137-521: The National Health Service Executive (NHS Executive) was part of the British Department of Health established in 1996. It advised Ministers on the development of NHS policy and was responsible for the effective management of the NHS. The Executive ceased to exist on 1 April 2002 when 4 Regional Directorates of Health and Social Care were established and the central functions were reabsorbed into
274-547: A barrister at the Inner Temple and was called to the bar in March 1906. He worked for a time at his father's law firm Druces and Attlee but did not enjoy the work, and had no particular ambition to succeed in the legal profession. He also played football for non-League club Fleet . Attlee's father died in 1908, leaving an estate valued for probate at £75,394 (equivalent to £9,943,044 in 2023 ). In 1906, Attlee became
411-822: A "unified medical service" can be dated back to the Minority Report of the Royal Commission on the Poor Law in 1909. Somerville Hastings , President of the Socialist Medical Association , successfully proposed a resolution at the 1934 Labour Party Conference that the party should be committed to the establishment of a State Health Service. Following the 1942 Beveridge Report 's recommendation to create "comprehensive health and rehabilitation services for prevention and cure of disease", cross-party consensus emerged on introducing
548-493: A 3.4% increase in funding every year to 2024, which would allow it to receive an extra £20bn a year in real terms funding. [dead link] There is concern that a high proportion of this money will go to service NHS debts rather than for improved patient care. In June 2018, it was reported that there were calls for the government to write off the NHS debt. Saffron Cordery of NHS Providers said that hospitals needed help to do their work without being up in deficit, as two-thirds were in
685-512: A National Health Service of some description. Conservative MP and Health Minister, Henry Willink later advanced this notion of a National Health Service in 1944 with his consultative White Paper "A National Health Service" which was circulated in full and short versions to colleagues, as well as in newsreel. When Clement Attlee 's Labour Party won the 1945 election he appointed Aneurin Bevan as Health Minister . Bevan then embarked upon what
822-473: A civil action against Attlee and the other Labour members of the committee (although not against the Conservative members who had also supported this). The court found against Attlee and his fellow councillors and they were ordered to pay £300 damages. The decision was later reversed on appeal, but the financial problems caused by the episode almost forced Attlee out of politics. In 1927, he was appointed
959-426: A civilised community, although it may be composed of self-reliant individuals, there will be some persons who will be unable at some period of their lives to look after themselves, and the question of what is to happen to them may be solved in three ways – they may be neglected, they may be cared for by the organised community as of right, or they may be left to the goodwill of individuals in the community. [...] Charity
1096-495: A comprehensive range of health services , provided without charge for residents of the United Kingdom apart from dental treatment and optical care. In England , NHS patients have to pay prescription charges ; some, such as those aged over 60, or those on certain state benefits, are exempt. Taken together, the four services in 2015–16 employed around 1.6 million people with a combined budget of £136.7 billion. In 2024,
1233-567: A drastic and entire reshuffling of these populations there is no possible solution to the problem of minorities in Europe except toleration. However, the new Czechoslovakian state did not provide equal rights to the Slovaks and Sudeten Germans, with the historian Arnold J. Toynbee already having noted that "for the Germans, Magyars and Poles, who account between them for more than one quarter of
1370-644: A few of his allies formed a National Government with the Conservatives and Liberals , leading them to be expelled from Labour. MacDonald offered Attlee a job in the National Government, but he turned down the offer and opted to stay loyal to the main Labour party. After Ramsay MacDonald formed the National Government, Labour was deeply divided. Attlee had long been close to MacDonald and now felt betrayed—as did most Labour politicians. During
1507-425: A halt in the armaments race ... We do not think that our answer to Herr Hitler should be just rearmament. We are in an age of rearmaments, but we on this side cannot accept that position". Attlee played little part in the events that would lead up to the abdication of Edward VIII , for despite Baldwin's threat to step down if Edward attempted to remain on the throne after marrying Wallis Simpson , Labour
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#17327910761781644-476: A landslide victory in the 1945 general election , on their post-war recovery platform. They inherited a country close to bankruptcy following the Second World War and beset by food, housing and resource shortages. Attlee led the construction of the first Labour majority government , which aimed to maintain full employment , a mixed economy and a greatly enlarged system of social services provided by
1781-596: A lifelong dislike of Morrison. At the 1922 general election , Attlee became the Member of Parliament (MP) for the constituency of Limehouse in Stepney . At the time, he admired Ramsay MacDonald and helped him get elected as Labour Party leader at the 1922 leadership election . He served as MacDonald's Parliamentary Private Secretary for the brief 1922 parliament. His first taste of ministerial office came in 1924, when he served as Under-Secretary of State for War in
1918-612: A lot of coverage in the media. The Welsh and UK governments announced a partnership on 23 September 2024 to reduce NHS waiting lists in England and Wales during the Labour Party Conference in Liverpool. This collaboration aimed to share best practices and tackle common challenges. Previously, Eluned Morgan rejected a Conservative proposal for treating Welsh patients in England. The Welsh Conservatives welcomed
2055-515: A majority. I am convinced it would be fatal for the Labour Party." He also wrote that there was no point in "watering down Labour's socialist creed in order to attract new adherents who cannot accept the full socialist faith. On the contrary, I believe that it is only a clear and bold policy that will attract this support". In the late 1930s, Attlee sponsored a Jewish mother and her two children, enabling them to leave Germany in 1939 and move to
2192-502: A man of character. Despite his mishandling of the Red Letter episode, I had not appreciated his defects until he took office a second time. I then realised his reluctance to take positive action and noted with dismay his increasing vanity and snobbery, while his habit of telling me, a junior Minister, the poor opinion he had of all his Cabinet colleagues made an unpleasant impression. I had not, however, expected that he would perpetrate
2329-446: A member of the multi-party Simon Commission , a royal commission set up to examine the possibility of granting self-rule to India . Due to the time he needed to devote to the commission, and contrary to a promise MacDonald made to Attlee to induce him to serve on the commission, he was not initially offered a ministerial post in the second Labour government , which entered office after the 1929 general election . Attlee's service on
