MAJORITY REPORT.
provisions on a non-insurance basis for that class of persons
known as deposit contributors, who cannot, or do not attempt
fo, obtain admission to an Approved Society. The existence of
this class, which in 1911 was not intended to be given permanent
existence, raises a number of difficult problems, which are
discussed in Chapter XII of our Report.
17. A general supervision over the administration of the
Scheme on behalf of the Central Government is undertaken in
England and Wales by the Ministry of Health and in Scotland
by the Scottish Board of Health. These Departments have
an outside staff of inspectors distributed over the country,
whose primary duty is to secure compliance with the provisions
of the Act relating to the payment of contributions. The
prompt payment of the contribution in respect of the 15
million insured persons week by week is a feature of the
Scheme essential on financial grounds and remarkable as a piece
of administrative machinery. The administration of medical
benefit and of certain minor matters relating to deposit contri-
butors and other classes is entrusted to specially appointed
bodies, created under the Act of 1911, known as Insurance Com-
mittees. Such a Committee exists in each county and county
borough in England and Wales and in each of the counties and
larger burghs in Scotland. There are in Fngland and Wales
145 such Committees, and in Scotland, 54. The cash benefits
and additional benefits are administered by Approved Societies,
which are self-governing bodies of insured persons who elect to
group themselves together for the purposes of the Act. There
are at the present time about 1,000 Approved Societies engaged
in the administration of the Act, including 31 Societies with
Branches. The Branches, which number about 7,000, are
independent financial units for the purpose of National Health
Insurance; they possess also a considerable measure of
administrative independence, but are integral parts of the parent
organisations to which respectively they belong and are subject
to the general authority thereof. Approved Societies are not as a
rule organised on any territorial basis, though in the nature of
the case the membership of many of them is preponderantly
localised. They vary in membership from less than 50 to more
than 2,000,000 insured persons. Some are restricted to persons
engaged in particular occupations or belonging to particular
religious denominations or having some other common bond of
interest ; while others are open fo all insured persons without
qualification. For certain purposes Approved Societies may also
be conveniently viewed in relation to other work carried on by
them or their promoters, and from this point of view they may be
classified into Societies formed in the Friendly Society move-
ment, those instituted by the great Industrial Insurance Com-
panies, those organised in connection with Trade Unions, and