Health and Social Care within the British Welfare State

health and Social boot within the British Welfare StateThe 1843 Poor Law was created because the middle and upper associationes were coming to the closing curtain that the local taxes they were paying were erecting the scummy to be lazy and avoid work so numerous complained wanting a change to the flow strategy. The rude(a) deplorable uprightness sounded respectable as the poor and homeless would be sent to work houses being c hatfulhed and fed, even pincerren would get some raising in that respect and they would have work for several hours a day.The work houses were not as accommodating as that the people were cherished as slaves, as if they were being punished for being poor and the work was toilsome and often perilous. The workhouses would be an object of fear for the poor, families would be split up, they suffered from poor diets and any medical exam examination inescapably were not met. Many were outraged and spoke out against the poor law. Richard Oastler w as one of those who spoke out against the poor law and fought for refine of the f accomplishmentories. He said I will use tout ensemble my influence in trying to remove from our factory system the cruelties which are practiced in our mills. (Chaplin, A. 2009). Anthony Ashley Cooper, 7th earl of Shaftesbury fought for factory illuminate for meliorate working conditions and in 1847 the changes to the factory act were improved and over the years kept improve to try and stop any worker being exploited.The great wars gave medical specialist a new image of stardom from the people of Britain because of their courage on the battle field and treating those back home. The first Great warfare praised the actions of the orthopaedic surgeon preforming impressive lifesaving medical procedures where ever they were needed. By World War 2 there were advances in medical, factory and motorised machinery leading to new challenges for medical professionals to deal with a new sick of injuries. The orthopaedic surgeon now shared the limelight with other medical specialists now being recognise for their work. During the interwar years plastic surgeons were developing their skills and maintaining their specialist identity their profession was now in high get treating burn victims which was now an injury that affected a high amount of individual during WW2 because of the petrol drive means of transport this also cal restoration for a high demand for burn specialists, cardiologists and thoracic surgeons who now had to treat patients who have been crushed by vehicles of war and machinery. A more modernised society was producing more ailments where the health fright had to develop to meet the needs. The end of WW2 now recognised the importance of rehabilitation, this was not the touch afterward WW1 simply now occupational therapists and physical medicines were sought after.The poor living conditions and the constant threat of danger caused a high number of soldiers and c ivilians to suffer with a psychiatrical disorder and requested the need of psychiatric help. More than A third of military maculationrs suffered with a mental disorder. WW2 created more opportunities for pathology as Penicillin the miracle drug, cured wound infection, STDs and relieving a range of life threatening disease. The improved health of soldiers and gave them a morale boost and boosted the belief of creating more medicines to cure diseases. (Hardy, A. 2009)After 1945 Britains economy needed reconstruction so Britain cherished an inflow of immigration do work. There was a large population growth which did lead to a shortage of kind houses and from 1946 to the 1960s there was a baby boom leaving the system overwhelmed with the rapidly growing population.Sir William drunkenness wrote the report card Social Insurance and Allied gains in 1942 which became the blue print for the modern offbeat state. The Beveridge Report aimed to provide a comprehensive system of kin dly insurance from cradle to grave. It proposed that all working people should pay a weekly contribution to the state. In return, benefits would be paid to the unemployed, the sick, the retired and the widowed. Beveridge wanted to check that there was an acceptable minimum standard of living in Britain below which nobody fell. (The National Archives. 2009). It was this report that identified the five Giant Evils the government should fight namely Want, Disease, Ignorance, Squalor and Idleness. (Sir William Beveridge Foundation. 2012). The semipublic welcomed the idea with idle arms and could not wait for it to be put into action but their current government the conservatives which was light-emitting diode by Winston Churchill missed his chance to apply any of the Beveridge report as he put all his focus on the war giving labour the chance to tell the public that they would implement this law if they were to get elected. In 1945 Winston Churchill lost the election even though his leadership helped win the war but it was not enough to keep him as prime minister because the British people were desperate for a better quality of life and equal health care, no longer have to go to hear charity hospitals or only the working to be aloud treatment. (Addison, P. 2005). apprehend now ran the country and light-emitting diode by Clement Attlee, his minister of health was Aneurin Bevan who would work hard to pass the national health act. Aneurin Bevan had a lot of opposition his main adversary was DR Charles Hill of the British Medical standstill and organised a vote amongst all doctors to vote for or against the NHS, 85% were against and all those who were for were bullied for it and they created propaganda for the media to turn the public against the NHS. The doctors wanted to keep their status of independent contractors and not become civil servants. The working and middle classes were in support of the NHS, only 13% was on the side of the doctors. Aneurin gained s upport of Lord Moran the president of the purple College of Physicians who controlled the consultants and the charity hospitals they were at this time destitute and Aneurin would support these hospitals with tax funding if he had support from his medical supply. The remaining doctors decided to join the NHS days before the start of the act as they established all patients would be joining the NHS leaving their clinics soon to be empty. 