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 XII. Consideration of certain major problems

Collection:: Economics Books

MAJORITY REPORT. 165 from our immediate recommendations on the Insurance Scheme, and suggest that the matter should be left over to be considered In connexion with any wider proposals for reorganising the health services of the community which may commend themselves to later students of the problem. SECTION D.—INSURANCE COMMITTEES. SUCCESSFUL WORK OF THE COMMITTEES. 374. We have already mentioned in Chapter V our conclusion as to the disappearance of Insurance Committees not only as Part of any future arrangement for the co-ordination of the Insurance Medical Service with other health services, but also as an element of the present Insurance Scheme. As these bodies have played a very important and successful part in the provision of medical benefit during the last 13 years, we must Necessarily devote some space to the justification of their pro- Posed demise. We desire to state at the outset that we have had no evidence of failure on the part of these Committees or their officers to perform adequately the task which they had to undertake. On the contrary, their work has been done with a Notable degree of success and we have received many tributes to the zeal and thoroughness which have characterised it. For €xample, Mr. Brock, giving evidence on behalf of the Ministry of Health, states (Q. 23,974) : *“ But I should like to add that, Whatever may be the shortcomings of Insurance Committees as bart of the machinery of local government, that is in no way traceable to any failure on the part of their staffs, and I should like to put it on record, if I may, that the clerks to Insurance Committees, with very few exceptions, have carried out their duties, without any precedents to guide them, extraordinarily well, and I think we owe to their work a great deal of such Measure of success as has been achieved in the very difficult task of accustoming 12,000 or more doctors to that degree of super- Vision that participation in the public service implies. The Insurance Committees’ staffs have done their work exceedingly well, and IT want to make it quite clear that, while I cannot dissent from the general criticism of Insurance Committees, I do want to pay my tribute to the efficiency of the work of their staffs.”” Sir William Glyn Jones, to whose vigorous recomi- mendations that Insurance Committees should be abolished we shall refer later, in reply to the question (Q. 24,420) whether the officials of the Committees had carried out in an efficient manner the duties falling upon them, replied ‘* Undoubtedly, I think the officials have done extraordinarily well.” Again the same Witness did not consider that the present position was ‘‘ due to any slackness on the part of the Insurance Committees them. selves or their officials ** (Q. 24,402). We would also refer to

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