The Welfare State (1918-79) Flashcards

1
Q

What is welfare?

A

Aid given in the form of money or necessities to those in need (usually the old, the young, the sick and the poor).

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2
Q

What process was used to determine who deserved welfare?

A

Until the 19th century, if you were seen as the ‘deserving poor’ you qualified. However, healthy people of working age who fell into destitution were often seen as morally at fault and therefore were the ‘undeserving poor’.

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3
Q

List 4 acts that linked to unemployment in the 1918-39 welfare provision:

A
  1. The 1911 Unemployment assurance (the 1920 one was better)
  2. The 1931 Means Test
  3. The 1929 Local Government Pact
  4. The 1934 employment act
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4
Q

List 2 acts that linked pension’s to the 1918-39 welfare provision:

A
  1. The 1908 pensions act
  2. The 1925 Widows, orphans, old age contributory Pensions act
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5
Q

List 4 acts that linked housing to the 1918-39 welfare provision:

A
  1. The 1919 Housing and Town Planning Act
  2. The Housing acts of 1923 (labour)
  3. The 1924 (Liberal) Acts
  4. The 1930 Housing Act
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6
Q

What was government assistance based on in 1918?

A

A mixture of Victorian Poor Laws and the welfare from pre-war Liberals.

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7
Q

What was the purpose of the old poor law in 1601?

A

It said that parents and children were responsible for each other, elderly parents would live with their children. It obliged each parish to collect taxes to support people who could not work.

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8
Q

What did the new Poor Law in 1834 ensure?

A

That the poor were housed in workhouses, clothed and fed.

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9
Q

What surrounding relief changed in the 18th century?

A

Many workhouses were built to house the poor and put them to work, becoming known as ‘indoor relief.

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10
Q

What is the difference between ‘in-door relief’ and ‘out-door’ relief?

A

There were many earlier forms of ‘outdoor’ relief beforehand. Outdoor relief was designed to support people in the community, taking the form of financial support or other necessities. Indoor relief on the other hand, included taking ‘the poor’ to local alms-houses, admitting ‘the mentally ill’ to hospitals and sending orphans to orphanages.

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11
Q

What did you have to prove in order to qualify for ‘outdoor relief’?

A

That Poor Law Guardians that they were morally upstanding.

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12
Q

What did unemployment insurance introduce in 1911?

A

Seven shillings a week for only 15 weeks a year (most were paid 20 shillings a week) – only covers about 10% of the male population. Women workers were also allowed to claim and maternity allowance provided

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13
Q

What reforms did the pre-war Liberals make?

A

It introduced the Ministry of Reconstruction (1917- 19) which was established in 1917 under Christopher Addison (the Liberal MP and medical doctor). It dealt with issues raised by WWI: demobilisation, healthcare, housing, education, and unemployment.

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14
Q

The Unemployment Act (1931) gives __ weeks of payments if their job is lost but was funded by ______ payments. The Unemployment ___________ Board helps unemployed.

A
  1. 26
  2. worker
  3. Assistance
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15
Q

During WWII, why did the idea that welfare provision needed a radical change to help all become widely accepted?

A
  1. The severity of the 1930’s Depression.
  2. The “Total War” led to the idea of Universalist welfare (or help for all, rather than one group). Equal share of resources should also continue into peacetime.
  3. Success of the war economy increased the popularity of the idea that state intervention could work.
  4. The coalition government during WWII ensured that there was cooperation on a number of ideas. Labour’s promotion of increased welfare through White Papers promoted Conservative support.
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16
Q

Who was William Beveridge?

A

A Liberal politician that investigated the state of welfare provision in Britain. He was appointed to head government committee to investigate welfare provision/ recommend improvements in June 1941.

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17
Q

What is the Beveridge Report?

A

A book by William Beveridge, published in the midst of World War II, that promised rewards for everyone’s sacrifices. It formed the basis for the post-war reforms known as the welfare state, which include the expansion of National Insurance and the creation of the National Health Service.

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18
Q

Describe the “5 Giants” that the Beveridge Report suggests that the state should tackle.

A
  1. Want - national insurance.
  2. Ignorance - better education.
  3. Disease – NHS.
  4. Squalor - better housing.
  5. Idleness - full employment.
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19
Q

Name another important idea that the Beveridge report recommended.

A

State welfare to be centralised and regulated by the government.
Funded by compulsory insurance payments – did not see the government having to add extra money.

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20
Q

Despite the Labour party implementing the Beveridge Report once coming to power, what idea did they reject?

