Report of deputation to Minister of Health on "A National Health Service"...

1945-03 1945 1940s 8 pages -8- could have and it would be absolutely illegal for a doctor to take a private fee for someone on this list as a public patient. The question as to whether or not a certain type of treatment was covered in the case of a panel patient at the present time, would of cours...

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Bibliographic Details
Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: March 1945
Subjects:
Online Access:http://hdl.handle.net/10796/FB1CFDA8-44B9-4E8B-9F21-480EA2960961
http://hdl.handle.net/10796/D6F93971-4883-459F-81D9-CAA5152FAF7C
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Summary:1945-03 1945 1940s 8 pages -8- could have and it would be absolutely illegal for a doctor to take a private fee for someone on this list as a public patient. The question as to whether or not a certain type of treatment was covered in the case of a panel patient at the present time, would of course disappear under the new scheme. If the position arose that a patient said that he wished to become a private patient, then he would automatically cease to be on the list of public patients. A patient could not be charged privately and be the subject of a capitation fee at the same time. It would be possible for a public service patient to choose to go into a private ward in a hospital if he so wished and a private patient could go into a public hospital. Industrial Health Service Mr. Allen said that the T.U.C. did not underestimate the difficulties of this problem from the Ministry's point of view but there was a very strong feeling amongst working people in factories and shops that the industrial medical officers should be brought within the scheme. The extension of works doctors had brought the problem into even greater relief where the trade unions were concerned. Mr. Willink said that during the interim period of maybe five years, the point of contact on many of these subjects was the Ministry of Labour more than himself, the examining surgeons etc. under the Factories Act were his concern but Mr. Allen said that was true only in connection with the provisions of the Factories Act. Outside that, the Ministry of Labour had no effect. There was no administration to compel Railway Companies for instance to employ medical officers. Mr. Willink said that the Ministries of War Transport and Fuel and Power were also involved in the problem. Reference was made to the report of the Royal College of Physicians but Mr. Willink said that the Secretary of State and himself thought that the question of the Industrial Health Service was too large a job to tackle within the time available in view of the short time that the present Government were likely to be in office. If fresh difficulties were unnecessarily brought in, the whole Scheme might be in danger, but there was of course a clear case for co-ordinating all sections of the medical service. In reply to a question about the recognition of trade unions in voluntary hospitals, Mr. Willink said that he would consider the matter but was not in a position to say anything at the present time. Security of terms for nurses had been carried forward a great deal by the Rushcliffe Committees and for domestics by the Hetherington Committee. Mr. Allen finally expressed the thanks of the deputation to Mr. Willink for the frank way in which the points had been dealt with. The information he had given them would be treated with the strictest confidence. He wished the Minister every success in the new National Health Service. JLS/EM/22.3.45. 292/847/3/118
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