HC Deb 18 April 1923 vol 162 cc2041-2
39. Mr. T. THOMSON

asked the Minister of Health whether, in view of the fact that the public generally are primaliy affected by any rearrangement of the panel system under the National Health Insurance scheme, he will appoint a representative committee to inquire into the working of the present system which shall include direct representatives of the approved societies and of insured persons: and that he will not sanction any rearrangement of terms before such an inquiry has been made?

Mr. CHAMBERLAIN

As a result of discussion with the Insurance Consulta- tive Council, it is not now contemplated that any general re-arrangement of the insurance medical system will be made. Certain modifications of the terms of services have been recommended by the Council, but these will not involve any substantial change in the present system. No ease has, in my view, been made out for a separate investigation of the kind suggested by the hon. Member, which would complicate the negotiations and so tend to delay a settlement.

Mr. THOMSON

Is the right hon. Gentleman aware that the Consultative Council, in the opinion of many approved societies and insured persons, does not adequately represent their point. of view?

Mr. CHAMBERLAIN

There is no other body that does.

Mr. FAIRBAIRN

Will the right hon. Gentleman seriously consider the desirability of consulting the insurance committees throughout the country on that matter, as representative bodies?

Mr. CHAMBERLAIN

I have already answered that question.

64. Sir K. WOOD

asked the Minister of Health whether, in respect of the payment to doctors on the panels list, the Government Actuary has advised that at the end of the existing agreements it will be no longer possible for the present payment of 2s. 6d. per patient per annum to he made from the funds of the approved societies; and whether he proposes that any further contributions shall be made from State funds in connection therewith?

Mr. CHAMBERLAIN

The Government Actuary has given no advice on the matter referred to by my hon. Friend subsequent to that contained in his Report on the Financial Provisions of the National Health Insurance Act, 1922 (Cmd. 1631), a copy of which I am sending to my hon. Friend. The answer to the latter part of the question is in the negative.

Sir K. WOOD

May I ask whether, in the Report to which my right hon. Friend refers, the advice suggested in the question is not given?

Mr. CHAMBERLAIN

Yes, I think it is.