2466-486: A new world. A world of law, the abolition of national armaments with a world force and a world economic system. I shall be told that that is quite impossible". Shortly after those comments, Adolf Hitler proclaimed that German rearmament offered no threat to world peace. Attlee responded the next day noting that Hitler's speech, although containing unfavourable references to the Soviet Union , created "A chance to call
2603-570: A rift between him and his older brother Tom, who, as a conscientious objector , spent much of the war in prison. After a period spent fighting in Gallipoli, Attlee collapsed after falling ill with dysentery and was put on a ship bound for England to recover. When he woke up he wanted to get back to action as soon as possible, and asked to be let off the ship in Malta, where he stayed in hospital in order to recover. His hospitalisation coincided with
2740-409: A ruthless despotism... The events of these last few days constitute one of the greatest diplomatic defeats that this country and France have ever sustained. There can be no doubt that it is a tremendous victory for Herr Hitler. Without firing a shot, by the mere display of military force, he has achieved a dominating position in Europe which Germany failed to win after four years of war. He has overturned
2877-604: A senior partner in the law firm of Druces, also serving a term as president of the Law Society of England and Wales . In 1898 he purchased a 200-acre (81 ha) estate, Comarques in Thorpe-le-Soken , Essex. At the age of nine, Attlee was sent to board at Northaw Place , a boys' preparatory school in Hertfordshire . In 1896 he followed his brothers to Haileybury College , where he was a middling student. He
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#17327910761783014-636: A series of War Cabinet debates over whether or not to negotiate peace terms with Hitler following the Fall of France in May 1940; both supported Churchill and gave him the majority he needed in the War Cabinet to continue Britain's resistance. Only Attlee and Churchill remained in the War Cabinet from the formation of the Government of National Unity in May 1940 through to the election in May 1945. Attlee
3151-435: A state of war. We have been unable to go in for care-free rejoicing. We have felt that we are in the midst of a tragedy... [and] humiliation. This has not been a victory for reason and humanity. It has been a victory for brute force. At every stage of the proceedings there have been time limits laid down... [the] terms laid down as ultimata. We have seen to-day a gallant, civilised and democratic people betrayed and handed over to
3288-557: A volunteer at Haileybury House, a charitable club for working-class boys in Stepney in the East End of London run by his old school, and from 1907 to 1909 he served as the club's manager. Until then, his political views had been more conservative. However, after his shock at the poverty and deprivation he saw while working with the slum children, he came to the view that private charity would never be sufficient to alleviate poverty and that only direct action and income redistribution by
3425-577: A world order before our loyalty to our own country. We say we want to see put on the statute book something which will make our people citizens of the world before they are citizens of this country". During a debate on defence in Commons a year later, Attlee said "We are told (in the White Paper) that there is danger against which we have to guard ourselves. We do not think you can do it by national defence. We think you can only do it by moving forward to
3562-594: Is bound to another, right or wrong, by some overwhelming necessity—is contrary to the spirit of the League of Nations, is contrary to the Covenant, is contrary to Locarno is contrary to the obligations which this country has undertaken, and is contrary to the professed policy of this Government". At the Labour Party conference at Edinburgh in October Attlee reiterated that "There can be no question of our supporting
3699-550: Is often ranked as one of the greatest British prime ministers , receiving particular praise for his government's welfare state reforms, creation of the NHS, continuation of the " Special Relationship " with the US, and involvement in NATO. Attlee was born on 3 January 1883 in Putney , Surrey (now part of London), into an upper middle-class family, the seventh of eight children. His father
3836-401: Is only possible without loss of dignity between equals. A right established by law, such as that to an old age pension, is less galling than an allowance made by a rich man to a poor one, dependent on his view of the recipient's character, and terminable at his caprice. In 1921, George Lansbury , the Labour mayor of the neighbouring borough of Poplar , and future Labour Party leader, launched
3973-545: Is regardless of whether they derive a salary or wage from the organisation, or receive any type of funding or assistance from the organisation for the purposes of working overseas. This is in recognition of the fact that most missionaries would be unable to afford private health care and those working in developing countries should not effectively be penalised for their contribution to development and other work. Those who are not ordinarily resident (including British citizens who may have paid National Insurance contributions in
4110-437: The 1935 election , which saw the party stage a partial comeback from its disastrous 1931 performance, winning 38 per cent of the vote, the highest share Labour had won up to that point, and gaining over one hundred seats. Attlee stood in the subsequent leadership election , held soon afterward, where he was opposed by Herbert Morrison , who had just re-entered parliament in the recent election, and Arthur Greenwood : Morrison
4247-602: The Battle of Sari Bair , which saw a large number of his comrades killed. Upon returning to action, he was informed that his company had been chosen to hold the final lines during the evacuation of Suvla . As such, he was the penultimate man to be evacuated from Suvla Bay , the last being General Stanley Maude . The Gallipoli Campaign had been engineered by the First Lord of the Admiralty , Winston Churchill . Although it
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4384-798: The Cold War . He supported the Marshall Plan to rebuild Western Europe with American money and, in 1949, promoted the NATO military alliance against the Soviet bloc . After leading Labour to a narrow victory at the 1950 general election , he sent British troops to fight alongside South Korea in the Korean War . Despite his social reforms and economic programme food, housing and resource shortages persisted throughout his premiership, alongside recurrent currency crises and dependence on US aid. His party
4521-539: The European Health Insurance Card . Those from other countries with which the UK has reciprocal arrangements also qualify for free treatment. Since 6 April 2015, non-EEA nationals who are subject to immigration control must have the immigration status of indefinite leave to remain at the time of treatment and be properly settled, to be considered ordinarily resident. People not ordinarily resident in
4658-583: The Institute for Fiscal Studies had stated a 5% real-terms increase was needed for real change. Paul Johnson of the IFS said the 3.4% was greater than recent increases, but less than the long-term average. In July 2016, health experts said the money would "help stem further decline in the health service, but it's simply not enough to address the fundamental challenges facing the NHS, or fund essential improvements to services that are flagging." In November 2018, it
