Central or Local Control?

377

Central or Local Control?

" XBD=584 XHG=354 YBD=322 YHG=252>THE |>" XBD=1130 XHG=659 YBD=322 YHG=251>LANCET" XBD=418 XHG=185 YBD=392 YHG=359>LONDON: : AT I7RDAY, " XBD=1101 XHG=783 YBD=388 YHG=356>SEPTEMBER " XBD=1306 XHG=1129 YBD=393 YHG=356>16, 1944

" XBD=263 XHG=244 YBD=540 YHG=528>&dquo; " XBD=313 XHG=277 YBD=556 YHG=529>If " XBD=445 XHG=323 YBD=564 YHG=528>people " XBD=518 XHG=461 YBD=554 YHG=536>are " XBD=571 XHG=533 YBD=554 YHG=529>to " XBD=676 XHG=586 YBD=553 YHG=527>have " XBD=713 XHG=693 YBD=553 YHG=535>a " XBD=822 XHG=727 YBD=562 YHG=526>right " XBD=875 XHG=837 YBD=553 YHG=527>to " XBD=972 XHG=890 YBD=553 YHG=526>look " XBD=1024 XHG=986 YBD=553 YHG=528>to " XBD=1061 XHG=1040 YBD=553 YHG=535>a " XBD=1193 XHG=1075 YBD=561 YHG=525>public " XBD=1338 XHG=1208 YBD=553 YHG=525>service" XBD=251 XHG=199 YBD=596 YHG=568>for " XBD=314 XHG=268 YBD=595 YHG=567>all " XBD=421 XHG=329 YBD=594 YHG=567>their " XBD=584 XHG=437 YBD=593 YHG=565>medical " XBD=716 XHG=599 YBD=595 YHG=565>needs, " XBD=764 XHG=734 YBD=592 YHG=565>it " XBD=878 XHG=781 YBD=592 YHG=566>must " XBD=937 XHG=894 YBD=593 YHG=565>be " XBD=1174 XHG=955 YBD=599 YHG=563>somebody’s " XBD=1283 XHG=1192 YBD=599 YHG=563>duty " XBD=1337 XHG=1299 YBD=591 YHG=566>to" XBD=253 XHG=200 YBD=650 YHG=615>see " XBD=347 XHG=266 YBD=633 YHG=606>that " XBD=447 XHG=360 YBD=640 YHG=605>they " XBD=506 XHG=462 YBD=632 YHG=604>do " XBD=585 XHG=520 YBD=631 YHG=606>not " XBD=681 XHG=599 YBD=631 YHG=603>look " XBD=731 XHG=695 YBD=630 YHG=604>in " XBD=838 XHG=745 YBD=631 YHG=604>vain. " XBD=957 XHG=884 YBD=630 YHG=603>The " XBD=1066 XHG=970 YBD=638 YHG=603>right " XBD=1118 XHG=1080 YBD=631 YHG=605>to " XBD=1194 XHG=1132 YBD=630 YHG=602>the " XBD=1338 XHG=1209 YBD=630 YHG=602>service" XBD=352 XHG=199 YBD=672 YHG=645>involves " XBD=432 XHG=371 YBD=670 YHG=643>the " XBD=719 XHG=452 YBD=678 YHG=643>corresponding " XBD=830 XHG=739 YBD=678 YHG=642>duty " XBD=887 XHG=848 YBD=669 YHG=644>to " XBD=961 XHG=906 YBD=669 YHG=651>see " XBD=1062 XHG=980 YBD=669 YHG=642>that " XBD=1142 XHG=1080 YBD=669 YHG=641>the " XBD=1290 XHG=1161 YBD=669 YHG=641>service " XBD=1338 XHG=1309 YBD=669 YHG=641>is" XBD=375 XHG=200 YBD=719 YHG=682>provided. " XBD=522 XHG=423 YBD=709 YHG=681>Some " XBD=777 XHG=541 YBD=717 YHG=681>organisation " XBD=858 XHG=794 YBD=708 YHG=681>has " XBD=912 XHG=874 YBD=708 YHG=683>to " XBD=1031 XHG=931 YBD=716 YHG=689>carry " XBD=1129 XHG=1047 YBD=707 YHG=680>that " XBD=1248 XHG=1148 YBD=716 YHG=680>duty, " XBD=1338 XHG=1268 YBD=707 YHG=680>and" XBD=236 XHG=201 YBD=749 YHG=731>as " XBD=324 XHG=263 YBD=748 YHG=722>the " XBD=480 XHG=352 YBD=748 YHG=721>service " XBD=537 XHG=508 YBD=747 YHG=720>is " XBD=602 XHG=564 YBD=747 YHG=722>to " XBD=673 XHG=631 YBD=747 YHG=720>be " XBD=857 XHG=701 YBD=755 YHG=719>publicly " XBD=1054 XHG=883 YBD=756 YHG=719>provided " XBD=1152 XHG=1081 YBD=746 YHG=718>this " XBD=1338 XHG=1180 YBD=747 YHG=719>involves" XBD=407 XHG=200 YBD=796 YHG=759>responsible " XBD=541 XHG=423 YBD=795 YHG=758>public " XBD=743 XHG=558 YBD=794 YHG=759>authority " XBD=794 XHG=759 YBD=786 YHG=759>in " XBD=904 XHG=808 YBD=786 YHG=768>some " XBD=1044 XHG=920 YBD=786 YHG=757>form.&dquo;" XBD=279 XHG=161 YBD=841 YHG=806>FROM " XBD=380 XHG=299 YBD=839 YHG=805>this " XBD=680 XHG=401 YBD=839 YHG=804>fundamental " XBD=867 XHG=702 YBD=849 YHG=815>passage " XBD=931 XHG=889 YBD=837 YHG=804>in " XBD=1056 XHG=952 YBD=838 YHG=804>their " XBD=1340 XHG=1078 YBD=849 YHG=803>white-paper" XBD=211 XHG=162 YBD=889 YHG=865>on " XBD=247 XHG=224 YBD=888 YHG=866>a " XBD=451 XHG=261 YBD=888 YHG=853>National " XBD=614 XHG=465 YBD=887 YHG=853>Health " XBD=785 XHG=630 YBD=887 YHG=852>Service " XBD=869 XHG=799 YBD=887 YHG=854>the " XBD=1152 XHG=881 YBD=887 YHG=853>Government " XBD=1269 XHG=1164 YBD=887 YHG=857>went " XBD=1341 XHG=1289 YBD=887 YHG=864>on" XBD=202 XHG=160 YBD=937 YHG=906>to " XBD=375 XHG=224 YBD=936 YHG=902>declare " XBD=439 XHG=398 YBD=935 YHG=902>in " XBD=604 XHG=461 YBD=936 YHG=901>favour " XBD=707 XHG=627 YBD=936 YHG=901>of &dquo; " XBD=825 XHG=724 YBD=936 YHG=901>local " XBD=1155 XHG=847 YBD=947 YHG=902>responsibility, " XBD=1338 XHG=1170 YBD=947 YHG=901>coupled" XBD=254 XHG=161 YBD=986 YHG=951>with " XBD=436 XHG=281 YBD=995 YHG=950>enough " XBD=614 XHG=465 YBD=984 YHG=951>central " XBD=835 XHG=642 YBD=985 YHG=951>direction " XBD=905 XHG=861 YBD=985 YHG=954>to " XBD=1073 XHG=934 YBD=985 YHG=951>obtain " XBD=1124 XHG=1100 YBD=985 YHG=962>a " XBD=1340 XHG=1153 YBD=985 YHG=951>coherent" XBD=239 XHG=162 YBD=1034 YHG=999>and " XBD=482 XHG=266 YBD=1033 YHG=1000>consistent " XBD=687 XHG=508 YBD=1034 YHG=1000>national " XBD=902 XHG=714 YBD=1034 YHG=999>service.