In 1967, local authorities were empowered to provide family planning advice to any who requested it and to provide supplies free of charge. In addition, medical training was expanded following the Todd Report on medical education in 1968. In addition, National Health expenditure rose from 4.2% of GNP in 1964 to 5% in 1969 and spending on hospital construction doubled. The Health Services and Public Health Act 1968 empowered local authorities to maintain workshops for the elderly either directly or via the agency of a voluntary body. A Health Advisory Service was later established to investigate and confront the problems of long-term psychiatric and mentally subnormal hospitals in the wave of Ely Hospital. The Family Planning Act 1967 empowered local authorities to set up a family planning service with free advice and means-tested provision of contraceptive devices while the Clean Air Act 1968 extended powers to combat air pollution. More money was also allocated to hospitals treating the mentally ill. In addition, a Sports Council was set up to improve facilities. Direct government expenditure on sports more than doubled from £0.9 million in 1964/65 to £2 million in 1967/68, while 11 regional Sports Councils had been set up by 1968. In Wales, five new health centres had been opened by 1968, whereas none had been opened from 1951 to 1964, while spending on health and welfare services in the region went up from £55.8 million in 1963/64 to £83.9 million in 1967/68.. What was passed first, The Family Planning Act or Clean Air Act?