Full text: Report of the Royal Commission on National Health Insurance

MAJORITY REPORT. 
[73 
BE —. 
to be maintained, but the accounts are all kept by the Con 
Department and the calculations of the benefit due are 
made there. 
393. Similarly, in connexion with the administration of the 
benefits of the members of the Navy, Army and Air Force Insur- 
ance Fund, there is nothing that in fact calls for control by a 
large body of the type of an Insurance Committee. 
Points FROM THE HVIDENCE. 
394. With this review of the work of Insurance Com- 
Mittees before us we may now turn to what witnesses have 
t say on the matter. 
395. Taking first the evidence which we received from certain 
of the Insurance Committees themselves, we were informed by 
the Coveniry Insurance Committee App. XXXII, 30; 
Q. 12,240, 12,226-12,273, 12,305-12,316) that they had no wish to 
Derpetuate these bodies as they are at present constituted and 
With their present limited functions, but suggest that ** the 
Insurance Committees’ current organisation is such that it can 
mediately and with considerable economy be utilised for 
extended administrative work, or brought into organic relation- 
ship with the local authority.” The Cheshire Insurance Com- 
Wittee (App. XXXIV B, 40-50 ; Q. 12,454, 12, 457-12,458, 12,513) 
State that the Insurance Committee is truly representative of 
local interests, and feel that ‘* to scrap the machinery of Insur- 
dhce Committees or to make it a subsidiary part of a greater 
Machine would be disastrous to insured persons,” and they call 
for the continuance and enlargement of their duties. The 
Leicestershire Insurance Committee (Q. 12,663-12,665) main- 
tain that the Committees are in close touch with insured 
Persons and are familiar with local conditions, and they 
®Xpress the opinion that the District Councils and County 
Councils would not be prepared to take over the work 
a5 they are already overburdened. The view expressed 
by the British Medical Association (App... XLVII, 46-47) 
15 that ‘the local administration of all health services 
should be in the hands of a local authority established ad hoc,” 
and the Association suggest that a unification of medical services 
Such as they contemplate would involve the disappearance, as 
Such, of Insurance Committees. The Retail Pharmacists’ Union 
(App. LXV, 82; Q. 18,091) recommend the retention of the 
Present method of administering medical benefit through Insur- 
ance Committees. Mr. Alban Gordon, who speaks from some 
Practical experience, as he was Clerk to the Coventry Insurance 
Committee in 1912, a member of the London Insurance Com- 
Mittee from 1913 to 1921, and a member of the Brighton In- 
Surance Committee during 1924 and 1925, states: ‘° The 
Continued existence of Insurance Committees with their present
	        
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