This ambitious book presents an across-the-board study of medicine, in any urban centre, for any period of British history. By selecting Wakefield and Huddersfield as contrasting types of northern towns, and examining in details their systems of medical care, Dr Marland has written a local history that says something important about the country as a whole. Wakefield and Huddersfield contrasted in their economic demographic and social development during the late eighteenth and early nineteenth centuries, allowing an effective comparative analysis of medical facilities in the two communities. By drawing on diverse sources: from Poor Law and philanthropy to self-help organisations, fringe medicine and medical practice, the book places the development of medical services against the backdrop of the communities in which they evolved, their class structure, organization and social, civic and economic developments.