Should the settlement of health and social care in England be re-shaped? And if so, how? Nicholas Timmins looks at the shifting nature of the funding divide in England's health and social care systems, from pre-NHS to the current day. Find out more at: www.kingsfund.org.uk/commission

1. The shifting nature of the health
and social care funding divide
Nicholas Timmins
September 2013

2. The NHS…
‘is the closest thing the English have to a religion…’
Nigel Lawson, former Tory Chancellor
‘is the greatest gift a nation ever gave itself.’
Peter Hennessey, historian of government
‘lifted the shadow of fear from the homes of millions.’
Aneurin Bevan, architect of the NHS

3. How is the NHS viewed by the public?

4. How is social care viewed by the public?

5. The origins of the NHS
1909
The Poor Law
Commission
1911
The first national
insurance scheme
20th century
Voluntary and
municipal hospitals

6. World War II and Beveridge

7. Beveridge’s plan for social security
Beveridge’s plans made three assumptions. There would be:
universal children’s allowances
government policy of full employment
a national health service for all.
‘The restoration of a sick person to health is a duty of the
state, and the sick person, prior to any other
consideration.’
Sir William Beveridge

8. Bevan and the NHS

9. Funding the NHS

10. The relationship between health and social care

11. Funding residential care

12. Funding continuing care
NHS continuing
care in England
has grown by 28 per
cent since 2009.

13. Funding social care: eligibility and personal budgets

14. Find out more: www.kingsfund.org.uk/commission
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