A National Health Service : The White Paper proposals in brief
1944 1944 1940s 32 pages engaged in group practice, even where the practice was not conducted in a Health Centre and, perhaps, in certain circumstances, to doctors engaged in separate practice. Normally, the remuneration of a doctor in separate practice will be based (as it is now in National Health...
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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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| Online Access: | http://hdl.handle.net/10796/CF42BC85-BEC5-477B-8CA5-2CFCE7612842 http://hdl.handle.net/10796/A4E1461A-0456-489F-88F9-9A0B99DF3C5F |
| Summary: | 1944
1944
1940s
32 pages
engaged in group practice, even where the practice was not conducted in a Health Centre and, perhaps, in certain circumstances, to doctors engaged in separate practice. Normally, the remuneration of a doctor in separate practice will be based (as it is now in National Health Insurance) on a capitation system, depending on the number of patients whose care he undertakes — the maximum number of patients whose care any one doctor ought to undertake being, of course, suitably regulated. But, whatever methods of payment are adopted — capitation fee, salary or other — the substantial issue will be to decide what is, on ordinary professional standards, a reasonable and proper remuneration for the whole-time services of a general practitioner working in a public service. When that has been satisfactorily settled, remuneration under any system can be easily determined. Terms of Service. It is not necessary at this stage to suggest the details of the contract into which a doctor who wishes to undertake public practice will enter with the Central Medical Board. But the contract will obviously need to provide :— (1) for the doctor to give all normal professional advice and services within his proper competence to those whose care he undertakes ; (2) for him to comply with the approved local arrangements for obtaining consultant and specialist and hospital services; (3) for proper machinery for the hearing of complaints by patients and for the general kind of disciplinary and appeal procedure already familiar in National Health Insurance; (4) for the observance of reasonable conditions, centrally determined with the profession, respecting certification and other matters which must arise in any publicly organised service. Private practice It is hoped that the great majority of doctors will take part in the new service and, therefore, it is not proposed to prohibit doctors who enter the service from also treating in their private practices any patients who do not desire to take advantage of the new public arrangements. It will be necessary in such cases to ensure that the interests of the patients in the public service do not suffer thereby and this will be done by reducing, as may be required, the number of persons a doctor is permitted to have on his list under the new scheme, and so reducing the remuneration he will receive from public funds. The position of the doctor paid by salary in a Health Centre presents greater difficulty but, as many doctors will bring most of their present practices with them to the public Health Centres, it will be necessary, during the experimental period at all events, to observe here the same sort of latitude as in the case of separate practice. In any event the volume of private practice will diminish greatly under the new scheme ; the essential point is that no person must have reason to believe that he can obtain more skilled 10
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| Physical Description: | TEXT |