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NHS Reforms, a potted history and I've left 15 out!
What is most needed at the present time is the prospect of a period of stability.”
RH Turton, Minister of Health, House of Commons Debate, 25 January 1956
What is most needed at the present time is the prospect of a period of stability.”
RH Turton, Minister of Health, House of Commons Debate, 25 January 1956
“I hope that [the Regulations] will mean the opening of a new chapter in the relationship between GPs and the NHS.”
Dr David Owen MP, House of Commons Debate, 3 November 1966
Dr David Owen MP, House of Commons Debate, 3 November 1966
“Our basic purposes are to unite the National Health Service and to integrate its separate services locally.”
Baroness Serota, Minister of State, Department of Health and Social Security, House of Lords Debate, 11 Feb 1970
Baroness Serota, Minister of State, Department of Health and Social Security, House of Lords Debate, 11 Feb 1970
“Our proposals for the new NHS offer a great, and indeed a new, opportunity for a partnership with local authorities.”
Sir Keith Joseph, Secretary of State for Social Services, House of Commons Debate, 1 Jul 1971
Sir Keith Joseph, Secretary of State for Social Services, House of Commons Debate, 1 Jul 1971
“Our proposals are designed... to bring health authorities closer to the people.”
Patrick Jenkin MP, House of Commons Debate, 11 Dec 1979
Patrick Jenkin MP, House of Commons Debate, 11 Dec 1979
“If Florence Nightingale were carrying her lamp through the corridors of the NHS today, she would almost certainly be searching for the people in charge.”
Griffiths Report, 1983
Griffiths Report, 1983
“The Government has responded... to the representations we have made to improve primary care.”
The White Paper, Promoting better health, suggests improvements in patient choice and the widening of services provided by pharmacists and nurses 1987
The White Paper, Promoting better health, suggests improvements in patient choice and the widening of services provided by pharmacists and nurses 1987
“The point of all our proposals is to produce a better NHS, providing the type and standard of service a patient has a right to expect.”
Kenneth Clarke, Secretary of State for Health, House of Commons Debate 1989
Kenneth Clarke, Secretary of State for Health, House of Commons Debate 1989
“Every household should know its rights under the NHS.”
Secretary of State for Health, William Waldegrave 1991 (Patient's Charter)
Secretary of State for Health, William Waldegrave 1991 (Patient's Charter)
November 1994: Another NHS reorganisation: The number of regional health authorities is reduced to eight.
“If you are ill or injured there will be a National Health Service there to help, and access to it will be based on need and need alone.”
Department of Health (1997) The New NHS: Modern, dependable.
Department of Health (1997) The New NHS: Modern, dependable.
NHS Direct 1998: “NHS Direct is here to make a difference to the lives of people in England, 24-hours a day, 365 days a year.”
1999 Primary Care Groups Established: "“Bringing the NHS back to the people and ensuring that the staff work together instead of fighting among themselves.”
Laura Moffatt MP, House of Commons
Laura Moffatt MP, House of Commons
2002: "NHS reorganisation: District health authorities are replaced by strategic health authorities (SHAs) and primary care trusts (PCTs). The concept of foundation trusts is investigated"
“We are clear that Government cannot – and should not – pretend it can ‘make’ the population healthy. But it can – and should – support people in making better choices for their health.”
Tony Blair, in Department of Health (2004) Choosing Health: Making healthy choices easier.
Tony Blair, in Department of Health (2004) Choosing Health: Making healthy choices easier.
2006: NHS reorganisation: Strategic health authorities are reduced from 28 to 10. The number of primary care trusts reduced from 303 to 152
2008: “My aim is to convince and inspire everyone working in the NHS, and in partner organisations, to embrace and lead change.”
Professor the Lord Darzi Department of Health (2007)
Professor the Lord Darzi Department of Health (2007)
2009: The NHS Constitution is published, outlining a revised set of rights and responsibilities for patients and staff
2011: NHS reorganisation: The Health and Social Care Bill 2010/11 proposes significant reforms to increase the influence of GPs on commissioning, increase competition and abolish strategic health authorities (SHAs) and primary care trusts
2013: The 'new' NHS comes into being as responsibilities shift to bodies created by the 2012 Health and Social Care Act.
2021: Matt Hancock says "Health and care services will work more closely together under plans to reform the NHS in England into a more integrated, more innovative and responsive NHS"
So farewell to the Lansley wrecking ball and hello to Tinkering by Hancock
