A National Health Service : The White Paper proposals in brief
1944 1944 1940s 32 pages doctors in the area. In Health Centre practice it will be the agency through which, when vacancies occur, new doctors are introduced into a Centre. The Board will be a small body, under a regular chairman — a few of its members being full-time and the rest part-tim...
| Main Author: | |
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| Institution: | MCR - The Modern Records Centre, University of Warwick |
| Language: | English English |
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London : His Majesty's Staionery Office
1944
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10796/C5D568AD-6CEA-48ED-813E-5209AD2FE56E http://hdl.handle.net/10796/08FB54E7-F027-4340-8AA5-BB82A5BE220D |
| Summary: | 1944
1944
1940s
32 pages
doctors in the area. In Health Centre practice it will be the agency through which, when vacancies occur, new doctors are introduced into a Centre. The Board will be a small body, under a regular chairman — a few of its members being full-time and the rest part-time. Whilst it will be mainly professional, lay members will also be included. Since the Minister will be responsible for its policy, the Board must be appointed by him, but all appointments to it will be made in close consultation with the profession. The local Insurance Committees of the National Health Insurance scheme will be abolished, and their day-to-day functions can be handled in each area by a local Committee of the Board on which local authority members will be included. Remuneration and terms of service of doctors The remuneration and terms of service of doctors taking part in the scheme are matters for discussion with the medical profession. The Government fully recognise the importance and urgency of reaching an understanding upon them and they think it right to put forward their general proposals on the subject. Remuneration. As a mere problem of administration there would be no insuperable difficulty in devising a system under which all doctors engaged in public practice would be remunerated by salary. But this is a highly controversial question, on which opinions are sharply divided. Many experienced and skilled doctors would be unwilling to take part in a service so conceived. They would hold that if they became salaried servants — whether of the State or of local authorities — they would lose their professional freedom and be fettered in the exercise of their individual skill. Other doctors, with an equal right to be heard, would welcome a salaried service, believing that it would relieve them from business anxieties and enable them to devote themselves more freely to the practice of their profession. Lay opinion is similarly varied. The Government have approached the question solely from the point of view of what is needed to make the new service efficient. While they do not believe that a universal change to a salaried system is necessary to the efficient development of the service, and do not therefore propose this course, they consider that there will be parts of the new service to which different considerations will apply. It seems to the Government to be fundamental that in Health Centre practice the grouped doctors working together in a Centre should not be in competition for patients and that in this form of practice remuneration on a capitation system would be inappropriate. They therefore propose that doctors practising in Health Centres shall be remunerated by salaries or on some basis, other than that of capitation fees, and they will be ready to discuss with the medical profession the precise system that should be adopted and the salary scales that would be appropriate. It would also be possible, if desired by the doctors themselves, to offer remuneration by salary or on some similar basis to doctors 9
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