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

MAJORITY REPORT. Boroughs, who submit to the Minister schemes for the treatment of persons suffering from tuberculosis at or in dispensaries, sana- toria. and other institutions. The I.ocal Authorities in - this matter deal with all classes of persons, insured and uninsured. In addition to the service given in the tuberculosis dispensaries and the sanatoria and hospitals, home-visiting by tuberculosis nurses and health visitors, and extra nourishment for tuberculous patients receiving treatment at home, are provided. Schemes are in operation in every County and County Borough, and the total number of approved tuberculosis dispensaries in England is 454, under the charge of 353 Tuberculosis Officers. The number of residential institutions is 458, containing nearly 21,000 beds. Of these beds 13,000 are in institutions belonging to Local Authorities and 8,000 in institutions belonging to voluntary bodies. The gross expenditure on all this work was in 1922-93 about £2,600,000, of which about £1,600,000 was met from Exchequer grants, the remainder being, in large part, borne by the local rates. At present the distribution of the burden between the Fxchequer and the Local Authorities is on the basis of an annual State grant of £315,000, in addition to an annual grant of 50 per cent. of the approved net expenditure incurred by Local Authorities. Provision is also made for the treatment of ex-service men suffering from tuberculosis, attributable to or aggravated by service in the War, and, through the Ministry of Pensions, arrangements are made for defraying the cost of treatment so given, VENEREAL DISEASES. 37. Treatment centres for venereal disease are established throughout the country at which all persons may obtain treat- ment free of cost under conditions of secrecy. Facilities for the diagnosis of venereal disease by laboratory methods are made available free of cost not only to the medical officers of the Treat- ment Centres, but to medical practitioners in general. A gratuitous supply of approved arsenobenzol compounds is made to medical practitioners who possess one or other of certain specified qualifications; and propaganda as to the dangers of venereal disease and the necessity for treatment is conducted. These schemes are carried out by the Councils of Counties and County Boroughs with the aid of a Government grant of 75 per cent. of the approved expenditure, the remainder being borne by the rates. There are in England and Wales about 194 of these treatment centres. The annual expenditure of Local Authorities on this service is about £420,000. The propaganda work is under- taken by the British Social Hygiene Council on behalf of the Ministry of Health, and involves an expenditure of about £6,700 a year, the whole of which is borne by the Exchequer. The Local Authorities also carry on propaganda work.

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