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

hE MAJORITY REPORT. a carefully built-up service organised on a single local basis in which all varieties of preventive and curative work find their appropriate place. (For an outline of the substance of the English reports see Q. 24,170-24 172.) THE PROFESSIONAL FVIDENCE. 117. From the evidence we have received from a wide variety of witnesses similar conclusions may be drawn. For example, the British Medical Association say : ** It is essential, not only that the attention of all practitioners should be directed con- tinually to the preventive aspects of their work, but that the existing machinery and medical officers of the Public Health Service should be brought into close and organic connexion with the Insurance Scheme.” (App. XLVIL, 3); and again : “It is desired to make all such benefits and services (i.e., pathological facilities, treatment for tuberculosis and venereal disease and for certain infective fevers, the treatment of certain conditions of children of school age, provision in connexion with maternity and infant welfare) an integral part of the Insurance Scheme or to bring them into proper relationship thereto ** (App. XLVI, 20). The Society of Medical Officers of Health point out that their service, primarily concerned in the preservation of health generally, has from the beginning recognised the im- possibility of adequately discharging its function in dissociation from measures for the restoration of health to individuals.” ** I¢ has become evident that the present system of National Health Insurance suffers great limitations in its possibility for promoting health, and that profound changes are required if the improve- ment in the health of the people is to continue to be aided and not impeded by it.” ‘‘ The scheme . . . 1s, to a great extent, isolated from the other schemes of the State in operation and doing essentially similar work . . . the relationship of such work to that done by local authorities should be of a most intimate nature.” *¢ Centrally it is true that the administrations are amalgamated in one Government Department, but such an amalgamation is of comparatively little value if the practical and detailed working of each in local areas is il] co-ordinated or impossible * (App. LVI, 1-9). * The need for some genuine co-ordination of all the medical agencies in every area has long been severely felt, and the intricate and costly nature of the provision necessary for the people constitutes an additional reason for a full co-operation of all the institutions and personnel taking part in this work.” (App. LVI, 11; Q. 16,934-16,940, 16,972- 16,974.) TeE TAY EVIDENCE. 118. These are professional opinions. From the lay side come similar recommendations. For example, Mr. Alban Gordon says in paragraphs 86-41 of Appendix XIIT.— The unification

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