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. 135 TEI AG sons per annum. The highest figure suggested was about £10 per 1,000. The estimated cost for England and Wales may therefore be taken at about £100,000. (Smith Whitaker, Q. 24.018.) (GENERAL SUMMARY OF COST. 206. Bringing together the estimates above stated under the three main heads it will be seen that the maximum annual cost of a scheme of expert out-patient services such as we have out- lined, including all the work for a population of 13,500,000, is as follows :— Specialist services '... ie Bedside consultations Laboratory aids ... A eos ... £1,290,000 & 940,000 250,000 100,000 Total 297. These, we are informed, are outside figures in each case, and it is not probable that, even if reached eventually they are likely to be attained for some years after the commencement of the scheme. The financial aspect of the problem is summed up in Mr. Brock’s answer to Q. 23,830 : ** Such a service, we think, could be organised at a cost—I am putting it very roughly—of 2s. per head if you include provision for domiciliary attendance.”’ 298. It should be noted that these estimates are for the insured population of England and Wales, viz., 13,500,000. We have received estimates for the corresponding Scottish problem which are in fair agreement, though somewhat lower for the same types of service. For a provision of specialist and consultant services, Including institutional treatment but not including convalescent and dental treatment, the estimate of the Scottish Board of Health is from 2s. 9d. to 3s. per insured person per annum. (Leishman, Q. 24,334.) 299. In conclusion, then, we consider that an extension of medical benefit on the particular lines we have described could be provided for the whole of Great Britain, with its insured Population of about 15 millions, at a cost (taking the maximum figures suggested to us) of about £1} million a year. This is Not a large sum in insurance finance. We are convinced that the results in the way of extending the scope of the medical diagnosis and treatment which the insured persons at present receive, and of spreading expert knowledge and modern methods among the general practitioners themselves, would fully Justify the expenditure. As we have said, the money can be obtained by such a scheme of pooling as we have Proposed. Accordingly we recommend that this addition be made available to all insured persons as an integral part of Medical’ benefit under the Insurance Scheme.

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