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MAJORITY REPORT.
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INQUIRY INTO ADMINISTRATION,
242. We come now to the question of conferring on the
Central Departments power to deal with cases of defective
administration on the part of Approved Societies where the defects
alleged are not of such a grave character as to amount to general
maladministration and could not, therefore, be appropriately
dealt with under the provisions relating to withdrawal of
approval. In these circumstances we consider that the Depart-
ment should be empowered at any time to hold an inquiry into
the methods of administration of a Society where there is a
prima facie reason for believing that the administration is deficient
in any respect. If, as the result of such an inquiry it is
established that the standard of administration of the Society is
unsatisfactory, the Minister should be authorised to require the
Society to introduce such reforms as may be necessary, and if,
after due warning has been given to the Society, reforni is not
effected, the Minister should be empowered to order such
a reduction as he may think fit in the amount which
the Society may be allowed to appropriate towards the cost of
its administration. Inasmuch as the normal administration
allowance is fixed in relation to a proper standard of adminis-
tration, we consider it to be entirely proper that the rate should
be reduced where the administration falls short of that standard.
We further recommend that if, notwithstanding the imposition
of the suggested penalty in the form of a reduction of the
administration allowance, a Society still refuses or is unable to
bring its administration up to a proper standard of efficiency, the
case should be treated as one of maladministration justifying
recourse to the procedure for withdrawal of approval.
CONTROL OF EXPENDITURE.
243. The next point in which we consider that the powers of
the Central Departments require to be strengthened is to be
found in the method of dealing with improper expenditure by
Approved Societies. All expenditure by Societies and Insurance
Committees out of National Health Insurance funds is subject
to audit by auditors appointed by the Treasury. There is, how-
ever, this important distinction, that whereas in the case of
Insurance Committees the auditor has power to disallow and
surcharge any item of expenditure which he considers to be
liproper, or not in accordance with the provisions of the Act
and Regulations, he is not vested with this power in relation to
the audit of Approved Societies’ accounts and can only deal with
cases of improper expenditure by way of a reservation in his
report on those accounts. Any such reservation is brought
to the notice of the Central Department who communicate
on the metter with the Society concerned in order to secure, if
such a course is reasonable or practicable, the repayment into the