4795-523: The Leader of the Opposition . On the verge of resigning from Parliament, he was persuaded to stay by Stafford Cripps, a wealthy socialist, who agreed to make a donation to party funds to pay him an additional salary until Lansbury could take over again. During 1932–33 Attlee flirted with, and then drew back from radicalism – influenced by Stafford Cripps, who was then on the radical wing of the party. He
4932-693: The London School of Economics . Attlee returned to local politics in the immediate post-war period, becoming mayor of the Metropolitan Borough of Stepney , one of London's most deprived inner-city boroughs, in 1919. During his time as mayor, the council undertook action to tackle slum landlords who charged high rents but refused to spend money on keeping their property in habitable condition. The council served and enforced legal orders on homeowners to repair their property. It also appointed health visitors and sanitary inspectors, reducing
5069-629: The London School of Economics ; with his work briefly interrupted by service as an officer in the First World War . In 1919, he became mayor of Stepney and in 1922 was elected as the Member for Limehouse . Attlee served in the first Labour minority government led by Ramsay MacDonald in 1924, and then joined the Cabinet during MacDonald's second minority (1929–1931). After retaining his seat in Labour's landslide defeat of 1931 , he became
5206-732: The Minority Report as he was very active in Fabian Society circles, in which he would go round visiting many political societies—Liberal, Conservative and socialist—to explain and popularise the ideas, as well as recruiting lecturers deemed suitable to work on the campaign. In 1911, he was employed by the Government as an "official explainer"—touring the country to explain Chancellor of the Exchequer David Lloyd George 's National Insurance Act . He spent
5343-656: The National Parks system, passed the New Towns Act 1946 and established the town and country planning system . Attlee's foreign policy focused on decolonisation efforts, including the partition of India (1947), the independence of Burma and Ceylon , and the dissolution of the British mandates of Palestine and Transjordan . Attlee and Bevin encouraged the United States to take a vigorous role in
5480-486: The Office for Budget Responsibility said that "the rising trend in health and social care spending and pensions will be adding something like another £75 billion spending over the next five years, £150 billion, potentially over the next decade" as if treatments are available to keep people alive longer, then people will want them. In July 2022, The Telegraph reported that the think tank Civitas found that health spending
5617-609: The Poplar Rates Rebellion ; a campaign of disobedience seeking to equalise the poor relief burden across all the London boroughs. Attlee, who was a personal friend of Lansbury, strongly supported this. However, Herbert Morrison , the Labour mayor of nearby Hackney , and one of the main figures in the London Labour Party , strongly denounced Lansbury and the rebellion. During this period, Attlee developed
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5754-597: The "farce" of the Non-Intervention Committee organised by the British and French governments. In the House of Commons, Attlee stated, "I cannot understand the delusion that if Franco wins with Italian and German aid, he will immediately become independent. I think it is a ridiculous proposition." Dalton, the Labour Party's spokesman on foreign policy, also thought that Franco would ally with Germany and Italy. However, Franco's subsequent behaviour proved it
5891-476: The 'Centre for Health Economics' at the University of York found that between 2004/05 and 2016/17 the productivity of the NHS has increased nearly two and a half times as quickly as the larger economy. Between 2010 and 2017, there was a cap of 1% on pay rises for staff continuing in the same role. Unions representing doctors, dentists, nurses and other health professionals have called on the government to end
6028-809: The 30th Company of the same battalion; however, he did not deploy to France with it in December 1917, as he was transferred back to the South Lancashire Regiment on 28 November. After fully recovering from his injuries, he was sent to France in June 1918 to serve on the Western Front for the final months of the war. After being discharged from the Army in January 1919, he returned to Stepney , and returned to his old job lecturing part-time at
6165-493: The Cabinet as Lord Privy Seal on 12 May. Attlee and Churchill quickly agreed that the War Cabinet would consist of three Conservatives (initially Churchill, Chamberlain and Lord Halifax ) and two Labour members (initially himself and Arthur Greenwood ) and that Labour should have slightly more than one third of the posts in the coalition government. Attlee and Greenwood played a vital role in supporting Churchill during
6302-525: The Chancellor of the Exchequer, Neville Chamberlain , introduced a Budget which increased the amount spent on the armed forces. Attlee made a radio broadcast in opposition to it, saying: [The budget] was the natural expression of the character of the present Government. There was hardly any increase allowed for the services which went to build up the life of the people, education and health. Everything
6439-485: The Civil Service to keep medicine supplies available in the case of a no-deal Brexit had to sign 26 Non-Disclosure Agreements (NDAs) to prevent them from giving the public information. The figures were given on 21 December 2018 after Rushanara Ali asked a parliamentary question. Clement Attlee [REDACTED] Clement Richard Attlee, 1st Earl Attlee (3 January 1883 – 8 October 1967),
6576-495: The Commission equipped him with a thorough exposure to India and many of its political leaders. By 1933 he argued that British rule was alien to India and was unable to make the social and economic reforms necessary for India's progress. He became the British leader most sympathetic to Indian independence (as a dominion), preparing him for his role in deciding on independence in 1947. In May 1930, Labour MP Oswald Mosley left
6713-641: The Department of Health. The Regional Directorates were abolished in 2003. The functions of the NHS Executive were provided through the Headquarters (mainly in Leeds and London) and eight regional offices which replaced the former regional health authorities . The Information Management Group (IMG) was part of the NHS Executive made up jointly of civil servants and NHS staff. The IMG formed part of
6850-516: The EEA coming to the UK for a temporary stay of more than six months are required to pay an immigration health surcharge at the time of visa application, and will then be entitled to NHS treatment on the same basis as a resident. This includes overseas students with a visa to study at a recognised institution for six months or more, but not visitors on a tourist visa. In 2016 the surcharge was £200 per year, with exemptions and reductions in some cases. This
6987-608: The EU holding a valid European Health Insurance Card and persons from certain other countries with which the UK has reciprocal arrangements concerning health care can get emergency treatment without charge. The NHS is free at the point of use, for general practitioner (GP) and emergency treatment not including admission to hospital, to non-residents. People with the right to medical care in European Economic Area (EEA) nations are also entitled to free treatment by using
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#17327910761787124-451: The GP's health and that of their patients at risk. The Royal College of Physicians surveyed doctors across the UK, with two-thirds maintaining patient safety had deteriorated during the year to 2018: 80% feared they would be unable to provide safe patient care in the coming year while 84% felt that increased pressure on the NHS was demoralising the workforce. In June 2018, at a time when the NHS
