Show how the reforms to the NHS that were introduced in April 2013 are changing service .Review the main reasons for the introduction of these NHS reforms.

The National Health Service has been providing health care in England since 1948. The costs of the service have been increased since than because of the changes made in the origination and structure service. The government aims to improve the service and these have brought advantages and disadvantages. (Clayton, J.1998).

National Health Service is a factor of welfare given to the people of England, we need to look at the early year’s welfare laws acts that have been passed down through the centuries and this will lead us to the creation of the nhs.The first welfare reforms were know as the poor law, which had their start in the Elizabethan ara. In 1601 the first poor law was approved and this put parishes in charge of doing out relief to the parish poor. This new law should have been enough for the people at the time but doing practise these laws were not being monitored or regulated and this meant if someone was about to move from their country they would not be entitled to any relief in their new parish .

These laws did not get changed until the new poor law amendments acts of the 1834 this was brought in after campaigns were made around the land. This new law allowed someone to accept a place in the working house even though the poor’s were given shelters and foods in return of a day work but the work condition was really bad than what they experienced by the recipient before going into a charitable institution.

Even though the work house conditions were not being improved but the living outside the work house improved and doing the last nineteenth century, sanitation and housing improved and this was because of the 1848 public health act. These meant that people started to live longer but for