The White Paper - An Analysis
1944-03 1944 1940s 12 pages (c) Child welfare duties will always fall to the authority responsible for child education under the new Education Bill. (d) New forms of service, e.g., for general dentistry and care of the eyes, will be considered with the professional and other interests concerned. In...
| Institution: | MCR - The Modern Records Centre, University of Warwick |
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| Language: | English English |
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March 1944
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10796/2EC6A6B6-6634-4F05-9195-1E185822FB2E http://hdl.handle.net/10796/E3B04CD5-4FAC-420D-8300-128D3279248C |
| Summary: | 1944-03
1944
1940s
12 pages
(c) Child welfare duties will always fall to the authority responsible for child education under the new Education Bill. (d) New forms of service, e.g., for general dentistry and care of the eyes, will be considered with the professional and other interests concerned. In the case of dentistry the report of the Teviot Committee is awaited. 6. Organisation in Scotland. (a) The scope and objects of the service will be the same in Scotland as in England and Wales, but subject to certain differences due to special circumstances and the geography and existing local government structure in Scotland. (b) The local organisation in Scotland will differ from that in England and Wales and will be on the following lines :— (i) Regional Hospitals Advisory Councils will be set up for each of five big regions. The Councils will be advisory to the Secretary of State on the co-ordination of the hospital and consultant services in each region. (ii) Joint Hospitals Boards will be formed by combination of neighbouring major local authorities (county councils and town councils of large burghs) within the regions to ensure an adequate hospital service in their areas. The Boards will take over all responsibility for the hospital services of the constituent authorities (including services like the tuberculosis dispensaries, which essentially belong to the hospital and consultant held) and will also arrange with voluntary hospitals. (iii) The joint boards will prepare a scheme for the hospital service in their areas and submit this to the Secretary of State, who will consult the Regional Hospitals Advisory Council before deciding to approve or amend it. The powers of the Secretary of State will be strengthened to enable him to require major local authorities to combine for any purpose proved necessary after local enquiry. (iv) Education authorities (county councils and town councils of four cities) will retain responsibility for the school health service and clinics, until the medical treatment part of the school service can be absorbed in the wider health service. Existing major health authorities (county councils and town councils of large burghs) will normally retain responsibility for the ordinary local clinic and similar services ; the necessary co- ordination will be secured through their membership of the joint hospital boards and through the Local Medical Services Committees (below). (v) Local Medical Services Committees — advisory bodies consisting of professional and local authority representatives — will be set up over the same areas as the Joint Hospitals Boards. The Committees will advise the Secretary of State on local administration of the general practitioner service and will provide liaison between the different branches of the service. 7. Finance. It is estimated that the cost of the new National Health Service will be about £148,000,000 a year compared with about £61,000,000 spent from public funds on the present health services. The cost will be met from both central and local public funds. The arrangements as affecting the various local authorities and the voluntary hospitals are fully considered in the White Paper and more briefly in this paper. AN ANALYSIS OF THE WHITE PAPER IN RELATION TO THE PRINCIPLES APPROVED BY THE ASSOCIATION PRINCIPLE A. The health of the people depends primarily upon the social and environmental conditions under which they live and work, upon security against fear and want, upon nutritional standards, upon educational facilities, and upon the facilities for exercise and leisure. The improvement and extension of measures to satisfy these needs should precede or accompany any future organization of medical services. WHITE PAPER 1. The Government recognises that the comprehensive health service must form an essential part of any wider proposals for social insurance. "The subject of health, in its broadest sense, involves not only medical services but all those environmental factors — good housing, sanitation, conditions in school and at work, diet and nutrition, economic security, and so on — which create the conditions of health and prepare the ground for it. All these are fundamental; all of them must receive their proper place in the wider pattern of government policy and of post-war reconstruction." But no more is said on these subjects in this White Paper. PRINCIPLE B. The efficiency of a country's medical services, both preventive and curative, depends upon the available medical and scientific knowledge, upon the character and extent of medical education, upon the sufficiency and quality of personnel, upon facilities for treatment including institutional accommodation and upon the absence of any economic barriers that impede the utilization of such services. Thus, the sufficiency and quality of personnel and facilities for treatment, including institutional provision should be assured ; in order to improve the country's medical services, the facilities and resources for medical research should be greatly increased and methods devised for their adequate application ; medical education, both undergraduate and post-graduate, should be maintained on a high standard, adapted to modem needs, and brought within the financial resources of any suitable student. Wherever economic barriers prevent an individual citizen taking advantage of medical services such barriers should be removed.
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