Report of the Royal Commission on National Health Insurance

Bibliographic data

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 II. The scheme of national health insurance

Collection:: Economics Books

MAJORITY REPORT. provisions on a non-insurance basis for that class of persons known as deposit contributors, who cannot, or do not attempt fo, obtain admission to an Approved Society. The existence of this class, which in 1911 was not intended to be given permanent existence, raises a number of difficult problems, which are discussed in Chapter XII of our Report. 17. A general supervision over the administration of the Scheme on behalf of the Central Government is undertaken in England and Wales by the Ministry of Health and in Scotland by the Scottish Board of Health. These Departments have an outside staff of inspectors distributed over the country, whose primary duty is to secure compliance with the provisions of the Act relating to the payment of contributions. The prompt payment of the contribution in respect of the 15 million insured persons week by week is a feature of the Scheme essential on financial grounds and remarkable as a piece of administrative machinery. The administration of medical benefit and of certain minor matters relating to deposit contri- butors and other classes is entrusted to specially appointed bodies, created under the Act of 1911, known as Insurance Com- mittees. Such a Committee exists in each county and county borough in England and Wales and in each of the counties and larger burghs in Scotland. There are in Fngland and Wales 145 such Committees, and in Scotland, 54. The cash benefits and additional benefits are administered by Approved Societies, which are self-governing bodies of insured persons who elect to group themselves together for the purposes of the Act. There are at the present time about 1,000 Approved Societies engaged in the administration of the Act, including 31 Societies with Branches. The Branches, which number about 7,000, are independent financial units for the purpose of National Health Insurance; they possess also a considerable measure of administrative independence, but are integral parts of the parent organisations to which respectively they belong and are subject to the general authority thereof. Approved Societies are not as a rule organised on any territorial basis, though in the nature of the case the membership of many of them is preponderantly localised. They vary in membership from less than 50 to more than 2,000,000 insured persons. Some are restricted to persons engaged in particular occupations or belonging to particular religious denominations or having some other common bond of interest ; while others are open fo all insured persons without qualification. For certain purposes Approved Societies may also be conveniently viewed in relation to other work carried on by them or their promoters, and from this point of view they may be classified into Societies formed in the Friendly Society move- ment, those instituted by the great Industrial Insurance Com- panies, those organised in connection with Trade Unions, and

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