This volume records a critical period of development of the National Health Service, including several fundamental reviews and the dramatic 1974 reorganization. It provides a full-scale review of the long-term impact of these changes. The book records complex industrial relations and the "winter of discontent", and issues such as community care, hospital modernization, preventative and promotive medicine, family planning, regulation of the pharmaceutical industyr, complaints procedures, and issues relating to priorities, inequalities and accountability. The separate administrations in Scotland and Wales are also covered. The volume covers the administrations of Macmillan, Douglas-Home, Wilson, Heath, and Callaghan, and reconsiders and suggests substantial revisions concerning the ministerial reputations of Derek Walker-Smith, Enoch Powell, Kenneth Robinson, Richard Crossman, Sir Keith Joseph, Barabara Castle, David Ennals and David Owen.