National Health Service Bill : Summary of proposed new service

1946-03 1946 1940s 19 pages 14 Tribunal will have a legal chairman appointed by the Lord Chancellor and will in each case include a member of the same profession as the person whose case is being investigated and one other — the latter two being appointed by the Minister. Where it is sati...

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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/10796/876AB8B4-1D2A-4C4E-BA99-67A4750E0FBE
http://hdl.handle.net/10796/AB192F69-7250-4033-B411-F534C6D08A2B
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Summary:1946-03 1946 1940s 19 pages 14 Tribunal will have a legal chairman appointed by the Lord Chancellor and will in each case include a member of the same profession as the person whose case is being investigated and one other — the latter two being appointed by the Minister. Where it is satisfied that the representations are justified, the Executive Council will be directed to remove from the list the name of the doctor, dentist, chemist or optician, who is given the right to appeal to the Minister. Where the Tribunal so decides a similar direction can be applied to all lists in all areas, with the same right of appeal. 70. Provision is also made that where any doctor, dentist, chemist or optician has already been disqualified from participation in the present National Health Insurance service, and the disqualification has not been removed, he shall not have the right to participate in the new service. 71. Where the Minister is satisfied, after inquiry, that the services provided by doctors, dentists, or chemists in any particular area are not adequate he is empowered to take such steps as he considers necessary to secure an adequate service. 72. The Minister is empowered to arrange with universities and medical and dental schools for the provision of "refresher" courses for doctors and dentists in the service, to contribute towards the cost of these courses and to pay the expenses of doctors and dentists attending them. LOCAL GOVERNMENT SERVICES 73. This part of the health service comprises the local and domiciliary services which are appropriate to local government, rather than to central government or to any specially devised machinery. The Bill unifies these services in the existing major local authorities — the county and county borough councils — and provides for the formation of joint boards wherever, exceptionally, this may be found desirable. 74. For most of these services, the Bill requires the local health authorities (as they are to be called) to indicate to the Minister the way in which they intend to carry out their responsibilities, and it requires the Minister's general approval. Their proposals, so indicated, are to be made known also to the Regional Boards and Boards of Governors for the hospital service, to the Executive Councils for the general practitioner services, and to any voluntary organisation which to the local authority's knowledge is working in the same field in their area. 75. The purpose of this last requirement is to ensure that these local arrangements are fitted appropriately to the hospital and specialist services for which the Minister is more directly responsible and to the general practitioner services which will be operated within his general regulations and control. This inter-relation between the different arms of the health service is reinforced by the provision (already mentioned) for the local health authorities to nominate one-third of the members of the Executive Councils for the general practitioner services and to be consulted by the Minister in the appointment of Regional Boards, Management Committees and Boards of Governors in the hospital and specialist services. 76. It will also be reinforced in the ordinary process of administration by the personal contacts of the local Medical Officers of Health and the principal medical and other officers of the other bodies, and by various practical devices such as the establishment of local co-ordinating committees of medical and other officers and by the use, wherever feasible, of common employment by different bodies of the same part-time medical or other staff. 292/847/4/115
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