Creation and development of the NHS Flashcards
1
Q
What were both Labour and the Conservatives committed to in the 1945 election?
A
A national health service
2
Q
Who was Minister for Health under Attlee?
A
Aneurin Bevin
3
Q
When was the National Health Service Act?
A
1946
4
Q
What principles did the National Health Service Act lay out for the NHS to follow?
A
- Healthcare would be universal, available to all
- Healthcare would be comprehensive
- Healthcare would be free - NHS would be paid for by direct taxation.
5
Q
In order for the NHS to exist, how did Bevan create a nationalised but regional system?
A
- All existing hospitals were nationalised: local authority, voluntary and private hospitals were merged.
- NHS hospitals would be run by regional hospital boards managed by executive committees.
6
Q
What issues did Bevan face in nationalising healthcare?
A
- Compromises with doctors
- Inherited the existing infrastructure, which was distributed unevenly throughout the country.
7
Q
What type of system was the NHS initially?
A
- Tripartite system (3 tiers: hospital services, primary care and community services)
- Crucially this system did not lead to equal provision.
8
Q
When was Macmillan’s hospital plan?
A
1962
9
Q
What was the 1962 Hospital Plan?
A
- Creation of 90 new hospitals
- Modernisation of 134 hospitals
- Refurbishment of 356 hospitals
10
Q
When was the NHS Reorganisation Act?
A
1973
11
Q
What did the NHS Reorganisation Act 1973 do?
A
- Introduced a new management structure to the NHS
- Led to significant growth in management costs 1974-1979
12
Q
What was the Resource Allocation Working Party?
A
Under Wilson/Callaghan
- Identified areas of health deprivation, allocating extra resources to reflect the need of different communities.
13
Q
What % of the GDP was spent on the NHS by 1979?
A
5%
