The NHS was created seventy years ago.
Here is something you may not have heard: an interview with Henry Willink, wartime Secretary of State for Health, in March 1944, about the White Paper that set out his detailed plans for the Service.
For those too young to have watched “Pathe’ News”, it was shown at the cinema in the interval during a film, in the days before people had televisions.
Following this White Paper, the 1945 Conservative Manifesto proposed:
“ The health services of the country will be made available to all citizens. Everyone will contribute to the cost, and no one will be denied the attention, the treatment or the appliances he requires because he cannot afford them.
“ We propose to create a comprehensive health service covering the whole range of medical treatment from the general practitioner to the specialist, and from the hospital to convalescence and rehabilitation; and to introduce legislation for this purpose in the new Parliament.
“ The success of the service will depend on the skill and initiative of doctors, dentists, nurses and other professional people, and in its designing and operation there will be full scope for all the guidance they can give. Wide play must be given to the preferences and enterprise of individuals. Nothing will be done to destroy the close personal relationship between doctor and patient, nor to restrict the patient’s free choice of doctor.
“ The whole service must be so designed that in each area its growth is helped and guided by the influence of a university. Through such a service the medical and allied professions will be enabled to serve the whole nation more effectively than they have yet been able to do. At the same time Medicine will be left free to develop along its own lines, and to achieve preventive as well as curative triumphs. Liberty is an essential condition of scientific progress.
“ The voluntary hospitals which have led the way in the development of hospital technique will remain free. They will play their part in the new service in friendly partnership with local authority hospitals.
“ Motherhood must be our special care. There must be a large increase of maternity beds and convalescent homes, and they must be provided in the right places. Mothers must be relieved of onerous duties which at such times so easily cause lasting injury to their health.
“ The National Insurance Scheme will make financial provision for these needs. All proper arrangements, both voluntary and State-aided, must be made for the care of other young children in the family, in order that the energies of the male breadwinner or the kindness of neighbours and relations, which nevertheless must be the mainspring, should not be unduly burdened.
“ Nursery schools and nurseries such as have grown up during the war should be encouraged. On the birth, the proper feeding and the healthy upbringing of a substantially increased number of childre
n, depends the life of Britain and her enduring glory.”
This model varies very little from what we have today.