National Health Service : deputation to Minister of Health on 17 June 1946 (report)
1946-06-25 1946 1940s 9 pages -6- grants provided for training. This was primarily a matter for the Minister of Education and she had announced very greatly increased financial assistance for this purpose. He was discussing this matter with the Minister of Education. There was a reluctance on the...
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| Institution: | MCR - The Modern Records Centre, University of Warwick |
| Language: | English English |
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25 June 1946
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| Online Access: | http://hdl.handle.net/10796/A1005054-8287-4F42-A74A-5BAE4860BDA4 http://hdl.handle.net/10796/F8112F1D-AB99-40FB-B7CE-04C1A9EE615E |
| Summary: | 1946-06-25
1946
1940s
9 pages
-6- grants provided for training. This was primarily a matter for the Minister of Education and she had announced very greatly increased financial assistance for this purpose. He was discussing this matter with the Minister of Education. There was a reluctance on the part of education authorities to give special grants. Private Practice He said that he hoped that private practice would diminish and that could only be so if doctors were adequately remunerated within the public practice. Full-time Salaried Service If full-time service was insisted upon at the present time, the vast majority of the medical profession would be mobilised against it. A full-time service was not easy to work in conjunction with free choice of doctor. If there was going to be a full-time service, then there would have to be allocation of patients or a very much larger number of patients would be using one doctor as against another. It still seemed necessary to have some element of reward and punishment. If the same salary was paid for different services, then it would lead to a general slackening in the profession. He was inserting in the Bill a salaried element which could grow subsequently, depending on experience. It would provide a young doctor with something to live on which he had not at present got. The salaried element of the bill was one which would give additional weight towards getting under-doctored areas more doctors. MR. PAPWORTH asked whether it was intended to have a ceiling as to the number of patients a doctor could have. MR. BEVAN said that they were hoping to break down the evils of the competitive element by (1) salaried service (2) a ceiling, (3) diminished capitation rate as the panel increased, so that the inducement to get additional patients declined as the panel became too large for the doctors capabilities, (4) abolition of the sale and purchase of practices. By those four elements and by the health centres and group system, it was hoped to drive out the bad elements. Before long the Government would eliminate the evil consequences which had followed the competitive panel system. Health Centres It was hoped that health centres would develop very fully and the Government were anxious to encourage doctors to pool their salaries in the form of a partnership agreement. The Health Centres would be provided by local health authorities including the dispensers, nurses and health visitors. MISS GRAY said that she was a little concerned that too much weight was being given to the treatment side. Some local authorities provided excellent services; the health visitor was really the key person. Her position should be safeguarded and she should not be under the direction of the doctors. MR. BEVAN said that the health visitor would be under the direction of the local Health Authority and they would use the Health Centre as a clinic. Pharmacy He said that he attached great importance to the develop-
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