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 XIII. Miscellaneous questions

Collection:: Economics Books

MAJORITY REPORT. 249 er in respect of that country, and that the members who are resident therein be deemed to be resident in the country in which the head office of the Society is situated. AMENDMENT OF CONSTITUTION OF SOCIETIES WITH BRANCHES. 607. We were informed (Ministry of Health, App. I, B, 76-77; Manchester Unity of Oddfellows, Q. 5702-5704 ; Loyal Order of Ancient Shepherds, Q. 14,062-14,067 ; Grand United Order of Oddfellows, App. XCV, 1) that several Approved Societies which administer the Act through the medium of Branches had found it desirable to amend their constitution by the grouping of Branches either completely, thus converting the Society into a centralised Society, or partially, by merging the separate Branches in the different geographical areas into larger units (generally known as districts) for the purpose of the administration of National Health Insurance. Asa consequence of changes of this nature, the total number of Branches administering the Scheme as separate financial units has fallen from about 14,000 in 1912 to less than half that number. It is not, however, a simple matter, under the Act as it stands, for changes of this kind to be effected since any single Branch has absolute autonomy and can decline to fall in with any proposed reconstitution of the Society, how- ever strong may be the desire throughout the Society as a whole to effect that reconstitution. It has been suggested to us that some means should be provided by which the decision of the Society in cases of this kind should be made binding on all its Branches. 608. We have no desire to impair unnecessarily the autonomy which Branches at present enjoy, but we feel that some such Provision is desirable (with proper safeguards) to meet the case where the general desire of a Society may be frustrated by an obstructive and insignificant minority. 609. We observe, moreover, that there is already provision in Section 40 (1) (¢) of the Act for the converse operation—namely, the transformation of a centralised Society into a Society with Branches. We accordingly recommend that Section 40 of the Act should be amended so as to enable a Society with Branches, subject to the consent of the Minister and to compliance with such conditions as may be prescribed, to centralise either com. Pletely, or in geographical areas if the Society in a general meeting by a large majority (e.g., four-fifths) representative of its insured persons resolves to do so. INVESTMENT OF SOCIETIES’ FUNDS. 610. The Act provides that, of the moneys belonging to Societies which are available for investment, one-half is to be etained to the credit of the Society in the National Health H4709 {

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