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National Health Service Wiki2Web Clarity Challenge

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Study Guide: The National Health Service (NHS): History, Structure, and Challenges

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The National Health Service (NHS): History, Structure, and Challenges Study Guide

Origins and Foundational Principles

The founding principles of the NHS in 1948 included making healthcare services comprehensive, universal, and free at the point of delivery.

Answer: True

Explanation: The foundational principles established for the NHS in 1948 emphasized comprehensiveness, universality, and provision free of charge at the point of service delivery.

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At its launch, the NHS was based on the principle of providing care based on ability to pay.

Answer: False

Explanation: A core principle of the NHS at its inception was to provide care based on clinical need, not on a patient's ability to pay.

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What were the foundational principles upon which the original NHS systems were established in 1948?

Answer: Comprehensive, universal, and free at the point of delivery.

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Historical Development and Key Milestones

The NHS was established as a response to the economic challenges following World War I.

Answer: False

Explanation: The National Health Service was established as a response to the socio-economic conditions and reforms following World War II, notably influenced by the Beveridge Report.

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The concept of a unified medical service predating the NHS was first proposed in the Minority Report of the Royal Commission on the Poor Law in 1909.

Answer: True

Explanation: The idea of a comprehensive, unified medical service predating the formal establishment of the NHS was indeed articulated in the Minority Report of the Royal Commission on the Poor Law in 1909.

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The Highlands and Islands Medical Service was established after the 1942 Beveridge Report.

Answer: False

Explanation: The Highlands and Islands Medical Service was established much earlier, following the Dewar Report of 1912, serving as a precursor to national healthcare initiatives.

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The Labour Party committed to establishing a State Health Service at its 1934 conference.

Answer: True

Explanation: At its 1934 conference, the Labour Party formally committed to the establishment of a State Health Service, influenced by figures like Somerville Hastings.

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The Beveridge Report of 1942 recommended the creation of comprehensive health services, leading to cross-party consensus for the NHS.

Answer: True

Explanation: The influential 1942 Beveridge Report advocated for comprehensive health and rehabilitation services, which was instrumental in fostering the cross-party agreement necessary for the subsequent creation of the NHS.

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Aneurin Bevan was the Prime Minister who oversaw the official launch of the NHS.

Answer: False

Explanation: Aneurin Bevan served as the Minister of Health, not Prime Minister, and was the key figure overseeing the official launch of the NHS.

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The NHS was officially launched on July 5, 1948, at St. Thomas' Hospital in London.

Answer: False

Explanation: The official launch of the NHS occurred on July 5, 1948, but the location was Park Hospital in Davyhulme, near Manchester, not St. Thomas' Hospital in London.

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Aneurin Bevan resigned from the government due to disagreements over the introduction of charges for hospital beds.

Answer: False

Explanation: Aneurin Bevan resigned from the Labour government in protest against the introduction of charges for dentures and glasses, not hospital beds.

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Conservative MPs initially favored a nationally owned hospital system administered centrally.

Answer: False

Explanation: Conservative MPs generally favored local administration of hospitals through existing local authorities, expressing concern that a centrally owned system might diminish the doctor-patient relationship.

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The principle of no private sector involvement in the NHS has remained unchanged since its inception.

Answer: False

Explanation: While initially founded on a principle of minimal private sector involvement, the NHS has seen evolving arrangements, including the use of private finance initiatives and joint ventures in later years.

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During the COVID-19 pandemic, the NHS partnered with tech companies to develop computer dashboards for managing the crisis.

Answer: True

Explanation: In response to the COVID-19 pandemic, the NHS collaborated with technology firms to create digital dashboards for crisis management and integrated health information systems.

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Which historical report is cited as influencing the concept of a unified medical service that predated the NHS?

Answer: The Minority Report of the Royal Commission on the Poor Law in 1909

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Who was the Health Minister appointed by Clement Attlee, credited with leading the campaign for the final form of the NHS?

Answer: Aneurin Bevan

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Where was the NHS officially launched on July 5, 1948?

Answer: Park Hospital in Davyhulme, near Manchester

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What led to Aneurin Bevan's resignation from the Labour government?

Answer: Protest against the introduction of charges for dentures and glasses.

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Structure, Funding, and Governance

The National Health Service (NHS) operates as a singular, centrally administered healthcare system encompassing the entirety of the United Kingdom.

Answer: False

Explanation: The NHS comprises four distinct, nationally managed healthcare systems (England, Scotland, Wales, and Northern Ireland), rather than a single unified system managed centrally for the entire UK.

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In the 2015-2016 period, the combined budget for the four NHS services exceeded £150 billion.

Answer: False

Explanation: The combined budget for the four NHS services in the 2015-2016 period was approximately £136.7 billion, which did not exceed £150 billion.