7261-405: The Government in its rearmament policy". However, with the rising threat from Nazi Germany , and the ineffectiveness of the League of Nations, this policy eventually lost credibility. By 1937, Labour had jettisoned its pacifist position and came to support rearmament and oppose Neville Chamberlain's policy of appeasement . However Attlee and the Labour Party strongly opposed conscription when it
7398-551: The Human and Corporate Resources Directorate, represented on the NHS Executive Board by Ken Jarrold . Their aim was to improve the ability of the NHS to harness and benefit from the management of information and the use of information technology. One of their key objectives was to promote and implement the NHS Executive's national Information Management and Technology (IM&T) Strategy. The IMG worked with other parts of
7535-591: The Leader Arthur Henderson , lost their seats. Attlee, however, narrowly retained his Limehouse seat, with his majority being slashed from 7,288 to just 551. He was one of only three Labour MPs who had experience of government to retain their seats, along with George Lansbury and Stafford Cripps . Accordingly, Lansbury was elected Leader unopposed, with Attlee as his deputy. Most of the remaining Labour MPs after 1931 were elderly trade-union officials who could not contribute much to debates; Lansbury
7672-417: The NHS England published the NHS Long Term Plan . The Guardian reported that data for 2020 suggests a change, and that the doctors' trade union and professional association , the BMA , say this was largely due to raised spending during the pandemic and the effect of Covid on the whole economy, since the GDP of the UK dropped more than that of all other G7 nations. The BMA also said in December 2022 that
7809-423: The NHS Executive and the wider Department of Health to identify and secure the information technology implications of national policy initiatives. National Health Service The National Health Service ( NHS ) is the umbrella term for the publicly funded healthcare systems of the United Kingdom , comprising the NHS in England, NHS Scotland and NHS Wales . Health and Social Care in Northern Ireland
7946-400: The NHS experienced "historical underfunding and under-resourcing" during the ten years before COVID. The King's Fund maintains The investment in services started in 2021 was badly needed, but despite it restoring key services and performance standards will require years. Shortages of workers and growing staff numbers experiencing burnout and thinking of leaving the NHS may stop progress. If
8083-446: The NHS has among the lowest numbers of doctors, nurses and hospital beds per capita in the western world. In May 2018, it was said that nurses within the NHS said that patient care was compromised by the shortage of nurses and the lack of experienced nurses with the necessary qualifications. In June 2018 it was reported that the NHS performed below average in preventing deaths from cancer, strokes and heart disease. In September 2018 it
8220-623: The NHS. The NHS is the largest employer in Europe, with one in every 25 adults in England working for the NHS. As of February 2023, NHS England employed 1.4 million staff. Nursing staff accounted for the largest cohort at more than 330,000 employees, followed by clinical support staff at 290,000, scientific and technical staff at 163,000 and doctors at 133,000. In June 2018, the Royal College of Physicians calculated that medical training places need to be increased from 7,500 to 15,000 by 2030 to take account of part-time working among other factors. At that time there were 47,800 consultants working in
8357-442: The UK are in general not entitled to free hospital treatment, with some exceptions such as refugees . People not ordinarily resident may be subject to an interview to establish their eligibility, which must be resolved before non-emergency treatment can commence. Patients who do not qualify for free treatment are asked to pay in advance or to sign a written undertaking to pay, except for emergency treatment. People from outside
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#17327910761788494-464: The UK can use the NHS without being asked to pay the full cost of the service, though NHS dentistry and optometry do have standard charges in each of the four national health services in the UK. In addition, most patients in England have to pay charges for prescriptions though some patients are exempted. Aneurin Bevan , in considering the provision of NHS services to overseas visitors wrote, in 1952, that it would be "unwise as well as mean to withhold
8631-404: The UK had increased by more than any country despite the significant drop in national income due to the COVID pandemic. The Labour Government elected in 2024 stated that their policy was that the "NHS is broken". They announced an immediate stocktake of current pressures and the reasons for them led by Labour peer Lord Ara Darzi. This was to be followed by development of a new "10 year plan" for
8768-456: The UK of which 15,700 were physicians. About 20% of consultants work less than full-time. Brexit , in 2020, was predicted to affect medical practitioners from EU countries who worked in the NHS, accounting for more than 1-in-10 doctors at the time. A 2017 survey suggested 60% of these doctors were considering leaving, with a record 17,197 EU staff leaving the NHS in 2016. The figures led to calls to reassure European workers over their future in
8905-438: The UK. A study by the Centre for Progressive Policy called for NHS trusts to become "exemplar employers" by improving social mobility and pay especially for those "trusts in poorer places where they can play a particularly large role in determining the economic wellbeing of the local population." They found the NHS to be " a middle ranking employer in comparison to other large organisations and falls short on social mobility and
9042-405: The UK. On arriving in Britain, Attlee invited one of the children into his home in Stanmore , north-west London, where he stayed for several months. Attlee remained as Leader of the Opposition when the Second World War broke out in September 1939. The ensuing disastrous Norwegian campaign would result in a motion of no confidence in Neville Chamberlain . Although Chamberlain survived this,
9179-403: The balance of power in Europe... [and] destroyed the last fortress of democracy in Eastern Europe which stood in the way of his ambition. He has opened his way to the food, the oil and the resources which he requires in order to consolidate his military power, and he has successfully defeated and reduced to impotence the forces that might have stood against the rule of violence. [...] The cause [of
9316-495: The cap on health service pay, claiming the cap is damaging the health service and damaging patient care. In 2017, the pay rise was likely to be below the level of inflation and to mean a real-terms pay cut. In 2017, the House of Commons Library research predicted that that real-terms NHS funding per head was to fall in 2018–19, and stay the same for two years afterwards. In January 2018, The Guardian reported that GPs faced excessive workloads throughout Britain and that this put
9453-403: The country. Churchill chaired the first two, the War cabinet and the Defence Committee, with Attlee deputising for him in these, and answering for the government in Parliament when Churchill was absent. Attlee himself instituted, and later chaired the third body, the Lord President's Committee , which was responsible for overseeing domestic affairs. As Churchill was most concerned with overseeing
