The 20th century saw greater improvements and more rapid changes in people’s health than ever before. The years 1906 to 1914 saw huge social change. The Liberal Governments turned their back on laissez-faire ideas and decided that the state did have a role to play in improving public health.
Their decision was the result of a number of events, which highlighted the fact that in many parts of Britain ill health still remained a serious problem.
When they got into power in 1906 the Liberal Governments introduced a range of social reforms designed
to wage implacable warfare against poverty and squalidness. As well as the National Insurance Act, the Liberals introduced other measures.
|1906||Free school meals for children from poor families gave children one good meal per day.|
|1907||School medical inspections meant health visitors could keep an eye on children’s health.|
|1908||Old-Age Pensions Act removed the fear of old age.|
|1909||Minimum wages in certain industries gave many poorer workers a living wage.|
In the 1909 budget, David Lloyd George increased taxes on the rich (plutocrats) to help pay for the Liberal’s social reforms.
At the end of World War One, David Lloyd George, who was then prime minister, promised to create
a land fit for heroes to live in. In 1919, a new Housing Act announced plans for councils to build 500,000 new homes within three years.
Economic problems meant that only 200,000 were completed. However, for the first time, many that were built had electricity, running water, bathrooms, indoor toilets and gardens. By 1939 over one million council houses had been built across the UK.
Following the damage and destruction of World War Two, the Labour Government had another million council houses built between 1945 and 1951. The problem of poor housing remained. Since the 1960s surveys have been conducted in Wales to assess the condition of the housing stock. In 1968, 10 per cent of our houses were unfit for human habitation. Though improvement grants and new houses have reduced this percentage, Wales still has more unfit housing than England.
There have also been other government efforts to improve public health.
In 1952, the killer smog in London killed an estimated 12,000 people. It highlighted the poor quality of air in many parts of Britain. As a result the Clean Air Acts of 1956 and 1968 aimed to reduce air pollution from coal fires.
More recently laws have been passed to reduce emissions from greenhouse gases, eg carbon dioxide and methane.
In the 1960s there was a huge slum clearance effort. The slums were often replaced with tower blocks. Some people were moved into new towns, eg Milton Keynes, which were built to get people out of old, dirty, overcrowded industrial towns. Houses had modern facilities and the towns had plenty of green spaces for public use.
The Labour Government of 1945-1951 also created the NHS in 1948. As well as running hospitals and local health centres, the NHS promotes public health through a range of activities.
Controversy arose from the loss or displacement of Welsh speaking farming communities between 1880 and the 1960s, when valleys were flooded to provide drinking water to Liverpool and the Midlands.
The Liverpool Corporation wanted to improve their water supply so, between 1881 and 1888, the largest masonry dam in Britain was built in north Wales in the Vyrnwy Valley to supply Liverpool with fresh water.
Birmingham Corporation organised a reservoir to be built in the Elan Valley to the west of Rhayader in mid Wales to ensure clean drinking water for the Midlands.
Over a hundred Welsh occupants were moved but only landowners received compensation. It was officially opened by King Edward VII and Queen Alexandra on 21 July 1904. The scheme is still supplying Birmingham's water.
In 1955, Liverpool Corporation chose Tryweryn to the north of Bala for a new reservoir for their water supply.
This was a Welsh speaking community of 12 farms, a school, chapel and post office. Despite major protests, on 1 August 1957 the Liverpool Corporation Act was passed, and the village was flooded to create a reservoir.
During the 20th and early 21st centuries, huge strides have been made in public health and hygiene. Life expectancy has risen more rapidly than in any previous century, from just under 50 in 1900 to over 80 today. In other words, during the 20th century for each decade that passed, life expectancy rose by two and a half years.
However, these statistics hide huge divisions within the UK. A report by NHS Wales in 2011 stated that:
Men in the least deprived communities of Wales can expect to live in good health for 19 years longer than those in more deprived parts of the country. Similarly, the difference for women is 18 years... This report shows that people in poorer areas of Wales not only die sooner, but also spend more of their shorter lives in poorer health.NHS Wales
Despite great progress in the last hundred years, huge problems remain. As Britain has grown wealthier the diets of many people have become less healthy, with a huge increase in obesity and diseases associated with it, eg diabetes.
In spite of the many health campaigns many people still smoke, drink too much alcohol and fail to take enough exercise. Poverty and poor housing, though it is not as acute as in past centuries, also continues to have an adverse effect on public health.