&dquo; " XBD=1013 XHG=956 YBD=1034 YHG=1000>To " XBD=1245 XHG=1041 YBD=1045 YHG=1000>discharge " XBD=1341 XHG=1271 YBD=1034 YHG=1001>the" XBD=259 XHG=162 YBD=1082 YHG=1048>local " XBD=588 XHG=292 YBD=1093 YHG=1048>responsibility " XBD=720 XHG=620 YBD=1093 YHG=1049>they " XBD=949 XHG=753 YBD=1094 YHG=1049>proposed " XBD=1008 XHG=984 YBD=1083 YHG=1061>a " XBD=1128 XHG=1042 YBD=1083 YHG=1060>new " XBD=1265 XHG=1162 YBD=1084 YHG=1049>form " XBD=1346 XHG=1301 YBD=1084 YHG=1049>of" XBD=295 XHG=163 YBD=1131 YHG=1096>health " XBD=542 XHG=323 YBD=1142 YHG=1097>authority, " XBD=596 XHG=571 YBD=1131 YHG=1110>a " XBD=725 XHG=623 YBD=1142 YHG=1098>joint " XBD=891 XHG=754 YBD=1138 YHG=1098>board, " XBD=1048 XHG=920 YBD=1132 YHG=1098>which " XBD=1219 XHG=1077 YBD=1133 YHG=1098>should " XBD=1341 XHG=1245 YBD=1132 YHG=1098>take" XBD=254 XHG=164 YBD=1180 YHG=1157>over " XBD=354 XHG=285 YBD=1180 YHG=1146>the " XBD=580 XHG=387 YBD=1192 YHG=1146>hospitals " XBD=754 XHG=615 YBD=1181 YHG=1147>owned " XBD=851 XHG=787 YBD=1191 YHG=1147>by. " XBD=927 XHG=874 YBD=1182 YHG=1147>its " XBD=1207 XHG=962 YBD=1182 YHG=1148>constituent |>" XBD=1341 XHG=1240 YBD=1182 YHG=1139>local" XBD=394 XHG=164 YBD=1229 YHG=1195>authorities " XBD=504 XHG=423 YBD=1229 YHG=1195>and " XBD=766 XHG=534 YBD=1230 YHG=1196>administer " XBD=865 XHG=795 YBD=1230 YHG=1197>the " XBD=1063 XHG=894 YBD=1230 YHG=1196>medical " XBD=1261 XHG=1093 YBD=1231 YHG=1197>services " XBD=1343 XHG=1291 YBD=1231 YHG=1208>on" XBD=214 XHG=165 YBD=1277 YHG=1255>an " XBD=326 XHG=236 YBD=1278 YHG=1255>area " XBD=444 XHG=349 YBD=1288 YHG=1244>plan " XBD=510 XHG=466 YBD=1278 YHG=1247>to " XBD=583 XHG=534 YBD=1278 YHG=1244>be " XBD=724 XHG=606 YBD=1279 YHG=1245>made " XBD=844 XHG=747 YBD=1279 YHG=1245>with " XBD=1126 XHG=868 YBD=1289 YHG=1245>professional " XBD=1343 XHG=1149 YBD=1290 YHG=1245>guidance" XBD=450 XHG=164 YBD=1338 YHG=1292>and approved " XBD=591 XHG=461 YBD=1337 YHG=1293>by the " XBD=782 XHG=603 YBD=1327 YHG=1294>Minister " XBD=838 XHG=794 YBD=1328 YHG=1294>of " XBD=1009 XHG=847 YBD=1328 YHG=1294>Health. " XBD=1080 XHG=1030 YBD=1328 YHG=1294>In " XBD=1340 XHG=1091 YBD=1339 YHG=1294>their &dquo; posi-" XBD=244 XHG=164 YBD=1375 YHG=1341>tive " XBD=472 XHG=270 YBD=1387 YHG=1341>proposals &dquo; " XBD=633 XHG=526 YBD=1376 YHG=1343>the " XBD=806 XHG=652 YBD=1377 YHG=1342>council " XBD=874 XHG=830 YBD=1376 YHG=1342>of " XBD=963 XHG=894 YBD=1376 YHG=1343>the " XBD=1141 XHG=991 YBD=1377 YHG=1343>British " XBD=1337 XHG=1168 YBD=1377 YHG=1342>Medical" XBD=408 XHG=165 YBD=1425 YHG=1390>Association " XBD=593 XHG=419 YBD=1435 YHG=1391>rejected " XBD=687 XHG=606 YBD=1426 YHG=1392>this " XBD=892 XHG=700 YBD=1427 YHG=1391>solution: " XBD=1071 XHG=914 YBD=1426 YHG=1390>instead " XBD=1126 XHG=1082 YBD=1426 YHG=1392>of " XBD=1345 XHG=1137 YBD=1426 YHG=1392>executive" XBD=266 XHG=167 YBD=1483 YHG=1439>joint " XBD=449 XHG=304 YBD=1474 YHG=1440>boards " XBD=586 XHG=488 YBD=1485 YHG=1440>they " XBD=835 XHG=626 YBD=1486 YHG=1441>suggested " XBD=1048 XHG=873 YBD=1486 YHG=1441>regional " XBD=1261 XHG=1089 YBD=1475 YHG=1441>councils " XBD=1344 XHG=1300 YBD=1475 YHG=1444>to" XBD=289 XHG=166 YBD=1523 YHG=1488>advise " XBD=374 XHG=304 YBD=1523 YHG=1489>the " XBD=581 XHG=390 YBD=1530 YHG=1490>Minister, " XBD=756 XHG=598 YBD=1534 YHG=1490>leaving " XBD=855 XHG=771 YBD=1524 YHG=1490>him " XBD=915 XHG=871 YBD=1523 YHG=1493>to " XBD=995 XHG=932 YBD=1523 YHG=1501>see " XBD=1103 XHG=1011 YBD=1523 YHG=1490>that " XBD=1188 XHG=1118 YBD=1524 YHG=1490>the " XBD=1345 XHG=1205 YBD=1524 YHG=1490>advice" XBD=197 XHG=166 YBD=1572 YHG=1538>is " XBD=364 XHG=216 YBD=1572 YHG=1538>carried " XBD=467 XHG=383 YBD=1573 YHG=1541>out. " XBD=557 XHG=520 YBD=1572 YHG=1538>A " XBD=723 XHG=576 YBD=1573 YHG=1536>similar " XBD=828 XHG=743 YBD=1573 YHG=1538>bias " XBD=1021 XHG=846 YBD=1573 YHG=1538>towards " XBD=1192 XHG=1041 YBD=1573 YHG=1538>central " XBD=1345 XHG=1209 YBD=1573 YHG=1539>rather

