Statement in regard to the Minister of Health's White Paper on the establishment of "A National Health Service."
1944 1944 1940s 18 pages profit making organisations and establishments may be set up solely for the purpose of making something available which should, primarily, be in the control of the people. In many districts ambulances (so-called) are provided by private enterprise, again profit making. Will...
| Institution: | MCR - The Modern Records Centre, University of Warwick |
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| Language: | English English |
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[1944]
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| Online Access: | http://hdl.handle.net/10796/F60ECA79-F3FF-497B-A091-EEC10EB41066 http://hdl.handle.net/10796/208100C6-A197-4C34-BB0B-8BCBBD1DCD47 |
| Summary: | 1944
1944
1940s
18 pages
profit making organisations and establishments may be set up solely for the purpose of making something available which should, primarily, be in the control of the people. In many districts ambulances (so-called) are provided by private enterprise, again profit making. Will they too be made available as an 'ancillary service' by and through the 'contracting' process. This 'contracting' idea is capable of much development - and also abuse. Yet the people themselves have not the slightest control or say in the matter. The Joint Authority prepares the plan to make 'available' the Hospital Services in a certain area. In making such plan they can apply the principle of 'contract'. When the Boards of Guardians were abolished, there was established a "People's League" to ensure that the interests of the people over the transferred hospitals and institutions were not submerged by the centralisation then formulated. Such a League is more than necessary today to ensure that the people will not be robbed of their heritage, and of their powers of control. Since 1930 the medical heirarchy [hierarchy] of the Ministry of Health have been planning to get into their full control the whole of the Hospital Services., and to gradually place such control in the hands of the medical fraternity This scheme appears to be comming [coming] to fruition. When attempting to visualise the practial [practical] application of any outline of a scheme, it is always advisable to take an example e.g. Manchester and Saleford [Salford], two-adjacent County Boroughs. A Joint Committee is appointed for the two areas. The scheme is prepared and submitted. The services are co-ordinated under the one scheme, but the employees may still be employed by the two respective boroughs, and also by the Boards of Governores [Governors] of the Voluntary Hospitals within the Area. The whole situation is farcical. 'This is one aspect' Would the Salford and Manchester City Councils agree to transfer the whole of the Health Services to a Joint Committee, subservient to the medical expert whilst the Voluntary Hospitals continue as they are.? Whatever may be the answer, the White Paper does not give it. It assures the undemocratic Voluntary Hospitals that they will continue through their Boards and will come in the scheme providing they comply with certain conditions. Yet again there is obscurity in this repect [respect]. The Paper provides the following:- "These conditions will be settled centrally for the country as a whole, and they will then become the conditions on which exchequer grant will be payable. In framing the conditions the Minister will seek the advice of the Central Health Services Council, but the more important conditions will relate to subjects such as the following:- (a) each hospital will be required to maintain the services which under the approved hospital plan it undertakes to maintain, and generally comply with the plan. (b) each hospital will observe certain national requirements such as the Rushcliffe or Taylor rates and conditions for its nursing and midwifery staff and the recommendations of the Hetherington Committee for its domestic staff. (c) in appointing senior medical and surgical staff each hospital will conform with any national arrangements adopted for regulating appointments and remuneration. (d) each hospital will be open to visiting and inspection, in respect of its part in public service, under arrangements laid down centrally. (e) in the voluntary hospitals, conditions to secure reasonable uniformity in accounts and udit [audit] will probably be necessary so far as they take part in the new service. The presentation of accounts of municipal hospitals is already largely subject to central direction. This indicates the mind of the Government. Rushcliffe; Hetherington etc. A partial control by a Central Health Services Council, but nothing else. 13.
292/847/2/43 |
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| Physical Description: | TEXT |