A

The idea of welfare payments being funded by universal insurance from all. Contributions were set at a level affordable by all, not just the rich.

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21
Q

What was the welfare consensus?

A

Ideas on welfare were shared by Conservatives and Labour until the mid-1960’s. It was part of the Post-War Consensus.

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22
Q

How much children were estimated to be living in poverty in 1965 by the Child Poverty Action Group?

A

720,000

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23
Q

What are 4 reasons that welfare provision was being challenged in 1979?

A

1) After being elected PM in 1964, Harold Wilson (Labour) discovered an £800 million budget deficit, from military and welfare spending.
2) As the economy declined during the 1970’s, there was a debate over how much should be spent on welfare and its impact upon the economy and welfare recipients.
3) The cost of unemployment benefits was high so Wilson increased taxation to meet this demand.
4) The unemployment benefits rose from 0.6% of GNP in 1939 to 5.6% (1950) to 8.8% in 1970.

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24
Q

How did the Conservative’s introduce more benefits in 1970 through the National Insurance Act (1970) despite the huge welfare bill from Labour?

A
  • Pension rights to 100,000 not covered by the 1948 National Assistance Act
  • Attendance allowance for those who needed long-term care at home.
  • Increased child allowance to mothers.
  • Rent subsidies for low-income families.
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25
Q

Why was Margret Thatcher a key critic of welfare provision?

A

She believed that Britain should adopt the values of Victorian Britain (individualism) in order to regain power. She argued that increased benefits increased a culture of dependency, through the creation of a poverty trap, and directed funds away from wealth generation.

26
Q

Who else lead right- wing challenges to welfare and what did he argue?

A

A Conservative named Keith Joseph who argued that it was the enemy to individual freedom.

27
Q

What were the new reforms of welfare on Wilson’s return to office?

A
  • 1974- A 25% rise in pension rates and a freeze of council house rents.
  • 1975- Invalid Care Allowance
  • 1975- Universal Child Benefit (for all children)
28
Q

List 5 reasons why costs increased:

A

1) The baby boom meant there were more care and education costs for children.
2) Average life expectancy rose between 1941-1970 (this increased the costs of pensions).
3) New social groups in need of support, who hadn’t been previously considered, emerged: low wage-earning families and one-parent families.
4) Higher living standards prompted demands for a higher minimum standard of life for the poorest.
5) The growing welfare state required a bigger bureaucracy to run it.

29
Q

What are 3 reasons why Britain introduced the health service?

A
  1. William Beveridge
  2. WW2 encouraged free healthcare
  3. The 1945 Labour party
30
Q

Most healthcare was _______ (you had to pay to see the doctor and treatment. Some employees were covered by _____ insurance, but there was also charitable hospitals for others. The ____ Law provided some basic care through Poor Law Hospitals and Infirmaries.

A
  1. private
  2. health
  3. Poor
31
Q

Give an example of a large powerful insurance company that provided 75% of health insurance.

A

Prudential

32
Q

What did unregulated “Friendly Societies” do?

A

They provided healthcare to the poor.

33
Q

What were ‘Voluntary Hospitals’ and what how many were there?

A

Charitable organisations that treated life-threatening illnesses. These included university hospitals, specialists for certain diseases, and cottage hospitals for rural areas. There were 12 in London, 10 outside London.

34
Q

What was the consensus after WW1?

A

There was consensus that the government should help in terms of healthcare through planning and co-ordination of regional health services

35
Q

What was widely believed that the government should do so that medical science would continue to advance?

A

Invest in research and training, organise a national network of hospitals, and play a role in rationing healthcare. However, there were disagreements over the government’s exact role.

36
Q

What are the strengths of insurance in healthcare before WWII?

A

Prudential

37
Q

What are the limitations of insurance in healthcare before WWII?

A
38
Q

What are the strengths of GP’s in healthcare before WWII?

A

It’s the first option for most medical care. They ran their own businesses (they were private) so in that sense it was a strength if you were rich.
Local authories benefited.

39
Q

What are the limitations of GP’s in healthcare before WWII?

A

You had to pay for consultations and medicine so poor people would only go as a last resort. GP’s in poorer areas couldn’t afford to live, sometimes hiring debt collectors to make money unlike those in richer areas since some people didn’t pay.

40
Q

What are the strengths of Teaching Hospitals in healthcare before WWII?

A

These 12 prestigious hospitals in London and 10 in the provence’s helped aid other hospitals in furthering their hospital provisions. It attracted donations from the wealthy.

41
Q

What are the limitations of Teaching Hospitals in healthcare before WWII?

