Report of meeting with British Hospitals Association on National Health Service Bill, 25 April 1946
1946-05-15 1946 1940s 2 pages - 2 - hospital experience should be laid down in the Bill. They were strongly in favour of a standing advisory committee for the hospital service being provided for in the Bill. They expressed themselves as whole-heartedly in favour of regional organisation of hospita...
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| Institution: | MCR - The Modern Records Centre, University of Warwick |
| Language: | English English |
| Published: |
15 May 1946
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| Online Access: | http://hdl.handle.net/10796/0898D02A-C7E2-47E6-A649-DDA4B857B5CA http://hdl.handle.net/10796/B09EAE2C-CB61-4A4C-985F-5EBE61373B1F |
| Summary: | 1946-05-15
1946
1940s
2 pages
- 2 - hospital experience should be laid down in the Bill. They were strongly in favour of a standing advisory committee for the hospital service being provided for in the Bill. They expressed themselves as whole-heartedly in favour of regional organisation of hospital services, which they had advocated for a long time. They regarded the regional managements as the keystone to the structure. On the other hand there was danger in allowing the powers of Regional Boards to become so great as to crush local initiative. So far as the constitution of Regional Boards was concerned, they wanted their proportional composition laid down in the Bill, appointments to be made in a representative capacity, and no particular group to predominate. As regards function, the Board should be responsible for planning and co-ordinating hospital services, but not for administration of the individual hospitals. The proposals put forward by the B.H.A. in connection with local management committees were designed to enable the individual hospital, through its committee, to remain entirely responsible for internal management and conduct of its affairs, subject to provision of services required under the Regional Plan. They suggested for example that management committees should appoint all staff (including medical) as their own employees, and should be free to accept legacies. An adequate proportion of the existing management should be included in each Committee. As regards finance, they suggested that the committee, whilst retaining existing endowment funds and remaining free to accept outside support, should receive payment from the Exchequer on the basis of services required and rendered. The B.H.A.'s views in connection with teaching hospitals followed the line of their other suggestions. In the course of discussion members of the T.U.C. Committees pointed out that the financial arrangements advocated by the B.H.A. for individual voluntary hospitals would be difficult to reconcile with the requirements of a National Service; the view was also expressed that the high degree of independence which was sought for local management committees would lead to difficulties in the operation of the Regional Plan. In conclusion, the Chairman thanked the B.H.A. representatives for their very interesting statements, and Sir Bernard Docker expressed his willingness to have another informal talk at any time. CRD/MC/13.5
292/842/2/64 |
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| Physical Description: | TEXT |