A Chronology of State Medicine, Public Health, Welfare and Related ...

Agency and the Training Services Agency. See 1979.
1973 Cont 1
1973 cont Social Security Act (c.38) set out reforms and introduced earnings related
contributions; annual reviews for contributions and benefits; and phased out the graduated
pensions scheme. See 1974 and 1975.
The Royal Commission on the Constitution, Cmnd.5460, (chairman, Lord Kilbrandon),
set out a number of possible schemes for devolving power to regions of Britain. See 1975.
The Committee on "The New Scottish Local Authorities: Organisation and
Management Structure" (chairman, IV Paterson) recommended corporate management and
the appointment of a chief executive.
A White Paper "Private Practice in National Health Service Hospitals", Cmnd.5270,
considered "private practice operates to the overall benefit of the NHS" and that no major
changes to the system were needed, but control procedures in hospitals should be strictly
observed. See 1976.
The Working Party on Collaboration between the NHS and Local Government
(chairman, ARW Bavin) called for a statutory obligation for the authorities to collaborate to
secure the health and welfare of the people of their areas and to set up joint consultative
committees; and for local authorities to co-opt members of the health authorities to their
relevant committees. It suggested that both authorities should have full powers to provide
goods and services to each other, and that health authorities should second, on the invitation
of a district council, a medical officer to act as adviser and "proper officer" on environmental
health matters to that council. The report set out detailed proposals for the future organisation
of the school health service by the health authorities. See 1974.
The Sub-Group on the Organisation of a Medical Advisory Structure (chairman, NGC
Hendry) of the Scottish Joint Working Party on the Integration of Medical Work considered
that such a structure should provide advice to management; that there should be clearly
defined lines of communication and access to full information so that every doctor may
participate in the advisory process with full knowledge and understanding; and that there
should be close liaison with the nursing profession and others concerned with the care of
patients. The Sub-Group recommended that community medicine specialists should be
involved in every activity of the medical advisory structure.
Another Sub-Group of the Scottish Joint Working Party on "Towards an Integrated
Child Health Service" (chairman, Sir John Brotherston, see 1967) recommended that all
doctors with a substantial commitment to child health should form a paediatric division, and
that all such doctors should have special training. See 1976.
A third Sub-Group of the Joint Working Party in its report "Community Medicine in
Scotland" (chairman, JL Gilloran, 1916-95, medical officer of health, Edinburgh) made
recommendations about the nature and practice of community medicine; the organisation of
the specialty; and the future pattern of its training. See 1974.
The Sub-Group on "General Practitioners in the Hospital Service" (chairman, J Crooks)
recommended pilot schemes of general practitioner units in district general hospitals and of
"combined practice" by general practitioners and consultants.
The Scottish Home and Health Department published reports on "The Maternity
Services: the Integration of Maternity Work", and on "The Future of the Chest Services in
Scotland" (chairman, JW Crofton). See 1997.
The Committee on Hospital Complaints Procedure (chairman, Sir Michael Davies)
recommended a detailed code of practice; the establishment of investigating panels to deal
with serious complaints; and the involvement of community health councils in advising and