National Health Service Bill : Summary of proposed new service

1946-03 1946 1940s 19 pages 9 38. The second is a blood transfusion service — for the collection of blood from volunteer donors, the provision of "blood banks" and blood products at hospitals and of mobile transfusion teams which will be on call for hospitals not possess...

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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
Subjects:
Online Access:http://hdl.handle.net/10796/79D3926B-30EF-44F3-874A-C9AA8CD78A95
http://hdl.handle.net/10796/D5952045-2E6F-444D-8D9E-2436162997A4
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Summary:1946-03 1946 1940s 19 pages 9 38. The second is a blood transfusion service — for the collection of blood from volunteer donors, the provision of "blood banks" and blood products at hospitals and of mobile transfusion teams which will be on call for hospitals not possessing facilities of their own and for specialists and general practitioners. 39. The Minister is also expressly empowered by the Bill to conduct research, and to give financial help to voluntary agencies conducting research, into any question relating to the prevention, diagnosis or treatment of illness or mental defectiveness. Boards of Governors of teaching hospitals and Regional Boards are also empowered to conduct research. GENERAL PRACTITIONER SERVICES 40. This part of the service covers the personal health services provided by general medical practitioners and dentists and the supply of drugs, medicines and appliances. 41. To arrange these services locally new bodies — to be called Executive Councils — are to be established in the area of each county and county borough. As already explained, each Council is to be so composed that one half of its members are professional — appointed by the local doctors, dentists and chemists through their own representative committees in the area — while the other half of the members are to be appointed partly by the local county or county borough council (one third of the Executive Council) and partly by the Minister (one sixth). The Chairman will be appointed by the Minister. Single Executive Councils may sometimes be established for the areas of two or more local authorities. Health Centres 42. A main feature of the personal practitioner services is to be the development of Health Centres. The object is that the Health Centre system, based on premises technically equipped and staffed at public cost, shall afford facilities both for the general medical and dental services (described immediately below) and also for many of the special clinic services of the local health authorities (described later), and sometimes also for out-post clinics of the hospital and specialist services (already described). Beside forming a base for these services — e.g. providing doctors with equipped and staffed consulting rooms in which to see their patients — the Centres will also be able to serve as bases for various activities in health education. 43. The Bill makes it the duty of the county and county borough councils to provide, equip, staff and maintain the new Health Centres to the satisfaction of the Minister. The local authorities will directly administer such of their own local clinic facilities as they may provide in the Centres. Doctors and dentists, however, who use the new Centres while participating in the general personal practitioner service will be in contract only with the new Executive Councils, and it will be for those Councils to arrange with the local authorities for the use of the Centres' facilities by those doctors and dentists. In the case, for instance, of doctors in the general practitioner service the Centres will, in effect, stand in place of the doctors' own surgeries and the doctors' responsibilities to their patients on their personal lists — e.g., in visiting their patients' homes and in general responsibility for their patients at all times — are not affected by whether a doctor practises from a Health Centre or not. 292/847/4/115
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