Public Health Flashcards
What was the Healthcare consensus?
- invest in research
- invest in medical training
- organise a national network of hospitals
- play a role in rating healthcare
There were disagreements with the consensus
- the Fabian society advocated a central healthcare system
- 1919 Labour advocates for free healthcare
- BMA advocates for regional healthcare
- govt Commission advocates for local healthcare
- 1926 Commission also advocates for local healthcare
- some wanted to keep current system
Local Government Act 1929
Passed responsibilities for poor law hospitals to local councils
Allowed counties and bougher councils to convert poor law invermaries into public hospitals
Let local places deal with denstray and stuff
Healthcare by 1939
Between 1929-39 healthcare was improving. Infant mortality declined from 14 in every 1000 to 12 every 1,000 . Material mortality rates 50 % higher in low-income arias
What was the National Health Service Act1946?
- healthcare would be universal
- would offer : curative and preventive care , mental and physical care , optic and and GPS
Free at point of delivery
All hospitals were nationalised
Local government would have some powers
What were the compromises for the NHS?
Consultants
The development of the NHS
Macmillan introduced the Hospital plan 1962. It led to:
- creation of 90 new hospitals
- redesign and modernisation of 134 hospitals
- refurbishment of 356 hospitals
NHS Reorganisation Act (1973) which introduced new management
What was the NHS’ impact on healthcare?
Between 1948-79
Life expectancy for men increased from 66 in 48 to 71 in 79 .
Healthcare and class
In working class areas 80%of GP surgery’s were built before 1900 wilst 50% of surgeries in middle class areas were built before 1900.
Middle class arias got £5 per person wilst lower class got £3
What did the 1959 Mental Healthcare Act do?
1957 Mental Health Act.
New terminology: patients called “mentaly ill”
Removed judges from the presses.
Open door policy
