline<br />
Shenton, Parliamentary Archivist and author of The<br />
Day Parliament Burned Down, who took us hour by<br />
hour through the day of 16 October 1834 as the awful<br />
catastrophe enveloped our seat of government of 800<br />
years.<br />
The Friends’ Spring lecture was given by Helen<br />
Wakely, Archive Project Manager, Wellcome Library:<br />
Making space for different voices in the archive; her title<br />
disguising a very interesting presentation to a smaller<br />
audience than normal.<br />
Our Summer Party in June in glorious sunshine<br />
was probably the most well–attended ever and<br />
squeezed into the Courtyard before the major works<br />
started in earnest.<br />
Mrs Janet Payne continues to reply to archival<br />
queries. Progress has been made in sorting and<br />
naming the vast collection of photographs in the<br />
archives. We supported the research by those involved<br />
in the bicentenary symposium of the Apothecaries Act<br />
1815, and are girding up for the archival support for<br />
the 400 th anniversary celebrations in 2017.<br />
Following the Curator’s launch of an ‘Adopt a<br />
Book’ scheme, the Friends supported the conservation<br />
of the 1809 Pharmacopoeia Londinensis volume,<br />
interspersed with the 200 year-old working notes from<br />
our laboratories and which is now back in the<br />
Archives.<br />
We asked Bridget Mitchell of Arca Preservation to<br />
proceed with conservation of the 1722 Charter (with<br />
Shellac/wax seals) which has been damaged by<br />
rodents; but will only ‘make safe’ a 1676 copy of the<br />
ordinances which is heavily infected with mould until<br />
such time as repair techniques improve.<br />
The Friends were prominent at Open House Day in<br />
September when nearly 1400 members of the public<br />
visited the Hall and they too were able to appreciate<br />
the nature of the treasures possessed by the Society<br />
and supported by the Friends.<br />
Some Friends went on a private tour of the new<br />
Museum of the Royal Pharmaceutical Society in East<br />
Smithfield kindly arranged by Briony Hudson in<br />
association with the British Society for the History of<br />
Pharmacy.<br />
If you haven’t yet joined, there is always a welcome<br />
for you. Just £10 per year for our subscription.<br />
Contact friends@apothecaries.org<br />
or write to us at the Hall.<br />
45
Apothecaries on Vacation<br />
by Gillian Nicholson<br />
This was our first excursion abroad with the<br />
Apothecaries and what a treat it was. We met our<br />
fellow travellers and Tony the tour agent at the lovely<br />
home of Chris and Naomi Khoo one Sunday in<br />
August. This was not just an introduction to each<br />
other but also to southern Italian food and wine. The<br />
occasion set the tone for a series of delicious meals<br />
when we arrived in Puglia, the high point of which<br />
was dining in a beautiful restaurant under the harbour<br />
walls in Trani. Organised, like the trip itself, by Chris<br />
Khoo, the weather was perfect, 24 to 25 degrees<br />
centigrade most days. With a geographical position<br />
that meant successive settling or invasion by all<br />
peoples active in the Mediterranean throughout<br />
history, we visited the site of the battle at Cannae<br />
where Hannibal defeated the Roman army<br />
with a classic pincer movement strategy. We<br />
also admired evidence of successive<br />
civilisations stretching from pre-Roman and<br />
Roman, through to Byzantine, Sicilian<br />
Norman, Angevin and Aragonese – all layered<br />
on top of one another. This was especially<br />
obvious in Lecce, a Baroque masterpiece,<br />
where we admired both extravagant church<br />
facades and interiors as well as the private<br />
excavations of a family who had noticed the<br />
damp in their home and dug down to a Roman<br />
cistern with evidence of earlier habitation!<br />
Successive Apulian/Puglian builders have<br />
been able to use the plentiful local limestone<br />
for their buildings many of which, for<br />
example, the Castel del Monte, had just had or<br />
were under recent repairs. The Castel was built<br />
in 1240 by Frederick II in a perfect octagonal<br />
shape with trapezoid internal rooms. Now a<br />
UNESCO World heritage site and very<br />
impressive in location and construction,<br />
46<br />
nobody was very sure why he built it and what it was<br />
for! We had ample opportunity to see the Adriatic<br />
coastline, generally rocky and a stunning colour with<br />
flat terrain nearer the coast rising to the tail end of the<br />
Appenines centrally where we stayed in Martina<br />
Franca. A pool at our hotel there attracted only two<br />
ladies for early morning swims before we set off for<br />
our days sightseeing. Puglia produces much of Italy’s<br />
olive oil, different in taste across the country as we<br />
were interested to discover. The fish, fruit and<br />
vegetables were all delicious as were the ice creams! A<br />
high point for many of us in our sightseeing was the<br />
visit to Alberobello to see the trulli. These are dry<br />
stone constructed dwellings made of limestone with<br />
no mortar. They have conical roofs and inside have a<br />
Lovely roofs of the true dwellings in Alberobello
oof space upper floor accessed by ladder.<br />
Now mainly for tourist rental, these houses<br />
were once local homes for all. Whitewashed,<br />
they were extraordinarily picturesque in this<br />
little town and surrounding countryside. A<br />
further highlight was a visit to the ancient city<br />
of Siponto where the basilica (according to<br />
legend the gospel had been preached here by<br />
Saints Peter and Mark) had been ‘realised’ by<br />
a wire construction which was superb as it<br />
allowed visualisation of remains and helped<br />
us to imagine it as it once was. Conducted<br />
throughout Puglia by Rosanna who made<br />
sure we ‘paid attention’ and primed each day<br />
by Chris’ newsletters (produced overnight<br />
with pictures from the day before) this was a<br />
memorable trip and apparently we are at the<br />
forefront of trendy places to holiday!<br />
A wire construction, helps us imagine the long gone basilica at Siponto<br />
A church on our travels<br />
47
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