Topic Two - Creating a Welfare State 1918-1979 Flashcards

1
Q

What is Welfare Provision?

A
  • aid given in the form of money or necessities to those in need
  • usually given to the old, young, sick or poor
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2
Q

What was the welfare state like in 1918?

A
  • cannot be described as a true welfare state
  • a ‘social service state’
  • welfare reforms were far from universal
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3
Q

What is the Poor Law?

A
  • a system of relief for the poor
  • a clear distinction between the ‘deserving’ poor and the ‘underserving’ able-bodied poor
  • workhouses a prominent part of Poor Law
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4
Q

What was the Poor Law replaced with?

A

Eventually replaced with The Welfare State in 1948 - after WW2

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5
Q

How did Housing provision change from the mid-Victorian era?

A

Local and National government had made efforts to improve housing

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6
Q

Why had there been a lot of slum clearance before 1918?

A

there had been concerns that slums promoted crime and disease

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7
Q

What major improvement was made in urban living standards from 1918?

A

the introduction of mains water and sewerage to homes

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8
Q

By how much did the amount of homes in Manchester with flushing toilets change from 1899 to 1914?

A

1899 - 1.4% of houses in Manchester had flushing toilets
1914 - 98% of houses in Manchester had flushing toilets

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9
Q

Why was the 1919 House and Town Planning Act introduced?

A

the government had promised returning soliders a ‘home for heroes’

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10
Q

What was the aim of the 1919 House and Town Planning Act?

A
  • aimed to empower local authorities to use central government funds to meet housing requirements
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11
Q

How did the 1919 House and Town Planning Act fail?

A
  • 600,000 estimated to be needed
  • only 213,000 built before recession hit
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12
Q

What was the longer term impact of the failure of the 1919 House and Town Planning Act?

A
  • ## the housing shortage grew worse as a result of the failure of the Act
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13
Q

What was the estimated shortfall of houses in 1923 because of the failure of the 1919 House and Town Planning Act?

A

shortfall of 822,000 houses in 1923

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14
Q

What acts were introduced to promote house building in Britain in the early 1920s?

A
  • Conservative and Labour Housing Act in 1923 and 1924
  • a further Labour Act in 1930
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15
Q

How did the Conservative and Labour Housing Acts in 1923/24 promote house building?

A

sought to use subsidies to encourage the construction of housing

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16
Q

How many homes were built between 1919 and 1940?

A

4 million - house building had been promoted by the Labour Act in 1930

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17
Q

What were public funds in the 1930’s used to do?

A

relocate people living in overcrowded areas

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18
Q

Where were the majority of public sector homes located?

A
  • large cities
  • e.g. Manchester and Liverpool
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19
Q

At which housing estate was there nearly disaster because of lack of jobs?

A
  • the huge Becontree Estate
  • a Ford factory was built nearby in 1931 and prevented disaster
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20
Q

What did unemployment peak at and when?

A

over 3 million in the early 1930s

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21
Q

What did unemployment never fall below in the interwar years?

A

one million (10%)

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22
Q

When was the self-funding National Insurance Scheme implemented?

A
  • introduced in 1911
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23
Q

Who was not eligible for the National Insurance Scheme?

A

3.5 million troops returning from WW1

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24
Q

What difficult situation developed because of the troops inability to access the National Insurance Scheme?

A
  • it would take time to redesign the scheme
  • those who had fought in the War were left to rely on The Poor Law
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25
Q

What alternative was proposed to the National Insurance Scheme which would include troops?

A
  • the government would hand out dole money
  • dole money was to be paid out of general taxation
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26
Q

Why were the government resistant to handing out dole money?

A
  • feared that this would encourage reliance on the state
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27
Q

What was the short-term solution to the failure of the National Insurance Scheme?

A
  • dole money would be issued under a different name
  • ‘The Out of Work Donation’
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28
Q

When was the ‘Out of Work Donation’ implemented?

A

1918-1920

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29
Q

Altough it was meant to be temporary, what two important precedents did the ‘out of work donation’ set?

A
  • the Goovernment had a duty to support the unemployed
  • Provided more money for dependents
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30
Q

What was the long term solution to the failings of the National Insurance Scheme?

A

Unemployment Insurance Act

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31
Q

What was the Unemployment Insurnace Act?

A

the idea that increasing the number of workers covered by insurance would eventually make the scheme self-funding

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32
Q

When was the Unemployment Insurance Act passed?