A

Majority of voluntary hospitals were small and not well staffed with visiting doctors and GP’s.
They were less financially secure and the cost of advanced treatment increase. They need a quick over turn of patients didn’t admit elderly and those with chronic illness.

42
Q

What are the strengths of State Hospitals in healthcare before WWII?

A

Some were good medical centre.

43
Q

What are the limitations of State Hospitals in healthcare before WWII?

A

They were mostly overcrowded with elderly and chronically ill. There were no timetables or compulsions for cation.

44
Q

What was a major issue following WW1?

A

Tuberculosis– it was the most serious public health problem facing the nation.

45
Q

Was there any changes to Medicine between 1918-1939?

A

There’s lots of debate, but in reality very little actually changes. However, there are a few major acts during the late 1910s and 1920s.

46
Q

True or false: Less than half the population was insured against illness during the 1930’s.

A

True

47
Q

What increased in importance during the Great Depression?

A

Health services for the poor, with the uninsured forced to rely on private care..

48
Q

The Depression focused the debate on healthcare with a new _________; the regional system was inefficient, varied in ______, and didn’t meet the needs of all patients. Ministers, however, still preferred a ________ solution.

A
  1. consensus
  2. quality
  3. regional
49
Q

What had changed in Healthcare by 1939?

A

A lot was still the same: Many were still reliant on health insurance, Poor Law Hospitals still existed, as did Voluntary Hospitals. Healthcare was largely regionalised. However, child mortality rates improved: 1906 = 14.3 per 1,000, 1938 = 12 per 1,000. Higher in poorer areas with maternal mortality rates 50% higher. Average life expectancy was higher in the more affluent areas.

50
Q

What did the think-tank Political and Economic Planning argue?

A

That Britain lagged behind Australia and New Zealand in terms of medical care – it was inefficient, badly-organised, and poorly regulated.

51
Q

How successful was the NHS in creating equal healthcare for all between 1948-79?

A

1) Aneurin Bevan was chosen as Minister for Health who would create the NHS.
2) The 1946 National Health Service Act established a centrally organised system.
3) Comprehensive: both mental and physical healthcare, curative and preventative care, hospital care, GP surgeries, dental care and optical care.
4) Healthcare would be free and paid through taxation rather than insurance.

52
Q

What did all existing hospitals being nationalised mean?

A

NHS hospitals would be run by regional hospital boards managed by executive committees. Moreover, local health authorities provided services such as ambulances, vaccinations and community nursing.

53
Q

Name the 3 area’s of impact.

A

Public health, women, class, and mental health.

54
Q

What are some strength’s of public health?

A

The Merrison Report (1979) argued that hospitals received around 70% of NHS funding, whereas other services, including GP surgeries received much less. Deadly diseases became less prevalent- diminished measles, hooping fought, TB. It increased life expectancy. People were more educated in health.

55
Q

What are some limitations of public health?

A

An increased life expectancy resulted in an increase in cancer and heart disease in the 1950’s and 1960’s and over 200,000 men and 700,000 women suffering from arthritis in 1970. There were regional inequalities with more investment in London.

56
Q

What are some strength’s of class?

A
57
Q

What are some weaknesses of class?

A

The middle-classes benefitted more from the NHS (50% of surgeries in middle-class areas were built after 1900 whereas 80% surgeries in working-class areas had been built before 1900).
Budget allocations favoured middle-class areas.
The gap between middle-class and working-class healthcare grew. W/C women were twice as likely to die in child-birth. Unskilled working men were twice as likely to die before reaching 65 as M/C professionals.

58
Q

What are some strength’s of women: reproduction, childbirth, work.?

A
59
Q

What are some weaknesses of women: reproduction, childbirth, work.?

A
60
Q

What are some strength’s of mental health?

A

1959 Mental Health Act introduced new terminology – “mentally ill” rather than “insane” - and introduced an open-door policy for patients.

61
Q

What are some weaknesses of mental health?

A

Royal Commission on Mental Illness and Mental Deficiency (1957) argued that those with mental illnesses were stigmatised, their personal rights were not respected, and mental health hospitals were more like prisons. However, only 15% of the necessary day-care places were available alongside only 33% of hospital places for mentally ill. Between 1967 and 1981, there were 25 separate enquiries into abuse and mistreatment at psychiatric hospitals in the UK.

62
Q

Why were the expense of the NHS unanticipated?

A

Bevin had expected the cost of healthcare to fall after 1948. It had been hoped that access to preventative medicine would reduce the cost of more serious health problems. However, the reverse happened, and costs soared.