HC Deb 25 November 1948 vol 458 cc1404-5
44. Dr. Segal

asked the Minister of Health by what authority local executive councils are empowered to ask a doctor applying for payment of basic salary to submit details of his income from all sources; and if he will give an assurance that a doctor who refuses to divulge these details will be in no way prejudiced when his claim for a basic salary comes up for consideration.

Mr. Bevan

My view is that it is only the doctor's professional income which should be taken into account in such cases.

Dr. Segal

Would it not also be advisable to investigate incomes at the other end of the scale, where over-worked doctors may have lists of patients they are unable to cope with and may be receiving now, incomes larger than they ever had before?

Mr. Bevan

I think that is another question entirely. That matter is being reviewed by the Medical Practices Committee and not until we have had a survey of the whole country shall we be in a position to identify those parts where the lists are too large and the areas under-doctored.

Mr. Rankin

Is my right hon. Friend aware that doctors who apply for the basic salary are being told that that basic salary, if paid, is a charge upon their colleagues in the area in which they practise, and does he think that that policy lends itself to a fair interpretation of decision by those colleagues?

Mr. Bevan

It is a fact that the £300 per year comes out of the general capitation pool—as, indeed, it ought to—because it forms part of a doctor's remuneration. Where, however, the individual doctor is aggrieved, he has the right of appeal to me. Many have appealed and decisions have been given.