NHS turns 70: how it began
A celebration of the largest publicly funded health service in the world
Exactly 70 years ago this week, the National Health Service was launched by then-health secretary Aneurin Bevan at Park Hospital in Manchester.
“For the first time, hospitals, doctors, nurses, pharmacists, opticians and dentists were brought together under one umbrella to provide services for free at the point of delivery,” the NHS website says.
Today, workers from the NHS are celebrating the founding of the service and its rise to become the largest publicly funded health service in the world. More than a million patients are now dealt with by the NHS every 36 hours, according to latest statistics.
Subscribe to The Week
Escape your echo chamber. Get the facts behind the news, plus analysis from multiple perspectives.
Sign up for The Week's Free Newsletters
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
The service has become part of the fabric of British life and is regularly named as one of the things that make people feel proud to be British.
So how did the NHS come to be?
Second World War
In 1942, Sir William Beveridge, a prominent government economist, was commissioned to write a report on how Britain should rebuild when the Second World War ended. The Beveridge Report, officially entitled Social Insurance and Allied Services, was published in November 1942.
In it, Beveridge identified society’s five “Great Evils”, which he deemed to be “want, disease, ignorance, squalor and idleness”. To counter these, he proposed a “revolutionary form of government organisation, with an ambitious system of social security designed to set new standards for citizen welfare, a system we now call the welfare state”, the BBC says.
A key component of this report was a national health service that was free at the point of access and paid for by taxation.
Remarkably, the report was seen as such a powerful piece of propaganda that British airmen dropped copies of it - translated into 22 languages - all over German-occupied Europe during the War. Two copies of it were found in Hitler’s bunker, The Times reports.
Labour’s shock victory
In the final stages of the War, in 1945, Labour pulled off a shock election victory that saw Winston Churchill replaced as prime minister by Labour leader Clement Attlee.
The party’s manifesto had been directly based on the Beveridge Report, promising a vast welfare state.
The new minister for health, Bevan, who had been a miner in Wales and a fervent trade unionist in the past, was tasked with leading its creation.
“Many groups, including charities, churches and local authorities, didn’t want the government taking control of hospitals,” according to the The National Archives website. But “compromises were worked out” with senior consultants and dentists that allowed them to continue to work privately, much to the ire of Bevan, the site adds.
Launch
Following years of drafting, the National Health Service Act (1946) came into effect on 5 July 1948, creating the National Health Service in England and Wales. Scotland and Northern Ireland would create similar systems soon after.
The service was based on three core principles: that it meet the needs of everyone, was free at the point of delivery, and was based on clinical need, not ability to pay.
For the first few years, prescriptions were handed out for free, until a one shilling charge was introduced on 1 June 1952. Save for a brief period between 1965 and 1968, when they were free, prescriptions have remained available at a small charge ever since.
Sign up for Today's Best Articles in your inbox
A free daily email with the biggest news stories of the day – and the best features from TheWeek.com
-
Two ancient cities have been discovered along the Silk Road
Under the radar The discovery changed what was known about the old trade route
By Devika Rao, The Week US Published
-
'People shouldn't have to share the road with impaired drivers'
Instant Opinion Opinion, comment and editorials of the day
By Justin Klawans, The Week US Published
-
Is academic freedom in peril?
Today's Big Question Faculty punishments are on the rise
By Joel Mathis, The Week US Published
-
A 'transformative' gene therapy for haemophilia B
The Explainer Costly treatment that could be 'truly life-changing' for patients with rare blood disorder gets funding boost
By Julia O'Driscoll, The Week UK Published
-
Infected blood scandal: will justice be served?
Today's Big Question Government apologises for 'decades-long moral failure' and promises £10bn compensation but true accountability may take far longer
By Harriet Marsden, The Week UK Published
-
Immunotherapy and hay fever
The Explainer Research shows that the treatment could provide significant relief from symptoms for many hay fever sufferers
By Richard Windsor, The Week UK Published
-
The pros and cons of universal health care
Pros and Cons A medical system that serves everyone comes with its own costs, and they're not only financial
By Rebecca Messina, The Week UK Last updated
-
Martha's Rule: patients given right to urgent second opinion
The Explainer Hospitals in England will launch new scheme that will allow access to a rapid treatment review
By Richard Windsor, The Week UK Published
-
The contaminated blood scandal
The Explainer Widely regarded as the worst treatment disaster in the history of the NHS, the public inquiry is due to publish its report in May
By The Week UK Published
-
Can Britain's dental crisis be fixed?
The Explainer New proposals include more money for dentists working in under-served areas
By Richard Windsor, The Week UK Published
-
Babylon Health: the failed AI wonder app that 'dazzled' politicians
The Explainer Demise of UK tech start-up is a cautionary tale for politicians seeking quick fixes to complicated problems
By The Week UK Last updated