MAJORITY REPORT. 
administered by the Approved Societies. The latter would be 
provided as an integral part of the medical service and would 
be administered by the appropriate local authority. The general 
practitioner, the midwife, the nurse, the specialist and the 
institution would all take their respective parts in the scheme 
of extended medical services. 
SECTION D.—INTER-RELATIONS OF THE HEALTH 
SERVICES. 
115. To complete our review of the health services we naturally 
pass on to consider the public medical services outside the 
Insurance Scheme, and this leads inevitably to the extremely 
important problem of co-ordination of the health services 
generally. We have already, in Chapter IV, given a brief 
description of these activities of the Central Government and the 
various Tuocal Authorities. We may also refer to the detailed 
accounts supplied by the Ministry of Health (App. CIV), the 
Scottish Board of Health (App. CV), the Board of Hducation 
(App. CIX) and Sir Thomas Legge (App. XLII). Naturally 
we have not heard on these topics such a range and variety of 
evidence as we have received on the Insurance medical service. 
But we have been sufficiently informed of the nature of the 
arrangements supervised by these Departments, and many 
witnesses, e.g., the Society of Medical Officers of Health 
(App. LVI) have directed our attention to these State activities 
and have emphasised their intimate relation to the problem of 
the future of public health work in the broadest significance of 
that term. Here, again, as in the case of medical benefit, 
we have been impressed by the social value of these various 
activities, the great advances that have been made pari passu 
with the development of the Insurance Scheme, and the possi- 
bilities of expansion that are latent in these schemes if the 
necessary public funds could be made available. Most important 
of all, we have been impressed by the feeling that, in any further 
developments, the need for close co-ordination between the health 
work within the Insurance Scheme and that outside it, must 
be continually kept in view both in the administration and in 
the essentials of professional work. 
116. We will refer, first, to the reports of the Consultative 
Councils of the Ministry of Health and of the Scottish Board 
of Health, made in 1920. In these reports the greatest emphasis 
is laid upon local co-ordination of all the health services. The 
former approach the subject on a theoretical basis and describe 
what the organisation of a complete health service should be, 
quite apart from existing systems and commitments. The latter 
deal with the problem more in the practical sphere, and, taking 
things as they are in Scotland, indicate the desirable lines of 
progress. But in both the underlying principles are the same— 
KATO