" XBD=264 XHG=135 YBD=1621 YHG=1578>than " XBD=382 XHG=282 YBD=1622 YHG=1587>local " XBD=556 XHG=404 YBD=1622 YHG=1587>control " XBD=609 XHG=576 YBD=1621 YHG=1588>is " XBD=721 XHG=630 YBD=1621 YHG=1599>seen " XBD=783 XHG=741 YBD=1621 YHG=1588>in " XBD=872 XHG=802 YBD=1621 YHG=1588>the " XBD=1099 XHG=892 YBD=1632 YHG=1587>proposals " XBD=1208 XHG=1116 YBD=1622 YHG=1600>now " XBD=1344 XHG=1226 YBD=1623 YHG=1587>made" XBD=216 XHG=168 YBD=1671 YHG=1648>on " XBD=376 XHG=241 YBD=1670 YHG=1636>behalf " XBD=443 XHG=398 YBD=1671 YHG=1637>of " XBD=533 XHG=463 YBD=1671 YHG=1637>the " XBD=775 XHG=559 YBD=1681 YHG=1636>voluntary " XBD=993 XHG=799 YBD=1681 YHG=1636>hospitals " XBD=1074 XHG=1018 YBD=1681 YHG=1637>by " XBD=1168 XHG=1098 YBD=1671 YHG=1637>the " XBD=1344 XHG=1194 YBD=1671 YHG=1637>British" XBD=368 XHG=167 YBD=1732 YHG=1686>Hospitals " XBD=695 XHG=418 YBD=1721 YHG=1686>Association " XBD=695 XHG=682 YBD=1707 YHG=1688>2 " XBD=826 XHG=745 YBD=1720 YHG=1686>and " XBD=931 XHG=875 YBD=1731 YHG=1686>by " XBD=1089 XHG=979 YBD=1731 YHG=1686>King " XBD=1345 XHG=1138 YBD=1721 YHG=1685>Edward’s" XBD=350 XHG=168 YBD=1780 YHG=1735>Hospital " XBD=498 XHG=381 YBD=1770 YHG=1735>Fund " XBD=589 XHG=527 YBD=1770 YHG=1736>for " XBD=800 XHG=619 YBD=1770 YHG=1735>London. " XBD=992 XHG=854 YBD=1777 YHG=1735>These, " XBD=1101 XHG=1022 YBD=1769 YHG=1735>like " XBD=1201 XHG=1131 YBD=1769 YHG=1736>the " XBD=1346 XHG=1232 YBD=1770 YHG=1735>BMA" XBD=328 XHG=169 YBD=1826 YHG=1784>council, " XBD=521 XHG=346 YBD=1829 YHG=1796>approve " XBD=582 XHG=538 YBD=1819 YHG=1785>of " XBD=768 XHG=592 YBD=1829 YHG=1784>regional " XBD=973 XHG=782 YBD=1829 YHG=1784>planning " XBD=1083 XHG=989 YBD=1819 YHG=1796>over " XBD=1205 XHG=1098 YBD=1829 YHG=1784>large " XBD=1345 XHG=1221 YBD=1825 YHG=1796>areas," XBD=239 XHG=168 YBD=1867 YHG=1833>but " XBD=381 XHG=252 YBD=1867 YHG=1833>would " XBD=483 XHG=394 YBD=1878 YHG=1834>give " XBD=564 XHG=495 YBD=1867 YHG=1834>the " XBD=751 XHG=577 YBD=1878 YHG=1834>regional " XBD=948 XHG=764 YBD=1878 YHG=1834>planners " XBD=1013 XHG=961 YBD=1867 YHG=1845>no " XBD=1347 XHG=1026 YBD=1867 YHG=1834>administrative" XBD=328 XHG=170 YBD=1927 YHG=1894>powers. " XBD=476 XHG=357 YBD=1917 YHG=1882>Local " XBD=642 XHG=489 YBD=1917 YHG=1883>control " XBD=1007 XHG=652 YBD=1926 YHG=1883>ordinarily means " XBD=1173 XHG=1020 YBD=1916 YHG=1882>control " XBD=1346 XHG=1184 YBD=1926 YHG=1881>by local" XBD=342 XHG=170 YBD=1972 YHG=1931>electors, " XBD=455 XHG=375 YBD=1965 YHG=1932>and " XBD=554 XHG=484 YBD=1965 YHG=1931>the " XBD=727 XHG=584 YBD=1976 YHG=1931>King’s " XBD=887 XHG=758 YBD=1973 YHG=1931>Fund, " XBD=959 XHG=918 YBD=1965 YHG=1931>in " XBD=1014 XHG=990 YBD=1964 YHG=1943>a " XBD=1346 XHG=1044 YBD=1966 YHG=1932>memorandum" XBD=478 XHG=170 YBD=2026 YHG=1981>accompanying " XBD=565 XHG=495 YBD=2015 YHG=1980>the " XBD=801 XHG=583 YBD=2015 YHG=1983>statement " XBD=864 XHG=819 YBD=2014 YHG=1979>of " XBD=1087 XHG=876 YBD=2025 YHG=1979>principles " XBD=1349 XHG=1104 YBD=2024 YHG=1980>reproduced" XBD=220 XHG=171 YBD=2065 YHG=2042>on " XBD=270 XHG=231 YBD=2075 YHG=2042>p. " XBD=368 XHG=284 YBD=2065 YHG=2032>387. " XBD=456 XHG=385 YBD=2075 YHG=2042>say " XBD=606 XHG=474 YBD=2064 YHG=2029>that &dquo; " XBD=688 XHG=618 YBD=2063 YHG=2029>the " XBD=893 XHG=702 YBD=2075 YHG=2028>principle " XBD=957 XHG=913 YBD=2063 YHG=2028>of " XBD=1290 XHG=973 YBD=2074 YHG=2029>accountability " XBD=1347 XHG=1302 YBD=2063 YHG=2032>to" XBD=235 XHG=169 YBD=2113 YHG=2080>the " XBD=392 XHG=260 YBD=2124 YHG=2079>public " XBD=590 XHG=417 YBD=2124 YHG=2079>through " XBD=684 XHG=615 YBD=2113 YHG=2079>the " XBD=810 XHG=709 YBD=2113 YHG=2078>local " XBD=1095 XHG=835 YBD=2123 YHG=2081>government " XBD=1351 XHG=1119 YBD=2124 YHG=2079>machinery" XBD=239 XHG=170 YBD=2162 YHG=2128>has " XBD=303 XHG=262 YBD=2162 YHG=2140>so " XBD=387 XHG=326 YBD=2162 YHG=2128>far " XBD=561 XHG=410 YBD=2173 YHG=2128>proved " XBD=921 XHG=583 YBD=2173 YHG=2127>disappointing.&dquo;" XBD=301 XHG=219 YBD=2211 YHG=2177>The " XBD=528 XHG=325 YBD=2222 YHG=2177>proposals " XBD=598 XHG=554 YBD=2211 YHG=2177>of " XBD=688 XHG=619 YBD=2210 YHG=2177>the " XBD=828 XHG=714 YBD=2210 YHG=2176>BHA " XBD=933 XHG=852 YBD=2210 YHG=2176>and " XBD=1026 XHG=957 YBD=2210 YHG=2176>the " XBD=1194 XHG=1052 YBD=2220 YHG=2176>King’s " XBD=1348 XHG=1219 YBD=2217 YHG=2176>Fund," XBD=296 XHG=172 YBD=2260 YHG=2225>which " XBD=389 XHG=325 YBD=2259 YHG=2237>are " XBD=564 XHG=419 YBD=2269 YHG=2224>closely " XBD=752 XHG=592 YBD=2266 YHG=2225>similar, " XBD=847 XHG=781 YBD=2259 YHG=2236>are " XBD=1064 XHG=876 YBD=2270 YHG=2225>designed " XBD=1134 XHG=1091 YBD=2259 YHG=2228>to " XBD=1252 XHG=1164 YBD=2270 YHG=2226>give " XBD=1350 XHG=1280 YBD=2259 YHG=2225>the" XBD=383 XHG=172 YBD=2319 YHG=2274>voluntary " XBD=659 XHG=412 YBD=2319 YHG=2274>hospitals &dquo; " XBD=701 XHG=677 YBD=2308 YHG=2286>a " XBD=811 XHG=730 YBD=2308 YHG=2274>real " XBD=921 XHG=841 YBD=2308 YHG=2274>and " XBD=1132 XHG=951 YBD=2308 YHG=2274>effective " XBD=1277 XHG=1164 YBD=2308 YHG=2274>share " XBD=1351 XHG=1307 YBD=2308 YHG=2277>at" XBD=264 XHG=171 YBD=2358 YHG=2324>each " XBD=410 XHG=288 YBD=2369 YHG=2328>stage, " XBD=534 XHG=434 YBD=2358 YHG=2323>local " XBD=638 XHG=558 YBD=2358 YHG=2324>and " XBD=824 XHG=661 YBD=2364 YHG=2323>central, " XBD=890 XHG=848 YBD=2357 YHG=2323>in " XBD=982 XHG=912 YBD=2358 