In the original dustsheet. Blue cloth binding with gilt title on the spine.

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The book that launched Britain’s NHS

The Citadel is a novel by A. J. Cronin, first published in 1937, which was ground-breaking in its treatment of the contentious theme of medical ethics. It has been credited with laying the foundation in Britain for the introduction of the NHS a decade later. In the United States, it won the National Book Award for 1937 novels, voted by members of the American Booksellers Association.

For his fifth book, Dr. Cronin drew on his experiences practicing medicine in the coal-mining communities of the South Wales Valleys, as he had for The Stars Look Down two years earlier. Specifically, he had researched and reported on the correlation between coal dust inhalation and lung disease in the town of Tredegar. He had also worked as a doctor for the Tredegar Medical Aid Society at the Cottage Hospital, which served as the model for the National Health Service.

Cronin once stated in an interview, “I have written in The Citadel all I feel about the medical profession, its injustices, its hide-bound unscientific stubbornness, its humbug … The horrors and inequities detailed in the story I have personally witnessed. This is not an attack against individuals, but against a system.”

Archibald Joseph Cronin (19 July 1896 – 6 January 1981), known as A. J. Cronin, was a Scottish physician and novelist. His best-known novel is The Citadel (1937), about a Scottish doctor who serves in a Welsh mining village before achieving success in London, where he becomes disillusioned about the venality and incompetence of some doctors. Cronin knew both areas, as a medical inspector of mines and as a doctor in Harley Street. The book exposed unfairness and malpractice in British medicine and helped to inspire the National Health Service. The Stars Look Down, set in the Northeast of England, is another of his best-selling novels inspired by his work among miners. Both novels have been filmed, as have Hatter’s Castle, The Keys of the Kingdom and The Green Years. His 1935 novella Country Doctor inspired a long-running BBC radio and TV series, Dr. Finlay’s Casebook (1962–1971), set in the 1920s. There was a follow-up series in 1993–1996.