In the beginning of this assignment I would like to mention a history of
health care in Great Britain.
The first plan for the creation of state health care in Great Britain was
created in 1942 in connection with the project of the new social security
system of Lord William Beveridge. The element which, according to Beveridge,
influenced the success of social security reforms, was the introduction of
universal, free medical and rehabilitation care. In the end, the social
security plan was passed by the parliament in 1943, and in 1948 the National
Health Service (NHS) system entered into force.
The NHS system was based on the following principles (currently also
current), namely: separation of payment of sickness benefits from treatment, universality
and a wide range of free medical services for all residents regardless of their
income and health status, financing health care from public sources (taxes),
which means introducing the so-called supply (budget) as opposed to the
contribution system of financing, equal access to health services, introduction
of the three-level NHS administration system.
The National Health Service has not undergone any major changes to the
present day, and the major adjustments made over the years have concerned
organizational issues, reallocation of resources and the scope and amount of
additional payments for benefits provided by patients. Thus, the original
intention of the free of all benefits was withdrawn.
The sources of public health financing are general taxes, subsidies from
the National Insurance Fund for the NHS , patient fees and various charges (eg
for the stay of private patients in NHS hospitals).
A formula for general medical practice was introduced as part of the reform
of the health care system undertaken by the government of Margaret Thatcher.
The basic assumption of the reform at that time was the introduction of
internal competition (the so-called internal market) within the NHS. Local
health authorities have become an active element of the system. Local
administration could freely purchase hospital services in various hospitals,
managed by themselves, in hospitals in another area, in autonomous hospital
foundations, and in private hospitals – taking into account the quality of
health services and the price proposed by the providers. in principle, this was
to force competition between hospitals and improve the quality of health
services, and in the future lead to a departure from the budgets of global
hospitals in order to contract the number and type of services or to pay for a
Since the implementation of this reform, general practitioners have been
paid according to a dual system: traditionally concluded contracts and under
the so-called global budgets (annual). From these budgets, the doctors
purchased the necessary hospital services for their patients, external
consultations, and some surgical procedures. These doctors were also obliged to
respect the global amount allocated to prescribed medicines. Global budgets
were allocated by regional health authorities and traditional contracts
contained local NHS authorities. This dual system functioned in the 90s and has
been preserved to this day. However, with Prime Minister Tom Blaire’s coming to
power, the reform of the reform conducted during the reign of Margaret Thatcher
The basic document in the case (The new NHS. Modern. Dependable) presented
the Secretary of State for Health in December 1997 to the British Parliament.
The document clearly defined the need for further strengthening of the PHC,
especially general practice, within the framework of the NHS structures.
Currently, the structures of the British national health service are again
subject to major organizational changes. These changes are related to the
seizure of power in 1997 by the Labor Party.
The legal basis for the introduced changes was given by the Tha Health Act
1999, which was signed by the queen on 30 June. The changes introduced by this
act concern both organizational structures and the division of competences at
all levels of the health administration.
that time, the Doctors take industrial action for the first time in nearly 40
years. The British Medical Association (BMA) has decided to make significant
changes to the NHS pension system.
coalition government publishes the White Book of Care and Support along with
the draft Act on Care and Support and a “progress report” on
financing, all of which outline the government’s vision of reforming care and
support for adults.
the Health and Social Care Act 2012, the Government publishes goals and
expectations for health care in the first mandate of the NHS Commission.
White Paper ‘Sustainable social services for Wales: a framework for action’,
published in 2011, highlights a number of challenges for public services in
included demographic changes, increased expectations of people using care and
support, and a persistent difficult economic situation.
Act is aimed at solving these problems, and thus will provide more freedom to
decide what services they need, supporting consistent high-quality services
across the country.
will change the way social services are delivered, promoting people’s
independence to provide them with stronger voice and control.
Act, introduced by Gwenda Thomas, Deputy Minister for Social Services. The
Business Committee has submitted a bill to the Health and Social Care
bill will reform and integrate the law of social services for people and will
Improvement of well-being for people who need care and support and carers who
Coordination and partnership on the part of public authorities to improve
Complaints and statements regarding social welfare and palliative care;
The social welfare functions of local authorities and Welsh ministers intervene
in the municipalities’ performance of social functions; and related goals.
Bill became an act to Follow the progress of the Social Services and Welfare
Act (in Wales) since it was presented to the National Assembly on January 28,
2013, When it became an Act after receiving the Royal consent on May 1, 2014.
June 30, 2015, the Minister of Health and Human Services Mark Drakeford issued
a written statement stating how the Act meets the needs of children and youth
– responsibility of local authorities
for taking care of children under the Act.