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. been possible to get the information to the Society in more than a minute fraction of cases. As the cases of lump sum payments are now covered otherwise, as the result of the passing of the Workmen’s Compensation Act, 1923, and the cases of weekly payments at less than 15s. a week are relatively unimportant, I suggest to the Commission that Section 16 (1) (¢) of the Act might now be repealed.” (Q. 23,462.) 631. We concur in the suggestion made to us on this point and recommend accordingly that Section 16 (1) (¢) of the Act should be repealed. INQUIRIES INTO EXCESSIVE SICKNESS. 632. When the Insurance Act was originally passed few sections attracted more attention than that which was designed to establish machinery whereby financial liability might be fixed on a local authority or an employer, held to have been guilty of default leading to unsatisfactory health conditions and con- sequent excessive payments of sickness or disablement benefit. This was regarded as establishing a hopeful new principle whereby the consequences of neglect might be brought home to the negligent with beneficial results to the public health at large. 633. Section 107 of the present Act lays down the pro- cedure to be followed where an Approved Society or Insurance Committee makes an allegation that excessive expenditure on sickness and disablement benefits is attributable to some default cn the part of a Local Authority or an employer. The Section falls naturally into two parts. In the first place it provides machinery for instituting an investigation to determine whether the Society’s allegation of unsatisfactory conditions is well founded ; and secondly, it enacts that where as a result of such investigation, it is found that the unsatisfactory conditions do in fact exist and have been the cause of excessive benefit expenditure, a penalty shall be imposed on the responsible Local Authority or employer by requiring them to pay to the Society the estimated amount of the excess expenditure due to their default. 634. We have been informed in evidence (Brock, Q. 1470, 1491-1498) that the Section has not proved to be workable, and we understand that there are two outstanding difficulties in giving effect to its provisions :— (1) As Approved Societies are seldom organised on a geographical basis, it is very difficult, if not impossible, to establish from their records the sickness experience among insured persons in a particular locality. (2) Even if it were possible to establish the experience of a particular locality it would not be possible to disentangle

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