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The NHS's significant purchasing power helps to keep global prices for consumables like medications lower.

Answer: True

Explanation: The substantial purchasing volume of the NHS enables it to exert influence on global markets, contributing to lower prices for essential consumables such as pharmaceuticals.

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The NHS is primarily funded through general taxation and National Insurance contributions.

Answer: True

Explanation: The primary sources of funding for the NHS are general taxation and National Insurance contributions, supplemented by a small percentage from patient charges.

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In 2022/23, the Department of Health and Social Care in England allocated over 94% of its expenditure to salaries and medicines.

Answer: True

Explanation: During the 2022/23 fiscal year, the Department of Health and Social Care in England directed over 94% of its substantial expenditure towards salaries and the procurement of medicines.

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The budgeted amount for health and social care in Scotland for 2024/25 was approximately £10 billion.

Answer: False

Explanation: The budgeted amount for health and social care in Scotland for 2024/25 was approximately £19.5 billion, significantly exceeding £10 billion.

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Which of the following best describes the National Health Service (NHS)?

Answer: The collective publicly funded healthcare systems of the United Kingdom, comprising four distinct services.

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How has the NHS's purchasing power influenced global prices?

Answer: It allows the NHS to influence global prices, generally keeping them lower.

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What was the approximate combined budget of the four NHS services in the 2015-2016 period?

Answer: £136.7 billion

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In 2022/23, what was the primary allocation of the Department of Health and Social Care's expenditure in England?

Answer: Salaries and medicines

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Service Provision, Access, and Patient Charges

Dental treatment and optical care are always provided free of charge by the NHS to all UK residents.

Answer: False

Explanation: While many NHS services are free, dental treatment and optical care are typically subject to charges for UK residents, with specific exemptions applying.

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Accident and emergency room treatment is one of the health services that is always free for everyone in the UK, regardless of residency status.

Answer: True

Explanation: Accident and emergency room treatment is among the services provided by the NHS that are generally free to all individuals in the UK, irrespective of their residency status.

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British citizens who are not ordinarily resident in the UK are always exempt from paying for NHS services.

Answer: False

Explanation: British citizens who are not ordinarily resident in the UK may be liable for charges for NHS services, even if they have previously contributed through National Insurance.

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The immigration health surcharge allows individuals to access NHS treatment if they are applying for a visa for less than six months.

Answer: False

Explanation: The immigration health surcharge is applicable to visa applications for stays exceeding six months, granting access to NHS treatment upon payment.

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In 2024, the annual cost of the immigration health surcharge was higher for students than for other general applicants.

Answer: False

Explanation: In 2024, the annual immigration health surcharge was £776 for students and their dependents, and £1,035 for other general applicants, indicating it was lower for students.

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In 2024, NHS hospitals required radiographers to ask all male patients aged 12-55 if they were pregnant for inclusivity purposes.

Answer: True

Explanation: In 2024, certain NHS hospitals implemented a policy requiring radiographers to inquire about pregnancy status for male patients aged 12-55, citing inclusivity objectives.

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What specific services were initially exceptions to the NHS principle of being free at the point of delivery for UK residents?

Answer: Dental treatment and optical care

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Which of the following services is generally free to everyone in the UK, regardless of residency status?

Answer: Accident and emergency room treatment

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What is the purpose of the immigration health surcharge?

Answer: To allow individuals applying for visas longer than six months to access NHS treatment.

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Performance, Challenges, and Workforce Issues

England's NHS is the largest employer in Europe, with roughly one in every 25 adults in England working for it.

Answer: True

Explanation: England's National Health Service is recognized as the largest employer in Europe, with approximately one in every twenty-five adults residing in England employed by the organization.

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Physicians form the largest staff cohort within the NHS, numbering over 330,000 employees.

Answer: False

Explanation: Nursing staff constitute the largest cohort within the NHS, numbering over 330,000 employees, whereas physicians represent a smaller proportion.

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A 2022 report by Civitas suggested the UK had one of the most costly health systems with some of the worst outcomes.

Answer: True

Explanation: A 2022 report published by the think tank Civitas posited that the UK's healthcare system is characterized by high costs alongside comparatively poor health outcomes.

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The Labour government elected in 2024 believes the NHS is functioning perfectly and requires no major changes.

Answer: False

Explanation: The Labour government, elected in 2024, has publicly stated that the NHS is 'broken' and has outlined plans for significant reforms and a comprehensive review.

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The NHS faces challenges related to an aging population, requiring a well-funded and integrated health and social care sector.

Answer: True

Explanation: An aging demographic presents significant challenges for the NHS, necessitating robust funding and seamless integration between health and social care services to ensure quality of life and longevity.

