A Socialised Medical Service

1933 1933 1930s 21 pages he has carried out. In addition there will be a research department of the Ministry of Health with its own laboratories in which investigations will be carried out at the request of the Minister. The Ministry will also have power to make grants for the full cost of approved...

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Bibliographic Details
Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: London : The Socialist Medical Association 1933
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Online Access:http://hdl.handle.net/10796/72002786-BA2A-40F7-946F-94BC54441977
http://hdl.handle.net/10796/1AACF269-CC0E-4C7D-938F-FDE02C16A14C
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Summary:1933 1933 1930s 21 pages he has carried out. In addition there will be a research department of the Ministry of Health with its own laboratories in which investigations will be carried out at the request of the Minister. The Ministry will also have power to make grants for the full cost of approved research work carried out in County Laboratories. (C) THE LEGISLATIVE AND ADMINISTRATIVE CHANGES NECESSARY It may now be useful to consider what legislative and administrative steps will probably be necessary for the establishment of the ideal Medical Service briefly outlined in the foregoing pages. It would, of course, be possible to establish such a Service de novo without any consideration of the existing provision for the medical needs of the populace. In that case the existing services would have to be got rid of, as they would be superfluous. It is difficult, however, to conceive any circumstances under which such a method would be applicable, for however great the emergency we are much more likely to achieve our end by addition to and modification of those services which are worth preserving, while getting rid of those that are inferior and superfluous. In other words, it seems likely that the ideal Service will be developed by evolution and transformation of existing services, and especially by unification both at the centre and the periphery. It will be clear from what has preceded that a single health unit at the centre, i.e., the Ministry of Health, working in conjunction with a single unit at the periphery, is the ideal to be aimed at. Unfortunately at the present time all health activities are not controlled by a single department of State, the Ministry of Health. We have, in fact, not only special health service for the Army, Navy, Flying Corps, and a Ministry of Pensions, still concerned to some extent with Health matters, but also a Home Office in control of the care of inebriates and the drug traffic and health of prisoners, and the administration of the Factory Acts. It is especially important that the Factory Health Service should no longer be separated from the general health administration of the nation. It is desirable also that the increasingly important work of the Medical Research Council, now under the supervision of the Privy Council, should be controlled by the Ministry of Health. It is unfortunate that the Ministry of Health Act should permit the supervision of the inspection and treatment of school children by the Board of Education, although nominally questions of principle are reserved to the Ministry of Health. At the centre, therefore, it will be necessary to transfer all the public medical activities of the nation to the Ministry of Health, at the same time that they are being transferred locally to the Public Health Committees. 15 292/847/1/1
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