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A two-party system has existed in the United Kingdom since the late 17th century. Since the mid-1920s the dominant groupings have been the Conservative Party and the Labour Party. However, several smaller parties—e.g., the Liberal Democrats, the United Kingdom Independence Party, the Scottish National Party, Plaid Cymru (the Welsh Nationalist Party), and loyalist (unionist) and republican (nationalist) political parties in Northern Ireland—have gained representation in Parliament, especially since the 1970s. The two-party system is one of the outstanding features of British politics and generally has produced firm and decisive government. The practice of simple plurality voting in single-member constituencies (commonly referred to a “first past the post”) has tended to exaggerate the majority of the winning party and to diminish the representation and influence of third parties, except for those with a geographic base of support (e.g., Plaid Cymru). When the 2010 general election resulted in a “hung parliament” (no party with enough seats to form a majority government), the Liberal Democrats—who were courted as coalition partner by both the Conservatives (who captured the most seats) and Labour (which finished a distant second)—used as a bargaining chip the possibility of changing to a system of proportional representation that would benefit third parties.

The two-party system, together with uncertainty about the timing of a general election, has produced the British phenomenon of the official opposition. Its decisive characteristic is that the main opposition party forms an alternative, or “shadow,” government, ready at any time to take office, in recognition of which the leader of the opposition receives an official salary.

Despite several high-profile female monarchs and politicians, men have dominated politics in the United Kingdom for centuries. In 2011, however, centuries-old succession laws stipulating that the heir to the throne be the first-born son of the monarch and that sons take precedence over daughters in succession were slated for change to remove gender as a qualification. Nevertheless, while women have made strong political gains in much of western Europe, especially in Scandinavia, breakthroughs for women in British national elections have been rare. Throughout much of the 20th century, only a few women won elections; before the 1980s the high point for female representation in the House of Commons was 29 in 1964. Indeed, many women who were able to win election to the House of Commons were of aristocratic stock or widows of influential politicians. One such exception was Margaret Thatcher, who was first elected to Parliament in 1959 and became Britain’s first female prime minister in 1979. However, during the 1980s women began to make gains, with 60 female candidates winning seats in Parliament in 1992. In order to increase its appeal to women and increase the number of women MPs, the Labour Party adopted a policy of all-women shortlists for half of its “target seats” (i.e., seats where an existing Labour MP was standing down or where Conservative MPs had small majorities) for the 1997 election, and, though the policy subsequently was ruled in violation of equal rights laws, 120 women—101 from the Labour Party—were elected to the House of Commons. Even with the law invalidated, 118 women won election in 2001. In addition to women, minorities have had some success in national elections. There consistently have been several Jewish members of the House of Commons, and Sikh and Muslim candidates also have had limited success.

Viscountess Nancy Witcher Astor, the first woman to sit in the House of Commons.Encyclopædia Britannica, Inc. Security

The United Kingdom has no national police force nor any minister exclusively responsible for the police. Each provincial force is overseen by an elected police and crime commissioner (PCC), whose performance is scrutinized by police and crime panels. PCCs are responsible for the totality of policing, answerable to the communities they serve, and charged with holding accountable the chief constable and police force.

The commissioner of London’s Metropolitan Police has a status similar to that of a chief constable. Scotland Yard (the criminal investigation department of the Metropolitan Police) assists other police forces and handles the British responsibilities of the International Criminal Police Organization (Interpol).

The British police, popularly known as “bobbies,” wear a uniform that is nonmilitary in appearance. Their only regular weapon is a short, wooden truncheon, which they keep out of sight and may not employ except in self-defense or to restore order. Police on a dangerous mission may carry firearms for that specific occasion.

Responsibility for national defense rests with the prime minister and the cabinet. The secretary of state for defense formulates defense policy. His ministry has responsibility for the armed forces. The secretary of state is advised by the chief of the defense staff, aided by the chiefs of the three services—the army, navy, and air force. Britain has been an active member of the North Atlantic Treaty Organization (NATO), deploying its troops in various theatres of conflict. Internal security and intelligence are handled by the MI5 government agency, and foreign intelligence services are carried out by MI6. Health and welfare The National Health Service

The National Health Service (NHS) provides comprehensive health care throughout the United Kingdom. The NHS provides medical care through a tripartite structure of primary care, hospitals, and community health care. The main element in primary care is the system of general practitioners (family doctors), who provide preventive and curative care and who refer patients to hospital and specialist services. All consultations with a general practitioner under the NHS are free.

The other major types of primary medical care are dentistry and pharmaceutical and opthalmic services. These are the only services of the NHS for which charges are levied, though persons under age 16, past retirement, or with low incomes are usually exempt. Everyone else must pay charges that are below the full cost of the services involved.

Under the Department of Health in England are four regional health directors who oversee area health authorities, whose major responsibility is to run the hospital service. (Overseeing the health authorities in Scotland, Wales, and Northern Ireland is the responsibility of their respective parliament or assembly.) Hospitals absorb more than two-thirds of the NHS budget. All hospital treatment under the NHS is free, including consultations with doctors, nursing, drugs, and intensive care, whatever the type of medical problem and however long the hospital stay. Hospital doctors are paid a salary rather than a fee for service but can combine salaried work for the NHS with a private practice.

The Community Health Service has three functions: to provide preventive health services; to act as a liaison with local government, especially over matters of public health; and to cooperate with local government personal social service departments to enable health and personal care to be handled together whenever possible.

Individuals can register with any NHS general practitioner in their area who is prepared to add them to his or her list of patients. Anyone who wishes to change to another doctor may do so. Except in emergencies, patients are referred to a hospital by their general practitioner, allowing patients an element of choice.

Apart from the charges mentioned above, treatment under the NHS is free to the patient. The service is almost entirely funded by government revenues, with less than 5 percent of NHS revenue coming from charges. This arrangement is unique among industrialized countries. There is no substantial reliance on private medical insurance (as, for example, in the United States).

The NHS budget, like that for any other government service, is determined by negotiations between the Treasury and the spending departments, as modified by subsequent discussion in the cabinet. The resulting figure is a budget for the NHS as a whole. The division of money throughout the United Kingdom is partly constrained by a formula designed to improve the geographic distribution of medical resources. Each regional authority divides its total funds among the area health authorities.