A

1920

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33
Q

Why was the Unemployment Insurance Act a failure?

A
  • passed just as the post-war slump began to take ahold of Britain
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34
Q

When and why was the government forced to make extended payments for the Unemployment Insurance Act?

A
  • by 1921
  • they feared a revolution
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35
Q

Why did the government fear a revolution?

A
  • Over 2.4 million workers had taken part in strikes in 1919
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36
Q

When and why was a ‘Seeking work test’ implemented in Britain?

A
  • March 1921
  • to limit the expense of dole payments being paid out and disguised as insurance under the Unemployment Insurance Act
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37
Q

What was the imapct of the ‘Seeking work test’?

A

By March 1930 - 3 million claims had been rejected because of the test

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38
Q

What did The Unemployment Act do?

A

seperated the treatment of ‘insurable’ from long-term unemployment

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39
Q

What was Part I of The Unemployment Act?

A
  • Provided 26 weeks of benefit payments to workers who paid into the scheme
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40
Q

How many workers paid into Part 1 of the Unemployment Act?

A

14.5 million

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41
Q

What was Part II of the Unemployment Act?

A

Created an Unemployment Assistant Board to help people with no insurance benefits

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42
Q

How many people had the Unemployment Assistant Board (UAB) helped by 1937?

A

1 million

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43
Q

Did the government solve unemployment in the inter-war years?

A
  • No - couldn’t stimulate economic growth
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44
Q

What event finally tackled unemployment in Britain?

A
  • Re-armament in the build up to WW2 eventually solved the issue
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45
Q

When were state pensions introduced and by who?

A
  • by the 1908 Pensions Act introduced by Neville Chamberlain (Minister for Health)
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46
Q

Why were State Pensions criticised?

A
  • they were popular with those eligible over 70
  • But they were criticised as they were means tested
  • they did not support the widows and children of the deceased
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47
Q

How did Neville Chamberlain respond to the criticisms of the 1908 Pensions Act?

A

with the 1925 Widows’, Orphans’ and Old Age Contributory Pensions Act

48
Q

What did the 1925 Widows, Orphans and Old Age Contributory Pensions Act introduce?

A
  • 10 shillings per week for those aged 65-70
  • provided for widows and children
49
Q

How was the 1925 Widows’, Orphans and Old Age Contributory Pensions Act funded?

A
  • funded by a compulsory contribution rather than taxation
50
Q

Was the 1925 Widows’, Orphans’ and Old Age Contibutory Pensions Act well received?

A
  • it was initially unpopular with the Labour party
  • they felt as though the compulsory contribution penalised the poor
51
Q

When were self-employed workers allowed to join the pension scheme?

A

1937

52
Q

Were the pensions schemes a success?

A
  • the lack of editing to pension provision suggests that Chamberlain’s Act was successful
  • more likely to suggest the emphasis that inter-war governments placed on the issue of unemployment
53
Q

What was the Family Allowance Act 1945?

A
  • mother’s received 5 shillings a week per child

- less than the Beveridge Report recommended

54
Q

What did the National Insurance Act 1946 do?

A
  • helped pay for pensions

- helped pay for benefits for unemployed

55
Q

What was the Industrial Injuries Act 1946?

A

Additional cover for workplace injuries

56
Q

What was the National Assistance Act 1948?

A

Tried to help the most vulnerable

57
Q

When was the NHS established?

A

1948

58
Q

Explain four challenges to welfare.

A
  • Cost - baby boom, increased life expectancy, higher standard of living, higher minimum wage
  • New Right - dependency created ‘poverty trap’
  • Individualism - less state involvement
  • Over Dependency - ‘scroungers’
59
Q

What types of hospitals were there before the NHS?

A
  • voluntary hospitals (relied on charitable donations)
  • State hospitals emerged from workhouse infirmaries
  • private hospitals
  • best hospitals were teaching hospitals
60
Q

What were hospitals like before the NHS?

A
  • overcrowded and standards varied
  • lack adequate hospital provision
  • healthcare was not a priority so suffered from a lack of funding
61
Q

How many teaching hospitals were there in London before the NHS?

A

only 12

62
Q

What did National Insurance provide?

A
  • free medical care

- 13 weeks sick pay

63
Q

Part 1 of the National Insurance Act covered how many workers by 1937?

A

18 million

64
Q

When was the Ministry of Health established and why did it fail?

