The National Health Service has seen many political and financial changes since it began. The advance in medicine since the 19th century impacted the Britain significantly. The health of the nation has improved dramatically since the NHS formed. The timeline of events leading up to its formation are crucial. The health services in the 19th century consisted of self-employed doctors who were for the rich and charitable volunteers for the poor. Local authority hospitals catered for specific illnesses and health issues only, these included maternity and mental illness. The lack of control over housing allowed slums to be built, the poverty in these conditions led to malnutrition. Cholera and Typhoid epidemics bred quickly in the slums and it …show more content…
The production of the first contraceptive pills in 1951, another crucial discovery was the structure of DNA by 1953. In 1954 the first kidney transplant was a success followed by the first successful heart transplant in 1967. In 1978 First test-tube baby is born, followed by the identification of AIDS in 1983. More medical advances were made in the following years. Throughout the time of the NHS the vaccines for Polio, Measles, Mumps, Rubella and Chicken pox, Meningitis and Hepatitis A and B have been discovered. In 1998 the NHS direct is established, a breakthrough ifor the efficiency of the NHS,NHS Direct is a health line open 24/7 for health queries and advice. …show more content…
In 2012 The British Medical Association (BMA) made the decision to strike over major changes to the NHS pension scheme and the re-formation of the NHS structure without any discussion with the BMA first. Also in 2012 The Health and Social Care Act 2012 was introduced by the coalition government. It brought substantial changes to the way the NHS is organised, while work is also underway to improve the quality of social care and reform its funding. Robert Francis, chair of the Mid Staffordshire NHS Foundation Trust Public Inquiry presented his final report to the Secretary of State for Health. It pointed out the errors with the current NHS and the falling standards of nursing and healthcare. From 2005 to 2009 Francis collected evidence about a large amount of preventable deaths of patients while waiting for treatment in Staffordshire hospital. He published his final report in February 2013. The Government published their response later on in the year. The full reaction focused powerfully on new legislation and direction to hospital trusts and their employees, planning to make the NHS more open, accountable and focused on safety and
The NHS Operating Framework introduced by the coalition government sets out the planning and financial requirements for RUHB in 2012/13 and the basis of their accountability (DH, 2012). As a result, the 2013 certified that funding for health in England be frozen for up 2015/16 thereby requiring RUBH to underspend allocated funding from the government such as putting a 1% cap on pay award. Socially, this will include factors such as behavior of staff and service users, partnership working, quality of care, etc. These factors can drive change in diverse ways in the RUHB. For example, the NICE Guidelines on Behavior Change make recommendations on individual level behavior interventions that is aimed at changing the behavior that can be dangerous to the health of staff and service users such as smoking, alcohol abuse, lack of physical activity, safe sex, etc. (NICE, 2014). Technologically, the introduction of information communication technology has resulted in faster communication, appropriate storing and sharing of information and records of service users between health and social care professionals. As a result of the CQC inspection, the RUHB revises their health records management policy to more accurately reflect where information about service user such as fluid intake and output in each ward should be recorded (CQC Report, 2013)
described as the worst care that the NHS has seen for many years, and became an issue of public concern when it was
The similarities between the 19th, 20th and 21st Century was that famous personalities mentioned above aimed at improving the health of the populace over time. They all carried out numerous investigations and research to bring about positive results. In the 21st, there was the Health Protection Agency, an independent organisation that focuses on protecting individuals’ health throughout the UK. There is also the National Institute for Clinical Excellency also an independent organisation; their responsibility is to provide national guidance and treatment of ill-health which has improved the living standard, condition and a huge improvement of health in the wider UK population.
Reports have shown that the NHS is starting to fail, ranking a shameful 28th out of 30 healthcare systems in Europe in 2015 . Furthermore, in early 2017 it was reported that ‘Hospital doctors warned Theresa May that the NHS “will fail”…unless she provides an emergency cash injection.’
After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis
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
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.
The secretary of Health, Andrew Lansley in July 2010 published his plans for NHS reform in the White Paper including Equity and Excellence: liberating the NHS. In January 2011, when the Act was published in the draft form, it came to face considerable criticism. Then, later on in spring time, the Bill was temporarily paused and put on ‘listening exercise’, led by a panel of experts in the NHS Future Forum headed by Professor Steve Field to review the proposal and for recommendations. The government evaluated its 63 years history of services and analysed it was the biggest shift in power and accountability it had ever seen. After substantial revision, it was returned to the House of Commons where considerable changes were made following the NHS ‘listening exercise’, the Lords emphasised an
This essay will inform you on how health status in Britain has changed, or not changed since the 19th century and how it has developed throughout the years. It will evaluate the differences on three key factors. It will include social developments on the changes in attitudes towards children, political development’s on factory acts and health and safety legislation and lastly scientific developments on surgery and anaesthesia.
The National Health Service (NHS) was planned as a three-tier structure. With the Minister of Health at the top and below were the three tiers designed to interact with each other to suit the needs of the patient. These tiers were voluntary and municipal hospitals supervised by Regional hospital boards, family doctors, dentists, opticians and pharmacists who were self-employed professionals contracted to the NHS to provide services so that patients did not pay directly and local health authorities like community clinics that provided services such as immunisations, maternity care and school medical services controlled by a local authority Medical Health. The NHS in England is undergoing some big changes, most of which took effect on April 1 2013. This included the abolition of primary care trusts (PCTs) and strategic health authorities (SHAs), and the introduction of clinical commissioning groups (CCGs) and Health watch England.
In 2000, an effort was made by the UK government to resolve certain inequalities that had developed within the NHS by releasing the “NHS Plan of 2000.” This plan greatly increased spending on employee pay, infrastructure, and access to services. Despite almost doubling spending in a ten year period,
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
The (NHS) the National Health Service in uk was launched in 1948. (History of the NHS time line 2014). The idea was that good health care should be available to all regardless of wealth.
There are many strengths and weaknesses associated with the United Kingdoms (UK) National Health Service (NHS) as a health care system. The aim of this essay is to analyse what these may be and link the findings to how well they compare to other healthcare systems of developed countries. There are many pros and cons of the NHS which shall be further examined such as its aim to breakdown healthcare inequalities in the UK and costs for patients as well as how resources are used within the system. Using statistics of past surveys, the NHS can be compared to other healthcare systems of developed countries such as the United States, Germany and Canada, all of which shall be reviewed in this essay.
patients believed that the NHS should be manged more like a private sector. While most