9590-430: The course of the second Labour government, Attlee had become increasingly disillusioned with MacDonald, whom he came to regard as vain and incompetent, and of whom he later wrote scathingly in his autobiography. He would write: In the old days I had looked up to MacDonald as a great leader. He had a fine presence and great oratorical power. The unpopular line which he took during the First World War seemed to mark him as
9727-407: The crisis which we have undergone] was not the existence of minorities in Czechoslovakia; it was not that the position of the Sudeten Germans had become intolerable. It was not the wonderful principle of self-determination. It was because Herr Hitler had decided that the time was ripe for another step forward in his design to dominate Europe... The minorities question is no new one. [...] [And] short of
9864-592: The department is making 4,000 training positions available for GPs every year, which help create an extra 50 million appointments annually. In 2023, a report revealed that NHS staff had faced over 20,000 sexual misconduct from patients from 2017 to 2022 across 212 NHS Trusts. Some of the claims included rape, sexual harassment, stalking, and sexualised remarks at staff from patients. In the report, female staff members were told by hospitals to continue caring for patients even after there were issues regarding abuse or harassment without further safeguards in place. Other parts of
10001-508: The first and second ballots, formally being elected Leader of the Labour Party on 3 December 1935. Throughout the 1920s and most of the 1930s, the Labour Party's official policy had been to oppose rearmament, instead supporting internationalism and collective security under the League of Nations . At the 1934 Labour Party Conference, Attlee declared that, "We have absolutely abandoned any idea of nationalist loyalty. We are deliberately putting
10138-457: The first of many controversies over changes to the NHS throughout its history. From its earliest days, the cultural history of the NHS has shown its place in British society reflected and debated in film, TV, cartoons and literature. The NHS had a prominent slot during the 2012 London Summer Olympics opening ceremony directed by Danny Boyle , being described as "the institution which more than any other unites our nation". Everyone living in
10275-663: The free service from the visitor to Britain. How do we distinguish a visitor from anybody else? Are British citizens to carry means of identification everywhere to prove that they are not visitors? For if the sheep are to be separated from the goats both must be classified. What began as an attempt to keep the Health Service for ourselves would end by being a nuisance to everybody." The provision of free treatment to non-UK-residents, formerly interpreted liberally, has been increasingly restricted, with new overseas visitor hospital charging regulations introduced in 2015. Citizens of
10412-401: The government. Attlee effectively served as Labour's acting-leader for nine months from December 1933, after Lansbury fractured his thigh in an accident; this raised Attlee's public profile considerably. It was during this period, however, that personal financial problems almost forced Attlee to quit politics altogether. His wife had become ill, and at that time there was no separate salary for
10549-523: The greatest betrayal in the political history of this country ... The shock to the Party was very great, especially to the loyal workers of the rank-and-file who had made great sacrifices for these men. The general election held in October 1931 proved disastrous for the Labour Party, which lost over 200 seats, returning only 52 MPs to Parliament. The vast majority of the party's senior figures, including
10686-424: The infant mortality rate, and took action to find work for returning unemployed ex-servicemen. In 1920, while mayor, he wrote his first book, The Social Worker , which set out many of the principles that informed his political philosophy and that were to underpin the actions of his government in later years. The book attacked the idea that looking after the poor could be left to voluntary action. He wrote that: In
10823-481: The left or of the right. He always supported the crown , and as Prime Minister was close to King George VI . George Lansbury , a committed pacifist , resigned as the Leader of the Labour Party at the 1935 Party Conference on 8 October, after delegates voted in favour of sanctions against Italy for its aggression against Abyssinia . Lansbury had strongly opposed the policy, and felt unable to continue leading
10960-596: The leg by shrapnel from friendly fire while storming an enemy trench during the Battle of Hanna . The battle was an unsuccessful attempt to relieve the Siege of Kut , and many of Attlee's fellow soldiers were also wounded or killed. He was sent firstly to India , and then back to the UK to recover. On 18 December 1916 he was transferred to the Heavy Section of the Machine Gun Corps , and 1 March 1917 he
11097-700: The needs of everyone, that it be free at the point of delivery, and that it be based on clinical need, not ability to pay. Three years after the founding of the NHS, Bevan resigned from the Labour government in opposition to the introduction of charges for the provision of dentures, dentists, and glasses ; resigning in support was fellow minister and future Prime Minister Harold Wilson . The following year, Winston Churchill 's Conservative government introduced prescription fees. However, Wilson's government abolished them in 1965; they were later re-introduced but with exemptions for those on low income. These charges were
11234-451: The new funding is to be efficiently used the NHS will need a comprehensive and fully funded workforce strategy to ensure future supply of staff. In March 2022, Rishi Sunak doubled the annual efficiency target for the NHS in England. The 2.2 per cent target would deliver annual savings of saving of £4.75 billion. At the same time the additional Covid funding is being removed in 2022–23. At the same time Sir Charles Bean , recently leader of
11371-540: The new partnership as overdue, while Plaid Cymru criticized it as insufficient for addressing deeper issues within the Welsh NHS. There was a concern that a disorderly Brexit might have compromised patients' access to vital medicines. In February 2018, many medical organisations planned for a worst-case Brexit scenario because "time is running out" for a transition deal to follow the UK's formal exit that occurred in March 2019. Pharmaceutical organisations working with
11508-467: The number of GPs has fallen by 1,622. Some family doctors have 2,500 patients each, forcing patients to attend A&E instead. Certain regions have fewer than 50 GPs per 100,000 people, while other regions have more than 70, presenting a challenge to the NHS's founding principle of equal treatment. A growing number of family doctors are reporting unsustainable workloads, and many have chosen to work part-time. A Health and Social Care spokesperson said that
11645-544: The official historian of the NHS, Charles Webster , called an "audacious campaign" to take charge of the form the NHS finally took. Bevan's National Health Service was proposed in Westminster legislation for England and Wales from 1946 and Scotland from 1947, and the Northern Ireland Parliament 's Public Health Services Act 1947. NHS Wales was split from NHS (England) in 1969 when control
11782-521: The party after its rejection of his proposals for solving the unemployment problem, and Attlee was given Mosley's post of Chancellor of the Duchy of Lancaster . In March 1931, he became Postmaster General , a post he held for five months until August, when the Labour government fell , after failing to agree on how to tackle the financial crisis of the Great Depression . That month MacDonald and
