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. 51 wk Sense recommends medical unification of the services. ‘‘ Provision in connexion with maternity and infant welfare *’ should be raade ‘‘ an integral part of the Insurance Scheme or brought into proper relation thereto >’ (App. XL/VII 19-20). In paragraph 29 of the same Appendix they point out that ‘‘ attendance in connexion with confinement is expressly excluded from medical benefit, and such public provision as insured women and the wives of insured men can avail themselves of is under other auspices and is not complete in character.” They recommend that in addition to a cash payment there should be suitable ante-natal examination and supervision, attendance at confinement and during the puerperal period by a midwife or doctor as the case requires, consultant and specialist service available for difficult cases, provision for institutional treatment where necessary (App. XLVII, 29, 30; Q. 15,118-15,129). 106. The Society of Medical Officers of Health who, &s representing the medical advisers of the bodies responsible for the work of the Maternity and Child Welfare Centres, speak with special authority in this matter, say that *‘ the maternity and child welfare schemes have involved local authorities in large expenditure frequently greatly exceeding the total amount of maternity benefit paid in their district.” They point out that ‘““ These schemes are of the same essential nature as maternity benefit and the only practical method by which this latter benefit can be administered in the interests of the mother and child is by requiring local authorities to administer it through their statutory Maternity and Child Welfare Committees.” After reciting the need for the same elements of medical attention as those recommended by the British Medical Association they go on to say that ‘‘ maternity benefit even in money value should vary according to the necessity of the mother and the medical character of the case ’’ (App. LVI, 9). They conclude with the following recommendations :— ‘“ Maternity benefit, whether in its present, or in an extended form, should cease to be administered by Approved Societies and be administered both in money and kind by local authorities; which, in their turn, should be made definitely responsible for providing medical attention. The attendance upon maternity cases should not be an obligation upon a panel practitioner.” (App. LVI, 14 (10) ; Q. 16,992.) ‘“ Maternity benefit should provide for all necessary medical attendance in pregnancy and maternity, and medical benefit should be understood to be exclusive of such medical attendance.”” (App. LVI, 14 (11).) 107. Very interesting evidence on this subject was given by the late Mr. Benjamin Broadbent, who devoted so much of his life to the furtherance of public health work, especially in its bearing on the welfare of mothers and children. He regarded the

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