YHG=2323>the " XBD=1195 XHG=1004 YBD=2369 YHG=2323>planning " XBD=1262 XHG=1218 YBD=2357 YHG=2323>of " XBD=1350 XHG=1281 YBD=2357 YHG=2324>the" XBD=341 XHG=171 YBD=2417 YHG=2373>hospital " XBD=504 XHG=357 YBD=2406 YHG=2373>service " XBD=579 XHG=517 YBD=2407 YHG=2372>for " XBD=617 XHG=594 YBD=2406 YHG=2384>a " XBD=751 XHG=633 YBD=2417 YHG=2373>given " XBD=897 XHG=762 YBD=2421 YHG=2372>area &dquo; " XBD=994 XHG=914 YBD=2407 YHG=2373>and " XBD=1052 XHG=1008 YBD=2407 YHG=2376>to " XBD=1235 XHG=1067 YBD=2417 YHG=2376>prevent " XBD=1351 XHG=1250 YBD=2407 YHG=2372>local" XBD=403 XHG=173 YBD=2456 YHG=2422>authorities " XBD=531 XHG=428 YBD=2455 YHG=2421>from " XBD=765 XHG=558 YBD=2466 YHG=2422>becoming " XBD=1039 XHG=790 YBD=2466 YHG=2425>paymasters " XBD=1352 XHG=1065 YBD=2465 YHG=2421>to voluntary" XBD=373 XHG=172 YBD=2514 YHG=2470>hospitals. " XBD=621 XHG=426 YBD=2504 YHG=2470>Members " XBD=681 XHG=638 YBD=2504 YHG=2470>of " XBD=761 XHG=691 YBD=2504 YHG=2470>the " XBD=1048 XHG=778 YBD=2504 YHG=2470>Government " XBD=1166 XHG=1062 YBD=2503 YHG=2470>have " XBD=1351 XHG=1180 YBD=2504 YHG=2470>referred" XBD=213 XHG=172 YBD=2553 YHG=2521>to " XBD=314 XHG=246 YBD=2553 YHG=2519>the " XBD=563 XHG=348 YBD=2563 YHG=2519>voluntary " XBD=801 XHG=595 YBD=2564 YHG=2518>hospitals’ " XBD=862 XHG=840 YBD=2532 YHG=2519>&dquo; " XBD=1130 XHG=879 YBD=2564 YHG=2519>partnership " XBD=1172 XHG=1150 YBD=2532 YHG=2519>&dquo; " XBD=1248 XHG=1207 YBD=2553 YHG=2519>in " XBD=1351 XHG=1281 YBD=2553 YHG=2519>the" XBD=257 XHG=173 YBD=2602 YHG=2579>new " XBD=446 XHG=287 YBD=2609 YHG=2568>service, " XBD=560 XHG=479 YBD=2601 YHG=2567>and " XBD=659 XHG=590 YBD=2602 YHG=2568>the " XBD=833 XHG=691 YBD=2612 YHG=2567>King’s " XBD=982 XHG=865 YBD=2602 YHG=2568>Fund " XBD=1136 XHG=1014 YBD=2614 YHG=2568>speak " XBD=1212 XHG=1168 YBD=2603 YHG=2568>of " XBD=1351 XHG=1243 YBD=2601 YHG=2567>&dquo; the" XBD=271 XHG=174 YBD=2651 YHG=2617>need " XBD=350 XHG=306 YBD=2651 YHG=2616>of " XBD=563 XHG=382 YBD=2661 YHG=2616>bringing " XBD=780 XHG=598 YBD=2661 YHG=2617>together " XBD=859 XHG=816 YBD=2651 YHG=2620>at " XBD=992 XHG=895 YBD=2650 YHG=2617>each " XBD=1128 XHG=1027 YBD=2651 YHG=2617>level " XBD=1313 XHG=1163 YBD=2651 YHG=2617>round " XBD=1355 XHG=1328 YBD=2650 YHG=2628>a" XBD=354 XHG=176 YBD=2699 YHG=2676>common " XBD=498 XHG=389 YBD=2700 YHG=2666>table " XBD=603 XHG=533 YBD=2699 YHG=2666>the " XBD=855 XHG=640 YBD=2710 YHG=2666>voluntary " XBD=972 XHG=891 YBD=2701 YHG=2665>and " XBD=1108 XHG=1007 YBD=2700 YHG=2665>local " XBD=1353 XHG=1144 YBD=2709 YHG=2666>authority" XBD=416 XHG=175 YBD=2758 YHG=2714>personnel.&dquo; " XBD=662 XHG=471 YBD=2759 YHG=2714>Regional " XBD=885 XHG=695 YBD=2759 YHG=2715>planning " XBD=1049 XHG=917 YBD=2749 YHG=2715>would " XBD=1129 XHG=1081 YBD=2749 YHG=2715>be " XBD=1265 XHG=1163 YBD=2748 YHG=2715>done " XBD=1353 XHG=1298 YBD=2758 YHG=2714>by" XBD=344 XHG=175 YBD=2805 YHG=2763>regional " XBD=545 XHG=371 YBD=2807 YHG=2763>hospital " XBD=747 XHG=575 YBD=2797 YHG=2763>councils " XBD=941 XHG=778 YBD=2808 YHG=2763>(having " XBD=1136 XHG=968 YBD=2797 YHG=2763>medical " XBD=1354 XHG=1166 YBD=2806 YHG=2764>advisory" XBD=436 XHG=179 YBD=2853 YHG=2811>committees) " XBD=683 XHG=469 YBD=2856 YHG=2812>consisting " XBD=920 XHG=715 YBD=2856 YHG=2810>primarily " XBD=994 XHG=949 YBD=2846 YHG=2811>of " XBD=1353 XHG=1021 YBD=2856 YHG=2812>representatives" XBD=222 XHG=181 YBD=2892 YHG=2857>of " XBD=357 XHG=257 YBD=2893 YHG=2859>local " XBD=632 XHG=397 YBD=2894 YHG=2860>authorities " XBD=762 XHG=681 YBD=2893 YHG=2860>and " XBD=1018 XHG=802 YBD=2904 YHG=2860>voluntary " XBD=1262 XHG=1056 YBD=2905 YHG=2860>hospitals, " XBD=1355 XHG=1312 YBD=2893 YHG=2860>in" XBD=292 XHG=178 YBD=2950 YHG=2907>equal " XBD=569 XHG=325 YBD=2952 YHG=2908>proportion, " XBD=787 XHG=604 YBD=2952 YHG=2908>together " XBD=917 XHG=820 YBD=2942 YHG=2908>with " XBD=1279 XHG=947 YBD=2952 YHG=2909>representatives " XBD=1358 XHG=1313 YBD=2942 YHG=2908>of" XBD=242 XHG=176 YBD=2988 YHG=2954>the " XBD=484 XHG=259 YBD=2990 YHG=2956>consultant " XBD=687 XHG=499 YBD=2998 YHG=2957>services ; " XBD=826 XHG=714 YBD=2990 YHG=2956>these " XBD=968 XHG=837 YBD=2990 YHG=2956>would " XBD=1077 XHG=982 YBD=3001 YHG=2957>plan " XBD=1131 XHG=1090 YBD=2990 YHG=2957>in " XBD=1270 XHG=1146 YBD=2991 YHG=2956>detail " XBD=1353 XHG=1283 YBD=2991 YHG=2956>the" XBD=355 XHG=176 YBD=3048 YHG=3002>hospital, " XBD=613 XHG=385 YBD=3039 YHG=3004>consultant " XBD=721 XHG=641 YBD=3039 YHG=3005>and " XBD=951 XHG=753 YBD=3049 YHG=3004>specialist " XBD=1150 XHG=984 YBD=3039 YHG=3005>services " XBD=1222 XHG=1179 YBD=3039 YHG=3005>of " XBD=1353 XHG=1250 YBD=3039 YHG=3005>their" XBD=318 