11919-534: The party's Deputy Leader . Elected Leader of the Labour Party in 1935, and at first advocating pacificism and opposing re-armament , he became a critic of Neville Chamberlain 's policy of appeasement in the lead-up to the Second World War . Attlee took Labour into the wartime coalition government in 1940 and served under Winston Churchill, initially as Lord Privy Seal and then as Deputy Prime Minister from 1942. The Labour Party, led by Attlee, won
12056-491: The party. Taking advantage of the disarray in the Labour Party, the Prime Minister Stanley Baldwin announced on 19 October that a general election would be held on 14 November. With no time for a leadership contest, the party agreed that Attlee should serve as interim leader, on the understanding that a leadership election would be held after the general election. Attlee therefore led Labour through
12193-420: The past) are liable to charges for services. There are some other categories of people who are exempt from the residence requirements such as specific government workers and those in the armed forces stationed overseas. In 2016, the systems were 98.8% funded from general taxation and National Insurance contributions, plus small amounts from patient charges for some services. As of 2016, about 10% of GDP
12330-538: The patients. In wards which had not closed staff sometimes worked under stress due to staff shortages. It was also predicted then, that Brexit was likely to aggravate those problems. In November 2019, it was reported that due to the shortage of nurses the NHS was then relying on less qualified staff like healthcare assistants and nursing associates. For the period between 2010 and 2018 the Health Foundation funded research by Birmingham University said there
12467-689: The people will have to pay for their mistake in believing that it could be trusted to carry out a policy of peace. [...] This is a War Budget. We can look in the future for no advance in Social Legislation. All available resources are to be devoted to armaments. In June 1936, the Conservative MP Duff Cooper called for an Anglo-French alliance against possible German aggression and called for all parties to support one. Attlee condemned this: "We say that any suggestion of an alliance of this kind—an alliance in which one country
12604-425: The personal relationship between doctor and patient. Conservative MPs voted in favour of their amendment to Bevan's Bill to maintain local control and ownership of hospitals and against Bevan's plan for national ownership of all hospitals. The Labour government defeated Conservative amendments and went ahead with the NHS as it remains today; a single large national organisation (with devolved equivalents) which forced
12741-510: The real Living Wage", and ranked trusts using a 'good employer index'. Ambulance trusts were ranked worst. On 6 June 2022, The Guardian said that a survey of more than 20,000 frontline staff by the nursing trade union and professional body, the Royal College of Nursing , found that only a quarter of shifts had the planned number of registered nurses on duty. The NHS is facing a shortage of general practitioners . From 2015 to 2022,
12878-419: The remaining 20% split between buildings, equipment, training costs, medical equipment, catering and cleaning. Nearly 80% of the total budget is distributed by local trusts in line with the particular health priorities in their areas. When the NHS was launched in 1948 it had a budget of £437 million (equivalent to £20.07 billion in 2023). In 2016–2017, the budget was £122.5 billion. In 1955/56 health spending
13015-437: The report showed that staff were pressured into not reporting grievances. In June 2023, the delayed NHS Long term Workforce Plan was announced, set up to train more doctors and nurses and create new roles within the health service. In 2024, multiple NHS hospitals started mandating radiographers to ask all male patients aged 12 to 55 if they were pregnant. This policy was instated as part of an 'inclusivity' drive and received
13152-544: The reputation of his administration was so badly and publicly damaged that it became clear a coalition government would be necessary. Even if Attlee had personally been prepared to serve under Chamberlain in an emergency coalition government, he would never have been able to carry Labour with him. Consequently, Chamberlain tendered his resignation, and Labour and the Conservatives entered a coalition government led by Winston Churchill on 10 May 1940, with Attlee joining
13289-686: The short-lived first Labour government , led by MacDonald. Attlee opposed the 1926 General Strike , believing that strike action should not be used as a political weapon. However, when it happened, he did not attempt to undermine it. At the time of the strike, he was chairman of the Stepney Borough Electricity Committee. He negotiated a deal with the Electrical Trade Union so that they would continue to supply power to hospitals, but would end supplies to factories. One firm, Scammell and Nephew Ltd, took
13426-548: The state would have any serious effect. This sparked a process that caused him to convert to socialism . He joined the Independent Labour Party (ILP) in 1908 and became active in local politics. In 1909, he stood unsuccessfully at his first election, as an ILP candidate for Stepney Borough Council. He also worked briefly as a secretary for Beatrice Webb in 1909, before becoming a secretary for Toynbee Hall . He worked for Webb's campaign of popularisation of
13563-631: The state. To this end, it undertook the nationalisation of public utilities and major industries, and implemented wide-ranging social reforms, including the passing of the National Insurance Act 1946 and National Assistance Act 1948 , the formation of the National Health Service (NHS) in 1948, and the enlargement of public subsidies for council house building. His government also reformed trade union legislation, working practices and children's services; it created
13700-567: The summer of that year touring Essex and Somerset on a bicycle, explaining the Act at public meetings. A year later, he became a lecturer at the London School of Economics , teaching social science and public administration . Following the outbreak of the First World War in August 1914, Attlee applied to join the British Army . Initially his application was turned down, as his age of 31
13837-590: The total health sector workforce across the United Kingdom was 1,499,368 making it the seventh largest employer and second largest non-military public organisation in the world. When purchasing consumables such as medications, the four healthcare services have significant market power that influences the global price, typically keeping prices lower. A small number of products are procured jointly through contracts shared between services. Several other countries directly rely on Britain's assessments for their own decisions on state-financed drug reimbursements. Calls for
13974-431: The transfer of ownership of hospitals from local authorities and charities to the new NHS. Bevan's principle of ownership with no private sector involvement has since been diluted, with later Labour governments implementing large scale financing arrangements with private builders in private finance initiatives and joint ventures. At its launch by Bevan on 5 July 1948 it had at its heart three core principles: That it meet
