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

MAJORITY REPORT. 
Boroughs, who submit to the Minister schemes for the treatment 
of persons suffering from tuberculosis at or in dispensaries, sana- 
toria. and other institutions. The I.ocal Authorities in - this 
matter deal with all classes of persons, insured and uninsured. 
In addition to the service given in the tuberculosis dispensaries 
and the sanatoria and hospitals, home-visiting by tuberculosis 
nurses and health visitors, and extra nourishment for tuberculous 
patients receiving treatment at home, are provided. Schemes 
are in operation in every County and County Borough, and the 
total number of approved tuberculosis dispensaries in England 
is 454, under the charge of 353 Tuberculosis Officers. The 
number of residential institutions is 458, containing nearly 21,000 
beds. Of these beds 13,000 are in institutions belonging to Local 
Authorities and 8,000 in institutions belonging to voluntary 
bodies. The gross expenditure on all this work was in 1922-93 
about £2,600,000, of which about £1,600,000 was met from 
Exchequer grants, the remainder being, in large part, borne by 
the local rates. At present the distribution of the burden between 
the Fxchequer and the Local Authorities is on the basis of an 
annual State grant of £315,000, in addition to an annual grant 
of 50 per cent. of the approved net expenditure incurred by Local 
Authorities. Provision is also made for the treatment of ex-service 
men suffering from tuberculosis, attributable to or aggravated by 
service in the War, and, through the Ministry of Pensions, 
arrangements are made for defraying the cost of treatment so 
given, 
VENEREAL DISEASES. 
37. Treatment centres for venereal disease are established 
throughout the country at which all persons may obtain treat- 
ment free of cost under conditions of secrecy. Facilities for the 
diagnosis of venereal disease by laboratory methods are made 
available free of cost not only to the medical officers of the Treat- 
ment Centres, but to medical practitioners in general. A 
gratuitous supply of approved arsenobenzol compounds is made 
to medical practitioners who possess one or other of certain 
specified qualifications; and propaganda as to the dangers of 
venereal disease and the necessity for treatment is conducted. 
These schemes are carried out by the Councils of Counties and 
County Boroughs with the aid of a Government grant of 75 per 
cent. of the approved expenditure, the remainder being borne by 
the rates. There are in England and Wales about 194 of these 
treatment centres. The annual expenditure of Local Authorities 
on this service is about £420,000. The propaganda work is under- 
taken by the British Social Hygiene Council on behalf of the 
Ministry of Health, and involves an expenditure of about £6,700 
a year, the whole of which is borne by the Exchequer. The Local 
Authorities also carry on propaganda work.
	        
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