A National Health Service : The White Paper proposals in brief

1944 1944 1940s 32 pages need not all be persons employed whole-time on this work; there are advantages in employing on a part-time basis medical men or women distinguished in various branches of professional work or medical administration. In addition to doctors, there is scope for experts of vario...

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Bibliographic Details
Main Author: Great Britain. Department of Health for Scotland (contributor)
Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: London : His Majesty's Staionery Office 1944
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Online Access:http://hdl.handle.net/10796/1196CFF6-94E7-4735-B865-F66D44C74A04
http://hdl.handle.net/10796/27025F62-8CDE-45E3-92EE-53FA44F55A8B
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Summary:1944 1944 1940s 32 pages need not all be persons employed whole-time on this work; there are advantages in employing on a part-time basis medical men or women distinguished in various branches of professional work or medical administration. In addition to doctors, there is scope for experts of various kinds for dealing with an organisation so varied and complex as a modern hospital. Hospital administrators, accountants, nurses, engineers, catering and kitchen experts — to mention no others — should find a place. A solution would be the appointment by the Minister of a body of persons of the types mentioned, some on a whole-time and others on a part-time basis, grouped in suitable panels operating over different areas of the country. The part-time doctors would be selected partly from those associated with consultant practice and voluntary hospitals and partly from those with experience of municipal hospitals. IV CONSULTANTS A Consultant Service based on Hospitals Perhaps the most marked gap in the range of health services provided under the present National Health Insurance scheme is the lack of a consultant service. But it is not only among persons insured under the scheme that the need for such a service is felt, and a properly organised consultant service which will be fair to the consultants themselves and will ensure that everyone can obtain, whenever he needs it and without charge, the skilled advice of a specialist must have an important place in the new National Health Service. The Government consider that a service of consultants can be best and most naturally based on the hospital services. This means that it will become one of the duties of the joint authority to see that, through the various hospitals taking part, there will be provided an adequate consultant service which will ensure that the co-operation of consultants and specialists is fully available to all general practitioners in the service. It will do this, as in other branches of the hospital service, partly by its own direct arrangement and partly by contracting with the voluntary hospitals to provide consultant services — the arrangements made forming part of the local plan. The hospital will itself enter into the necessary engagements with the consultants and specialists concerned. The local service payments to the hospitals, already mentioned, will be based on the assumption of a consultant staff properly remunerated to enable the hospital to fulfil the tasks which it has undertaken to perform. Some principles affecting consultant services Before suggesting in detail the form of a consultant service the Government are awaiting the report of the Committee on Medical 16 36/H24/41
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