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. 161 y: oy ——— and the Cheshire Insurance Committee (App. XXXIV). We will here attempt to give in broad outline an account of that work THE WORK OF INSURANCE COMMITTEES. 877. Insurance Committees, of which there are 128 in England and 17 in Wales, were constituted for every County and County Borough. Three-fifths of the total membership of each Com- Wittee are appointed so as to secure representation of the insured Persons resident in the area of the Committee. One-fifth are appointed by the County or County Borough Council. Of the fémaining fifth two are medical practitioners appointed to repre- Sent the medical practitioners in the area, one is a medical prac- titioner appointed by the County or County Borough Council, and the others are appointed by the Minister. In Scotland there are 54 Committees constituted for the Counties and for the Burghs of 20,000 population and over, and the membership 18 allocated in very much the same way as is described above, 878. It will be seen that the object of the somewhat complicated arrangements for the membership is to secure majority repre- entation for the insured persons; and at the same time affiliation to the Local Authority in its general aspects, to the T.ocal Authority in its medical aspects, and to the body of practitioners in the area; and to include a small element deriving authority from the Central Departments. 379. Originally the Committees in England consisted of from 40 to 80 members, but in the interests of economy these numbers Were reduced to one half by the Act of 1921. In Scotland, how- ever, the original numbers were retained. Normally, members of Committees hold office for three years, but the Committees themselves are corporate bodies with perpetual succession. The Dumber of insured persons for whom the Committees severally are responsible varies very widely. In England, at one end of the scale is the Scilly Isles with 375, and Rutlandshire with 6,000; at the other, Tiondon with 1,700,000. 380. The work of Insurance Committees may be broadly classified under the following five heads :— (1) the arrangements for medical benefit ; (2) inquiries into complaints arising from the provision of medical benefit, including the supply of drugs; (3) inquiries into the causes of excessive sickness in the area of the Committee and the consequential affixing of liability - 3 (4) propaganda as to health by means of lectures, leaflets. &e. ; (5) administration of the cash benefits of certain special classes, viz., deposit contributors and members of the Navy. Army and Air Force Instrance Fund.

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