Health Board - Background

Background

Prior to the advent of the health board system, the 1947 Health Act was the principal legislation on the State's role in the provision of healthcare in Ireland; this was the act that served as the legislative basis for the Mother and Child Scheme, which was later withdrawn under Church and doctor opposition.

Under the 1947 act, the health authority for a functional area was the city council or county council of that area. This reflected the fact that until 1947, the Minister for Local Government and Public Health was responsible for public health, and in that year, the Minister for Health was created as a separate Minister of the Government by the 1946 Ministers and Secretaries (Amendment) Act.

In 1970, the healthcare system of Ireland was still very much a private and voluntary system with the Catholic Church still retaining effective control of healthcare, in particular the ownership of hospitals and institutions. Doctors served very much in a sole trader capacity with the state taking few responsibilities beyond the organisation of the provision of healthcare to the disadvantaged.

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