Sunday, December 23, 2007
National Health Service(united kingdom)
The NHS is the world's largest, centralised health service, and the world's third largest employer after the Chinese army and the Indian railways. It was created in the aftermath of World War II, by Clement Attlee's Labour government, based on the proposals of the Beveridge Report, prepared in 1942.[18] The structure of the NHS in England and Wales was established by the National Health Service Act 1946 (1946 Act). The current Labour government has invested billions of new money in the NHS. However, Tony Blair's policy, whilst leaving services free at point of use, was to encourage outsourcing of medical services and support to the private sector. Under the Private Finance Initiative, an increasing number of hospitals have been built (or rebuilt) by private sector consortia; hospitals may have both medical services (such as "surgicentres"),[19] and non-medical services (such as catering) provided under long-term contracts by the private sector. These are more expensive than if the new build was simply funded from the public purse. A study by a consultancy company which works for the Department of Health shows that every £200 million spent on privately financed hospitals will result in the loss of 1000 doctors and nurses. The first PFI hospitals contain some 28 per cent fewer beds than the ones they replaced.[20] Even so there is for the first time complete political consensus on the importance of free public health ca
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