History of the National Health Service He established the State Medical Service Association which held its first meeting in 1912 and continued to exist until it was replaced by the Socialist Medical Association in 1930. Before the National Health Service was created in 1948, patients were generally required to pay for their health care. Free treatment was sometimes available from Voluntary Hospitals. Some local authorities operated hospitals for local ratepayers (under a system originating with the Poor Law). The London County Council (LCC) on 1 April 1930 took over from the abolished Metropolitan Asylums Board responsibility for 140 hospitals, medical schools and other medical institutions. The
United States Public Health Service changed again, in 1912, to just the "Public Health Service" (PHS). In 1939, the Public Health Service was transferred from the Department of the Treasury into the new Federal Security Agency. At that time the National Institute of Health [sic] was already established as a division of the PHS. In 1942 the Communicable Disease Center, which would become the Centers for Disease Control and Prevention, was established within the PHS. All of the laws affecting the functions of the public health agencies were consolidated for the first time in the Public Health Service Act of 1944. In 1953 the Federal