A
  • 1919

- lacked the proper authority to radically change the system

65
Q

What was the 1946 National Health Service Act?

A
  • voluntary hospitals nationalised

- centralised system established

66
Q

How did WW2’s coalition government lead to consensus?

A
  • the war forced a coalition government

- Labour Ministers created co-operation of war-time policy

67
Q

How did WW2 prove state intervention worked?

A
  • government forced to borrow and spend lots of money
  • Keynes’ economic views backed up the expansion of the Welfare State
  • Successful state-directed war economy - believed state intervention improved lives
68
Q

How did WW2 create Universalist Collectivist ideas?

A
  • everyone received rations
  • Total War prompted total solutions such as rationing
  • Total evacuation - exposed the extent of poverty
  • Concerned with all people over one particular group
69
Q

How did the Beveridge Report lead to the creation of the NHS?

A
  • Identified The Five Giants (Disease, Idleness, Ignorance, Squalor and Want)
  • The Welfare State created to tackle the Five Giants
  • ‘Disease’ tackled by the creation of the NHS - proposed a centralised, regulated and systematically organised health care system in Britain
70
Q

What were some impacts of the NHS?

A
  • global improvements to healthcare being accessed
  • New vaccinations caused disease rates to fall
  • life expectancy increased - caused an increase in old age diseases such as dementia
71
Q

What were some challenges to the NHS?

A
  • Conservatives placed charges on dentures and spectacles despite Bevan feeling this undermined key principles
  • Cost was spiraling out of control
  • Dependency on the NHS grew
  • ‘Dandruff syndrome’
  • Treatment becoming more expensive - e.g. CT Scanners and Kidney Transplants
72
Q

By 1970 what was the cost of the NHS?

A

4.8% of GNP

73
Q

What was the 1918 Fisher Education Act?

A
  • increased leaving age to 14
  • provided nurseries
  • scrapped fees for elementary education
74
Q

Why was the 1918 Fisher Education Act limited?

A

suffered from a lack of funding

75
Q

What was the 1926 Hadow Report?

A
  • suggested Grammar schools, Technical Modern schools and Modern schools under the Tripartite system
76
Q

Why was Education provision from 1918-1943 limited?

A
  • reforms were opposed by the House of Lords who feared the growing cost of education
  • school leaving age was not enforced until 1944
  • children often found employment and left education in early teens
77
Q

What was the Butler Education Act 1944?

A
  • Tripartite System
  • 11+ exam
  • Still left a gender and class gap
78
Q

What was the Crosland Circular 1965?

A
  • by 1954 some LEAs had already rejected the Tripartite System
  • Labour Education Secretary Anthony Crosland released the Circular 10/65
  • Called for LEAs to abandon the Tripartite system
79
Q

By 1964 how many students attended comprehensive school?

A

10% of pupils

80
Q

How did education progress between 1956 - 1979?

A
  • Trendy Teachers
  • Schools and teachers saw increased freedom
  • Progressive reforms
  • concerns around discipline - London had overcrowding
81
Q

What was University Education like before the 1963 Robbins Report?

A
  • students paid for education without support
  • student numbers fell before WW2 - boosted post WW2
  • More Universities introduced such as Reading University
  • Still class and gender gap
82
Q

What was University Education like after the 1963 Robbins Report?

A
  • Optimism for baby boom generation
  • Concern surrounding funding
  • large increase in state funding
  • Universities increased from 22 - 46
  • Open University
  • Boom in University Education
83
Q

Healthcare

How did healthcare emerge in the 19th Century?

A

as a hybride of state and private provision

84
Q

Healthcare

What agencies provided state healthcare before the NHS?

A
  • the Poor Law
  • public health authorities
  • education authorities
85
Q

Healthcare

What did The Labour Party call for pre-WW1 that was unsuccessful until after WW2?

A
  • a nationally organised healthcare system
  • vested interests in the state and private sector meant it did not happen
86
Q

Healthcare

Why was WW1 important in the development of a healthcare system in Britain?

A

WW1 exposed the inadequacies of healthcare which spurred further action

87
Q

Healthcare

What percentage of Britain’s health insurance did big insurance companies manage before the NHS?

A

75%

88
Q

Healthcare

What did Friendly Societies handle pre-NHS?

A
  • they were small
  • managed the remaining health insurance not dealt with by big insurance companies
89
Q

Healthcare

Why was the 1911 National Insurance Act limited?

