PMID: 8952325Oct 1, 1996Paper

The national health service in the United Kingdom-past, present and future

Nihon eiseigaku zasshi. Japanese journal of hygiene
N Nakanishi, K Tatara

Abstract

Britain's National Health Service (NHS) came into existence in 1948. It was the first comprehensive health system in any Western society to be based on the national provision of services and to offer free medical care to the entire population. The NHS has gone through several developments since, in particular the reorganisations of 1974 and 1982 and the general management overhaul of 1984. Until 1991, however, the NHS kept to the following principles: health service for everyone; sharing of financial costs and free at the point of use; geographical equality; the same high standard of care for everyone; selection on the basis of need for health care; and encouragement of a non-exploitative ethos. Britain's achievement with respect to health care has generally received high praise. Nevertheless, Mrs. Thatcher's government was convinced that the NHS contained a number of serious weakness. This view sprang from the government's belief that, because the NHS did not have a competitive market structure, it lacked an incentive for efficient behaviour. The reforms that were introduced in 1991 were designed to overcome these perceived flaws by creating a limited or internal market in health care, in which multiple providers of services c...Continue Reading

Citations

Apr 16, 1998·The British Journal of Radiology·R Warren
Jun 25, 2015·Journal of Nutrition in Gerontology and Geriatrics·Lauri WrightJames B Epps

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