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Why do we need health services?

People seem to value health services

There are lots of suggestions about what they are for
The one I like best is by Nye Bevan, though he was an old devil and caused some awful problems
Some of them will come home to roost if the GPs really are put in charge of the NHS (in England)
And an obsession of mine: why do we have hospitals?



What is the NHS for?

The NHS was a spin off of the Beveridge (left) Report, written during the darkest days of World War II, it outlined the whole of the Welfare State, which was brought in at a time of huge austerity, with a vision that leaves us gobsmacked; truly a giant on whose shoulders we crouch, dizzy with the height. Beveridge made a vital point; that health services are meaningless, and can have little impact on health, without education, housing, employment and social security as part of the package. A nice description of the impact of the report in The Five Giants, by Nicholas Timmins

Aneurin Bevan, who brought in the NHS as Health Minister, wrote the book 'In Place of Fear' in the early 1960's.  This appears to have been the central tenet of his belief in the NHS.  Its aim was to remove fear at a number of levels.  The first was fear of death and disease and its effects, that they would be cared for and kept out of pain, the second the fear poor people felt at not being able to afford treatment if they became ill.  A third was the fear that the cost of treatment would bring families near to destitution in order to meet the bills.  This last fear is well understood in the present day in the USA by those who are not adequately covered by health insurance. 

My contention is that the primary function of the NHS is still, over 60 years later, to relieve fear. Curiously one commentator said that my conclusion was cynical, yet what more important function than to relieve fear? There has been some work to suggest that health services have an impact on death and disability rates, but beyond the important job of vaccinating kids. If you are not bored yet, click here for more.

Why do we have hospitals

I spent quite a high proportion of my working life campaigning for the closure of hospitals. As with most of my campaigns (apart from smoking in public places - wey hey! All that getting up at 6am to fight with the Forrest bloke on Radio Wales! I did have one groupie, who heard me, but only one) this one shows no sign of success. I  wrote a book on the subject back in 1995. The dear Australians still have a copy.


 

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The Government have announced that General Practitioners are to be the lead professionals in deciding how the NHS should be run. They are said to know what patients want.... But do they know what they need? Interestingly the government have now retracted from their original plans to some extent, so that hospital doctors and other professionals will be involved in purchasing care. Read more..


Norman Vetter
Cardiff

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Last edited:  09/01/2012          Copyright 2011 -- Norman Vetter