A National Health Service : The White Paper proposals in brief

1944 1944 1940s 32 pages Joint Hospitals Boards The actual administration of the hospital and consultant services will be entrusted to Joint Hospitals Boards to be set up for smaller areas within the regions. The Boards will be composed entirely of representatives from the county councils and the to...

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Bibliographic Details
Main Author: Great Britain. Department of Health for Scotland (contributor)
Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: London : His Majesty's Staionery Office 1944
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Online Access:http://hdl.handle.net/10796/5A040AC4-9C82-4420-870A-B96134B01259
http://hdl.handle.net/10796/0046EE03-F518-45D4-A2B8-6AA4CB43C79D
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Summary:1944 1944 1940s 32 pages Joint Hospitals Boards The actual administration of the hospital and consultant services will be entrusted to Joint Hospitals Boards to be set up for smaller areas within the regions. The Boards will be composed entirely of representatives from the county councils and the town councils of large burghs in the area concerned. They will take over the whole ownership of and responsibility for the hospitals of their constituent authorities, will be charged with the statutory duty of securing a proper hospital service for their area — by their own provision and by arrangements with other Joint Hospitals Boards or voluntary hospitals — and will in fact be, so far as executive responsibility for the hospital service is concerned, the counterparts of the new joint authorities in England and Wales. The Joint Hospitals Boards will have the duty of preparing a scheme for the hospital services of their area, after consultation with the voluntary hospitals. They will be encouraged also to consult the Regional Hospitals Advisory Council at this stage to secure the fullest measure of agreement between the scheme and the wider regional arrangements proposed by the Council. The Joint Hospitals Board will then submit their scheme to the Secretary of State, who will consult the Regional Hospitals Advisory Council to obtain their final views before deciding to approve or amend the scheme. Clinics and other Services The arrangements proposed for the planning and administration of the clinic services in England and Wales will also require some modification in their application to Scotland. The same general principle will be observed — namely, that the services more nearly allied to the hospital service will be made the responsibility of the new Joint Boards. Tuberculosis dispensaries and cancer clinics are the most notable examples. As the Joint Hospitals Boards will have no planning functions outside the hospital and consultant sphere, it is proposed to leave the remainder of the clinic services where they now are, in the hands of the major health authorities, and to give power to the Secretary of State to require these authorities (after a public local inquiry) to combine for any purpose where this is proved necessary for the efficiency of the new health service as a whole. Local Medical Services Committees The only remaining differences between the proposals for England and Wales and those for Scotland relate to the general practitioner service ; they are two. The first proposal — that in Scotland Health Centres will be provided and maintained by the Secretary of State — and the reasons for it have already been explained (page 7). The second is that, in lieu of the Local Health Services Councils to be set up in England and Wales, there will be created in Scotland, 25 36/H24/41
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