The Five Giant Evils And Their Impact On The Development Of The National Health Service

In 1928, a national health insurance scheme was proposed but not implemented because it would have required businesses to provide contributions to health insurance for their employees (Evolution of Government Involvement in Health Care, n.d). Another national health insurance scheme was proposed in 1938 but it was also rejected (Evolution of Government Involvement in Health Care, n.d; Hilless & Healy, 2001). The next proposal was the 1945 Pharmaceuticals Benefits Act. This Act was not implemented because the Australian Medical Association challenged it in the High Court of Australia and it was decided that parliament had “exceeded its constitutional power” (Hilless & Healy, 2001). In 1946, under the Hospital Benefits Act, the Commonwealth began to subsidise public hospitals under the condition that patients would not be charged (Evolution of Government Involvement in Health Care, n.d; Hilless & Healy, 2001). This act is similar to the current Medicare system.

This assignment will be describing the structures of health and social care within the British Welfare state. This includes looking at the roles of different sectors, agencies, professions and the distinction between health and social care. It will then analyse the relationships between both health and social care and its wider historical, ideological and social context. Lastly, it will compare structures and contexts of health and social care within two nations of the United Kingdom.

It also proposed a national health service that would be free of charge and available to all. In 1948 Aneurin Bevan launched the NHS “The NHS was created out of the ideal that good healthcare should be available to all, regardless of wealth.” (nhs.uk). The core principles of the NHS were that it should meet the needs of everyone, be free at the point of delivery and be based on the need for treatment rather than the ability to pay. The NHS provided a completely free service until 1951 when fees for prescriptions, dental treatments and eye treatments were introduced, today the service still remains free to use and the fees for such things are something that can be squashed if you are above or below a certain age or in receipt of a particular benefit. Becoming a welfare state meant that there was now a minimum standard of living that each person in Britain should not fall below with benefits being issued for unemployment, sickness, retirement and maternity on the basis that everyone contributes to

Since 1979 the conservative party has undergone significant changes from the traditional conservative party which focused on ideas about human nature, order and pragmatism, first with new right conservatism under Thatcher then with the current conservative party. The current conservative party however, can be seen to still be committed to its traditional conservative principles such as Euro-scepticism and that they remain largely traditionalist. However there are many ways in which the conservative party has changed such as taxation, education and the welfare state.

The NHS came around in July 5, 1948. The Health Minister Aneurin (also known as Nye) Bevan purely nationalised the existing system across the UK. The groundbreaking change was to make all services freely available to everyone. Half of Scotland’s landmass was already covered by a state-funded health system serving the entire community and directly run from Edinburgh. Additionally, the war years had seen a state-funded hospital building programme in Scotland on a scale unknown in Europe. This was combined into the new NHS. Scotland also had its own individual medical tradition, this is centred on its medical schools rather than private practice. The legislation that empowered the UK to have the NHS is National Health Service Act (1948), this despite opposition from doctors, who maintained on the right to continue treating some patients privately. The NHS ensured that Doctors, hospital, dentists, opticians, ambulances, midwives and health visitors were available, free to everybody. This Reason why we have health services is because it developments a view that health care was a right, not something given unreliably by charity, also two-party’s agreement that the existing services were in a mess and had to be sorted out, it stopped financial difficulties for the voluntary hospitals and After the second world war it ensured the creation of an emergency medical service as part of the war effort

By examining both the United States health care system and the British health care system, it will provide insight of which elements of each system are beneficiary and which elements of each system are disadvantages. Therefore, this paper will provide an overview of the pros and cons of each system to decide where improvements need to be made.

P2: Describe the Origins of Public Health Policy in the UK from the 19th Century to the Present Day.

This essay will examine how the development of the Welfare State and the NHS changed the lives of the people of Britain since its introduction in 1948. To enable me to do so, I will analyse and evaluate the key relevant aspects that happened during that period.

America spends an annual amount of 131.9 billion dollars on welfare alone (Department of Commerce). So many facts about welfare are overwhelming, such that over 12,800,000 Americans are on the welfare system. The entire social welfare system is in desperate need of a complete reform. In order for a proper reform to ensue, the people of America must combine efforts with the U.S. government to revitalize the current welfare system. This reform would involve answering two important questions. First, how has today’s welfare system strayed from its original state and secondly, how is the system abused by welfare holders in today’s economy?

In conclusion the Welfare State was created on the principle that the state accepted a responsibility to protect and promote the welfare of all citizens. It must be noted that the system was designed to provide a national minimum, not reduce inequalities. I have looked in detail at all aspects to combat the “five giants “and the popular support when the Beveridge report was introduced. I have also looked at flaws in the system, however the cornerstone of the Beveridgian welfare system, was left almost untouched until the 1980’s.

The coalition government of Labour and Conservative parties announced on June 10th 1941, the creation of inter-departmental committee which was mandated to carry out a survey of the social insurance and allied services in Britain. The main aim or reference of the inter-departmental committee was to ascertain the inter-relationship of the existing social schemes and make recommendations on how to improved them to better serve the community in order to effectively rebuilt Britain after the second world war.

Later, findings from a series of reports including report from Royal commission on National Health Insurance in 1926; The Sankey Commission on Voluntary Hospitals in 1937; and reports from British Medical Association (BMA) in 1930 and 1938, all collectively indicated that inadequacy existed in the pattern of the services (Christopher, 2004; Webster, 2002). Evident were reports of conflicting care and duplication of work between the municipal and voluntary hospitals (Wheeler & Grice, 2000). Additionally, world war had a huge impact on the health services and the conditions in which hospitals, theatres, radiology and pathology department operated was very poor. Thus, no machinery existed that supported running of a coordinated healthcare system, hence a need for unified, simplified and cohesive system was felt (Smith, 2007). Furthermore, Royal Commission’s report suggested that funding for the health services might benefit from general taxation rather than its basis on insurance principle (Christopher, 2004). However, it was not until the Beveridge report in 1942, which provided a huge drive and momentum for a movement of change in the health services. And within subsequent years seen were the proposals for NHS drawn through the White Paper in 1944, then in 1946 the National Health Service Act and at last in 1948 the establishment of the NHS

United States Government Welfare began in the 1930’s during the Great Depression. Franklin D. Roosevelt thought of this system as an aid for low-income families whose men were off to war, or injured while at war. The welfare system proved to be beneficial early on by giving families temporary aid, just enough to help them accommodate their family’s needs. Fast forward almost 90 years, and it has become apparent that this one once helpful system, has become flawed. Welfare itself and the ideologies it stands on, contains decent fundamentals; furthermore, this system of aid needs only to be reformed to better meet the needs of today’s society.

The National Health System began in 1948 with the aim to provide free health care for the English thus removing health access inequities. This essay considers two strengths of the NHS, being free health and locally responsive health care and two weaknesses being the financial burden and unprecedented pressure on health care resources.

The history of welfare reform reveals that the question of personal responsibility versus assistance to those in need has been a constant in the debate over welfare. In the 1950s and 1960s, welfare reform was limited to various states' attempts to impose residency requirements on welfare applicants and remove illegitimate children from the welfare rolls. During the 1970s advocates of welfare reform promoted the theory of