Report of the Royal Commission on National Health Insurance

Bibliographic data

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. administered by the Approved Societies. The latter would be provided as an integral part of the medical service and would be administered by the appropriate local authority. The general practitioner, the midwife, the nurse, the specialist and the institution would all take their respective parts in the scheme of extended medical services. SECTION D.—INTER-RELATIONS OF THE HEALTH SERVICES. 115. To complete our review of the health services we naturally pass on to consider the public medical services outside the Insurance Scheme, and this leads inevitably to the extremely important problem of co-ordination of the health services generally. We have already, in Chapter IV, given a brief description of these activities of the Central Government and the various Tuocal Authorities. We may also refer to the detailed accounts supplied by the Ministry of Health (App. CIV), the Scottish Board of Health (App. CV), the Board of Hducation (App. CIX) and Sir Thomas Legge (App. XLII). Naturally we have not heard on these topics such a range and variety of evidence as we have received on the Insurance medical service. But we have been sufficiently informed of the nature of the arrangements supervised by these Departments, and many witnesses, e.g., the Society of Medical Officers of Health (App. LVI) have directed our attention to these State activities and have emphasised their intimate relation to the problem of the future of public health work in the broadest significance of that term. Here, again, as in the case of medical benefit, we have been impressed by the social value of these various activities, the great advances that have been made pari passu with the development of the Insurance Scheme, and the possi- bilities of expansion that are latent in these schemes if the necessary public funds could be made available. Most important of all, we have been impressed by the feeling that, in any further developments, the need for close co-ordination between the health work within the Insurance Scheme and that outside it, must be continually kept in view both in the administration and in the essentials of professional work. 116. We will refer, first, to the reports of the Consultative Councils of the Ministry of Health and of the Scottish Board of Health, made in 1920. In these reports the greatest emphasis is laid upon local co-ordination of all the health services. The former approach the subject on a theoretical basis and describe what the organisation of a complete health service should be, quite apart from existing systems and commitments. The latter deal with the problem more in the practical sphere, and, taking things as they are in Scotland, indicate the desirable lines of progress. But in both the underlying principles are the same— KATO

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