The PioneersThe MilitaryReferences

The National Health Service

Hospitals now became overwhelmed with patients who not only required surgical procedures to save their lives, (this was the case before Anaesthesia). Now people were being promised operations to cure deformities and non life threatening conditions. The surgical workload increased a hundredfold. With this more hospitals appeared more surgeons were trained and the surgeon became respectable, there was not a fear of having to see one.

David Lloyd George (1863-1945)

In 1911 David Lloyd George introduced National Insurance payments for employees and employers, this would be the basis for funding the NHS 37 years later.
With the advent of World War I, mass casualties were returning home from Flanders, the British hospital system under the control of the military became more organized and this was to set the tone for the eventual formation of the National Health Service years later.

The war also forced the government to build more hospitals for the long term wounded with relatively new specialties such as plastic surgery being given prominence within the surgical theatre.

The Dawson Report 1920

Bertram Dawson was a physician at the London Hospital, he was asked to report on the health services by the newly established Ministry of Health.

Dawson was in part inspired by the revolutionary changes in health care in the Soviet Union, where a system of polyclinics, bringing together specialist and other services, and based in local government, had been established by the new government after the October Revolution he suggested Britain might look more closely at how the new Soviet Union was organising its medical facilities.
Dawson’s blueprint was a radical one, and envisaged replacement of the uncoordinated provision of the time by a network of primary and secondary health centres linked to district hospitals and then to regional hospitals.





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