NHS 1945 clear political census. Attles labour government with health
creatio minister Bevan who created NHS
n The national health service act 1946 – universal healthcare,
comprehensive, curative, preventative, mental and physical
healthcare, hospital care, dental care, opticians. Would be free at
the point of delivery, paid through tax
Nationalised instead of regional system. Local authority, voluntary
and private hospitals were merged into one system. 1948 – 3,100
hospitals
Development of NHS – 1951-79 was reformed under successive
governments. Conservative Macmillan introduced 1962 hospital
plan – 90 new hospitals, redesign of 134 and refurbishment of 356
1970-74 conservative government secretary of state for social
services – NHS reorganisation act 1973 – introduced new
management but also increased costs
1974-76 Labour minister of health established resource allocation
working party – identified areas of health deprivation and allocating
additional resources
NHS 1948 – before then, doctor support was hard to attain, made
compromise e.g. doctors could still work privately and so BMA
supported system
Early NHS – initially tripartite system of hospital services, primary
care and community services but
Creation didn’t lead to equal provision across country as it inherited
existing health infrastructure which was unequally distributed.
Impact Life expectancy increased
on 1948 - 65.8 years for men, 70.1 years for women
public 1979 – 71 years for men, 77 years for women
health NHS had a large impact on the attitudes of British people towards
healthcare and the role of the state, and on educating people about
public health
Merrison Report (1979) – argued hospitals received 70% of NHS
funding, whereas other services e.g. GP surgeries received
much less
Within hospitals, surgery and general medicine received much
more money than services dealing with mental illness and
geriatric medicine
Investment in hospitals tended to create regional inequalities
– e.g. a lot of the investment in hospitals introduced in the 1962
Hospital Plan was spent in London
Health MC tended to benefit more from the NHS than the WC as
and investment in WC areas lagged
class WC areas: 80% of GP surgeries were built before 1900
MC areas: 50% of GP surgeries were built after 1900
Black Report (1980) indicated the gap between the WC and MC
grew between 1949-72
WC women twice as likely to die in childbirth
Unskilled working men twice as likely to die before reaching the
age of 65 as MC professionals
Inverse care law (1970) – In Wales where working miners had
regular, serious medical needs related to their jobs but healthcare
was difficult to access due to the small number of GP surgeries.
However, in London, MC professionals had relatively few medical
needs healthcare was widely available
creatio minister Bevan who created NHS
n The national health service act 1946 – universal healthcare,
comprehensive, curative, preventative, mental and physical
healthcare, hospital care, dental care, opticians. Would be free at
the point of delivery, paid through tax
Nationalised instead of regional system. Local authority, voluntary
and private hospitals were merged into one system. 1948 – 3,100
hospitals
Development of NHS – 1951-79 was reformed under successive
governments. Conservative Macmillan introduced 1962 hospital
plan – 90 new hospitals, redesign of 134 and refurbishment of 356
1970-74 conservative government secretary of state for social
services – NHS reorganisation act 1973 – introduced new
management but also increased costs
1974-76 Labour minister of health established resource allocation
working party – identified areas of health deprivation and allocating
additional resources
NHS 1948 – before then, doctor support was hard to attain, made
compromise e.g. doctors could still work privately and so BMA
supported system
Early NHS – initially tripartite system of hospital services, primary
care and community services but
Creation didn’t lead to equal provision across country as it inherited
existing health infrastructure which was unequally distributed.
Impact Life expectancy increased
on 1948 - 65.8 years for men, 70.1 years for women
public 1979 – 71 years for men, 77 years for women
health NHS had a large impact on the attitudes of British people towards
healthcare and the role of the state, and on educating people about
public health
Merrison Report (1979) – argued hospitals received 70% of NHS
funding, whereas other services e.g. GP surgeries received
much less
Within hospitals, surgery and general medicine received much
more money than services dealing with mental illness and
geriatric medicine
Investment in hospitals tended to create regional inequalities
– e.g. a lot of the investment in hospitals introduced in the 1962
Hospital Plan was spent in London
Health MC tended to benefit more from the NHS than the WC as
and investment in WC areas lagged
class WC areas: 80% of GP surgeries were built before 1900
MC areas: 50% of GP surgeries were built after 1900
Black Report (1980) indicated the gap between the WC and MC
grew between 1949-72
WC women twice as likely to die in childbirth
Unskilled working men twice as likely to die before reaching the
age of 65 as MC professionals
Inverse care law (1970) – In Wales where working miners had
regular, serious medical needs related to their jobs but healthcare
was difficult to access due to the small number of GP surgeries.
However, in London, MC professionals had relatively few medical
needs healthcare was widely available
