A National Health Service : The White Paper proposals in brief
1944 1944 1940s 32 pages treatment by paying privately for it than he can within the public service. Entry into the public service There is a strong case for requiring young doctors, when they leave hospital and practise in the public service for the first time, to go through a short period as assis...
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| Institution: | MCR - The Modern Records Centre, University of Warwick |
| Language: | English English |
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London : His Majesty's Staionery Office
1944
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10796/271E5199-98C6-4A03-A19E-40F6BA860C36 http://hdl.handle.net/10796/A68EF017-0B6B-4F3E-90AC-D61053E9D9EB |
| Summary: | 1944
1944
1940s
32 pages
treatment by paying privately for it than he can within the public service. Entry into the public service There is a strong case for requiring young doctors, when they leave hospital and practise in the public service for the first time, to go through a short period as assistants to more experienced practitioners. The Government propose that this shall be the rule in future, though the Central Medical Board will be able to grant exemptions — e.g., where an assistant's post is not reasonably obtainable. The Board must also be able to require the young doctor during the early years of his career to give his full time to the public service when the needs of the service require this. Compensation and superannuation The proposals in this Paper would, in certain cases, destroy the selling value of existing practices, and where this is so compensation will be paid. Two classes of case, in particular, are likely to arise. The first is that of a public practice in an "over-doctored" area, to the sale of which the Central Medical Board refuse consent. Here the out-going doctor or his representatives will be compensated. The second is that of a doctor who gives up "separate" practice and takes service in a Health Centre. It would be incompatible with the conception of the Health Centre that practices within the Centre should be bought and sold and a doctor will therefore, by entering a Centre, exchange a practice having a realisable value for a practice which he will be debarred from selling. On the other hand, an efficient superannuation system will be an essential part of the Health Centre organisation. A doctor entering a Centre will acquire both superannuation rights and other facilities of considerable value. The proper course will be to strike a fair balance between what he gains and loses and to compensate him accordingly. It will be more difficult to provide superannuation for doctors in separate practice, but the Government propose to consider whether an acceptable scheme can be devised for retirement within specified age limits and for superannuation on a contributory basis. Sale and purchase of public practices The Government have not overlooked the case which can be made for abolishing the sale and purchase of publicly remunerated practices. The abolition would involve great practical difficulty and is not essential to the working of the new service, and the Government intend to discuss the whole matter further with the profession, including any measures which may be needed to prevent the operation of the new public service from itself increasing the capital value of an individual practice, and therefore also the compensation which may later have to be paid. Supply of drugs and medical appliances The supply of drugs will need to be discussed with the appropriate pharmaceutical bodies. In particular it will be necessary to consider 11
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| Physical Description: | TEXT |