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Impact of the Liberal Reforms - the sick
1.
2. Problems facing the
sick
In 1911 there was no NHS.
Someone who was sick
needed to pay for treatment
themselves (which few could
afford) or rely on charity.
Illness meant real financial
problems as some people
could not work at this time.
3. National Insurance Act
The National Insurance Act
1911 was based on Lloyd
George’s experiences of a
similar scheme in Germany.
The law was in two parts;
Part 1 aimed to help the sick,
whilst Part 2 was focused on
unemployment.
4. Sick pay
A national ‘sick pay’
scheme was established.
Workers paid 4 pence
per week when working.
Employers also paid 3
pence, and the
government 2 pence; it
was known as “fourpence
for ninepence”.
5. Sick pay
If a worker was too sick to
work they were paid 10
shillings per week for 13
weeks, then 5 shillings for
13 weeks.
All workers aged 16-70 who
earned less than £160 per
year had to be insured.
6. Sick pay - benefits
This stopped sick people
who couldn’t earn money
from immediately starving or
losing their home.
It also meant that people did
not feel as though they had
to work through illness,
which helped many recover
and get back to work.
7. Sick pay - Criticisms
Sick pay was only paid for
26 weeks. Workers with
long term illnesses still
faced poverty.
Women also received less
– 35 pence maximum. This
was a problem for families
with women as the only
earner.
8. Sick pay - Criticisms
Other people complained
about the costs.
Low paid workers said
they could not afford to
lose 4p per week.
Younger workers especially
did not expect to get sick.
9. Medical treatment
They could also see a
doctor (for free) and be
treated for illnesses such as
tuberculosis.
Insurance committees
made lists of doctors who
accepted patients and sick
people could choose which
one to visit.
10. Treatment - benefits
People receiving sick pay
were also eligible for basic
healthcare treatment too.
This was paid for with their
weekly contributions.
Getting healthcare meant that
they would get better much
quicker, and possibly not
infect their family too.
11. Treatment - Criticisms
However, the medical
treatment was only available
to the actual worker.
If one of their family
members was sick then they
were not covered, meaning
they still faced problems in
paying for medical care.
12. Medical inspections
In 1907, the Liberals
introduced medical checks
for young people. They were
to be inspected three times
during their school lives.
From 1912, young people
could also get basic
treatment for certain
illnesses identified.
13. Medical inspections
Checking children’s health
meant that health problems
could be identified, and this
meant the child’s parents
could arrange treatment.
If a child received treatment
this could also stop the illness
spreading to other children or
family members.
14. Medical problems
At first, children were
inspected but not given free
treatment, so many families
could not afford to pay for
treatment so the child
continued to be ill.
Other parents were angry
and embarrassed at their
children being inspected.