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
Royal Commission on the National Health Service idea that responsibility for the delivery of health services should be transferred from the Department of Health and Social Security to the Regional Health Authorities was less welcome. The members were: Royal Commission on the National Health Service The Royal Commission on the National Health Service was set up by the Wilson government in 1975. It was to consider the "best use and management of the financial and manpower resources of the NHS". The Royal Commission reported in June 1979, by which time the government had changed. It recommended, among other things, that the administration of the Health Service should