As I have said many times, it is also the inability of the NHS to make treatment available when it is needed. The waiting lists for treatment is testimony that. The experience of my friend with - now inoperable - cancer over the past year also points to the inadequacies of the NHS.
Perhaps the increase in ND has something to do with the treatment through pregnancy and labour and birth. It is a relatively new term of disease, in the past 25 years.
How many mothers keep a diary during pregnancy, labour and delivery? They don't because to envisage anything going wrong is anathema to them. I think that must change. Oxygen starvation during labour can cause many of the ND diseases of today, and the NHS doesn't even know what the title covers.
Patients should speak up more and not be fobbed off with excuses and medical terms patients don't understand.
There was an attitude of ''if it is free they cannot complain'' for decades, which is there is social history. Less than 5 years after the NHS Act of 1945 it was obvious from the London smog history that the NHS could not cope. There were not enough beds and people died in their thousands. Microfiche of newspapers like the Times and Guardian had pages of obituaries. The Clean Air Act came out of desperation, and still the fledgling NHS could not cope year on year, and then came the polio epidemic, and still not enough beds for the sick.
Decade after decade there have been many examples of the inability of the NHS to cope, as as prices went up, and the NI contributions, people could not afford to pay for private treatment.
When the Act was passed, there was a two tier system of health service. Some studies have shown that the NHS was not intended as a free service for all. It was considered by the then labour government that only the working classes (more defined in the 40s/ 50s/60s/70s even. There was an assumption that those who could pay, would pay, and the idea of ''if it is free you cannot complain''. That hit hard on those out of work and pensioners, who had no choice, and what was more, the National Assistance Act was passed at the same time, and that made it plain that you could not receive two lots of benefits, so if you needed inpatient treatment, you had to take your pension and unemployment books with you in case your stay was longer than the Act allowed.
After decades of inadequacy the NHS is still unable to cope with the population, and it is by no means free, so patients should be entitled to complain.
Consider the plight of those who were given poisonous blood in the 1970s. They are still waiting for compensation even today, over 55 years later, many of those now deceased.
We now know that the atom bomb tests of the 1950s gave the men cancer, which is still being passed on through their families, and they still await even an inquiry, yet alone compensation.
The world doesn't envy the NHS. If it did, they would have something similar, and they do not.
Consider this: during the War GPs had there own set up for patients, who paid a contribution each week for treatment. That was never as high as the percentage charged through the NI for the new NHS. At that time too, the Government demanded that GPs filled in forms on patients to 'watch the psychiatric effect of war on the people'. Already the government knew everything about everyone.
When the NHS Act was passed in 1948, full of promise, everyone had an NHS number. Until the 1970s patients were not even allowed to be told what they had or what the medication they were given was. Medicine bottles were marked ''The Mixture' and pills had a label ''The Tablets'' and prescriptions were written out in Latin in scrawls!
The government had - and still does have - tabs on us all. That is why we do not need more than the MI5 and MI6.
There should be more social history taught in schools, because it is really only by looking back that we can help ourselves in the future.