The document discusses the development of social work and social welfare in the United Kingdom. It traces the evolution from the Poor Law of 1601, which required local parishes to care for destitute people, to the establishment of the welfare state after World War II. Major reforms included the National Health Service Act of 1948, which instituted a universal public healthcare system. The model of "social citizenship" was challenged by Margaret Thatcher in the 1970s-80s, though welfare spending remained stable. Today the debate focuses more on cost-effective public-private social care programs.