THEME 2 - creating a welfare state -1918-45 government action/health policies + impact

Question 1

what was healthcare like in 1918

Answer 1

1911 - liberwals introduced compulsary health insurance for those earning small amount - only applied to wage earners
Victorian poor law provided some hospital care
Palliative care
Wounded from WW1 needed care - increased opinion that aid required from gov

Question 2

1919-29 what was the ministry of health’s purpose

Answer 2

• cordinate helath at regional level
• administer funds raised by national insurance health scheme

Question 3

1919-29 what was the tuberculosis act 1921 and what was its impact

Answer 3

• result of number 1 deadly disease - WHY
• made provision of TB sanatoria by local authorities mandatory - WHAT
• TB cases decreased each year between 1920-1938 - IMPACT

Question 4

1919-29 what was the local gov act 1929 and what was its impact

Answer 4

• allowed councils to convert poor law infirmaries into public hospitals - WHAT
• gave local authorities responsibility for more areas of health - WHAT
  -re-organisation if healthcare on a regional basis, it enabled local authorities to provide medical services to the entire pop of an area - IMPACT

Question 5

The depression years - 1929-35 - what was the situation with health
how many people insured against illness in 1929?
what was there a consensus over?
what did uninsured people rely on?

Answer 5

• 50%
  -Current failing provision of health, still favored regional rather than national service
  -private healthcare

Question 6

1939-39
facts about health - maternal mortality rates and life expectancy

Answer 6

maternal mortality rates 50% higher in low income groups than middle class
middle class men lived 12 years longer than working class and middle class women 19 years longer than working class women

Question 7

health during ww2 - 1939-45
what was the white paper 1944?
what aided the creation of a national system for health?

Answer 7

a new national system for health paid for by general taxation (foundation for NHS)
- air raid threat 1930’s lead to 1939 emergency medical act which meant the gov dictated hospital activities which lead to the creation of a national system AS WELL AS a change of attitude in the medical profession