Before 1948, approximately one-third of the United Kingdom (UK)’s hospital beds were located in voluntary hospitals, many of which continued to benefit from the funds generated by their historic endowments. When the National Health Service (NHS) was created, the vast majority of these hospitals were taken over by the State. This paper examines the neglected question of what happened to these endowments and the role which charity continued to play in the funding of NHS hospitals more generally. It makes an explicit attempt to examine the development of hospital services in each of the UK's constituent nations and shows how the treatment of endowments and the role of charity differed between them. It also highlights the continuing importance of arguments over the ‘boundaries’ between ‘essential’ and ‘non-essential’ forms of health service expenditure, and between the roles of the statutory and voluntary sectors more generally.

中文翻译：

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志愿主义的遗产：早期 NHS 中的慈善资金

1948 年之前，英国约三分之一的医院床位位于志愿医院，其中许多医院继续受益于其历史捐赠产生的资金。当国家医疗服务体系（NHS）成立时，绝大多数医院被国家接管。本文探讨了一个被忽视的问题，即这些捐赠发生了什么，以及慈善机构在为 NHS 医院提供资金方面继续发挥的作用。它明确尝试考察英国每个成员国医院服务的发展情况，并展示各国之间捐赠的待遇和慈善机构的作用有何不同。它还强调了关于“基本”和“非基本”形式的卫生服务支出之间的“界限”以及更广泛的法定部门和志愿部门的作用之间的争论的持续重要性。