Mansel Aylward
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Sir Mansel Aylward (November 1942 – 29 May 2024) was a Welsh public health physician and academic. He was Chief Medical Officer, Medical Director and Chief Scientist at the U.K. Government
Department for Work and Pensions The Department for Work and Pensions (DWP) is a Departments of the Government of the United Kingdom, ministerial department of the Government of the United Kingdom. It is responsible for welfare spending, welfare, pensions and child maintenance ...
. Aylward was Director of the Centre for Psychosocial Research, Occupational and Physician Health at
Cardiff University School of Medicine The Cardiff University School of Medicine () is the medical school of Cardiff University and is located in Cardiff, Wales, UK. Founded in 1893 as part of the University College of South Wales and Monmouthshire, it is the oldest of the three med ...
. He was appointed
Companion of the Order of the Bath Companion may refer to: Relationships Currently * Any of several interpersonal relationships such as friend or acquaintance * A domestic partner, akin to a spouse * Sober companion, an addiction treatment coach * Companion (caregiving), a caregi ...
(CB) in the
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and
knighted A knight is a person granted an honorary title of a knighthood by a head of state (including the pope) or representative for service to the monarch, the church, or the country, especially in a military capacity. The concept of a knighthood ...
in the
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, for services to healthcare. He was made a Freeman of the Borough of
Merthyr Tydfil Merthyr Tydfil () is the main town in Merthyr Tydfil County Borough, Wales, administered by Merthyr Tydfil County Borough Council. It is about north of Cardiff. Often called just Merthyr, it is said to be named after Tydfil, daughter of K ...
in 2013 and elected to the fellowship of the
Learned Society of Wales The Learned Society of Wales () is a national academy, learned society and Charitable organization, charity that exists to "celebrate, recognise, preserve, protect and encourage excellence in all of the scholarly disciplines", and to serve the W ...
in 2016. From 2009 to 2017, he was the first Chair of Public Health Wales NHS Trust, responsible for the delivery of public health services at national, local and community levels in Wales. He was later the Chair (Emeritus) of the Bevan Commission, a group of international experts which advises the Welsh Minister for Health and Social Services.


Background

Aylward was born in the Ex-servicemen's Club in
Merthyr Tydfil Merthyr Tydfil () is the main town in Merthyr Tydfil County Borough, Wales, administered by Merthyr Tydfil County Borough Council. It is about north of Cardiff. Often called just Merthyr, it is said to be named after Tydfil, daughter of K ...
in November 1942. He died on 29 May 2024, at the age of 81.


Career

From 1996 to April 2005, Aylward was Chief Medical Adviser, Medical Director and Chief Scientist of the UK
Department for Work and Pensions The Department for Work and Pensions (DWP) is a Departments of the Government of the United Kingdom, ministerial department of the Government of the United Kingdom. It is responsible for welfare spending, welfare, pensions and child maintenance ...
and Chief Medical Adviser and Head of Profession at the Veteran's Agency,
Ministry of Defence A ministry of defence or defense (see American and British English spelling differences#-ce.2C -se, spelling differences), also known as a department of defence or defense, is the part of a government responsible for matters of defence and Mi ...
. He was on the board of the
Benefits Agency The Benefits Agency (BA) was an executive agency of the British Department of Social Security (subsequently the Department for Work and Pensions The Department for Work and Pensions (DWP) is a Departments of the Government of the United Kin ...
Medical Service in the 1990s. Aylward's wife, Angela, was then involved in setting up a company called Mediprobe, trading under the name Nationwide Medical Examination Advisory Service Ltd, which arranged for the agency's doctors to work for insurance companies. Aylward was involved in the establishment of the new
Work Capability Assessment The Work Capability Assessment (WCA) is used by the British Government's Department for Work and Pensions (DWP) to decide whether and to what extent welfare benefit claimants are capable of doing work or work-related activities. The outcome of t ...
test. When he left the department he headed the UnumProvident Centre for Psychosocial and Disability Research, at Cardiff University. Aylward was criticised for what was a biomedical model of psychosocial worklessness; although he called it a
biopsychosocial model Biopsychosocial models (BPSM) are a class of trans-disciplinary models which look at the interconnection between biology, psychology, and socio- environmental factors. These models specifically examine how these aspects play a role in a range o ...
, it was clearly distinct from any such model. Qualified only as a physician, his lack of any professional qualifications as a scientist was problematic to an academic career in applied science, in addition to the financial influence of
UNUM Unum Group is an American insurance company headquartered in Chattanooga, Tennessee. Founded as Union Mutual in 1848 and known as UnumProvident from 1999-2007, the company is part of the Fortune 500. Unum Group was created by the 1999 merger of ...
, an American insurance-company of poor reputation for illegal withholding of disability-insurance payments and which funded his academic unit. His model was said to be the basis of the Cameron government’s disability benefits crackdown and the intensification of a hostile environment towards disabled people.. See also Aylward was Chair of the advisory board of HCB Group, a provider of rehabilitation and case management services to insurance companies and the corporate sector. Aylward was also Chair of Life Sciences Hub Wales from 2017 to 2021. He remained on the Board of Directors.


Publications

* Managing long-term worklessness in primary care: a focus group study, Cohen D, Marfell N, Webb K, Robling M, Aylward M, Occup Med (Lond), Volume 60, 2 (March 2010) pp. 121–126 * Models of Sickness and Disability Applied to Common Health Problems, Waddell G et al., Royal Society of Medicine Press (2010) * The Power of Belief: psychosocial influences on illness, disability and medicine, Edited by Halligan P W and Aylward M * Beliefs: Clinical and vocational interventions; tackling psychological and social determinants of illness and disability, Edited by Halligan PW and Aylward M Oxford University Press (2006) * The Scientific and Conceptual Basis of Incapacity Benefits, Gordon Waddell and Mansel Aylward, The Stationery Office 2005


References


External links


Cardiff University
{{DEFAULTSORT:Aylward, Mansel 1942 births 2024 deaths 21st-century Welsh medical doctors Welsh medical researchers Knights Bachelor British public health doctors Civil servants in the Department for Work and Pensions Companions of the Order of the Bath Welsh knights Fellows of the Learned Society of Wales People from Merthyr Tydfil