So how did we get here? Independent Practitioner Today looks back on the history of the National Health Service in the second of a series adapted from a new book by Dr Ellen Welch.
The NHS was planned as a three-tier service, with the Minister of Health overseeing it at the top, and three tiers which could interact with each other to suit the needs of the patient to include:
Hospitals – Both the municipal and voluntary hospitals were nationalised and organised into 14 regional groups or hospital boards.
Primary care – GPs, dentists, pharmacists and opticians all remained as self-employed professionals, contracted by local executive councils to provide services to the NHS so that the patient did not have to pay directly.
Local authority services – Community services, such as the provision of midwifery and health visiting services, school medical services, ambulance services, immunisation and public health, remained the responsibility of the local authorities.LOGIN OR REGISTER TO READ MORE……………