The organisation of the preventative and curative medical services and hospital and laboratory systems under a Ministry of Health

1919 1919 1910s 18 pages 10. The duties of the clinical staff should include everything connected with prevention and treatment of disease in individuals, both domiciliary and institutional. 11. The clinical staff to each local Health Authority (or to a combination of local health authorities) shoul...

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Bibliographic Details
Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: London : Co-operative Printing Society [1919?]
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Online Access:http://hdl.handle.net/10796/1EA68300-0205-417F-A04A-9756010F4AB6
http://hdl.handle.net/10796/ACC0A89A-BDEB-4AF3-BFDC-7FFF5A83D80E
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Summary:1919 1919 1910s 18 pages 10. The duties of the clinical staff should include everything connected with prevention and treatment of disease in individuals, both domiciliary and institutional. 11. The clinical staff to each local Health Authority (or to a combination of local health authorities) should therefore be composed of the following whole-time officers: — (a) Principal and Chief Medical Officers, as above; (b) General practitioners; (c) Visiting consulting Medical Officers, specialists and dentists. (d) The Medical Staff of the local hospital (see Hospitals); (e) Scientific consultants in pathology, bacteriology, physiology, hygiene, and allied sciences. (f) Resident Medical Officers of the hospital and other local institutions; (g) Medical Officers in charge of special clinics and treatment centres. 12. Provision should be made for the regulation of the hours of work, and for holidays similar to those of the Civil Service and for special "study leave" at the expense of the service. 13. There should be some form of examination or other test open to those returning from "study leave," the successful passing of which should carry with it an increase of salary, and should count for promotion. 14. HOSPITALS. — There should be four varieties of hospitals, namely: — (a) National; (b) County; (c) Local or cottage; (d) Receiving stations. 18. NATIONAL HOSPITALS.— Hospitals in London, Edinburgh, and other university towns, which enjoy a national, and even international, reputation, and which draw their cases from all over the country, should be national in character, and should be maintained and administered directly by the Ministry of Health, and should not be a charge on the local rates; they should be the chief centres of medical education, and should be important centres of research. 16. COUNTY HOSPITALS. — In every area there should be one or more large county hospitals, according to the geographical nature and the size of its population. Each should be fully equipped with surgical, medical, and special departments of all varieties, and manned with the necessary medical officers. They should not only serve the town in which they are situated, but should receive cases referred to them by the local cottage hospitals within the area, with which they should keep in close touch. The medical and surgical consultants and specialists should not only attend cases admitted to those hospitals, to which they are attached, but should act in a consultative capacity to the general practitioners within their area, visiting the local hospitals and patients in their homes at the request of general practitioners. 17. LOCAL OR COTTAGE HOSPITALS.— In every town of about 6,000 inhabitants and over, there should be a local or cottage hospital containing two beds for every 1,000 of the population. The staff should be composed of the general practitioners of the neighbourhood, and each member of the staff should be entitled to admit and attend to his own cases. These hospitals should be in telephonic communication with the county hospitals, and arrangements should be made for the easy transference of patients from the one to the other. The staff of a local hospital should have the right to advice and help from the staff of the county hospital. 8 36/H24/6
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