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
National Health Service Reorganisation Act 1973 National Health Service Reorganisation Act 1973 The National Health Service Reorganisation Act 1973 is an Act of the Parliament of the United Kingdom. The purpose of the Act was to reorganise the National Health Service. The Act also established the posts of Health Service Commissioner for England and Wales. Separate legislation was passed establishing the post in Scotland. The provisions of the Act relating to the Health Service Commissioners have largely been replaced by the Health Service Commissioners Act 1993. The National Health Service had been excluded from the remit of the Parliamentary Commissioner for Administration when the Parliamentary Commissioner