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 XIV. Summary of conclusions and recommendations

Collection:: Economics Books

MAJORITY REPORT. 25 AR DEVELOPMENT OF THE HEALTH SERVICES. (7) That the various Medical Services organised by the State will continue to expand both in their scope and in the range of persons to whom they apply. (paras. 55-56, 115.) (8) That these services should be maintained in close rela- tionship with each other, both at the centre and in their local administration. (para. 123.) (9) That in considering any changes or developments in the Insurance Medical Service regard should always be had to the importance of the fullest possible co-ordination with other health services. (paras. 115, 120.) MEDICAL AND TREATMENT BENEFITS. (10) That medical benefit has been a valued and successful element in the Scheme of National Health Insurance. (para. 74.) (11) That while it has been inevitable hitherto that medical benefit should be confined to a general practitioner service, this limitation has detracted from the value of the benefit and its removal is urgently desirable. (para. 261.) (12) That the additional benefits of a treatment character have been, on the whole, successful and appreciated, though in varying degrees, but that they suffer from the following defects inherent in the conditions under which they are provided :— (a) They are only available for those insured persons who are members of Societies having surpluses at valuation, and only for those members who fulfil certain qualifying con- ditions, and that consequently large classes of insured persons are debarred from participating in these valuable services. (b) Even among the Societies giving a particular type of treatment benefit there is no uniformity in the content of the benefit, with the result that there is widespread con- fusion in the minds of the insured persons as to what precisely their rights are. (¢) The arrangements made between Societies and pro- fessional bodies are wanting in authority and uniformity, and in some cases are accompanied bv undesirable conditions (para. 81.) MATERNITY BENEFIT. (18) That it is desirable that, as soon as funds are available, the scope of maternity benefit should be expanded to cove: medical and midwifery services in addition to a cash payment; that the service element should then be administered by the local Health Authorities and be co-ordinated with the other local medical services: and that a cash element should be retained

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