National Health Service Bill

1946-04 1946 1940s 10 pages - 3 - 13. These proposals will cause resentment among people in every walk of life. Money given for their local hospital or for special purposes will be used for other purposes. Distress will be caused to those who have subscribed to war and other memorials enshrined in...

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Bibliographic Details
Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: April 1946
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Online Access:http://hdl.handle.net/10796/D8435E8F-E0B5-49AA-A2E9-095CD6B2031E
http://hdl.handle.net/10796/928F598A-6DF5-41C6-9D66-65442FC068E3
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Summary:1946-04 1946 1940s 10 pages - 3 - 13. These proposals will cause resentment among people in every walk of life. Money given for their local hospital or for special purposes will be used for other purposes. Distress will be caused to those who have subscribed to war and other memorials enshrined in voluntary hospitals. 14. Whether ownership is transferred or not, the buildings and equipment, together with endowments, could be transferred to Local Management Committees and Boards of Governors of teaching hospitals to hold in trust. This would do much to retain local interest in hospitals. For such a course, the Bill provides precedent in its provisions regarding the endowments of teaching Hospitals [Sec.7(1)]. 15. THE ASSOCIATION SUBMITS that neither transfer of ownership, nor confiscation of assets held in trust are necessary to the accomplishment of a comprehensive health and hospital service free to every citizen. The Association therefore advocates amendment of the Bill: to retain a proper sense of local interest and responsibility; to preserve the entity of the individual hospital or group of hospitals, and for this purpose in particular to enable Boards of Governors of Teaching Hospitals to retain in trust buildings and equipment, and to enable the Local Hospital Management Committee to retain in trust the buildings, equipment and trust funds of its hospital or group and to have freedom to continue to attract support for special individual activities and requirements. ADMINISTRATION OF THE HOSPITAL SERVICE 16. The working of the administrative machine is restricted first by the continual necessity to obtain the approval of the Minister, and subsequently to work "within the scope of general requirements and such particular directions as the Minister may give". Too much of the procedure is left for determination by subsequent rules and regulations and orders to which there are frequent references. Central Health Services Council - [Sec.2 (1)] Constitution 17. It is not clear whether the members of the Council serve in a representative capacity since the White Paper (Para. 10) states they are "people chosen" by the Minister. There is no assurance in the Bill [see First Schedule Part I(b)] that there will be any or adequate representation of persons experienced in voluntary hospital management. Function 18. The Bill states [Section 2.(1)] that it shall be the duty of the Council to advise the Minister "upon such general matters related to the services provided under this Act as they think fit...etc." The White Paper (Para.10) however says the functions of the Council will be to provide the Minister "with professional and technical guidance" and goes on to refer to purely professi[onal] aspects such as medical, dental, nursing. The discrepancy bet[ween] the Bill and the White Paper is important. 19. The White Paper contains no reference to a standing advisory committee on the hospital services. The Association's 292/847/4/19
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