Report of the Royal Commission on National Health Insurance

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Monograph

Identifikator:: 1740277147

URN:: urn:nbn:de:zbw-retromon-132094

Document type:: Monograph

Title:: Report of the Royal Commission on National Health Insurance

Place of publication:: London

Publisher:: Stationery Office

Year of publication:: 1926

Scope:: XII, 394 S.

Digitisation:: 2020

Collection:: Economics Books

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Document type:: Monograph

Structure type:: Chapter

Title:: Chapter X. Proposals for extending medical benefit

Collection:: Economics Books

MAJORITY REPORT. 131 The mere obligation to furnish the expert with a statement of the case would have a valuable and educational influence in con- straining the practitioner to give definiteness to his ideas. When he had to prepare a statement to come under‘the critical eye of the expert he would, by that mere fact, become alive to defects in his conduct of the case, which he had not previously realised. The indirect benefit resulting from such a requirement has, we are informed, already been seen in the work of the Regional Medical Staff. Again, the specialist’s report will often reveal to the practitioner points in diagnosis or treatment which he might have overlooked. It will thus add to his knowledge by enabling him to assimilate the expert view of his cases as they come along. In all these ways the provision of a specialist service would operate as a most valuable form of post-graduate instruction and would probably be gratefully welcomed by the isolated general practitioner. The educational benefits so resulting would not be confined to the insured persons, but would be extended to the whole range of general practice. ADMINISTRATIVE ARRANGEMENTS. 282. The administrative arrangements for this particular Provision would be relatively simple and inexpensive in proportion to the total cost. They would naturally follow the present lines of administration of medical benefit, i.e., the 1esponsibility of making local arrangements would lie with the body that takes over the work of the Insurance Committee, or possibly with a group of such bodies. Their duty would be to frame a scheme in accordance with principles laid down by the Ministry, after con- sultation with representatives of the medical profession, and the adoption of the scheme would be subject to the approval of the Ministry. The chief points requiring attention in each local scheme would relate to the provision for the selection of the Specialists to be employed, the arrangements as to places and times at which patients should be examined and treated, the employment of ancillary staff, and the rates and methods of remuneration. 283. It should be open to any doctor possessing the requisite qualifications to take part in the work, and the decision as to whether particular doctors possess the requisite qualifications Lught lie in the hands of a mixed lay and medical committee, I at least of the medical members being drawn from outside 8 aren. 284. The arrangements as to the places and times at which Patients should be seen might take a variety of forms. The doctors might see the patients at their own consulting rooms; arrangements might be made with the hospitals for the work to be done in the out-patient departments, or thirdly, the local authority administering the benefit might establish the requisite

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