Memorandum on home treatment service
1940-12-17 1940 1940s 4 pages special skill or experience, will be advertised so that all members of the Service shall have an equal chance to apply for them and arrangements will be made to permit of transfer from the Home Treatment side of the Service to administrative and specialist branches and...
| Institution: | MCR - The Modern Records Centre, University of Warwick |
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| Language: | English English |
| Published: |
17 December 1940
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10796/BEB1AE28-D3A4-4732-90DB-702D34F3F56E http://hdl.handle.net/10796/EC5B877C-4542-4772-A8A4-FDFE98E890B0 |
| Summary: | 1940-12-17
1940
1940s
4 pages
special skill or experience, will be advertised so that all members of the Service shall have an equal chance to apply for them and arrangements will be made to permit of transfer from the Home Treatment side of the Service to administrative and specialist branches and vice versa. 5. DUTIES. Service will be whole-time, i.e., no private practice will be allowed. Those members of the public who dislike the idea of taking advantage of a free service, but whose own doctors have joined the State Service, will have either to find a new doctor or to overcome their dislikes. Many of the non-specialised duties now undertaken by whole-time municipal officers, inspection of school children, clinic work, and diphtheria immunisation, will be undertaken by members of the new Home Treatment Service. Special interest or success in such directions will be taken into account in the grading of Medical Officers. Except in rural districts, practice will be conducted from a central office at which all messages will be received, and the doctor's private house will be as much his castle as the house of any other civil servant. This central office will often closely be associated with a local hospital, for it is obvious (although this memorandum is confined to the Home Treatment Service) that close co-operation will be essential between the Home Treatment Service and that afforded by hospitals. Adequate holidays, study leave, sick leave and similar advantages, will, of course, be an essential part of the conditions of service. 6. PENSIONS AND COMPENSATION. It is recognised that many practitioners have invested large sums in their practices and hope to recover them eventually by the sale of these practices. Although the right to a pension will go far to compensate for the loss of this vested interest, it will not necessarily provide that capital sum which practitioners have counted to pay the expenses incident upon retirement and the finding of a new home. A scheme of compensation for practices will therefore be necessary, and will have to be so elastic that no practitioner, however unusual his circumstances, shall feel that he has been unfairly dealt with. Many young practitioners, and some who are no longer very young, owe sums, large in the aggregate, to Insurance Companies and others. These also will have to be put into a position to make a new start in the State Service without undue hardship. Pensions will be available upon the usual Civil Service lines, that is, compulsory retirement will operate at the age of sixty, although this age may be extended where particular circumstances seem to make this desirable in the public interest. It will be possible, on the other hand, to retire at an earlier age upon something less than the full rate of pension as, for example, in the case of sickness or for other personal reasons. Pensions will in general be at the rate of two-thirds of the annual salary. It will probably prove possible to arrange for widows' pensions and, perhaps, for children's allowances, but these are details unsuitable for full discussion in this Memorandum. 7. RATES OF PAY The actual payment received by a member of the service will consist of the basic rate of pay of his grade supplemented by allowances of various kinds. For the purposes of the basic rate of pay, there will be three grades. General practitioners who elect to join at the inception of the service will be graded according to their length of service, special aptitudes and any other relevant factors. A certain degree of seniority will ordinarily entitle practitioners to removal into the next highest grade, but removals at an earlier than the normal date may also be justified by special circumstances or merits. The Union believes that regular promotions, conditioned only by good conduct and length of service, will at least provide a fair and sufficient return for services. In so far as grading is not automatic it will be supervised by a committee upon which only the Home Treatment side of the service is represented and which will include nominees of the professional organisations of Home Service members. It is suggested that newly qualified entrants into the Home Service should be paid a basic rate of £500 per annum, increasing by annual increments of £50 to a maximum of £1,000, which should be attained after ten years of practice, when they would pass into Grade II. Grade II would commence with a salary of about £1,100 and should advance by appropriate increments to about £1,500. Grade I should start at £1,600 and in eight years reach a maximum of £2,000.
292/847/1/23 |
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| Physical Description: | TEXT |