Challenges the NHS faced with expanding treatments
Demand for NHS services grew rapidly from 1948.
Free healthcare lead to increase in demand in the no. of perscriptions to 13.6 million in September 1948 from 6.8 million the previous June.
Between 1949-64 more medicine's available, lead to increasing NHS drug cost.
NHS spent 250% more on drugs in 1964 than in 51.
Vaccinations increased, prior to 1939 only routine vaccination was for smallpox, by 1964 there were vaccines for diptheria, TB, poliomyelitis, whooping cough and tetanus all universally available.
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Challenges of Medical advances between 1964-79.
1948-60 there had been little investment to modernising NHS hospitals, little done to tackle inequalities of provision.
During the 60's&70's government plans to tackle this were only partly successful.
Increasing demand on NHS resources as new treatment developed, leading to rising expectations and growing costs.
Government spent less on health than any other European countries.
No. of consultants & nursing staff increased by 66% from 1964-79, technical staff increased by 300%.
Staffing increased from 407,000 in 1951 to just over 1 million in 1979.
Population increased, demand increased e.g. NHS performed 24,000 hip replacements in 1979.
During 1964&79 there were advances in surgery such as heart bypass and organ transplant operations. In 1979 the NHS performed around 800 kidney transplants & around 5,000 heart bypass operations.
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Overall: Was the NHS in crisis by 1979?
Yes, it was in crisis:
Growing demand for services, due to medical advances and growing age of the population.
Healthcare provision remained uneven across the country and in different branches of medicine e.g Mental Health care.
By the late 1970's it was no longer assumed that economic growth would continue and support ever-increasing spending on healthcare.
Nonetheless, the NHS was protected by a widespread public consensus that viewed it as an indispensable part of British national life.
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