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 V. The development of the health services

Collection:: Economics Books

I) Tn MAJORITY REPORT. 74. When we contrast the attitude assumed in 1912 by the medical profession and by considerable bodies of public opinion towards the medical service proposed under the Insurance Act with the body of testimony which we have now received, we can say confidently that adverse forecasts have been falsified and that medical benefit hag proved in practice a successful and most valued factor in the advancement of the health of the nation. 75. Before passing from this general discussion of medical benefit as it is at present provided under the Insurance Scheme, we may mention that in Chapter X we make important proposals for an immediate expansion of the scope of the benefit so as to cover expert out-patient services. Much of what we have said here, and especially our review of the relative evidence, should be borne in mind in considering the proposals in question. We have preferred to survey the evidence at this point in connexion with our general examination of the Health Services, though if is, of course, equally relevant to the specific proposals which we later put forward for immediate adoption. Tt is obviously unnecessary to traverse the same ground twice. The same point should be kept in mind in connexion with those other problems of a medical character, i.e., dental benefit, maternity services and medical benefit for dependants, which are discussed in this Chapter in general terms and in Chapter XII in their more immediately practical aspects. SECTION B.—THE ADDITIONAL TREATMENT BENEFITS. 76. From medical benefit we pass naturally to the various ancillary services which are or may be provided under the addi- tional benefit schemes of the Insurance Act. Under additional benefit schemes (putting aside for our present purpose increases in the rates of cash benefit) provision may be made for in-patient treatment in hospitals (which includes nursing homes) dental treatment, ophthalmic treatment, convalescent home treatment, nursing and the supply of medical and surgical appliances other than those provided as part of medical benefit, THE GENERAL ARRANGEMENTS. 77. Before we proceed to the details of these benefits it may be well to describe briefly the general arrangements under which they are provided. It is important in the first place to observe that at the present time there are two groups of additional benefit schemes in operation. One group is consequential upon the first valuation of all societies and branches made as at the end of the year 1918. The second group follows on the valua- tion of some societies and branches made as at the end of the year 1922. The schemes of the former group expire in July,

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