National medical service
1943-10-20 1943 1940s 15 pages -13- practical research, and refresher up-to-date courses for alignment to modern improvements. Social and Industrial Medicine must receive adequate attention. (f) The conditions of service of the workers, however, varied, whether whole time or part time, preventive...
| Institution: | MCR - The Modern Records Centre, University of Warwick |
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| Language: | English English |
| Published: |
20 October 1943
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10796/F41FEF09-2F84-4FBB-A14F-922B26F01C0A http://hdl.handle.net/10796/A3C558E5-F99F-4779-8FCA-E3F88BB3EA40 |
| Summary: | 1943-10-20
1943
1940s
15 pages
-13- practical research, and refresher up-to-date courses for alignment to modern improvements. Social and Industrial Medicine must receive adequate attention. (f) The conditions of service of the workers, however, varied, whether whole time or part time, preventive or curative, domiciliary or institutional must be made attractive, with stated duty hours, holidays pensions etc. and Whitley Council machinery for service adjustments and discussions, with opportunities for specialism, interchange of work, etc. open to all in an agreed scheme. (g) All schemes for the handling of special disease problems, such as Dental Service, Tuberculosis and Venereal Disease etc., must be similarly co-ordinated. 2. Emphasis must be laid on the following points: (a) The service must be complete (domiciliary, clinic, institutional, specialist, convalescent, rehabilitationary, etc.) thoroughly co-ordinated through a central Government Department, uniform in all parts of the country (rural or urban), free and available to every citizen irrespective of class, sex or status, appropriate to his case, for full restoration to health and ability for appropriate work, without any economic barrier between the citizen and his full health. (b) The workers in the Service (medical men of all types, nurses etc.) should be given good conditions of employment - security, opportunity for advancement and promotion, opportunities for postgraduate study and if necessary travel, freedom to publish medical opinions and professional observations, facilities to call on specialists for his patients in or out of institutions, and representation on negotiating or arbitrative machinery of the Whitley or equivalent type, all in a definitely planned service. The general medical practitioners, should be allowed to keep in personal touch with hospital work regarding their patients. (c) The professional organisations lay varying stress on certain principles of professional service which should be noted such as (1) freedom of choice by the patient of his attending doctor, (2) continuity of treatment and medical attendance by the same doctor if possible, (3) the establishment of medical or vocational advisory councils or bodies to advise or be ready for consultatation [consultation] with lay representative councils which throughout the country may be charged with the local or regional administration of the service. Freedom of Choice It may be desirable to accept this principle within limits, and as far as possible, consistent within the cohesion of the service. Even at present, the choice of the patient is limited, and indeed only to the choice of an attending general practitioner of average skill and ability on whose knowledge and judgement he has to rely for the choice, where necessary, of specialist or institution. The patient has necessarily no personal choice of the medical attendant in any type of institution and seldom in a clinic. There is no real evidence that the patients suffer
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| Physical Description: | TEXT |