hE 
MAJORITY REPORT. 
a carefully built-up service organised on a single local basis in 
which all varieties of preventive and curative work find their 
appropriate place. (For an outline of the substance of the 
English reports see Q. 24,170-24 172.) 
THE PROFESSIONAL FVIDENCE. 
117. From the evidence we have received from a wide variety 
of witnesses similar conclusions may be drawn. For example, 
the British Medical Association say : ** It is essential, not only 
that the attention of all practitioners should be directed con- 
tinually to the preventive aspects of their work, but that the 
existing machinery and medical officers of the Public Health 
Service should be brought into close and organic connexion with 
the Insurance Scheme.” (App. XLVIL, 3); and again : “It 
is desired to make all such benefits and services (i.e., pathological 
facilities, treatment for tuberculosis and venereal disease and for 
certain infective fevers, the treatment of certain conditions of 
children of school age, provision in connexion with maternity 
and infant welfare) an integral part of the Insurance Scheme 
or to bring them into proper relationship thereto ** (App. XLVI, 
20). The Society of Medical Officers of Health point out 
that their service, primarily concerned in the preservation 
of health generally, has from the beginning recognised the im- 
possibility of adequately discharging its function in dissociation 
from measures for the restoration of health to individuals.” ** I¢ 
has become evident that the present system of National Health 
Insurance suffers great limitations in its possibility for promoting 
health, and that profound changes are required if the improve- 
ment in the health of the people is to continue to be aided and 
not impeded by it.” ‘‘ The scheme . . . 1s, to a great 
extent, isolated from the other schemes of the State in operation 
and doing essentially similar work . . . the relationship of 
such work to that done by local authorities should be of a most 
intimate nature.” *¢ Centrally it is true that the administrations 
are amalgamated in one Government Department, but such an 
amalgamation is of comparatively little value if the practical and 
detailed working of each in local areas is il] co-ordinated or 
impossible * (App. LVI, 1-9). * The need for some genuine 
co-ordination of all the medical agencies in every area has long 
been severely felt, and the intricate and costly nature of the 
provision necessary for the people constitutes an additional reason 
for a full co-operation of all the institutions and personnel taking 
part in this work.” (App. LVI, 11; Q. 16,934-16,940, 16,972- 
16,974.) 
TeE TAY EVIDENCE. 
118. These are professional opinions. From the lay side come 
similar recommendations. For example, Mr. Alban Gordon 
says in paragraphs 86-41 of Appendix XIIT.— The unification