The National Health Service: high dependency patients at home — the case for a secondary domiciliary care service

  • Freda Clarke


The Beveridge Report on social insurance (1942) proposed the extension and co-ordination of existing social insurance schemes on the assumption that a comprehensive national health service would be required to achieve medical objectives envisaged in the Report. Beveridge took the view that social insurance should cover all income groups and their dependents. But he regarded restoration of a sick person to health as a duty of the state prior to any other consideration. Events of the 1939–44 war (like that of 1914–18) had concerted public opinion in favour of widespread changes which would promote greater social justice and equality in Britain. Consequently, the Beveridge Report was greeted with enthusiasm such as had never before and has never since been experienced when proposals for social reform have been made.(1)


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  1. (1).
    Abel-Smith, B., The Hospitals 1800–1948, Heinemann, London, 1964, p. 454;Google Scholar
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  3. (2).
    Honigsbaum, op. cit., P. 144.Google Scholar
  4. (3).
    Ibid., p. 175.Google Scholar
  5. (4).
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    Royal Commission’s Report, op. cit., para I.I.Google Scholar
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    Ibid., para 2.6.Google Scholar
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    Ibid., p. 39.Google Scholar
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    Ibid., p. 39.Google Scholar
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    Ibid., para 22.57.Google Scholar
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    Inequalities in Health: Report of a Research Working Group (Chairman: Sir Douglas Black), DHSS, London, 1980.Google Scholar
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Copyright information

© Freda Clarke 1984

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  • Freda Clarke

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