MAJORITY REPORT.
i
(f) treatment in convalescent homes; (g) home-nursing when
required ; (h) all other necessary medical advice and treatment.”
Dr. Harry Roberts, a practitioner in the East End of
London with a large insurance practice, gave similar evidence
which impressed us both by its quality and as representing the
considered views of one who is in close daily contact with the
problem in its most difficult form. He refers (App. LI, 14,
Q. 16,117) to ‘‘ the limitation of provided medical treatment
to such as is assumed to be within the range of an average general
practitioner *’ as being ‘‘ one of the principal limitations of utility
of the present medical service.’’
63. Other medical bodies and practitioners have spoken before
us to the same effect, and it is evident that the weight of the
professional evidence is in favour of a removal of the restriction
which seems to be inherent in the arrangements under the
present Statute.
64. Turning to the non-professional witnesses we find the
same trend of opinion very strongly indicated. The Hearts of
Oak Benefit Society (App. IV, 254, Q. 3544-3546) recommend
the inclusion of a specialist medical service as part of medical
benefit, and (App. IV, 284, Q. 3549-3551) the provision of at
least 50 per cent. of the cost of dental benefit for all insured
persons. The Ancient Order of Foresters (App. V, 37-44 ; 46-49)
and the Independent Order of Oddfellows (Manchester Unity)
(App. VII, 53-61) make similar recommendations.
65. The Joint Committee of Approved Societies state (App.
XIV, 24, Q. 8723) that they ‘‘ desire to see the benefit given by
the Act of 1911 fully conferred upon the insured, i.e., adequate
medical attendance and treatment and not the restricted form
of (domiciliary) medical benefit defined by the Regulations.’
The National Conference of Friendly Societies, representing over
four million insured persons, urge (App. XXVI, 22, Q. 10,913-20)
that ‘‘ until a public medical service can be instituted medical
benefit should be extended to include the provision of specialist
and consultant services.” The National Association of Trade
Union Approved Societies submit (App. XCII, 94) ‘ that the
term ‘ medical benefit ’° should mean everything that medical
and surgical science can command for the prevention or cure of
sickness.”” The evidence from Insurance Committees and their
representative bodies is to the same effect. Witnesses giving
evidence before us on behalf of the Central Departments
also agreed as to the desirability of extending the provision so as
to include a specialist and consultant service if the difficulties of
finance could be overcome. (See Kinnear, Q. 23,682-23,686 ;
Leishman, Q. 24,337-24,340.) Finally we may quote an extract
from the Annual Report of the Chief Medical Officer of the
Ministry of Health, 1924 (p. 163). In concluding his survey