Healthcare (1945-79)

Creation of NHS

Bevan argued he got doctors by stuffing their mouths with gold

5 July 1948 90% of Doctors joined the NHS - 1 month before launch

Bevan granted doctors a fee for each patient on their books rather then paying a direct salary

Feb 1948 - 90% of the BMA voted against working within the NHS as it undermined their clinical independence

1946 National Health Service Act established a more coordinated centralised system

Impact of NHS

300 inadequate cottage hospitals were closed down with new centres of excellence were founded

Heart disease and cancer increased throughout the 1950s

Maternal death fell from one per 1000 births in 1949 to 0.18 in 1970

Arthritis continued to be the largest health problem affecting 200,000 men and 700,000 women

Developments of a MMR vaccine was developed by 1971 - offered free of charge in 1988

There was a 90% drop in cases of whooping cough by 1970 and syphilis was almost eradicated by the early 1990s

In the first 10 years, a new antibiotic drug was developed which caused the number of deaths of tuberculosis to fall from 25,000 a year to 5,000

NHS allowed Britons to take advantage of global improvements in combating disease through research

Expense of NHS

Medical advances in the 1960s and 1970s

Division of healthcare between GPs and public health authority made the cost-effective coordination of healthcare difficult to achieve

Number of staff increased - doubled from 5000,000 to 1m between 1948 -79

Higher public expenditures and demand for healthcare - people took up valuable time and resources with complaints of things like dandruff

1948 there was 1 antibiotic, by 1968 there were 3

NHS cost 4.1% of GNP in 1950 -14% by 1990

Only 6 took place between 1968-78 but the procedure became much safer in the 1980s after advances

CT scanner was invented in 1972 and became standard equipment in hospitals

Heart transplant in 1969

First hip replacement was carried out in 1962

Between 1962 and 1969 the number of women using it increased from 100,000 to 1m

NHS introduced contraceptive pill in 1961 which suppressed fertility in women

First kidney transplant took place in 1960