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. +9 ——— making arrangements with the District Nursing Associations who are already doing the work for so many other people.” (Smith Whitaker, Q. 23.971). MEDICAL AND SURGICAL APPLIANCES. 101. The provision of medical and surgical appliances is, we are told, a fairly widely adopted benefit, for which in the period from July, 1921, to December, 1922, the sum of £69,804 was available in England, but out of which only £3,348 was spent, or just over 4% per cent. Appliance means a medical or surgical appliance other than a dental or optical appliance or those other appliances already prescribed as part of medical benefit by the Regulations. It has been held to cover such diverse articles as a motor ambulance, a bath chair, surgical boots, artificial limbs, trusses and hot-water bottles. For the most part it is not an expensive benefit, though the average cost per case in some societies has been between 30s. and 40s. Sometimes the whole cost is paid by the Society ; sometimes only half above a fixed maximum, for example, £4. OTHER SUGGESTED ADDITIONAL BENEFITS. 102. We understand that suggestions have been made to the Department from time to time advocating the inclusion of massage, electrical and radiant heat treatment, laboratory facilities, specialist treatment, and spa treatment, in the list of additional benefits (Ministry of Health, App. I,"B. 219). We ourselves have received strong representations from witnesses as to the first and last (See Apps. LXVIL and XCVI). The Ministry of Health representative, in particular stated—‘¢ There can be no doubt as to the value of massage and electrical treatment, particularly for cases of after effects of injuries and rheumatic conditions by which a large amount of prolonged incapacity for work is produced. . . . Sucha service might be provided as an additional benefit . . . but it would not be practicable to provide a satisfactory service unless you had security for effective organisation. . . . Such a service would be more economically and efficiently provided as a part of statutory medical benefit.’ (Smith Whitaker, Q. 23,973.) TUBERCULOSIS. 103. Having concluded our review of the additional benefits of a medical nature we may now pass on to refer briefly to the treatment of tuberculosis. This has been the subject of repre- sentations to us from the London County Council (App. LXXXIV), the Joint Tuberculosis Council (App. XCIID) and the Cambridgeshire Tuberculosis After-Care Association (App LXXXIID). Institutional treatment of Tuberculosis was removed from the Insurance Scheme in 1921 and entrusted to

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