National Health Service Bill (memorandum)
1946-05-24 1946 1940s 6 pages -2- increasing facilities for medical education. We also recommend that medical education should be free to ensure that financial considerations are not allowed to limit the recruitment of those most likely to provide an efficient service. We recognise that the terms...
| Institution: | MCR - The Modern Records Centre, University of Warwick |
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| Language: | English English |
| Published: |
24 May 1946
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10796/1A0FA41B-DC8B-4CF4-A786-E58AB47DFCC1 http://hdl.handle.net/10796/A9E10C51-E06F-4DF9-AF0D-C76D122C75DF |
| Summary: | 1946-05-24
1946
1940s
6 pages
-2- increasing facilities for medical education. We also recommend that medical education should be free to ensure that financial considerations are not allowed to limit the recruitment of those most likely to provide an efficient service. We recognise that the terms and conditions of service including remuneration of those engaged in the national service must compare favou[rably] with private practice. In this connection the Spens Committee has recently recommended the salary scales which are in their view appropriate for medical practitioners. The Report is concerned with the question of salary rather than the method of remuneration, and so far as the former question is concerned the recommendations appear to have been acceptable to the medical profession. It will be recollected that we have always recognised that doctors in view of the nature of their work deserve to be relieved of financial worries as far as possible. BUYING AND SELLING OF PRACTICES (Section 35) We welcome the decision to prohibit, buying and selling of practices. The original White Paper proposals in this connection were an unsatisfactory compromise which in our view disregarded the requirements of a national service. Remuneration Remuneration is to take the form of a combination of capitation fees and fixed part salary. When the necessary regulations come to be drafted, we are of the opinion that provision should be made for enabling a doctor to be paid wholly by salary if he so wishes. HEALTH CENTRES (Section 21) In our view experience will show the best lines on which the Centres should develop. Centres should therefore be set up wherever there is public demand and the experience thus obtained will provide a basis for the development of Centres throughout the country, in both urban and rural areas. They will have to be readily accessible, and the facilities provide must be superior to those available in the ordinary doctor's surgery; particular importance should be attached to the provision of up-to-date diagnostic equipment. The Centres must provide a really first class service; unless the highest standards are observed both in setting up and maintaining the Centres there is danger that the Health Centre system might fall into disrepute. We emphasise that the work of the Centres should include preventive and educational health work. HOSPITAL SYSTEM We welcome the decision to incorporate the voluntary hospitals in one unified hospital system. The compromise proposals of the original White Paper were in our view a distinct flaw in the hospital plan. ADMINISTRATION Central Health Services Council and Committees (Section 2 and First Schedule). The function of the Council is to advise the Minister upon general matters relating to the Service; the Minister has power after consultation with the Council to appoint Standing Advisory Committees, and both the Council and any standing Advisory Committee have power to appoint committees and sub-
292/847/4/159 |
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| Physical Description: | TEXT |