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 IV. The related schemes of social welfare

Collection:: Economics Books

18 MAJORITY REPORT. maintenance under the Poor Law. It will be seen that in that statement there is furnished an account both of the central and the local administrations of these services, and that the costs to the Exchequer and to the local rates are given separately. The Scottish Board of Health have dealt with the corresponding problems in Appendix CV. In Appendix CIX the Board of Education have given an outline of the School Medical Service, and in Sir T. M. Legge’s statement (Appendix XTII) will be found an account of the system of medical inspection in factories. We have thought it advisable to supplement most of this material by oral examination, being satisfied in our minds that the inter- relationship of all the health services is one of the most important questions before us. 32. Inasmuch as the descriptive statements referred to above are published in full in the Appendix to the Minutes of Ividence taken before us, it is not necessary to enter into the matter here in any elaborate detail. It may not, however, be out of place to furnish a short summary of each of these services similar in scope to that already given in Chapter II in the case of the Insurance Scheme ; and to comment in passing on one or two points of interest which have emerged. Tae CENTRAL CONTROL. 33. In the first place, it may be observed that unity of adminis- tration at the centre is provided for in England and Wales by the single control of all these health services (except the school medical service and the inspection of factories), which is vested in one Department, namely, the Ministry of Health. So far as the schools are concerned, the Department actually supervising the work—the Board of Education—acts in this matter as the agent of the Ministry of Health, and the two Departments have a Chief Medical Officer in common. The Minister of Health, we are informed, has, in fact, in pursuance of a provision in the Ministry of Health Act, 1919, delegated the administrative arrangements to the Board, which continues to act subject to the suzerainty of the Minister. We were assured in evidence that effective co-ordination at the centre has been secured and that the high intentions with which the Ministry of Health was established have, so far as six years allow, not remained without fulfilment. We may quote the following extracts from the Kvidence. ‘‘ There is a very considerable measure of co-ordination by means of frequent consultations between the various heads of the Divisions as well as by reason of there being one Minister and one Permanent Secretary in the Ministry to whom all the heads of the Divisions are responsible.’’ (Kinnear, Q.24,199.) ‘‘ The arrangements for co-ordinating the work of the Ministry are such, I think, as to secure a continuance of this process as opportunity arises.” (Kinnear, Q. 24.211.)

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