14111-458: The university lifestyle—rowing, reading and socializing". He was later described by a tutor as "level-headed, industrious, dependable man with no brilliance of style ... but with excellent sound judgement". At university he had little interest in politics or economics, later describing his views at this time as "good old fashioned imperialist conservative". He graduated Bachelor of Arts in 1904 with second-class honours . Attlee then trained as
14248-407: The war effort, this arrangement suited both men. Attlee himself had largely been responsible for creating these arrangements with Churchill's backing, streamlining the machinery of government and abolishing many committees. He also acted as a conciliator in the government, smoothing over tensions which frequently arose between Labour and Conservative Ministers. Many Labour activists were baffled by
14385-678: The whole population, the present regime in Czechoslovakia is not essentially different from the regimes in the surrounding countries". Anthony Eden in the Munich debate acknowledged that there had been "discrimination, even severe discrimination" against the Sudeten Germans. In 1937, Attlee wrote a book entitled The Labour Party in Perspective that sold fairly well in which he set out some of his views. He argued that there
14522-413: The year to 2018. It was also said that some expressed doubt over whether May could carry out this proposed increase in funding. The next day, Health Secretary Jeremy Hunt backed the extra £20bn annual increase in NHS funding and responded to criticism by stating that taxation would be used to carry out the funding and that details would be revealed at the next budget. In June 2018 it was reported that
14659-454: Was 11.2% of the public services budget. In 2015/16 it was 29.7%. This equates to an average rise in spending over the full 60-year period of about 4% a year once inflation has been taken into account. Under the Blair government spending levels increased by around 6% a year on average. Between 2010 and 2017 spending growth was constrained to just over 1% a year. A 2019 report said that a study by
14796-518: Was Henry Attlee, a solicitor, and his mother was Ellen Bravery Watson, daughter of Thomas Simons Watson, secretary for the Art Union of London . His parents were "committed Anglicans" who read prayers and psalms each morning at breakfast. Attlee grew up in a two-storey villa with a large garden and tennis court, staffed by three servants and a gardener. His father, a political Liberal , had inherited family interests in milling and brewing, and became
14933-408: Was a British statesman who was Prime Minister of the United Kingdom from 1945 to 1951 and Leader of the Labour Party from 1935 to 1955. Attlee was Deputy Prime Minister during the wartime coalition government under Winston Churchill , and Leader of the Opposition on three occasions: from 1935 to 1940, briefly in 1945 and from 1951 to 1955. He remains the longest serving Labour leader. Attlee
15070-462: Was born into an upper-middle-class family, the son of a wealthy London solicitor. After attending Haileybury College and the University of Oxford , he practised as a barrister . The volunteer work he carried out in London's East End exposed him to poverty, and his political views shifted leftwards thereafter. He joined the Independent Labour Party , gave up his legal career, and began lecturing at
15207-417: Was born out of the ideal that healthcare should be available to all, regardless of wealth. Although being freely accessible regardless of wealth maintained Henry Willink 's principle of free healthcare for all, Conservative MPs were in favour of maintaining local administration of the NHS through existing arrangements with local authorities fearing that an NHS which owned hospitals on a national scale would lose
15344-571: Was briefly a member of the Socialist League , which had been formed by former Independent Labour Party (ILP) members who opposed the ILP's disaffiliation from the main Labour Party in 1932. At one point he agreed with the proposition put forward by Cripps that gradual reform was inadequate and that a socialist government would have to pass an emergency powers act, allowing it to rule by decree to overcome any opposition by vested interests until it
15481-588: Was costing about £10,000 per household in the UK. This, they said, reflected the third highest share of GDP of any nation in Europe. This was said to show that the UK "has one of the most costly health systems – and some of the worst outcomes". The findings were made before the government increased health spending significantly, with a 1.25% increase in National Insurance , in April 2022. Civitas said this showed evidence "runaway" spending as health spending in
15618-430: Was created separately and is often locally referred to as "the NHS". The original three systems were established in 1948 (NHS Wales /GIG Cymru was founded in 1969) as part of major social reforms following the Second World War . The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides
15755-408: Was devoted to piling up the instruments of death. The Chancellor expressed great regret that he should have to spend so much on armaments, but said that it was absolutely necessary and was due only to the actions of other nations. One would think to listen to him that the Government had no responsibility for the state of world affairs. [...] The Government has now resolved to enter upon an arms race, and
15892-626: Was in his 70s, and Stafford Cripps – another main figure of the Labour front-bench who had entered Parliament in January 1931 – lacked parliamentary experience. As one of the most capable and experienced of the remaining Labour MPs, Attlee therefore shouldered a lot of the burden of providing an opposition to the National Government in the years 1931 to 1935 ; during this time he had to extend his knowledge of subjects which he had not studied in any depth before (such as finance and foreign affairs) in order to provide an effective opposition to
16029-482: Was increased to £400 in 2018. The discounted rate for students and those on the Youth Mobility Scheme will increase from £150 to £300. From 15 January 2007, anyone who is working outside the UK as a missionary for an organisation with its principal place of business in the UK is fully exempt from NHS charges for services that would normally be provided free of charge to those resident in the UK. This
16166-457: Was influenced by the Darwinist views of his housemaster Frederick Webb Headley , and in 1899 he published an attack on striking London cab-drivers in the school magazine, predicting they would soon have to "beg for their fares". In 1901, Attlee went up to University College, Oxford , reading modern history . He and his brother Tom "were given a generous stipend by their father and embraced
16303-658: Was initially the Lord Privy Seal, before becoming Britain's first ever Deputy Prime Minister in 1942, as well as becoming the Dominions Secretary and Lord President of the Council on 28 September 1943. Attlee himself played a generally low key but vital role in the wartime government, working behind the scenes and in committees to ensure the smooth operation of government. In the coalition government , three inter-connected committees effectively ran
16440-547: Was insufficient and falling NHS capital spending that put patient care and put staff productivity at risk. The Health Foundation said that £3.5 billion more a year would be required to get capital spending to the OECD average. Spending limits were effecting service efficiency, and patient care. Shortages of equipment and equipment failures had an impact as did relying on ageing diagnostic equipment. In 2018, British Prime Minister Theresa May announced that NHS in England would receive
