Object: Report of the Royal Commission on National Health Insurance

MAJORITY REPORT. 
165 
from our immediate recommendations on the Insurance Scheme, 
and suggest that the matter should be left over to be considered 
In connexion with any wider proposals for reorganising the health 
services of the community which may commend themselves to 
later students of the problem. 
SECTION D.—INSURANCE COMMITTEES. 
SUCCESSFUL WORK OF THE COMMITTEES. 
374. We have already mentioned in Chapter V our conclusion 
as to the disappearance of Insurance Committees not only as 
Part of any future arrangement for the co-ordination of the 
Insurance Medical Service with other health services, but also as 
an element of the present Insurance Scheme. As these 
bodies have played a very important and successful part in the 
provision of medical benefit during the last 13 years, we must 
Necessarily devote some space to the justification of their pro- 
Posed demise. We desire to state at the outset that we have 
had no evidence of failure on the part of these Committees or 
their officers to perform adequately the task which they had to 
undertake. On the contrary, their work has been done with a 
Notable degree of success and we have received many tributes to 
the zeal and thoroughness which have characterised it. For 
€xample, Mr. Brock, giving evidence on behalf of the Ministry 
of Health, states (Q. 23,974) : *“ But I should like to add that, 
Whatever may be the shortcomings of Insurance Committees as 
bart of the machinery of local government, that is in no way 
traceable to any failure on the part of their staffs, and I should 
like to put it on record, if I may, that the clerks to Insurance 
Committees, with very few exceptions, have carried out their 
duties, without any precedents to guide them, extraordinarily 
well, and I think we owe to their work a great deal of such 
Measure of success as has been achieved in the very difficult task 
of accustoming 12,000 or more doctors to that degree of super- 
Vision that participation in the public service implies. The 
Insurance Committees’ staffs have done their work exceedingly 
well, and IT want to make it quite clear that, while I cannot 
dissent from the general criticism of Insurance Committees, I 
do want to pay my tribute to the efficiency of the work of their 
staffs.”” Sir William Glyn Jones, to whose vigorous recomi- 
mendations that Insurance Committees should be abolished we 
shall refer later, in reply to the question (Q. 24,420) whether the 
officials of the Committees had carried out in an efficient manner 
the duties falling upon them, replied ‘* Undoubtedly, I think the 
officials have done extraordinarily well.” Again the same 
Witness did not consider that the present position was ‘‘ due to 
any slackness on the part of the Insurance Committees them. 
selves or their officials ** (Q. 24,402). We would also refer to
	        
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