A

only insured workers - not wives, widows or children

90
Q

Healthcare

What was provided by Local authorities pre-NHS?

A

a range of primary care services

91
Q

Healthcare

Why were GPs largely inaccessible to the working class pre-NHS?

A

patients had to pay for any care provided by GPs

92
Q

Healthcare

What were the best form of hospitals pre-NHS?

A

teaching hospitals

93
Q

Healthcare

Why did many voluntary hospitals struggle pre-NHS?

A

they struggled with the increasing cost of medical advancements

94
Q

Healthcare

Why was hospital provision inaqequate pre-NHS?

A

governments didn’t see health as a priority so hospitals suffered a lack of funding

95
Q

Healthcare

What is an example of a national system that was established in preparation for WW2?

A
  • a national system of blood transfusion depots
  • established in 1938
96
Q

Healthcare

What was the most significant organisation set up by national funding in the build up to WW2?

A
  • Emergency Medical Service
  • Set up in 1939
  • Used to treat military personnel
  • As war progressed a wider range of civilian injuries were treated
97
Q

Healthcare

What are two examples of advanced treament that became available during WW2?

A
  • plastic surgery
  • fixing broken bones
98
Q

Healthcare

What did Beveridge want the NHS to provide?

A

preventative rather than just curative medicine

99
Q

Healthcare

Who was the Minister of Health under Atlee?

A

Nye Bevan

100
Q

Healthcare

How was the NHS intended to be funded?

A

through taxation rather than insurance

101
Q

Healthcare

What act introduced a centrally controlled system of healthcare?

A

1946 National Health Service Act

102
Q

Healthcare

What percentage of the British Medical Association voted against working for the NHS?

A

in February 1948, 90% of the British Medical Association voted against working for the NHS

103
Q

Healthcare

By July 1948, how many of doctors joined the NHS?

A

90% of doctors
- 18,000

104
Q

Healthcare

How did Bevan state he won the favour of the doctors?

A
  • He had to ‘stuff their mouths with gold’
  • doctors had wanted to maibtain control of their careers and independence
  • most doctors were concerned about losing their income
105
Q

Healthcare

List some examples of imapcts of the NHS.

A
  • TB deaths fell from 25,000 to 5,000 a year
  • 90% drop in cases of whooping cough by 1970
  • Improved midwifery = maternal death in childbirth fell from 1 per 1,000 births in 1949 to 0.18 per 1,000 births in 1970
  • Life expectancy increased: men = 66 in 1950 to 71 in 1979 , women = 70 in 1950 to 75 in 1979
106
Q

Healthcare

What was the impact of increased life expectancy on the NHS?

A

more illnesses came with more old age - increased strain on NHS

107
Q

Which diseases saw an increase because of increased old age?

A
  • heart disease
  • cancer
  • arthritis: affected 200,000 men and 700,000 women in 1970
108
Q

Healthcare

By 1970, how much did the NHS cost?

A

4.8% of GNP

109
Q

Healthcare

What were some reasons for the growing cost of the NHS?

A
  • Advances in science meant more treatments were available
  • Higher public expectations led to people depending on the NHS
  • Backlog of cases
  • More staff meant higher costs
110
Q

Healthcare

How did the government try to tackle the growing cost of the NHS by 1951?

A
  • 1951 - introduced charges for dentures and spectacles
  • Bevan felt this undermined his key principles for the NHS and resigned
  • From 1951 there was arguements between parties on how to effectively manage the NHS
111
Q

Healthcare

What were some medical advancements made in the 60s and 70s?

A
  • kidney transplant
  • CT scanners
  • Hip replacement
  • The Pill and Abortion Act
  • led to increased costs for the NHS
  • increased pressure placed on the NHS as the years progressed
112
Q

Education

At what age did most students leave school before 1918?

A

11

113
Q

Education

Why did reformists think education before 1918 was unfair?

A
  • working class and girls were not given an equal chance in education
  • university was only for the privileged few
114
Q

Education

What was established under the 1944 Butler Education Act?

A

a Ministry of Education

115
Q

How did the 1944 Butler Education Act reinforce the gender and class divide in education?

A
  • gender gap: a gender gap existed in all schools (even primary), girls at grammar schools were encouraged to focus on the arts, gender differences in education reflected the expected career paths for different genders
  • class divide: certain students could afford to pay for tutors to ensure they passed the 11+ exam, made them able to attend grammar school and eventually progress to university