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During the 19th Century there was a growing sense that universal healthcare provision was the sign of a civilised society. However, it wasn’t until the Second World War, which saw the introduction of a widespread emergency medical service and led to major systemic changes in society, that the foundations of the NHS were truly laid. So in 1948, the old mix of paid-for and charitable provision was replaced by a national healthcare provision that was free to all, something that remains the largest publicly funded healthcare service in the world.

Within the British healthcare service, there is a structured medical hierarchy that until 2005 had changed little over the decades, with NHS doctors categorised according to their level of training, experience and specialty.


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