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

MAJORITY REPORT. members of any one society being widely scattered throughout the country, to drawbacks of organisation and ‘‘ to the general paucity of demand under present conditions for such services ”’ (Ministry of Health, App. I, B, 210). The usual financial arrangement between the Societies and the Nursing Organisa- tions provides for payment being made at the rate of 1s. 4d. per visit, of which the Society pays ls. and the member 4d. We have received professional evidence from the Queen Victoria's Jubilee Institute for Nurses (App. LXXII) and the College of Nursing (App. LXXIII), the former being engaged in the practical work of providing nurses throughout the country, and the latter in the promotion of the better education and training of nurses and in watching their professional interests. 98. The Queen Victoria’s Jubilee Institute points out that ** there is already in existence a national service which can and does provide skilled nursing for all kinds of illnesses at an economical rate and under proper safeguards—a service which, though not completely covering the country, is capable of being made to do s0,”’ and urges ‘‘ that nursing should be provided for all insured persons, and that in doing so advantage should be taken of the existing organisations.”” (App. LXXII, 16.) The rates of payment arranged between the Institute and numerous Approved Societies is 1s. 4d. a visit for the first 30 visits, and thereafter not more than 5s. a week, and 5s. for a nurse’s attend- ance at an operation. In some cases the Society pays the full amount, in others it pays 1s. and leaves the Nursing Association to collect the balance from the insured person. 99. The witnesses who appeared on behalf of the College of Nursing also suggested the need for a wide extension of the nursing service of insured persons in place of the present additional benefit arrangements, which they characterise as ‘‘ inequitable, fragmentary and wholly inadequate.” (App. LXXIIIL, 9.) In fact, they ** urge the provision of a statutory nursing benefit complemental to medical benefit” (App. LXXIII, 3 and 15), and suggest that a sum of 1s. per insured person per annum would go far to provide the requisite finance for this complete service. (App. LXXIII. 14.) 100. The Ministry of Health representative makes the follow- ing comments: —*‘ The ground is already to a considerable extent covered by the District Nursing Associations, particularly in urban areas. . . . . By undertaking the provision (i.e., as an additional benefit) you are not adding very much really to what the patient can get or what they would otherwise get.” (Smith Whitaker, Q. 23,968.) ‘If you were proposing to pro- vide a nursing service for the whole community you might take over the whole of their (the Nursing Associations’) organisation and develop it, but if you are going to provide nursing for a section of the community vou cannot do it better than by

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