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

A= MAJORITY REPORT. ments, defects of vision, defects of teeth, enlarged tonsils and adenoids and crippling defects. 45. The School Medical Service thus keeps the whole school population under constant medical supervision, brings to the notice of parents defects from which their children are suffering and urges the necessary remedies. Further, it provides certain definite forms of treatment itself. Hach Authority has a School Medical Officer in charge of the work, with one or more medical assistants for the ordinary duties. In addition the Authorities employ specialist officers, either whole-fime or part-time, for certain branches of the work, such as dentistry, care of the eyes, and operative treatment. MEDICAL SERVICE OF THE Poor. 46. Coming now to the Poor Law Medical Service, we find that the regulations of the Central Authority require that every Board of Guardians shall provide an outdoor medical service and an institutional medical service for the destitute poor. For the former purpose there is appointed in each district a medical officer, whose duty it is to attend, and supply medicines to, all poor persons requiring medical attend- ance within the district at the order of the Guardians or the Relieving Officer. These medical officers are general practitioners and are usually on the insurance panel. For the purpose of institutional medical service there is the staff of medical officers and nurses attached to the workhouse infirmaries. There are at present in England and Wales 635 Boards of Guardians managing 629 workhouses, 597 of which include at least some accommodation for the sick. There are also 71 separate institufions for the sick and 16 institutions for defec- tives. The total number of Poor Law beds provided expressly for physical or mental infirmity may be taken as roughly 129,000, of which 37,000 are in separate hospitals and infirmaries and 13,000 in separate institutions for mental cases. The total number of persons suffering from sickness, accident or bodily infirmity in receipt of Poor Law medical relief on 1st January, 1925, was about 310,000. The estimated expenditure by Boards of Guardians in 1923-24 on persons suffering from bodily infirmity was about £7,000,000, of which over £6,000,000 was borne by the rates, the remainder being met from the small Exchequer grant and other receipts. MEDICAL INSPECTION IN FACTORIES. 47. The arrangements for medical inspection in factories and workshops are made directly by the Home Office, and Local Authorities have no place in the scheme. From Sir T. Legge’s Bn 9 34702

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