Sixth report from the Select Committee on Estimates : together with the minutes of evidence taken before sub-committee D and appendices, session 1956-1957: Running costs of hospitals.
- Great Britain. Parliament. House of Commons. Select Committee on Estimates
- Date:
- [1957]
Licence: Public Domain Mark
Credit: Sixth report from the Select Committee on Estimates : together with the minutes of evidence taken before sub-committee D and appendices, session 1956-1957: Running costs of hospitals. Source: Wellcome Collection.
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![29 January, 1957.] [Continued. Are they recruited through iocal govern- ment, or through the Ministry of Health? (Mr. Reed.) They are recruited by public advertisement. 33. I mean do they form part of the medical services or local government services? They form part of the National Health Service. They are employees both in law and in fact of the Regional Hospital Board. They are not civil servants, and are in no way con- nected with or employed by the Ministry of Health or local government. 34. Therefore, they are not liable to transfer from one region to another? —--No. They can, and in practice do, transfer voluntarily, bu: are not liable to be moved about. Vice-Admiral Hughes Hallett. 35. If I may ask this. As I understand it from the two paragraphs we have been discussing, there are really three tiers of management: the Regional Board, the group Management Committee, and the Boards of Governors? (Mr. Marre.) No; those are not three tiers. Vice-Admiral Hughes Hallett.) That is what [ want to get at. Are the functions normally separate and laid down any- where, or do they overlap? Chairman.] The Boards of Governors deal only with teaching hospitals. There is a clear distinction. There are the Management Committees of hospitals and Regional Boards. Vice-Admiral Hughes Hallett. 36. Then there is a group committee between? The group committee is the Hospital Management Committee. If we are dealing with non-teaching hospital committees now, the bodies concerned are the Regional Hospital Boards and the Hospital Management Committees, each Hospital Management Committee being responsible either for a group of hospitals or sometimes for a_ single hospital. 37. Is. -there...such,..a.dhing.? as ; can organisational diagram which one might look at to see who does what? We will gladly put one in. Sir Henry D’ Avigdor-Goldsmid. 38. Inside the Hospital Management group there are house committees which deal with individual problems of the individual hospitals concerned. (Mr. Pater.) The practice varies, if I may say so, from group to group. Chairman. 39. Would you be good enough to put in a note?——Yes.* Mrs. Aill. 40. Is it not true that in some instances the chairman of the Regional Hospital Board is also the chairman of the teach- ing Hospital Board as well? That is true in two instances, Manchester and Liverpool. Mrs. Hill.) Yes, I rather thought so. Chairman. 41. Coming on now to Boards of Governors. What collaboration or liaison is there between Regional Boards and Boards of Governors? Who allocates a patient to a teaching on non-teaching hospital? Who decides the total alloca- tion of beds in teaching and non-teaching hospitals? The allocation of patients depends first on what is wrong with him, and second on the views of his general practitioner, and thirdly which teaching hospital we are thinking of. If we are thinking of the teaching hospital in Bir- mingham, shall we say, I think whether a patient is referred to the Queen Elizabeth Hospital, a teaching hospital in Birming- ham, or to Selly Oak, a non-teaching hospital in Birmingham, will depend on what is wrong with him, where he lives, and what his general practitioner thinks the best thing to do with him. 42. It must be so, I suppose, but teaching hospitals in general are more costly, are they not? Yes. 43. What is the meaning of the words in paragraph 4 “in collaboration with the Boards of Governors ”’? That is related to the planning and administra- tion of the Service for the region as a whole. In Birmingham itself, I think I am right in saying, the Regional Board and the Board of Governors have a sort of standing committee which considers on behalf of both bodies problems of planning of the hospital services of the Birmingham region. 44. Is that peculiar to Birmingham? ——No:; it exists also in other areas. 45. In every area? I am not sure it does in every area. The particular method of carrying out this task does vary from region to region. * Not reported](https://iiif.wellcomecollection.org/image/b32182466_0036.jp2/full/800%2C/0/default.jpg)
