The Health Services Act 1980 (c. 53) is an act of the Parliament of the United Kingdom that reorganised the administration of the National Health Service in England and Wales. The Act abolished all area health authorities (AHAs) in 1982 and replaced them with 192 district health authorities (DHAs).[1] It also repealed the provisions that had been introduced in the National Health Service Act 1977 which sought to remove paid private treatment from NHS hospitals.[2]
| Act of Parliament | |
 | |
| Long title | An Act to make further provision with respect to the health services in England, Wales and Scotland and their use by private patients and with respect to hospitals and nursing homes outside those services; to dissolve or make further provision with respect to certain bodies connected with or with persons providing services within those health services; and for connected purposes. |
|---|---|
| Citation | 1980 c. 53 |
| Introduced by | Secretary of State for Social Services, Patrick Jenkin, 1979 (Commons) |
| Territorial extent | Scotland, England and Wales |
| Dates | |
| Royal assent | 8 August 1980 |
Status: Current legislation | |
| Text of statute as originally enacted | |
| Text of the Health Services Act 1980 as in force today (including any amendments) within the United Kingdom, from legislation.gov.uk. | |
Background
editA Royal Commission on the National Health Service was established in 1975 and published its report in July 1979. It heard complaints that the AHAs created under the National Health Service Reorganisation Act 1973 added an extra and unnecessary tier of management.[3] Although the 1973 Act had established a two-tier system of AHAs and RHAs, there was, in effect, a third lower administrative tier as the work of hospital management was done at district general hospital level.[4]
The 'Patients First' consultation document was published in December 1979 which largely agreed with recommendations made by the Royal Commission to reduce the number of administrative tiers.[1]
Effects
editIn 1982, the 90 AHAs were abolished and replaced by 192 DHAs under the Health Services Act 1980, but the RHAs remained.[1] DHAs were established centred on district hospitals, and not necessarily aligned to local authority boundaries as the 90 AHAs had been.[1]
Just as the AHAs had done, each DHA worked alongside a family practitioner committee (replaced by family health services authorities in 1990), which was responsible for managing primary care services such as general practice, pharmacy and dentistry.[5]
The 1980 Act also repealed the provisions relating to pay beds introduced under the previous Labour government in the National Health Service Act 1977.[2]
Subsequent reorganisations
editFamily practitioner committees were replaced by family health services authorities (FHSAs) under the National Health Service and Community Care Act 1990. The 1990 Act also created NHS trusts and altered the roles of DHAs and local authorities to create an internal market.[6]
The DHAs were reorganised on a number of occasions in the 1990s, and in 1996, new single-tier health authorities replaced both DHAs and FHSAs as a result of the Health Authorities Act 1995.[7]
References
edit- ^ a b c d "Health Services Act 1980". The Health Foundation. Retrieved 29 July 2024.
- ^ a b "Labour attempts to abolish private provision in the NHS". The Health Foundation. Retrieved 1 August 2024.
- ^ Royal Commission on the NHS Chapter 4. HMSO. July 1979. ISBN 0101761503. Retrieved 19 May 2015.
- ^ "NHS Reorganisation Act 1973". The Health Foundation. Retrieved 29 July 2024.
- ^ "The changing role of health authorities". BBC News. 20 September 1999. Retrieved 18 April 2014.
- ^ "National Health Service and Community Care Act 1990". The Health Foundation. Retrieved 31 July 2024.
- ^ "Health Authorities Act 1995". The Health Foundation. Retrieved 29 July 2024.