Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The National Health Service (NHS) at 70: Bevan's double-edged legacy.

Rudolf Klein1

  • 1Honorary Professor,London School of Hygiene and Tropical Medicine,London,UK.

Health Economics, Policy, and Law
|January 9, 2018
PubMed
Summary

Nye Bevan's tax-funded National Health Service (NHS) model achieved high equity, validating his vision. However, this success leads to fiscal crises, centralization, and regulation, with reorganizations failing to resolve these issues.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Opportunity knocks.....will nurses answer?<sub>Nurses will have to compete with other professions for the chance to lead the new NHS, says Rudolf Klein</sub>.

Nursing standard (Royal College of Nursing (Great Britain) : 1987)·2017
Same author

England's National Health Service--Broke but Not Broken.

The Milbank quarterly·2015
Same author

Rhetoric and Reality in the English National Health Service Comment on "Who Killed the English National Health Service?".

International journal of health policy and management·2015
Same author

Does history provide a short cut to futurology?

Health economics, policy, and law·2014
Same author

The NHS in the age of anxiety: rhetoric and reality--an essay by Rudolf Klein.

BMJ (Clinical research ed.)·2013
Same author

The twenty-year war over England's National Health Service: a report from the battlefield.

Journal of health politics, policy and law·2013

Area of Science:

  • Health Policy
  • Public Health
  • Healthcare Management

Background:

  • Examining Aneurin (Nye) Bevan's model for a tax-funded national healthcare system focused on achieving equity.
  • Assessing the historical context and foundational principles of the National Health Service (NHS).

Observation:

  • The NHS demonstrates high performance in equity, aligning with Bevan's original objectives.
  • The tax-funded structure results in persistent fiscal challenges and a trend towards increased centralization.
  • Intensive regulation and performance management have become characteristic of the NHS operational environment.

Findings:

  • Bevan's model successfully achieved its equity goals, validating the core principle of universal access.
  • The inherent financial structure of the NHS leads to ongoing fiscal instability and crises.

Related Experiment Videos

  • Reorganization attempts to balance equity with efficiency have not overcome the fundamental tension between centralized control and hierarchical systems.

    • Implications:

    • The findings suggest a need to re-evaluate the funding model of the NHS to ensure long-term financial sustainability.
    • Future healthcare reforms must address the trade-offs between equity, efficiency, and administrative burden.
    • Policy interventions should consider alternative organizational structures that mitigate fiscal crises while maintaining equitable access to care.