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Report of the Royal Commission on National Health Insurance

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fullscreen: Report of the Royal Commission on National Health Insurance

Monograph

Identifikator:
844773522
URN:
urn:nbn:de:zbw-retromon-50582
Document type:
Monograph
Author:
Tissot, Victor http://d-nb.info/gnd/117628085
Title:
La Hongrie de l'Adriatique au Danube
Place of publication:
Paris
Publisher:
Plon
Year of publication:
1883
Scope:
1 Online-Ressource (412 S., [12] Bl.)
Collection:
Economics Books
Usage license:
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Chapter

Document type:
Monograph
Structure type:
Chapter
Title:
Chapitre X
Collection:
Economics Books

Contents

Table of contents

  • Report of the Royal Commission on National Health Insurance
  • Title page
  • Contents
  • Chapter I. Introduction
  • Chapter II. The scheme of national health insurance
  • Chapter III. The general attitude to the health insurance scheme
  • Chapter IV. The related schemes of social welfare
  • Chapter V. The development of the health services
  • Chapter VI. The financial burden of the existing social services
  • Chapter VII. The financial resources of health insurance scheme
  • Chapter VIII. The approved society system
  • Chapter IX. Inequalities of benefit in different approved societies
  • Chapter X. Proposals for extending medical benefit
  • Chapter XI. Proposal for dependants' allowances
  • Chapter XII. Consideration of certain major problems
  • Chapter XIII. Miscellaneous questions
  • Chapter XIV. Summary of conclusions and recommendations
  • Reservation by Sir Andrew Duncan and Professor Alexander Gray
  • Minority report

Full text

270) 
MAJORITY REPORT 
669. In the same statement we are told that, when regard is 
had to the aggregate amount involved in the annual transactions 
with State Insurance funds, the amount adversely reported upon 
is almost negligible. In 1924, on an expenditure of £19,000,000 
audited in that year only £3,878 was thus reported, a rate of 
4s. per £1,000. This figure shows, we think, reasonable ground 
for feeling that the accounting of Approved Societies is performed 
with honesty and accuracy. 
670. The cases of fraud or failure in Insurance Committees’ 
accounts are also few in number, and we think that that side 
also of the financial machinery may be regarded with satisfaction. 
EMPLOYMENT OF PROFESSIONAL AUDITORS. 
671. In connexion with this branch of the work, one witness, 
Mr. John Reid, speaking on behalf of the Chartered Accountants 
of Scotland, placed before us suggestions directed to a funda- 
mental change in the system of audit. (App. LXXIX; Q 20,342- 
20,5634.) The provisions of the original Act of 1911 required 
that every Approved Society and every branch of an Approved 
Society should submit its accounts to audit by auditors to be 
appointed by the Treasury (Section 35), and there was a similar 
requirement in the case of the accounts of Insurance Committees 
(Section 60). So far as the express provisions of the Act are 
concerned, it would therefore have been possible to adopt the 
procedure which in fact governs the audit of accounts of Friendly 
Societies under the Friendly Societies Act, whereby, unless the 
alternative of a lay audit is adopted, the audit is made by a 
person selected from a list of professional auditors drawn up 
by the Treasury. In fact, however, a special Audit Department 
was set up for the purposes of National Health Insurance so that 
the audit was conducted by civil servants and not by auditors 
or accountants engaged in ordinary professional practice. The 
establishment of such a department, it will be observed, was 
consistent with, although not required by. the provisions of the 
original Act. 
672. The point urged on our notice by the Chartered 
Accountants of Scotland was, briefly, that the disadvantages 
inherent in the present system are so great that the National 
Insurance Audit Department should be abolished and arrange- 
ments made for the work to be done by professional auditors as 
part of their ordinary practice. 
673. In considering this question we are not a little influenced 
by the fact that the determination to establish a full-time service 
was not arrived at hastily or without mature deliberation. On 
the contrary it was only after carefully weighing the expedience 
of adopting other methods that the Inter-departmental Com- 
mittee of 1912 recommended the adoption of the svstem now in
	        

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