A Scheme for a state medical service

1941-11 1941 1940s 3 pages - 2 - C. DOMICILIARY AND HEALTH CENTRE SERVICE (This section should be read in conjunction with "The Health Centre in the Organisation of Medical Services", R.D.R.21) 1. The services of Home Doctors should be available for every member of every family. T...

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Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: November 1941
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Online Access:http://hdl.handle.net/10796/9778173E-C3B9-44DC-B2FB-0AA9E8E3661B
http://hdl.handle.net/10796/7ADAC9B7-D554-4504-B84F-318F193A46E3
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Summary:1941-11 1941 1940s 3 pages - 2 - C. DOMICILIARY AND HEALTH CENTRE SERVICE (This section should be read in conjunction with "The Health Centre in the Organisation of Medical Services", R.D.R.21) 1. The services of Home Doctors should be available for every member of every family. Those doctors' duties should be to eliminate individual causes of ill health, and to encourage the maintenance of good health. 2. Patients unable to travel would be seen in their own homes. Those able to do so should attend by appointment at the Health Centres where the records would be kept and the other health services located. 3. Each Home Doctor would be responsible for the health of not more than 2,000 persons, but those doctors undertaking special work should have fewer persons on their list. Elasticity is essential. 4. Some choice of doctor is desirable, or at any rate the possibility of change of doctor without difficulty if dissatisfied. 5. Specialists from the Divisional Health Centres should be available for consultation with the Home Doctors in the patients' homes when necessary. D. HOSPITAL SERVICE 1. The desirable unit is the General Hospital of 600 to 1,200 beds. Special hospitals should be eliminated except for infectious cases and certain types of mental disease. These general hospitals should be associated in groups so that only one out of three or four would admit skin or eye cases; and perhaps only one hospital in each region would undertake rare specialities like plastic and cranial surgery. There would thus be specialised units in selected general hospitals. 2. The staff of all hospitals should be available for consultation in the Health Centres and in the patients' homes. 3. Home Doctors should be encouraged to take on interest in the progress of patients admitted to hospitals. At present the general practitioner is unable to follow the case histories of patients admitted to hospital. There should be facilities for close co-operation between referring and admitting doctors, both in the interest of the patient's post-hospital treatment and of the doctor's knowledge and experience. ADMINISTRATION 1. The service should be administered by the new, popularly elected, local government body administering the local government services of a large region. 292/847/1/7
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