XHG=177 YBD=3096 YHG=3053>region. " XBD=420 XHG=372 YBD=3087 YHG=3053>In " XBD=615 XHG=459 YBD=3088 YHG=3054>smaller " XBD=784 XHG=652 YBD=3094 YHG=3065>areas, " XBD=927 XHG=816 YBD=3087 YHG=3053>often " XBD=1271 XHG=967 YBD=3099 YHG=3054>corresponding " XBD=1353 XHG=1309 YBD=3088 YHG=3057>to" XBD=363 XHG=179 YBD=3141 YHG=3102>counties, " XBD=511 XHG=399 YBD=3136 YHG=3101>there " XBD=678 XHG=547 YBD=3136 YHG=3102>would " XBD=763 XHG=715 YBD=3135 YHG=3102>be " XBD=901 XHG=799 YBD=3135 YHG=3101>local " XBD=1128 XHG=936 YBD=3146 YHG=3102>hospitals " XBD=1352 XHG=1167 YBD=3142 YHG=3102>councils," XBD=362 XHG=178 YBD=3192 YHG=3147>similarly " XBD=640 XHG=383 YBD=3190 YHG=3150>constituted, " XBD=789 XHG=660 YBD=3183 YHG=3149>which " XBD=940 XHG=808 YBD=3183 YHG=3149>would " XBD=1151 XHG=958 YBD=3183 YHG=3149>facilitate " XBD=1355 XHG=1172 YBD=3194 YHG=3150>personal" XBD=335 XHG=180 YBD=3231 YHG=3199>contact " XBD=441 XHG=361 YBD=3231 YHG=3198>and " XBD=792 XHG=465 YBD=3242 YHG=3198>understanding, " XBD=901 XHG=820 YBD=3231 YHG=3197>and " XBD=1072 XHG=926 YBD=3241 YHG=3196>supply " XBD=1355 XHG=1097 YBD=3232 YHG=3197>information" XBD=220 XHG=179 YBD=3277 YHG=3246>to " XBD=309 XHG=242 YBD=3278 YHG=3244>the " XBD=504 XHG=332 YBD=3290 YHG=3246>regional " XBD=724 XHG=526 YBD=3290 YHG=3246>planners. " XBD=833 XHG=777 YBD=3279 YHG=3246>At " XBD=924 XHG=855 YBD=3279 YHG=3246>the " XBD=1081 XHG=949 YBD=3279 YHG=3249>centre " XBD=1235 XHG=1104 YBD=3279 YHG=3245>would " XBD=1308 XHG=1259 YBD=3279 YHG=3246>be " XBD=1355 XHG=1331 YBD=3279 YHG=3257>a" XBD=334 XHG=181 YBD=3326 YHG=3290>Central " XBD=576 XHG=370 YBD=3338 YHG=3293>Hospitals " XBD=759 XHG=613 YBD=3334 YHG=3294>Board, " XBD=915 XHG=797 YBD=3337 YHG=3294>again " XBD=1220 XHG=950 YBD=3337 YHG=3293>representing " XBD=1357 XHG=1256 YBD=3327 YHG=3293>local

1. Brit. med. J. 1944, i, 643.2. A National Health Service. British Hospitals Association, 12,

Grosvenor Crescent, London, S.W.1. See Lancet, August 19,p. 264.

" XBD=1642 XHG=1394 YBD=218 YHG=177>authorities, " XBD=1905 XHG=1688 YBD=221 YHG=177>voluntary " XBD=2142 XHG=1950 YBD=222 YHG=177>hospitals " XBD=2269 XHG=2188 YBD=211 YHG=177>and " XBD=2575 XHG=2315 YBD=211 YHG=177>consultants." XBD=1488 XHG=1394 YBD=260 YHG=226>This " XBD=1659 XHG=1528 YBD=260 YHG=226>would " XBD=1886 XHG=1698 YBD=260 YHG=226>resemble " XBD=1995 XHG=1925 YBD=259 YHG=225>the " XBD=2200 XHG=2042 YBD=259 YHG=225>Central " XBD=2405 XHG=2237 YBD=259 YHG=225>Medical " XBD=2578 XHG=2443 YBD=259 YHG=224>Board" XBD=1558 XHG=1396 YBD=318 YHG=274>already " XBD=1790 XHG=1581 YBD=319 YHG=274>proposed, " XBD=1896 XHG=1816 YBD=307 YHG=273>and " XBD=1963 XHG=1920 YBD=307 YHG=276>at " XBD=2088 XHG=1987 YBD=307 YHG=273>least " XBD=2219 XHG=2112 YBD=307 YHG=284>some " XBD=2288 XHG=2243 YBD=307 YHG=274>of " XBD=2359 XHG=2307 YBD=307 YHG=274>its " XBD=2579 XHG=2383 YBD=307 YHG=273>members" XBD=1527 XHG=1396 YBD=356 YHG=322>would " XBD=1627 XHG=1538 YBD=367 YHG=323>give " XBD=1745 XHG=1642 YBD=356 YHG=323>their " XBD=1881 XHG=1757 YBD=356 YHG=322>whole " XBD=1994 XHG=1896 YBD=355 YHG=322>time " XBD=2051 XHG=2008 YBD=355 YHG=324>to " XBD=2119 XHG=2067 YBD=355 YHG=322>its " XBD=2254 XHG=2130 YBD=357 YHG=322>work: " XBD=2314 XHG=2281 YBD=355 YHG=322>it " XBD=2462 XHG=2328 YBD=356 YHG=321>would " XBD=2525 XHG=2477 YBD=355 YHG=322>be " XBD=2582 XHG=2540 YBD=355 YHG=321>in" XBD=1539 XHG=1398 YBD=415 YHG=370>charge " XBD=1602 XHG=1557 YBD=404 YHG=370>of " XBD=1684 XHG=1615 YBD=405 YHG=371>the " XBD=1924 XHG=1702 YBD=416 YHG=371>inspection " XBD=1986 XHG=1942 YBD=404 YHG=369>of " XBD=2192 XHG=2000 YBD=414 YHG=370>hospitals " XBD=2291 XHG=2210 YBD=403 YHG=370>and " XBD=2377 XHG=2308 YBD=403 YHG=369>the " XBD=2578 XHG=2395 YBD=415 YHG=370>develop-" XBD=1508 XHG=1396 YBD=453 YHG=422>ment " XBD=1589 XHG=1544 YBD=452 YHG=419>of " XBD=1801 XHG=1621 YBD=460 YHG=420>services, " XBD=1919 XHG=1839 YBD=453 YHG=419>and " XBD=2086 XHG=1955 YBD=453 YHG=418>would " XBD=2258 XHG=2122 YBD=452 YHG=418>advise " XBD=2363 XHG=2293 YBD=452 YHG=418>the " XBD=2578 XHG=2398 YBD=453 YHG=418>Minister" XBD=1421 XHG=1400 YBD=480 YHG=467>&dquo; upon " XBD=1637 XHG=1566 YBD=501 YHG=467>the " XBD=1761 XHG=1656 YBD=502 YHG=468>basis " XBD=1833 XHG=1782 YBD=502 YHG=480>on " XBD=1980 XHG=1852 YBD=502 YHG=467>which " XBD=2212 XHG=2000 YBD=513 YHG=469>payments " XBD=2374 XHG=2233 YBD=500 YHG=466>should " XBD=2443 XHG=2394 YBD=501 YHG=467>be " XBD=2600 XHG=2462 YBD=501 YHG=463>made’" XBD=1497 XHG=1398 YBD=550 YHG=515>both " XBD=1565 XHG=1522 YBD=549 YHG=518>to " XBD=1821 XHG=1590 YBD=560 YHG=515>voluntary hospitals " XBD=2129 XHG=2048 YBD=550 YHG=515>and " XBD=2196 XHG=2152 YBD=549 YHG=519>to " XBD=2322 XHG=2221 YBD=550 YHG=515>local " XBD=2582 XHG=2346 YBD=550 YHG=515>authorities" XBD=1440 XHG=1398 YBD=597 YHG=564>in " XBD=1623 XHG=1467 YBD=608 YHG=567>respect " XBD=1694 XHG=1650 YBD=598 YHG=564>of " XBD=1822 XHG=1718 YBD=598 YHG=564>their " XBD=2084 XHG=1849 YBD=609 YHG=565>hospitals.