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

2 
MAJORITY REPORT. 
by reason of arrears due to genuine certified unemployment. 
(para. 655.) 
(118) That no departure should be made from the principle 
that the benefits derived from the compulsory contributions of 
employers and employed persons should not be applied towards 
the relief of local rates, and that provision should not therefore 
be made for payments to Poor Liaw Authorities out of the sums 
accruing as benefit in the case of insured persons who are inmates 
of Poor Liaw Institutions and have no dependants. (para. 493.) 
(119) That it is open to question whether propaganda work 
undertaken in the interests of the health of the whole community 
should be financed only from insurance funds; that the duties 
should more appropriately fall within the province of the I.ocal 
Health Authority, particularly having regard to the provisions 
of Section 67 of the Public Health Act, 1925. (para. 391.) 
(120) That Section 24 (3) of the Act should be amended so as 
to debar any Insurance Committee or Local Authority succeeding 
to its powers and duties from approving mn future any organisa- 
tion for the purpose of ‘‘ collective own arrangements ’’ for 
medical benefit, and to provide that the provisions of the sub- 
section shall not be applied ctherwise than to individual insured 
persons ; subject to the qualification that the proposed restriction 
should not apply to cases in which nurses or other resident 
employees of hospitals normally receive medical treatment and 
attendance from the medical staffs of the hospitals in accordance 
with the terms of their employment. (para. 647.) 
(121) That existing medical institutions which have already 
received recognition under Section 24 (3) should be continued, 
approval being given to them under Section 24 (4). (para. 648.) 
(122) That while there is no evidence of failure sufficient to 
justify the recommendation that existing medical institutions 
under Section 24 (4) should no longer be recognised, approval 
should not be given to any further such institutions except as 
provided in (121) above ; and that no rule of any such institution 
should purport to debar a member of the institution from carrying 
an appeal as to his medical treatment to the Insurance Com- 
mittee of the area. (para. 643.) 
In concluding our Report we wish to express to Your Majesty 
our high appreciation of the invaluable services rendered to us 
by our Secretary, Mr. KE. Hackforth, of the Ministry of Health, 
and our Assistant Secretary, Mr. J. W. Peck, C.B., of the 
Scottish Board of Health, both throughout the long course of the 
hearing of evidence and in connexion with the exacting work of 
the preparation of our Report. 
In such an investigation as that on which we have been 
envaged, where the points at issue are often concealed in the
	        
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