National Health Service Bill : Summary of proposed new service

1946-03 1946 1940s 19 pages 8 Hospital staffs 31. The staff of all hospitals in the service will be in the employment of the Regional Boards or Boards of Governors of teaching hospitals, as the case may be. Specialists taking part in the service, whole-time or part-time, will be attached to the st...

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Bibliographic Details
Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: London : His Majesty's Stationery Office March 1946
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Online Access:http://hdl.handle.net/10796/542D416A-48EE-441B-B1A3-6A08224C1532
http://hdl.handle.net/10796/82478676-65FD-4853-99F6-A3513B607177
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Summary:1946-03 1946 1940s 19 pages 8 Hospital staffs 31. The staff of all hospitals in the service will be in the employment of the Regional Boards or Boards of Governors of teaching hospitals, as the case may be. Specialists taking part in the service, whole-time or part-time, will be attached to the staff of hospitals. Part-time participation in the service will not debar the specialists from also continuing any private practice outside the service which individual patients may wish them to undertake. 32. Special provision is to be made by regulations affecting the appointment of senior medical and dental staff employed on the staff of hospitals. In these cases the Regional Board or the Board of Governors, as the case may be, is to be required to advertise vacancies and to constitute an expert advisory appointments committee. This committee will draw up a list, from among the applicants, of those suitable by qualification and experience for the vacancy, and the person to be appointed will then be selected from that list by the Board. 33. The Boards will determine the terms of engagement of any employed in the hospital service. The Minister, however, is empowered to make regulations governing the qualifications, conditions of service and remuneration of any or all classes of hospital staff — as of the staff engaged in any other part of the health service. Before making regulations he will consult any appropriate organisations representing the staffs concerned, and it will be his intention — wherever appropriate — to use existing, or set up new, negotiating machinery to facilitate those consultations. Existing hospital officers employed on a paid whole-time basis are to be protected, either by being transferred to the new bodies or by compensation if they are not transferred or are re-employed on less favourable terms than before. "Pay-bed" accommodation 34. Where there are single bedrooms or small wards in hospitals the Minister is empowered to make them available to patients who wish to buy greater privacy by paying the extra cost; but this is to be subject always to the requirements of patients who need such accommodation on medical grounds, and they will be able to have it without payment. 35. In addition, the Minister is empowered to provide separate pay-bedrooms or blocks for which people can pay the whole cost privately and in which part-time specialists within the service can treat private patients. This power is subject to the Minister's deciding, in each hospital, whether it is reasonable to provide such private accommodation having regard to the needs of the general service, and it is also subject to the overriding right of other patients to be admitted to it, without payment, if medical considerations urgently require it. Private patients using the accommodation will pay their own specialists' fees, but the Bill enables the Minister to prescribe maximum fees which specialists may charge in these circumstances. Other centralized services 36. The Minister is made directly responsible for the provision of two other services, both of them developed from services which have grown up during the war. 37. The first is a bacteriological service for the control of the spread of infectious diseases, including, in particular, the provision of laboratories. These will be operated — at least in the first instance — by the Medical Research Council on the Minister's behalf and their services can be made available to medical men and others who wish to make use of them. 292/847/4/115
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