&dquo; " XBD=2362 XHG=2138 YBD=607 YHG=564>Voluntary " XBD=2584 XHG=2390 YBD=609 YHG=563>hospitals" XBD=1530 XHG=1399 YBD=646 YHG=612>would " XBD=1702 XHG=1551 YBD=646 YHG=612>receive " XBD=1916 XHG=1723 YBD=657 YHG=617>payment " XBD=2040 XHG=1937 YBD=649 YHG=613>from " XBD=2211 XHG=2062 YBD=648 YHG=613>central " XBD=2364 XHG=2232 YBD=653 YHG=613>funds, " XBD=2459 XHG=2387 YBD=647 YHG=616>not " XBD=2584 XHG=2479 YBD=648 YHG=612>from" XBD=1502 XHG=1401 YBD=695 YHG=660>local " XBD=1797 XHG=1537 YBD=702 YHG=661>authorities ; " XBD=1903 XHG=1834 YBD=696 YHG=662>the " XBD=2125 XHG=1938 YBD=697 YHG=666>amounts " XBD=2330 XHG=2160 YBD=707 YHG=661>payable " XBD=2497 XHG=2365 YBD=696 YHG=661>would " XBD=2584 XHG=2532 YBD=695 YHG=661>be" XBD=1623 XHG=1402 YBD=744 YHG=709>calculated " XBD=1717 XHG=1645 YBD=744 YHG=713>not " XBD=1793 XHG=1741 YBD=743 YHG=721>on " XBD=1839 XHG=1816 YBD=743 YHG=722>a " XBD=2049 XHG=1863 YBD=755 YHG=711>simple &dquo; " XBD=2135 XHG=2067 YBD=756 YHG=723>per " XBD=2276 XHG=2159 YBD=745 YHG=710>bed &dquo; " XBD=2484 XHG=2301 YBD=751 YHG=710>formula, " XBD=2587 XHG=2509 YBD=744 YHG=710>but" XBD=1612 XHG=1401 YBD=803 YHG=758>according " XBD=1672 XHG=1629 YBD=792 YHG=761>to " XBD=1760 XHG=1690 YBD=792 YHG=758>the " XBD=1875 XHG=1776 YBD=792 YHG=758>kind " XBD=1936 XHG=1892 YBD=793 YHG=759>of " XBD=2117 XHG=1951 YBD=794 YHG=761>services " XBD=2336 XHG=2133 YBD=801 YHG=760>rendered, " XBD=2436 XHG=2355 YBD=793 YHG=759>and " XBD=2585 XHG=2453 YBD=794 YHG=758>would" XBD=1496 XHG=1401 YBD=842 YHG=808>take " XBD=1574 XHG=1523 YBD=842 YHG=819>no " XBD=1771 XHG=1601 YBD=842 YHG=810>account " XBD=1843 XHG=1798 YBD=841 YHG=807>of " XBD=2136 XHG=1865 YBD=843 YHG=808>endowments " XBD=2206 XHG=2163 YBD=843 YHG=821>or " XBD=2346 XHG=2233 YBD=843 YHG=809>other " XBD=2583 XHG=2371 YBD=843 YHG=819>resources." XBD=1483 XHG=1401 YBD=891 YHG=857>The " XBD=1697 XHG=1503 YBD=902 YHG=856>hospitals " XBD=1825 XHG=1716 YBD=891 YHG=859>must " XBD=1995 XHG=1844 YBD=891 YHG=857>remain " XBD=2102 XHG=2015 YBD=892 YHG=858>able " XBD=2165 XHG=2121 YBD=892 YHG=862>to " XBD=2327 XHG=2185 YBD=903 YHG=858>appeal " XBD=2389 XHG=2345 YBD=893 YHG=861>to " XBD=2585 XHG=2408 YBD=902 YHG=858>patients" XBD=1482 XHG=1402 YBD=940 YHG=906>and " XBD=1705 XHG=1508 YBD=950 YHG=905>potential " XBD=1908 XHG=1731 YBD=951 YHG=905>patients " XBD=1996 XHG=1933 YBD=940 YHG=905>for " XBD=2206 XHG=2021 YBD=940 YHG=906>financial " XBD=2425 XHG=2233 YBD=953 YHG=910>support; " XBD=2585 XHG=2468 YBD=952 YHG=909>apart" XBD=1506 XHG=1402 YBD=990 YHG=954>from " XBD=1598 XHG=1528 YBD=989 YHG=955>the " XBD=1869 XHG=1621 YBD=1000 YHG=954>publication " XBD=1938 XHG=1893 YBD=988 YHG=953>of " XBD=2122 XHG=1957 YBD=989 YHG=955>audited " XBD=2334 XHG=2145 YBD=990 YHG=959>accounts " XBD=2456 XHG=2356 YBD=1001 YHG=956>they " XBD=2588 XHG=2478 YBD=991 YHG=958>must" XBD=1473 XHG=1401 YBD=1038 YHG=1007>not " XBD=1535 XHG=1486 YBD=1038 YHG=1004>be " XBD=1672 XHG=1549 YBD=1038 YHG=1003>asked " XBD=1727 XHG=1683 YBD=1038 YHG=1007>to " XBD=1911 XHG=1740 YBD=1038 YHG=1006>account " XBD=1965 XHG=1922 YBD=1037 YHG=1003>in " XBD=2100 XHG=1977 YBD=1038 YHG=1003>detail " XBD=2172 XHG=2110 YBD=1038 YHG=1003>for " XBD=2286 XHG=2183 YBD=1038 YHG=1004>their " XBD=2589 XHG=2299 YBD=1049 YHG=1005>expenditure ;" XBD=1483 XHG=1403 YBD=1087 YHG=1053>and " XBD=1608 XHG=1509 YBD=1098 YHG=1053>they " XBD=1743 XHG=1634 YBD=1088 YHG=1056>must " XBD=1819 XHG=1769 YBD=1087 YHG=1053>be " XBD=1898 XHG=1845 YBD=1087 YHG=1064>on " XBD=2041 XHG=1924 YBD=1098 YHG=1052>equal " XBD=2221 XHG=2066 YBD=1097 YHG=1052>footing " XBD=2343 XHG=2246 YBD=1087 YHG=1053>with " XBD=2586 XHG=2369 YBD=1099 YHG=1054>municipal" XBD=1596 XHG=1403 YBD=1147 YHG=1102>hospitals " XBD=1674 XHG=1631 YBD=1136 YHG=1114>as " XBD=1868 XHG=1707 YBD=1147 YHG=1102>regards " XBD=2098 XHG=1901 YBD=1147 YHG=1102>receiving " XBD=2279 XHG=2133 YBD=1146 YHG=1101>capital " XBD=2449 XHG=2313 YBD=1146 YHG=1105>grants " XBD=2590 XHG=2483 YBD=1139 YHG=1102>from" XBD=1555 XHG=1405 YBD=1185 YHG=1151>central " XBD=1698 XHG=1577 YBD=1185 YHG=1151>funds " XBD=1782 XHG=1720 YBD=1185 YHG=1151>for " XBD=1978 XHG=1804 YBD=1196 YHG=1150>hospital " XBD=2203 XHG=2001 YBD=1195 YHG=1161>purposes. " XBD=2309 XHG=2274 YBD=1183 YHG=1150>A " XBD=2435 XHG=2333 YBD=1184 YHG=1150>clear " XBD=2586 XHG=2457 YBD=1185 