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The Royal College of Physicians projected in 2018 that medical training places would need to double to 15,000 by 2030.

Answer: True

Explanation: In 2018, the Royal College of Physicians projected a need to double medical training places to 15,000 by 2030 to address future workforce demands.

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A 2022 survey by the Royal College of Nursing found that nearly all shifts had the planned number of registered nurses.

Answer: False

Explanation: A 2022 survey by the Royal College of Nursing indicated that only approximately a quarter of shifts had the planned number of registered nurses on duty.

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The number of General Practitioners (GPs) in the UK increased significantly between 2015 and 2022.

Answer: False

Explanation: Between 2015 and 2022, the number of General Practitioners (GPs) in the UK experienced a decrease, compounded by a shift towards part-time roles.

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The NHS Long Term Workforce Plan aims to increase training for doctors and nurses and create new roles.

Answer: True

Explanation: The NHS Long Term Workforce Plan, introduced in June 2023, is designed to expand training opportunities for medical and nursing staff and introduce novel professional roles.

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A significant majority of patients wait less than three months to see an NHS mental health professional.

Answer: False

Explanation: Data indicates that approximately one in four patients experience waiting times exceeding three months to consult an NHS mental health professional.

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The National Audit Office found that NHS mental health provisions for children and young people are successfully meeting the growing demand.

Answer: False

Explanation: The National Audit Office reported that current NHS mental health provisions for children and young people are not adequately meeting the escalating demand, with only a fraction of those needing care receiving it.

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A 2018 study identified healthcare outcomes as the main weakness of the NHS, citing higher mortality rates for certain conditions compared to similar countries.

Answer: True

Explanation: A comprehensive study conducted in 2018 identified healthcare outcomes, including higher mortality rates for specific conditions relative to comparable nations, as the primary area of weakness for the NHS.

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According to the Office for National Statistics, productivity in the English NHS grew slower than the rest of the UK economy in 2019.

Answer: False

Explanation: The Office for National Statistics reported in 2019 that productivity within the English NHS was growing at a rate considerably faster than that of the broader UK economy.

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A 2019 British Medical Journal study found the UK spent the most on healthcare per person among developed countries.

Answer: False

Explanation: A 2019 study published in the British Medical Journal indicated that the UK spent the least on healthcare per person among comparable developed nations.

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Austerity measures have reportedly stalled progress in public health policy, potentially contributing to preventable deaths.

Answer: True

Explanation: Analysis suggests that austerity measures have impeded advancements in public health policy, potentially leading to an increase in preventable mortality.

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Nine out of ten health leaders warned that inadequate capital funding negatively impacts patient safety requirements.

Answer: True

Explanation: A significant majority of health leaders, approximately nine out of ten, have expressed concerns that insufficient capital funding compromises patient safety standards.

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The UK had approximately 4.5 hospital beds per 1,000 people in 2020.

Answer: False

Explanation: In 2020, the UK had approximately 2.43 hospital beds per 1,000 population, which is considerably less than 4.5.

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The number of NHS hospital beds in England in 2017 was less than half the number recorded 30 years prior.

Answer: True

Explanation: A report from 2017 indicated that the number of NHS hospital beds in England had decreased to less than half of the quantity recorded three decades earlier.

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In 2019, approximately one-fifth of UK hospital beds were occupied by patients dependent on alcohol.

Answer: False

Explanation: In 2019, approximately one-tenth (10%) of UK hospital beds were occupied by patients with alcohol dependency, not one-fifth.

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Since 2000, the NHS has faced criticism for providing and trialing alternative medicine practices like homeopathy.

Answer: True

Explanation: The NHS has encountered criticism since the year 2000 for its continued provision and experimentation with alternative medicine practices, such as homeopathy.

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A 2024 report estimated the annual cost of treating patients harmed by care mistakes in England to be around £1.4 billion.

Answer: False

Explanation: A 2024 report estimated the annual cost in England for treating patients harmed by care mistakes to be approximately £14.7 billion, significantly higher than £1.4 billion.

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Which staff group constitutes the largest cohort within the NHS?

Answer: Nursing staff

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According to a 2022 report by Civitas, what was a key finding regarding UK health spending?

Answer: The UK health system is costly with some of the worst outcomes.

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What is the primary challenge the NHS faces concerning the aging population?

Answer: Ensuring a good quality of life alongside longevity requires a properly funded and integrated sector.

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What did a June 2022 survey by the Royal College of Nursing reveal about nurse staffing levels?

Answer: Only a quarter of shifts had the planned number of registered nurses.

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What trend has been observed in the number of General Practitioners (GPs) in the UK between 2015 and 2022?

Answer: A decrease in the number of GPs.

