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Paper itself states that good housing, sanitation, conditions in
school and at work, diet and nutrition, economic security, and
so on, are all "fundamental," but they are not dealt with in the
White Paper. Industrial medicine is not dealt with, nor is
environmental hygiene.
The school medical service is not dealt with, except that the
Paper points to two sections of this service: (a) School medical
inspection, which will remain with the education services, and
(b) school medical treatment, which will in due course be given up
by the education authority and taken over by the proposed new
health service.. Evidently there is not to be a focal co-ordination
in one Ministry of the present responsibilities concerning medical
health problems of other Ministries, for example.
Points which seem to have relation to the present Health
Services of this Council.
Isolation hospital responsibilities will pass to the new joint
Authorities. The Maternity and Child Welfare Services (excluding
Maternity Hospital services but evidently including domiciliary
midwifery services) will fall to be provided by the Local
Authority under the Education Act. Under that Act arrangements
are now being made for delegating much of the practical
care of the school medical service to the Borough Council.
The White Paper's mention of the family practitioner beginning
to undertake many duties at present performed by his
colleagues in the public health service probably refers to the
services now given at the Borough Council's Health Clinics—
Ante-Natal, Post-Natal and Infant Welfare Clinics.
Consultant services are to be available from the hospitals
and provided by the new Joint Health Authority.
Ambulances are dealt with only as an ancillary hospital service,
and as such will be dealt with by the new Joint Authority.
Whether there may be ambulance services not connected with
hospitals is not dealt with in the White Paper.
A home nursing service is mentioned. Responsibility for
sectoring it will normally be exercised by County and County
Borough Councils.
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