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NHS Reform

The National Health Service had to be introduced by Aneurin Bevan, who was the newly appointed for Health Minister. The NHS plan of Bevan was based on the Tredegar Medical Aid Society. About the system and working mechanisms of this society, Bevan knew, because it was established in his birth place. He was first a member, and after that (in the late 1920s), became a chairperson of the Management Committee of the Cottage Hospital.

Initially, the action of the doctors were strictly opposing to the new reform measures. Therefore, they organized themselves, and tried to take it down, by fighting it. Then, Bevan had the hard task, to get them onside. The reason was simple- if there weren’t any doctors, there would not be any health services too.

However Bevan was also a very shrewd political operator. Therefore, he decided to divide and cajole the opposition, as also to offer the consultants better financial structure with lucrative payments. This was his method to publish the health care reform, and he succeeded, if we have in mind, that this reform was really radical. After that, he said that he has literally ‘stuffed’ the mouths of the doctors with gold.

However there was something unexpected that happened later. In 1948, On July 5, in Manchester, at the Park Hospital- the National Health Service was ‘unveiled’ by Bevan. He said that the NHS has the world’s moral leadership.

The Citadel- the main source of ideas for the Reform in the NHS services.

The Citadel was published in 1937. This was a novel, with highly controversial character. In it the author Dr. A. J. Cronin, had described and formed his vision about the health care’s severe inadequacies. The most of the extensive dialogues about the topic, were fomented by this novel. It described also many innovative ideas. They were essential to the NHS’s conception. The Citadel, was so helpful, that even today, the conception of the NHS is very well-working, having many of the same ideas.

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