JOINT TRAINING IN HOSPITAL AND GENERAL PRACTICE

JOINT TRAINING IN HOSPITAL AND GENERAL PRACTICE

1221 the young doctor will be attached to two or more of these was paid for to the tune of E6 10s. a week, yet many were charged 15-28 practitioners t...

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1221 the young doctor will be attached to two or more of these was paid for to the tune of E6 10s. a week, yet many were charged 15-28 practitioners to widen his experience. On the first guineas. For amenity beds they were supposed to appointment he may be attached to a practitioner for charge :E2 a week, yet they only got back 10s. " Here is full-time training for 2-4 weeks, and thereafter he will be required to work under the practitioner’s supervision a place where we can not only restore practice for private patients but the status of doctors-and make a lot of for 3-4 half-days per week or a corresponding number of full days. During the second half of the third year money for the country." Dr. SUTHERLAND said that about one-third of the the amount of experience in general practice will be amenity beds came out of the total number of private increased if he so desires. beds, and medical-need beds also came out of this Training will be given at the following hospitals : number. If there was adequate pay-bed accommodation and a grant-in-aid available for persons using private beds, persons of modest income would be able to get the privacy which they required, and the need for amenity beds would ultimately, go. Dr. A. BARKER (East Kent) thought that amenity ’The departments will provide training in general beds should not be abolished out of hand, and he was medicine and paediatrics, general and orthopaedic surgery, supported by a number of other speakers. Dr. ENID midwifery, gynaecology, diseases of the ear, nose, and HUGHES (Denbigh and West Flint) remarked that throat, ophthalmology, tuberculosis and infectious it was inconsistent to ask, as the meeting had done, for diseases, dermatology, anaesthetics, chronic sick, psychiatric disorders, and psychoneurosis. Each trainee will free drugs for private patients, and also- ask for the be expected to conform to basic arrangements in training abolition of amenity beds. in the various departments in rotation, including both On the other side, speakers developed the view that amenity beds prejudiced private beds. Dr. A. C. E. ward work and attendance at outpatient departments. BREACH (Bromley) claimed that in large parts of the Training in surgery will be confined to its diagnostic a racket." beds had become political aspects, especially in emergencies. Trainees will be country amenity There should be a generous supply of medical-need expected to study for a higher qualification. beds. Private beds should be retained, but that was not to say that for snobbish reasons there should be HOSPITAL DEVELOPMENT retained cheap private beds. PRESIDING over the general council of King Edward’s With acclamation, however, the meeting passed the East Kent amendment that the whole problem of amenity Hospital Fund for London on Dec. 14, H.R.H. the beds required fuller consideration. It approved the DUKE of GLOUCESTER said that the Fund had had to remainder of the council’s recommendation-that, to reinterpret its ideas of how best to help the hospitals. We are only now realising how great are the changes preserve adequate facilities for private patients, the that have come over the hospital scene in London ’in the Minister should set aside adequate pay-bed accommodalast decade, quite apart from nationalisation. These changes tion in all hospitals where a need could be shown, that have occurred in accordance with plan, but without attracting the charges for hospital maintenance should " be reduced a great deal of attention ; and only those who have been to a reasonable level," and that the right of a patient in intimate contact with hospitals in the last year or two to receive free hospital accommodation be recognised It is possible that we are fully awake to what is happening. by allowing him in effect a grant-in-aid for a private shall soon begin to see quite unexpected shifts in the emphasis bed. A rider from Kensington and Hammersmith made of hospital work." it clear that a grant-in-aid should also be made available He went on to speak of the need to find the right sort to persons in private hospitals or nursing-homes. of home for those who no longer need to be in hospital and especially for those who are getting on in years. PARTNERS AND ASSISTANTS Three years ago, he said, the Fund allocated £250,000 Reading secured a motion instructing the council to provide a number of houses with gardens and other to explore ways by which a principal might be financially homely features to which the hospitals could send encouraged to take a partner rather than continue with suitable cases. an assistant. or

beds ; this meant that the private bed

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FURTHER WORK

It was made clear that the amending Acts committee is considering further matters, upon which it will report, and that special consideration is being given to the position under the Scottish Acts. JOINT TRAINING IN

HOSPITAL AND GENERAL PRACTICE IN Scotland the Northern Regional Hospital Board, in collaboration with the executive council for the County of Inverness, are initiating a "joint training scheme in hospital and general practice" which will provide a combined training of about two years’ duration for young doctors intending to enter general practice or a specialty. Concurrent experience in hospital and general practice will be given in the hospitals at Inverness and with general practitioners in the town and surrounding district. Applications are invited for about five posts of senior house-officer (non-resident) with salary at i670 per annum. Training in general practice will be given by five practitioners and is intended to provide representative experience of town and country practice. During his training

With this money we are providing nine such houses homes. Since then the need has become more obvious still and the council is now being asked to provide an additional £100,000 to enable the Fund to buy and equip three more homes and make twelve in all, as was originally hoped. We are also, as an experiment, financing a small office in the Woolwich area which is coordinating the activities of the different agencies caring for old and infirm people and thereby freeing many hospital beds."

He concluded

by speaking of the work of the School of Hospital Catering, opened at St. Pancras in September, of the Hospital Administrative Staff College, of the Staff College for Nurses, and of the Nursing Recruitment Service. Sir EDWARD PEACOCK

reported that the ordinary expenditure (including grants) had amounted to £290,000, besides £57,000 on capital and non-recurring items. The increasing part played by Governments in social services had raised acutely the question of the relation between the State and voluntary effort, and the Fund had financed an inquiry by the National Council of Social Service into the hospital side of this problem. A group headed by Mr. John Trevelyan had produced a report, entitled T’oluntary Service and the State, which would be published in January.