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When King's College Hospital opened in 1840, the Council of King's College London was also the governing body of the Hospital, with the right to appoint all medical staff. All members of the Council were ex-officio Governors of the Hospital, and the Council appointed two of its number to be members of the Hospital's Committee of Management. The Governors of the Hospital consisted mainly of major donors and subscribers. The Committee of Management undertook the daily administration of the Hospital and appointed lay officers including the Secretary. In July 1948 when the National Health Service Act (1946) came into operation, a Board of Governors took responsibility for the control and management of the King's College Hospital Group. When the first reorganisation of the National Health Service took place in April 1974, King's College Hospital Group was replaced by King's Health District (Teaching), and the Board of Governors were replaced by a District Management Team which included a District Administrator.