politicsWellcome Collection1950–1951 · United Kingdom
A 1951 fight over NHS charges split Labour and helped bring down Attlee's government
When the NHS launched in 1948, it provided care free at the point of use, and spending quickly ran above forecasts. In 1950 the Chancellor Hugh Gaitskell pushed to introduce charges for spectacles and dentures to cut demand and raise money for rearmament. Aneurin Bevan opposed the charges on principle, and the dispute became a bitter split inside Labour. In April 1951 Bevan and Harold Wilson resigned from the Cabinet, and Labour lost the general election later that year.
The row showed how hard it is to fund a free health service when demand grows and budgets are tight, a question still debated today. Charges were later reintroduced in 1968, and England still charges for prescriptions.
Governments have repeatedly faced the same choice between free care and charges as health spending rises, and Britain's 1951 split was an early version of the debate. Many countries now mix free public care with co-payments for particular services.
Aneurin Bevan had been a coal miner's son from Tredegar in South Wales before becoming the minister who created the NHS.
Wellcome Collection · CC BY 4.0
Illustrative photo · Unknown author, Public domain, via Wikimedia Commons