16577-475: Was narrowly defeated by the Conservatives in the 1951 general election , despite winning the most votes. He continued as Labour leader but retired after losing the 1955 general election and was elevated to the House of Lords , where he served until his death in 1967. In public, he was modest and unassuming, but behind the scenes his depth of knowledge, quiet demeanour, objectivity and pragmatism proved decisive. He
16714-467: Was no point in Labour compromising on its socialist principles in the belief that this would achieve electoral success. He wrote: "I find that the proposition often reduces itself to this – that if the Labour Party would drop its socialism and adopt a Liberal platform, many Liberals would be pleased to support it. I have heard it said more than once that if Labour would only drop its policy of nationalisation everyone would be pleased, and it would soon obtain
16851-783: Was not such a ridiculous proposition. As Dalton later acknowledged, Franco skilfully maintained Spanish neutrality, whereas Hitler would likely have occupied Spain if Franco had lost the Civil War. In 1938, Attlee opposed the Munich Agreement , in which Chamberlain negotiated with Hitler to give Germany the German-speaking parts of Czechoslovakia , the Sudetenland : We all feel relief that war has not come this time... we cannot, however, feel that peace has been established, but that we have nothing but an armistice in
16988-759: Was passed in April 1939. At the end of 1937, Attlee and a party of three Labour MPs visited Spain and visited the British Battalion of the International Brigades fighting in the Spanish Civil War . One of the companies was named the "Major Attlee Company" in his honour. Attlee was supportive of the Republican government in Spain, and at the 1937 Labour conference moved the wider Labour Party towards opposing what he considered
17125-699: Was passed to the Secretary of State for Wales . According to one history of the NHS, "In some respects the war had made things easier. In anticipation of massive air raid casualties, the Emergency Medical Service had brought the country's municipal and voluntary hospitals into one umbrella organisation, showing that a national hospital service was possible." Webster wrote in 2002 that "the Luftwaffe achieved in months what had defeated politicians and planners for at least two decades." The NHS
17262-458: Was promoted to the temporary rank of major , leading him to be known as "Major Attlee" for much of the inter-war period . He would spend most of 1917 training soldiers at various locations in England. From 2 to 9 July 1917, he was the temporary commanding officer (CO) of the newly formed L (later 10th) Battalion, the Tank Corps at Bovington Camp, Dorset . From 9 July, he assumed command of
17399-551: Was reported that Cancer Research UK maintained that more NHS cancer personnel were needed to enable the UK to catch up The NHS in England was expanding early diagnosis services with the goal of increasing the proportion of cancers diagnosed early (at stages 1 and 2) from 53% to 75% in the decade to 2028. In September 2018, it was reported that the NHS was the first health service in Europe to negotiate coverage for novel CAR-T cancer therapy, with agreement reached within 10 days of its European marketing authorisation. On 7 January 2019,
17536-517: Was reported that death rates from breast cancer were falling faster in Britain than in any other of the six largest countries in Europe, and were estimated then to have improved beyond the European average. In October 2018, according to Breast Cancer Care , 72% of NHS trusts across the UK did not provide dedicated specialist nurses for patients with incurable breast cancer." In September 2019 it
17673-479: Was reported that staff shortages at histology departments were delaying diagnosis and start of treatment for cancer patients. In England and Scotland cancer wards and children's wards have to close because the hospital cannot attract sufficient qualified doctors and nurses to run the wards safely. In November 2018 it was reported that cancer patients and child patients were having to travel very long distances to get treatment and their relatives had to travel far to visit
17810-572: Was safe to restore democracy. He admired Oliver Cromwell 's strong-armed rule and use of major generals to control England. After looking more closely at Hitler , Mussolini , Stalin , and even his former colleague Oswald Mosley (leader of the new blackshirt fascist movement in Britain), Attlee retreated from radicalism, distanced himself from the League, and argued instead that the Labour Party must adhere to constitutional methods and stand forthright for democracy and against totalitarianism either of
17947-567: Was seen as being too old; however, he was eventually commissioned as a temporary lieutenant in the 6th (Service) Battalion, South Lancashire Regiment , on 30 September 1914. On 9 February 1915 he was promoted to captain , and on 14 March was appointed battalion adjutant . The 6th South Lancashires were part of the 38th Brigade of the 13th (Western) Division , which served in the Gallipoli campaign in Turkey . Attlee's decision to fight caused
18084-410: Was seen as the favourite, but was distrusted by many sections of the party, especially the left wing. Arthur Greenwood meanwhile was a popular figure in the party; however, his leadership bid was severely hampered by his alcohol problem . Attlee was able to come across as a competent and unifying figure, particularly having already led the party through a general election. He went on to come first in both
18221-480: Was short of doctors, foreign doctors were forced to leave the UK due to visa restrictions. A study reported in November 2018 found that a fifth of doctors had faced bullying from seniors in the previous year due to pressure at work. In May 2018 it was reported that the NHS was under-resourced compared to health provisions in other developed nations. A King's Fund study of OECD data from 21 nations, revealed that
18358-540: Was spent on health and was the most spent in the public sector. In 2019, the UK spent roughly 10.2% of GDP on healthcare compared to 11.7% in Germany and 11.1% in France. The money to pay for the NHS comes directly from taxation. The 2008/09 budget roughly equated to a contribution of £1,980 per person in the UK. Some 60% of the NHS budget is used to pay staff. A further 20% pays for pharmaceuticals and other supplies, with
18495-501: Was thought that inflation may erode the real value of this funding increase. As part of the 2018 funding increase the UK Government asked the NHS in England to produce a 10-year plan as to how this funding would be used. In September 2019, it was reported that cancer survival rates in the UK had been rising fast but probably still lagged behind the best results internationally, mainly because of late diagnosis. In March 2019 it
18632-478: Was unsuccessful, Attlee believed that it was a bold strategy which could have been successful if it had been better implemented on the ground. This led to an admiration for Churchill as a military strategist, something which would make their working relationship in later years productive. He later served in the Mesopotamian campaign in what is now Iraq , where in April 1916 he was badly wounded, being hit in
18769-458: Was widely accepted not to be a viable alternative government, owing to the National Government's overwhelming majority in the Commons. Attlee, along with Liberal leader Archibald Sinclair , was eventually consulted with by Baldwin on 24 November 1936, and Attlee agreed with both Baldwin and Sinclair that Edward could not remain on the throne, firmly eliminating any prospect of any alternative government forming were Baldwin to resign. In April 1936,
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