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What is the primary goal of the NHS Long Term Workforce Plan announced in June 2023?

Answer: To increase the training of doctors and nurses and create new roles.

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What proportion of patients wait more than three months to see an NHS mental health professional?

Answer: Approximately 25% (one in four)

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What did the National Audit Office find regarding NHS mental health provisions for children and young people?

Answer: They are not meeting growing demand, with only a quarter receiving help.

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What was the approximate number of hospital beds per 1,000 people in the UK in 2020?

Answer: 2.43

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A 2018 study identified which area as the main weakness of the NHS?

Answer: Healthcare outcomes

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What did a 2019 study in the British Medical Journal suggest about UK healthcare spending per person compared to other developed countries?

Answer: The UK spent the least per person.

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How has austerity reportedly impacted public health progress in the UK?

Answer: It caused progress in public health policy to stall.

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What percentage of health leaders warned that inadequate capital funding negatively impacts patient safety, according to an NHS Confederation poll?

Answer: Nine out of ten (around 90%)

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What criticism has the NHS faced regarding alternative medicine since 2000?

Answer: For continuing to provide and trial alternative medicine practices.

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What was the estimated annual cost of treating patients harmed by care mistakes in England, according to a 2024 report?

Answer: £14.7 billion

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Public Perception and Recognition

The funding of the NHS has consistently been a minor issue, rarely discussed during elections.

Answer: False

Explanation: The funding of the NHS is a recurrent and significant issue, frequently becoming a central topic of discussion during political elections.

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International surveys have consistently ranked the UK's healthcare system as below average in performance.

Answer: False

Explanation: International comparative surveys, such as those by the Commonwealth Fund, have generally ranked the UK's healthcare system highly, often placing it among the top performers, although specific rankings can fluctuate.

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Public satisfaction with the NHS reached its highest point since 1997 in 2021.

Answer: False

Explanation: Public satisfaction with the NHS in 2021 fell to its lowest point since 1997, primarily due to concerns over waiting times.

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In 2016, a majority of people were unwilling to pay extra tax for the NHS.

Answer: False

Explanation: In 2016, a substantial majority (70%) of the public indicated willingness to pay an additional penny in income tax if those funds were specifically allocated to the NHS.

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Overall public satisfaction with the NHS increased significantly between 2010 and 2018.

Answer: False

Explanation: Public satisfaction with the NHS experienced a notable decline between 2010 and 2018, falling from approximately 70% to 53%.

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The NHS is consistently ranked as the institution that instills the most pride in being British.

Answer: True

Explanation: The National Health Service is frequently identified as the institution that evokes the highest degree of pride among the British populace, surpassing other national symbols.

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A November 2022 poll identified improving A&E waiting times as the least important public priority for the NHS.

Answer: False

Explanation: A November 2022 poll indicated that addressing staff pressure and workload were the paramount public priorities for the NHS, with improving A&E waiting times also being a significant concern, not the least important.

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In November 2022, a large majority of UK respondents believed the government had adequate plans for the NHS.

Answer: False

Explanation: A November 2022 poll revealed that only a small minority, approximately 10%, of UK respondents felt the government possessed adequate plans for the NHS.

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Queen Elizabeth II awarded the George Cross to the NHS in July 2021 for its service during the COVID-19 pandemic.

Answer: True

Explanation: In recognition of its service during the COVID-19 pandemic, Queen Elizabeth II bestowed the George Cross upon the NHS on July 5, 2021.

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The NHS has released several charity singles, including 'You'll Never Walk Alone' in 2020.

Answer: True

Explanation: The NHS has participated in the release of multiple charity singles, notably including 'You'll Never Walk Alone' in 2020, featuring NHS staff and keyworkers.

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In which year did Queen Elizabeth II award the George Cross to the NHS?

Answer: 2021

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What were the primary reasons cited for the decline in public satisfaction with the NHS in 2021?

Answer: Dissatisfaction with hospital and GP waiting times.

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In 2016, what percentage of people were willing to pay an extra penny in income tax if the funds were guaranteed for the NHS?

Answer: 70%

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How has public satisfaction with the NHS changed between 2010 and 2018, according to a public survey?

Answer: It decreased from 70% to 53%.

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Which institution is consistently ranked as the one that instills the most pride in being British?

Answer: The NHS

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In a November 2022 poll, what were identified as the chief priorities for the public regarding the NHS?

Answer: Addressing staff pressure and workload, and increasing staff numbers.

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What percentage of UK respondents in November 2022 felt the government had adequate plans for the NHS?

Answer: 10%

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Which of the following is NOT listed as a charity single released by NHS-related groups?

Answer: 'Bridge Over Troubled Water' by NHS Staff Choir (2020)

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