1948 the National wellness Act was implemented. The medical system realised how people were suffering with conditions who could not afford the healthcare. The hospitals were full and patience were requesting a lot of treatment as so many conditions were far gone they needed a lot of care even babies were in terrible conditions, before the NHS babies had a high mortality rate. (Rick, B. 2008).The NHS continued to improve and fan tan discovers that it was impossible to cap its egesting as medical techniques and equipment was al appearances evolving . Bevan foresaw this in speaking on second June to a Royal College of Nursing conference. We shall never have all we need, he said. Expectations will always reach capacity. (Rivett. G. 2014).In 1965 there was an investigation into the local authorities in England and Wales in 1968 this report was published by Fredrick Seebohm. He believed the current system was inadequate and a new more family orientated system should take its place and work for the individual and could work long term. He wanted it to be better than the current services but will be able to provide those services that are already purchasable like the childrens departments, the welfare services provided under the National Assistance Act 1948, educational welfare and child guidance services, the home help service, mental health companionable work services and other social work services provided by health departments, day nurseries, and certain social welfare work before long undertaken by some housing departments. Local authorities should be able to assess a situation immediately and be able to provide for them out of what render they have in their own area. This improved social services department will be provided with training and staff will gain a social worker qualification and there will be specific jobs like field staff and residential staff. 11. (Seebohm, F. 1968).In 1970 the Local Authority Social Services act was implemented making it required for every local authority to have a social services department and should adhere to the functions roundabout by the secretary of state. The LASS act 1970 will work alongside the National Health Service Act 1946, the National Assistance Act 1948 and the Children Act 1948. Local authorities would also follow this act as they would their Health Visiting and Social Work (Training) Act 1962 and Health Services and Public Health Act 1968 and refer to all acts when to fulfil their authorities function.There is a 22 year divergence between the NHS act and the LASS act this could be that before the NHS act the attitude of certain groups ruling that the poor were a burden, brought their situation on themselves and even some G.Ps did not like to treat those in the slums. So health care was a priority to bring society to a stage of good health and good living conditions so social services could come in and have the provisions to work with and encourage wellbeing because the antecedent ill health of those who couldnt afford to get it treat gave a low chance of living long lives for the working class. Social services would not be able to make their assessment if people were not able to be diagnosed by physicians or psychiatrists and a social worker does not have the medical training to diagnose a person and then people would go without help. Also working class and a high number of middle class were ill, suffering neglect from the state and malnourished if this was the norm in some parts of Britain what could that areas local au thority do if the poor living conditions were that vast and what would be a case for social services to step in would be the how certain people had to live due to their financial status.In 1979 Margret Thatcher a conservative leader and a Neo-liberal became prime minister after winning the election against Labour as it was said their bad leadership lead to the country being in debt. Unlike her labour predecessors Thatcher opposed some of the ideas of the Beveridge report and reformed the NHS for it to become more of a market where the patients become customers and advance people to go private. She created the National Health Service act 1980 which promoted privatisation. This concerned the public who still wanted to keep their NHS the way it was but the waiting lists got longer and certain wards started to close. Health boards became purchasers and would have contracts with different medical drug companies to be able to purchase the best value for money. After Thatcher the cradle t o the grave ideology has not be looked back on. (BBC NEWS)The Barclay Report 1982 identified the unrealistic expectations of social workers and how society and the media would complain when these expectations were not met. Barclay saw two distinctive elements to social work counselling and social care planning. He boost the idea of partnership between service users, families, statutory services and voluntary services and also to seek networks of care in the service users community. (Blewett, J. 1997)John Major was next after Thatcher in 1990 and continued with the reform of the NHS. Under conservative leadership octonary English Regional Health Authorities abolished from April 1996 and replaced by eight regional offices of a new NHS Executive, based in Leeds. Likewise, 100 new Health Authorities (HAs) replaced the previous structure of District Health Authorities and Family Health Service Authorities, the aim being to reduce bureaucracy and improve services. With no regional stru cture in Scotland, Wales and Northern Ireland, responsibility was left with health departments at national and local trust level. (BBC NEWS). Labour comes back into business leader 1997 with Leader Tony Blair who believed in the third way. The third way or New Labour was the combination of the best features of the USA and Continental europium economic dynamism and European social inclusion and bring them together. (Powell, M. 2008). Pressures from Scottish and Welsh Labour parties led to a political commitment by labour to transfer the powers from the Scottish office to a Scottish Parliament giving the ability to now pass primary legislation in those areas and from the welsh office to a National Assembly for Wales, administering and financing them within a frame work of Westminster legislation. Scotland and Wales now had the power to create health, education, housing and training departments government by their own parliaments and Assembly and this system became a lot more organi sed. There are differences in some of the services of the NHS in other regions compared to England. In Wales and Scotland prescriptions are free but in England people are charged, The National Institute for Health and Care Excellence is responsible for cost efficient medicines and equipment for England and Wales based but its The Scottish Medicines Consortium that is in charge of that in Scotland and only in Scotland was the NHS car parking char abolished. (Hicks, R. 2013)Chancellor George Osborne gave his autumn account 2014 sharing his plans for the NHS. Osborne has announced that he will be funding the NHS an extra 2 billion a year and a new 300m a year fund for kick-starting GP innovation.The issue is is this in any case little too late, the NHS has been suffering for a while and is believed this extra money will be spend half way into the year on its shortfalls due to budget cuts. David Cameron quoted Thatcher by saying NHS spending was right in his hands but reports say the NHS has never been in such a worse state.Elizabeth Evans