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Attlee's 1945 Labour government was re-elected in 1950, but with a smaller majority. In the financial crisis of 1951, when cuts were needed, the National Health Service, as was to become usual for all governments, was the target. Naturally, Aneurin Bevan, by then the Minister of Labour, fought to protect what he always considered his Health Service from a £10 million cut. At the Cabinet meeting on 22 March, Bevan reluctantly accepted a one-shilling charge for the until-then free prescriptions, but
refused to allow a payment for spectacles and false teeth. The Chancellor, Hugh Gaitskell, demanded all the cuts.

Meanwhile, Attlee had a recurrence of a chronic duodenal ulcer, for which he had been in hospital in 1948, and on 21 March 1951 he was admitted to a single room of the Lindo private wing of St Mary's for five weeks of what should have been complete bed rest. On 9 April, Herbert Morrison, the Foreign Secretary, chaired the Cabinet and instead of achieving a compromise, allowed a vote that approved all Gaitskell's NHS cuts. That day, Attlee was visited by Morrison, who wanted him to insist on Bevan
accepting the Cabinet's decision. Next came Bevan and the President of the Board of Trade Harold Wilson to press their point of view. Attlee urged them not to resign on this issue, because he knew it would split the party and lose Labour the next election. Finally that evening, Gaitskell came in, refused to compromise and threatened to resign if Attlee backed Bevan. 

The next day, the Budget was presented in the Commons and Gaitskell announced his cuts. Bevan and Wilson were joined by the Parliamentary Secretary John Freeman and again threatened to resign while Morrison, Gaitskell and others insisted that the PM force Bevan to resign unless he accepted not only the NHS cuts but also a rearmament programme for the Korean War. On 23 April, Bevan and Wilson resigned, to be joined by Freeman the next day. Attlee left hospital on 27 April, Labour split, lost the election on 25 October and the Conservatives held office for the next 13 years, the second-longest single party reign in 20th-century Britain.

Attlee always maintained that if he had not been in hospital and had chaired the Cabinet instead of Morrison, he could have effected a compromise, especially because the defence budget estimate was never fully spent, making the NHS cuts unnecessary. Wilson's judgment was similar but others are convinced that the Gaitskell vs. Bevan conflict was incurable. However, I do not consider that Attlee's ministers or his historians appreciated that in 1951, the object of admitting a patient with a peptic ulcer to hospital was complete bed rest. Attlee, normally master of his government's prima donnas, confined to a tiny room, probably without en suite facilities, given a tasteless ulcer diet, prevented from smoking and conventionally sedated with barbiturates, was no match for the endless importuning visitors. Nevertheless, at least my predecessors at St Mary's cured Attlee's ulcer. 

Anthony Eden had a charmed early life as the younger son of a country baronet. He was tall, handsome and immaculately dressed and had high self-esteem. He went to Eton, had a gallant war with a Military Cross, took a First at Christ Church in Arabic and Persian, won a safe Conservative seat and saw rapid promotion in the Foreign Office. Yet it has been said that Eden "was ill-served by his doctors".

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Anne Elborn
May 24th, 2012
10:05 PM
A very interesting article. Are you te Jeremy Baron I met at Alan Small's house in the early 50's@ I stillhave a book by Heine that you gave me

Dr Roderick Neilson
July 27th, 2011
10:07 PM
I think the post by 'anonymous' says more about him or her than it's content does. I worked for the Medical and Dental Defence Union of Scotland for 5 years. The use of clinical records by MDOs in medical negligence and GMC cases is covered by legal privilege, not patient confidentiality. If a doctor is accused of negligence or serious professional misconduct they have a right in law to access to relevant clinical records to answer the case made against them. As for the allegation that MDOs, lawyers and courts falsify and distort records, that smacks of sour grapes and failed litigation by Anonymous rather than fact.

Anonymous
January 23rd, 2011
4:01 AM
If Dr Neilson above was an advisor to a medical defence oragnisation (MDO), then he would know what a joke patient confidentiality is. MDOs routinely instruct doctors, expert witnesses and lawyers through the MDO medico-legal advisors to collude, with deliberate deception, against medical malpractice patients by falsifying their medical records, tests and radiographs. The Spine helps with this abuse of privacy, as do all electronic computer medical records. This deception and abuse of process goes all the way from the MDOs to the prejudiced rulings of medical boards and court judges.

Dr Roderick Neilson
December 7th, 2009
7:12 PM
I write as a practising consultant and a previous medical adviser to a UK Medical Defence Organisation. If Dr Baron is to believed St Mary's Hospital Medical School teaches and practices lower standards in relation to patient confidentiality than the Scottish University I attended. It is a step too far to suggest that the chequered medical histories of past politicians, all of whom are conveniently dead and thus cannot complain, means the public has a right to know the medical histories of current or would be current ones. I have little sympathy for most politicians but the fact they are politicians does not mean they have a lesser right to medical confidentiality than ordinary people. Neither does it mean that the GMC's position on medical confidentiality does not apply to their doctors. I'm sorry but Dr Baron's view that different standards should apply as regards confidentiality when politicians are patients is unethical and intrusive. Dr Roderick Neilson Consultant Haematologist

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