National Health Service Bill : Summary of proposed new service

1946-03 1946 1940s 19 pages 16 Local mental health services 85. The main mental treatment and mental deficiency services are to be part of the new hospital and specialist arrangements under the Bill. Local health authorities, however, are given responsibility for all the ordinary local community c...

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Bibliographic Details
Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: London : His Majesty's Stationery Office March 1946
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Online Access:http://hdl.handle.net/10796/8C40C24E-2C67-4824-84CB-18F1671515C2
http://hdl.handle.net/10796/B256B984-921A-4E6C-B480-D27051153256
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Summary:1946-03 1946 1940s 19 pages 16 Local mental health services 85. The main mental treatment and mental deficiency services are to be part of the new hospital and specialist arrangements under the Bill. Local health authorities, however, are given responsibility for all the ordinary local community care in the mental health service —that is to say, the ascertainment of mental defectives and their supervision when they are living in the community. This part of the service covers also the initial proceedings for placing under care those who require treatment under the Lunacy and Mental Treatment Acts. Vaccination and immunisation 86. Compulsory vaccination is to be abolished by the Bill, but it is to be the duty of the local health authority to provide free vaccination and diphtheria immunisation for anyone who desires them. This service the authority will provide by making arrangements with doctors who are taking part in the general practitioner service — paying appropriate fees to those who undertake it. The vaccines, sera or other preparations required may be supplied without charge by the Minister to local health authorities and doctors and the service may, if circumstances demand, be extended to cover vaccination and immunisation against other diseases beside smallpox and diphtheria. Ambulance service 87. Apart from vehicles which may need to be provided as part of the hospital service, the provision of the main ambulances and hospital transport required for the health service becomes the duty of the local health authorities, either directly or by arrangement with voluntary organisations. In future the local health authority's ambulances may — and must, if necessary — operate outside their own area. Care and after-care of the sick 88. Local health authorities are given a new power, and duty where the Minister so requires, to make approved arrangements for the purpose of the prevention of illness and the care and after-care of the sick. This can include such things as the provision of special foods, blankets, extra comforts and special accommodation for invalids and convalescents and the making of grants to voluntary organisations doing work of this kind (but it expressly does not include cash allowances to individuals or families, which is the function of National Insurance). A charge may be made in appropriate cases. Domestic help 89. Under the existing law local authorities are empowered to provide home helps as part of their maternity and child welfare functions and, during the war, this power has been extended by temporary enactments to enable them to provide domestic help in a wider range of circumstances. The Bill makes this power permanent and extends it to cover the provision of domestic help, subject to the Minister's approval, to any household in which it is needed on grounds of ill-health, maternity, age or the welfare of children. The local health authority will be allowed to make appropriate charge for this service. Health Centres 90. The duty of the local health authorities to provide and maintain general Health Centres, both for their own activities and for the general practitioner services, has already been described. 292/847/4/115
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