Description: Segment 1 Dr Chave refers back to the previous lecture, which ended on the topic of the creation of the medical department in the Privy Council. He introduces this lecture, and discusses historical events beginning with Gladstone's government in 1868 and the passing of the Great Reform Bill in 1872. He discusses the many sanitary provisions acts that were put in force by 1870 - but says that they were so mixed up it was confusing. Time start: 00:00:00:00 Time end: 00:04:52:17 Length: 00:04:52:17 Segment 2 In 1869 Gladstone set up the Royal Sanitary Commission, which then made three recommendations that there should be one central department of government with responsibility for public health, that the country should be divided into districts and that a single sanitary statute should be made. These recommendations were followed. Chave discusses the first action, the setting up of the Central Department. He also talks about how public health was subordinated to the Poor Law and about John Simon's retirement and book, 'English Sanitary Institutions'. Time start: 00:04:52:17 Time end: 00:10:54:20 Length: 00:06:02:03 Segment 3 Chave then goes on to talk about the 1872 Public Health Act, which 'virtually created a national public health service' and divided the country into districts. He discusses the increasing relevance of the role of the Medical Officers of Health. Time start: 00:10:54:20 Time end: 00:15:32:23 Length: 00:04:38:03 Segment 4 Chave continues to talk about the developing role of the Medical Officers of Health. He then discusses the 1875 Public Health Act and gives some statistics from this era. For example, the annual death rate fell from 23 to 15 per 1000 persons. He introduces the topic of the next lecture - creating specific services for vulnerable groups, including mothers and children. End credits. Time start: 00:15:32:23 Time end: 00:22:10:16 Length: 00:06:37:18