This article argues the politics of land-use was fundamental to the challenges of realizing Britain’s welfare state. It makes this case through a focus on efforts to plan and design new hospitals in the National Health Service (NHS) between 1948 and 1970. It pays particular attention to the Pilgrim Hospital in Boston, Lincolnshire which serves as an exemplar of a sort of politics that has been largely overlooked due to an overemphasis on central government. At the Pilgrim, a private landowner claimed inadequate consultation had produced a hospital proposal that was counter to local opinion, resulting in their farmstead being preserved within the grounds of a modern tower-on-podium facility. Working back from this aesthetic compromise, the significance of the landscaped hospital is introduced and situated within patterns of NHS land transactions and conflicts over site acquisition. This analysis re-orientates historical research to better reflect the decentralized nature of post-war planning in Britain. It does so by demonstrating how the welfare state internalized the criticisms of wider publics and powerful existing cultural and economic frameworks. These necessary processes formed the real groundwork for state modernization.

中文翻译：

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朝圣者的进步：NHS 医院的景观，1948-70

本文认为，土地使用政治是实现英国福利国家挑战的基础。它通过专注于在 1948 年至 1970 年间在国家卫生服务 (NHS) 中规划和设计新医院的努力来提出这个案例。它特别关注林肯郡波士顿的朝圣者医院，它是一种政治的典范由于过分强调中央政府，这一点在很大程度上被忽视了。在朝圣者，一位私人土地所有者声称，由于协商不充分，产生了一项与当地意见背道而驰的医院建议，导致他们的农庄被保留在现代塔楼设施的场地内。从这种审美妥协中恢复过来，介绍了景观医院的重要性，并将其置于 NHS 土地交易和场地征用冲突的模式中。这种分析重新定位了历史研究，以更好地反映英国战后规划的分散性质。它通过展示福利国家如何内化更广泛公众的批评以及强大的现有文化和经济框架来做到这一点。这些必要的过程构成了国家现代化的真正基础。