insurance by nine hundred forty five all three main political parties were supporting the concept art is a service which will provide the best medical advice and treatment to everyone every man woman and child in this culture but when the left wing labor party swept to power in the one nine hundred forty five election it fell to the young health minister an hour and bevan to take on the task of making the n.h.s. a reality in the face of bitter opposition from the medical establishment and despite britain's postwar financial hardships bevan's n.h.s. was established in one nine hundred forty eight in one thousand forty eight it was post-war with all the russian ing the challenges facing the n.h.s. were very different infectious disease was really the biggest killer in those days because we had tuberculosis we had all sorts of other infectious diseases so you won't be surprised if you see many warts which were built back in those days they would have been designed in

a very different way secondly cardiovascular disease and cancer. the prevalence of that was obviously the big challenges facing the n.h.s. then. the n.h.s. changed british society to myra her lean and eileen were among the thousands of women whose n.h.s. careers in the one nine hundred fifty s. and sixty's gave them not just employment but advancement and they were on the front line of the n.h.s. continuously improved patients chances of surviving and recovering when i was doing my general training if one had their appendix out to be in for ten days. now. the next night or the next day when i work in any. definitely emergencies he didn't get the down in the hospital now science is committing more and more and that's made a difference today the n.h.s.

is the fifth biggest employer in the world now offers more than two thousand three hundred different surgical treatments and treats a million patients every thirty six hours trish bonds has previously had an n.h.s. heart bypass and is today recovering from a hip joint surgery all i can say really is on just full of praise for more than everything a.j. for arson and the country needs you continue to n.h.s. but in an era of tight budgets the n.h.s. is struggling to cope with the costs of an increasingly elderly population and increasingly expensive treatment options the medical need is clear but if the n.h.s. celebrates its seventieth year its future is less clear how paul ryan is live for us in london how is this you going down there. oh they celebrations are well underway up and down the country fact across the country scotland and wales and northern ireland as well all kinds of events going on there's a celebration that took place in downing street last night as

a celebration that westminster abbey later the affection with which the national health service is held here in the u.k. is second to none it really is something that unites everybody but we looked in my report just there about the history of the national health service and let's use this opportunity to look at its present and its future and joining me to do that is dr venter waka he's the medical director for the london region of n.h.s. england a pediatric specialists child health what is your estimation of how the patient is doing doctor firstly as you say this is a great day of celebration i think the n.h.s. is one of britain's greatest achievements i think if i had a chance today and i could personally go round and frank the one every one of the one point four million staff to work in the n.h.s. i would whether they're you know domestiques or cleaners working to keep our hospitals free from infection whether you're a secretary a porter a doctor

a nurse in a beauty or a health care scientist your role is absolutely critical to deliver the really high quality of care that we delivering in the n.h.s. today there are huge challenges are faced by the n.h.s. at the moment the changing demographic the budgetary constraints how do you propose i mean one of your tasks is to improve the quality of health care here in london specifically but how do you propose to do that given those challenges so if you look at life expectancy over the seventy years since the n.h.s. is founded on average is rising point five hours every day is a huge. achievement i think for the n.h.s. but it also means and it's great to celebrate this more and more visit going to live longer and longer and that means. we are again to have long term conditions that we're living with like high blood pressure diabetes and so on so the big challenge for the n.h.s. going forwards is we are delivering fantastic care but we need to link up our systems more effectively so that there are no barriers whether you need general

practice whether you need hospital based care whether you need social care your case should be absolutely seamless across all the systems i mean my parents came over from india in the one nine hundred sixty s. to both work as doctors in the n.h.s. they had fantastic career is they're now in their eighty's my dad had a straight cost year then are receiving fantastic care from their local services in the n.h.s. i went into medicine my brother works in the n.h.s. module to do you know work experience this week for the n.h.s. in london and it's a fantastic place to work despite all the challenges there are of working here i mean if you say i'm sorry i pressed for time i do apologize doctor so but thank you very much indeed we will him all throughout the day both about celebrations and about the challenges so stay tuned we'll be we'll be back a bit later and happy birthday to a chest that in fact full. well still ahead of al jazeera and sport we'll hear from the french camp why this guy's got them dreaming of being world champions again.

thanks.