Caroline Dunford, A Death in the Hospital

I have a very bad habit of picking up any novel with a First World War or immediate post-war setting when I come across them in a second-hand book sale. My husband grumbles about my bringing yet more books into the house while, in my heart of hearts, I know that, more likely than not, I will spend most of the time I am reading them getting annoyed by inauthentic, not to say inaccurate, portrayals of the war which rely heavily on clichés. Yet I carry on doing it, in part in forlorn hope that I may encounter an original (and thus enjoyable) new author or series, and in part to remind myself of all the pitfalls to avoid when writing my own war-set fictions.

As painful as most of these are to read, in general I find there is enough to them, in terms of plot, characterisation or, very occasionally, setting, to keep me reading until the final pages. Certainly, I did manage to do this with Carola Dunn’s Die Laughing, in spite of its many short comings, and with Sulari Gentil’s A Few Right Thinking Men, which erred to much towards the thriller side of crime fiction for my taste, as including random fictional press clippings in a way that I found deeply confusing and off-putting. However, this cannot be said for my most recent acquisition, Caroline Dunford’s A Death in the Hospital (2020), which I picked up for 50 p. at our local National Trust property second-hand bookstall and which I abandoned about a quarter of the way through.

I had been vaguely hopeful about this novel, the 15^th book in the Euphemia Martin series, which appears to still be going strong, with A Death at Christmas due out this year. After all, the war hospital setting was right up my street in terms of areas of historical interest, although this did risk a more than usual number of snorts at clichés about VADs and misuse of the term ‘field hospital’. What I didn’t expect, however, was a historical setting so inaccurate as to suggest that Dunford is not even familiar with Vera Brittain’s Testament of Youth, let alone any less ubiquitous representation of the British military medical services in the war. It was at the point where a hospital where the central character had gone undercover as a trainee nurse (not, apparently a VAD, although it remained entirely unclear what the character who made this distinction thought a VAD role entailed) was described as the first hospital of its type ‘since the Boer War or possibly the Crimean War’ that I gave up entirely. For the setting to have any meaning or interest, I did need to have evidence of some basic plausibility for the institution that formed that setting, including the awareness that the auxiliary hospital (which I think was what this one was supposed to be) was only one type of medical institution in Britain during the war. As well as the permanent military hospitals which treated the Regular army throughout the second half of the 19^th and into the 20^th century, at the outbreak of war, military hospitals were rapidly set up across Britain, usually in commandeered institutions. Where country houses were donated, these became auxiliary units, specialising in rehabilitation after initial treatment at a general hospital. The institution in A Death in the Hospital did not seem like any of these.

Which brings me to the second aspect that precluded my enjoyment of this book. In addition to the ahistorical setting, the question of timing made any suspension of disbelief I might have had impossible. The novel is, apparently, set in August 1914. Even if we assume that the book starts at the end of the month, in at most three weeks there has, apparently, been time for some sort of voluntary hospital to be set up and filled with wounded servicemen including at least one volunteer servicemen, although he just may have been a Territorial. It is also strongly implied that the military effort had achieved statis along the Western Front, although this wasn’t the case until the winter of 1914. In other words, the author attempts to invoke the war as historical context through clichés that ignore the somewhat atypical reality of the opening months of the war. This sort of telescoping of events is not just bad writing, it is terrible history.

I do like to think that I have a pretty high tolerance for inauthenticity in genre fiction set in the First World War, of which there is a remarkable amount. Yes, as I say, I do grumble about inappropriate uses of terms like ‘field hospital’ and conscientious objector, or assumptions about the incidence and understanding of executions and shellshock. But while reiterating worn tropes is boring and, for a historian, frustrating, I am aware that I bring a level of specialist knowledge to reading this type of fiction which gives me an unfair perspective. Where there is some evidence of basic historical research, some attempt to get to grips with the historic specificity of the world being depicted, I can usually suspend enough disbelief to at least finish the book. Here there was no evidence of any historicization, with events, ideas and innovations from at least three major conflicts mashed together in an ahistorical mess labelled ‘The First World War’ in a completely implausible time frame. It is the sort of historical fiction that makes me wish there were a way to certify an author’s credentials as a historical research before they are allowed to publish. Indeed, the only excuse for this sort of book, in my view, is the case it makes through absence for history, including that which informs creative products (films, television, art and games as well as literature) as an intellectual discipline that requires skill and rigour, not just a vague idea that the past is another country which might make for a romantic setting.

So A Death in the Hospital will return to the second-hand book sale table via my local charity shop, where I should clearly have left it in the first place.