Fiealph for the People
- Author:
Horace Marshall & Sons Ltd.
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Sub.p rePort on the Health Services was prepared by a “^he c?mrn-ttee ^ve aPP?inted by the Liberal Party. fr0ni wmmittee is a lay one and acknowledges assistance To th Aleck Bourne for many of the figures quoted. fmi-tie rev’ewer> as one who has spent many years in al,0*e Government service, but who has always been does e privilege of private practice ” so long as it substn?t interfere with official duties the report is in fr0rtlance an echo of his own views. One quotation annr?Pa?e 10 will show the sub-committee’s general pproach to its subject:
, ^ is not in the best interests of the nation that the ?cal development of vitally important medical and her technical services should be left to the initiative nd direction of lay persons, however enthusiastic jjd well-meaning, acting without medical expert ^lce, as is at present the case.
Statutory Medical Advisory Committees, charged th the duty of advising the Local Authorities in e exercise of their functions in respect of public aShh, should be appointed in each autonomous Th Interf r^?mmendations are generally on the lines of the but Report of the Planning Committee of the B.M.A., estau,-e,net is cast wider. The Committee approve the k?mi Miment Health Centres as the pivot of the Sugg est Lary Medical Services. These Centres, it is the i0 ,’ should be provided, equipped and supplied by nursin authority in respect of technical, clerical, and tiye of Personnel- At these Centres all persons irrespec- choiCe ‘p00016 should register. There should be free f?llow. ?* doctors, and these should be paid on the Patient1118 basis ‘ the sum of the capitation fees of tty0 s registered at the Centres would be divided into p rts. The amount of one half would be distributed equally among all the doctors (eight to twelve in number) attached to the Centre. The remainder would be divided in a proportionate manner according to the number of patients opting for each doctor. Patients unable to visit the doctor at the Health Centre would be seen at home, and doctors could at their own premises and on their own terms see those wishing to consult them in their private consulting rooms or surgeries. The special difficulties of arrangements in Rural Areas is discussed. The provision of consultant services is recommended for the Health Centres as well as hospitals. The Centre would accommodate or would be the centre for dental and other special ancillary services. The Committee hope that all district nursing services would be associated with the Centre.
Voluntary hospitals would be brought under the scheme by an allocation of grants from the Local Authority up to 75 per cent, of their expenses. Hospitals with Medical Schools attached would receive their grants from the University Grants Committee. The report closes with an interesting appendix on ” Social Therapy For those who have not studied the question of Medical Services after the war the report is well worth reading. H.C.S.
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