YHG=1162>assur-" XBD=1500 XHG=1404 YBD=1235 YHG=1211>ance " XBD=1581 XHG=1529 YBD=1234 YHG=1211>on " XBD=1690 XHG=1608 YBD=1234 YHG=1200>this " XBD=1796 XHG=1717 YBD=1234 YHG=1200>last " XBD=1972 XHG=1824 YBD=1234 YHG=1203>matter " XBD=2143 XHG=2000 YBD=1240 YHG=1199>would, " XBD=2205 XHG=2172 YBD=1233 YHG=1200>it " XBD=2264 XHG=2233 YBD=1233 YHG=1199>is " XBD=2377 XHG=2292 YBD=1241 YHG=1199>felt, " XBD=2497 XHG=2410 YBD=1244 YHG=1199>&dquo; go " XBD=2591 XHG=2525 YBD=1234 YHG=1199>far" XBD=1578 XHG=1404 YBD=1283 YHG=1249>towards " XBD=1780 XHG=1606 YBD=1293 YHG=1249>meeting " XBD=1878 XHG=1808 YBD=1282 YHG=1249>the " XBD=2050 XHG=1907 YBD=1293 YHG=1248>widely " XBD=2150 XHG=2078 YBD=1282 YHG=1248>felt " XBD=2468 XHG=2179 YBD=1293 YHG=1248>apprehension " XBD=2590 XHG=2495 YBD=1282 YHG=1248>that" XBD=1474 XHG=1404 YBD=1332 YHG=1298>the " XBD=1709 XHG=1491 YBD=1342 YHG=1297>voluntary " XBD=1874 XHG=1725 YBD=1342 YHG=1300>system " XBD=1988 XHG=1892 YBD=1342 YHG=1310>may " XBD=2212 XHG=2004 YBD=1342 YHG=1297>gradually " XBD=2339 XHG=2229 YBD=1331 YHG=1308>come " XBD=2399 XHG=2355 YBD=1331 YHG=1300>to " XBD=2485 XHG=2415 YBD=1331 YHG=1296>fall " XBD=2593 XHG=2502 YBD=1331 YHG=1297>into" XBD=1570 XHG=1405 YBD=1381 YHG=1346>relative " XBD=1872 XHG=1601 YBD=1380 YHG=1346>obsolescence " XBD=1957 XHG=1902 YBD=1391 YHG=1347>by " XBD=2126 XHG=1985 YBD=1380 YHG=1358>reason " XBD=2199 XHG=2155 YBD=1380 YHG=1346>of " XBD=2248 XHG=2225 YBD=1379 YHG=1358>a " XBD=2428 XHG=2277 YBD=1380 YHG=1346>readier " XBD=2592 XHG=2458 YBD=1380 YHG=1357>access" XBD=1448 XHG=1405 YBD=1430 YHG=1399>to " XBD=1602 XHG=1468 YBD=1440 YHG=1395>public " XBD=1773 XHG=1622 YBD=1430 YHG=1397>monies " XBD=1846 XHG=1794 YBD=1430 YHG=1407>on " XBD=1935 XHG=1865 YBD=1429 YHG=1396>the " XBD=2045 XHG=1954 YBD=1441 YHG=1398>part " XBD=2111 XHG=2066 YBD=1430 YHG=1395>of " XBD=2226 XHG=2125 YBD=1430 YHG=1395>local " XBD=2521 XHG=2246 YBD=1430 YHG=1394>authorities.&dquo;" XBD=1536 XHG=1454 YBD=1478 YHG=1445>The " XBD=1828 XHG=1557 YBD=1479 YHG=1444>Government " XBD=1981 XHG=1859 YBD=1478 YHG=1444>asked " XBD=2065 XHG=2004 YBD=1478 YHG=1444>for " XBD=2358 XHG=2091 YBD=1478 YHG=1445>constructive " XBD=2586 XHG=2384 YBD=1485 YHG=1444>criticism," XBD=1485 XHG=1404 YBD=1527 YHG=1493>and " XBD=1578 XHG=1509 YBD=1527 YHG=1493>the " XBD=1820 XHG=1604 YBD=1538 YHG=1493>voluntary " XBD=2037 XHG=1844 YBD=1537 YHG=1493>hospitals " XBD=2165 XHG=2062 YBD=1527 YHG=1493>have " XBD=2308 XHG=2190 YBD=1537 YHG=1493>given " XBD=2377 XHG=2332 YBD=1527 YHG=1494>it. " XBD=2592 XHG=2430 YBD=1527 YHG=1493>No-one" XBD=1480 XHG=1405 YBD=1576 YHG=1553>can " XBD=1589 XHG=1493 YBD=1575 YHG=1542>read " XBD=1715 XHG=1603 YBD=1575 YHG=1542>these " XBD=1988 XHG=1730 YBD=1576 YHG=1542>memoranda " XBD=2173 XHG=2003 YBD=1576 YHG=1542>without " XBD=2370 XHG=2188 YBD=1587 YHG=1542>agreeing " XBD=2476 XHG=2384 YBD=1576 YHG=1542>that " XBD=2593 XHG=2490 YBD=1586 YHG=1541>they" XBD=1502 XHG=1405 YBD=1626 YHG=1590>offer " XBD=1566 XHG=1541 YBD=1625 YHG=1602>a " XBD=1776 XHG=1604 YBD=1636 YHG=1590>possible " XBD=2052 XHG=1815 YBD=1626 YHG=1590>alternative " XBD=2134 XHG=2091 YBD=1626 YHG=1594>to " XBD=2243 XHG=2173 YBD=1625 YHG=1591>the " XBD=2593 XHG=2283 YBD=1626 YHG=1590>Government’s" XBD=1494 XHG=1405 YBD=1675 YHG=1652>own " XBD=1680 XHG=1512 YBD=1675 YHG=1640>scheme. " XBD=1775 XHG=1735 YBD=1674 YHG=1640>It " XBD=1824 XHG=1792 YBD=1674 YHG=1640>is " XBD=2002 XHG=1842 YBD=1685 YHG=1640>equally " XBD=2213 XHG=2018 YBD=1685 YHG=1643>apparent " XBD=2412 XHG=2230 YBD=1675 YHG=1640>however " XBD=2520 XHG=2427 YBD=1675 YHG=1640>that " XBD=2591 XHG=2538 YBD=1675 YHG=1652>an" XBD=1629 XHG=1405 YBD=1734 YHG=1690>important " XBD=1938 XHG=1646 YBD=1724 YHG=1690>consideration " XBD=1995 XHG=1952 YBD=1723 YHG=1690>in " XBD=2186 XHG=2011 YBD=1735 YHG=1690>drawing " XBD=2314 XHG=2202 YBD=1724 YHG=1690>them " XBD=2385 XHG=2330 YBD=1735 YHG=1701>up " XBD=2474 XHG=2401 YBD=1723 YHG=1689>has " XBD=2591 XHG=2490 YBD=1724 YHG=1690>been" XBD=1450 XHG=1405 YBD=1773 YHG=1742>to " XBD=1558 XHG=1482 YBD=1784 YHG=1742>put " XBD=1660 XHG=1590 YBD=1773 YHG=1739>the " XBD=1910 XHG=1693 YBD=1783 YHG=1739>voluntary " XBD=2134 XHG=1941 YBD=1784 YHG=1738>hospitals " XBD=2253 XHG=2167 YBD=1773 YHG=1740>into " XBD=2310 XHG=2286 YBD=1773 YHG=1750>a " XBD=2517 XHG=2342 YBD=1784 YHG=1739>position " XBD=2594 XHG=2550 YBD=1772 YHG=1737>of" XBD=1615 XHG=1407 YBD=1833 YHG=1788>strength ; " XBD=1736 XHG=1656 YBD=1822 YHG=1788>and " XBD=1932 XHG=1761 YBD=1832 YHG=1788>perhaps " XBD=2030 XHG=1955 YBD=1822 YHG=1787>less " XBD=2228 XHG=2054 YBD=1833 YHG=1788>thought " XBD=2324 XHG=2252 YBD=1821 YHG=1788>has " XBD=2449 XHG=2349 YBD=1822 YHG=1788>been " XBD=2602 XHG=2473 YBD=1832 YHG=1788>given’" XBD=1450 XHG=1406 YBD=1870 YHG=1840>to " XBD=1538 XHG=1469 YBD=1870 YHG=1837>the " XBD=1663 XHG=1558 YBD=1870 YHG=1840>state " XBD=1732 XHG=1688 YBD=1870 YHG=1836>of " XBD=2084 XHG=1756 YBD=1881 YHG=1836>local-authority " XBD=2474 XHG=2101 YBD=1881 YHG=1836>hospitals-which " XBD=2589 XHG=2502 YBD=1881 YHG=1848>pro-" XBD=1528 XHG=1407 YBD=1919 YHG=1885>vided " XBD=1714 XHG=1550 YBD=1926 YHG=1886>212,000 " XBD=1781 XHG=1731 YBD=1919 YHG=1885>bf " XBD=1973 XHG=1810 YBD=1927 YHG=1886>303,000 " XBD=2169 XHG=1995 YBD=1931 YHG=1885>hospital " XBD=2287 XHG=2191 YBD=1919 YHG=1885>beds " XBD=2369 XHG=2308 YBD=1931 YHG=1885>(of " XBD=2445 XHG=2393 YBD=1920 YHG=1886>all " XBD=2591 XHG=2473 YBD=1930 YHG=1885>sorts)" XBD=1450 XHG=1407 YBD=1968 YHG=1934>in " XBD=1597 XHG=1476 YBD=1969 YHG=1934>Great " XBD=1781 XHG=1624 YBD=1969 YHG=1934>Britain " XBD=1940 XHG=1806 YBD=1969 YHG=1934>before " XBD=2034 XHG=1965 YBD=1969 YHG=1935>the " XBD=2152 XHG=2060 YBD=1969 YHG=1946>war. " XBD=2291 XHG=2208 YBD=1968 YHG=1934>One " XBD=2362 XHG=2318 YBD=1968 YHG=1934>of " XBD=2453 XHG=2383 YBD=1968 YHG=1935>the " XBD=2594 XHG=2478 YBD=1979 YHG=1937>great" XBD=1546 XHG=1408 YBD=2018 YHG=1984>merits " XBD=1608 XHG=1564 YBD=2017 YHG=1983>of " XBD=1691 XHG=1622 YBD=2017 YHG=1983>the " XBD=1970 XHG=1709 YBD=2029 YHG=1984>white-paper " XBD=2137 XHG=1982 YBD=2018 YHG=1984>scheme " XBD=2182 XHG=2148 YBD=2029 YHG=1984>is that " XBD=2360 XHG=2308 YBD=2017 YHG=1983>all " XBD=2589 XHG=2371 YBD=2028 YHG=1982>municipal" XBD=1602 XHG=1407 YBD=2077 YHG=2032>hospitals " XBD=1688 XHG=1622 YBD=2066 YHG=2044>are " XBD=1751 XHG=1707 YBD=2067 YHG=2036>to " XBD=1821 XHG=1772 YBD=2067 YHG=2033>be " XBD=1963 XHG=1840 YBD=2067 YHG=2033>taken " XBD=2078 XHG=1984 YBD=2067 YHG=2044>over " XBD=2176 XHG=2097 YBD=2067 YHG=2033>and " XBD=2359 XHG=2191 YBD=2077 YHG=2032>directly " XBD=2592 XHG=2371 YBD=2066 YHG=2032>controlled" XBD=1465 XHG=1409 YBD=2126 YHG=2082>by " XBD=1501 XHG=1478 YBD=2115 YHG=2094>a " XBD=1831 XHG=1517 YBD=2126 YHG=2082>comparatively " XBD=1958 XHG=1845 YBD=2116 YHG=2082>small " XBD=2139 XHG=1971 YBD=2116 YHG=2082>number " XBD=2197 XHG=2153 YBD=2116 YHG=2081>of " XBD=2343 XHG=2206 YBD=2116 YHG=2081>health " XBD=2598 XHG=2357 YBD=2116 YHG=2081>authorities." XBD=1455 XHG=1409 YBD=2165 YHG=2130>of " XBD=1501 XHG=1477 YBD=2164 YHG=2142>a " XBD=1615 XHG=1527 YBD=2164 YHG=2142>new " XBD=1737 XHG=1639 YBD=2176 YHG=2133>type " XBD=1892 XHG=1764 YBD=2165 YHG=2131>which " XBD=2050 XHG=1919 YBD=2165 YHG=2131>would " XBD=2178 XHG=2076 YBD=2165 YHG=2131>have " XBD=2372 XHG=2205 YBD=2164 YHG=2130>medical " XBD=2597 XHG=2399 YBD=2175 YHG=2131>guidance" XBD=1490 XHG=1409 YBD=2213 YHG=2179>and " XBD=1578 XHG=1526 YBD=2213 YHG=2191>an " XBD=1877 XHG=1613 YBD=2224 YHG=2180>opportunity " XBD=1954 XHG=1910 YBD=2214 YHG=2183>to " XBD=2149 XHG=1990 YBD=2224 YHG=2179>employ " XBD=2387 XHG=2183 YBD=2213 YHG=2179>first-class " XBD=2520 XHG=2423 YBD=2212 YHG=2179>staff " XBD=2596 XHG=2551 YBD=2213 YHG=2179>in" XBD=1601 XHG=1410 YBD=2273 YHG=2227>planning " XBD=1726 XHG=1646 YBD=2262 YHG=2228>and " XBD=2104 XHG=1769 YBD=2262 YHG=2229>administration. " XBD=2322 XHG=2158 YBD=2262 YHG=2228>Neither " XBD=2434 XHG=2364 YBD=2262 YHG=2227>the " XBD=2593 XHG=2479 YBD=2261 YHG=2227>BMA" XBD=1483 XHG=1411 YBD=2311 YHG=2289>nor " XBD=1575 XHG=1505 YBD=2311 YHG=2277>the " XBD=1704 XHG=1589 YBD=2311 YHG=2277>BHA " XBD=1793 XHG=1721 YBD=2311 YHG=2288>nor " XBD=1880 XHG=1811 YBD=2311 YHG=2277>the " XBD=2000 XHG=1899 YBD=2311 YHG=2277>local " XBD=2248 XHG=2014 YBD=2311 YHG=2277>authorities " XBD=2344 XHG=2265 YBD=2310 YHG=2277>like " XBD=2472 XHG=2362 YBD=2311 YHG=2277>these " XBD=2594 XHG=2491 YBD=2321 YHG=2276>joint" XBD=1584 XHG=1413 YBD=2367 YHG=2326>boards ; " XBD=1705 XHG=1631 YBD=2360 YHG=2326>but " XBD=1787 XHG=1735 YBD=2360 YHG=2338>an " XBD=1999 XHG=1818 YBD=2360 YHG=2326>effective " XBD=2235 XHG=2029 YBD=2360 YHG=2326>executive " XBD=2373 XHG=2259 YBD=2370 YHG=2326>body " XBD=2444 XHG=2403 YBD=2359 YHG=2326>in " XBD=2600 XHG=2474 YBD=2370 YHG=2337>every-" XBD=1504 XHG=1413 YBD=2409 YHG=2386>area " XBD=1553 XHG=1520 YBD=2409 YHG=2376>is " XBD=1638 XHG=1569 YBD=2409 YHG=2375>the " XBD=1750 XHG=1655 YBD=2420 YHG=2375>only " XBD=1901 XHG=1765 YBD=2409 YHG=2387>means " XBD=1963 XHG=1918 YBD=2409 YHG=2375>of " XBD=2153 XHG=1976 YBD=2419 YHG=2375>securing " XBD=2365 XHG=2169 YBD=2419 YHG=2375>anything " XBD=2458 XHG=2380 YBD=2408 YHG=2374>like " XBD=2599 XHG=2477 YBD=2419 YHG=2374>quick" XBD=1568 XHG=1412 YBD=2457 YHG=2423>results. " XBD=1791 XHG=1622 YBD=2458 YHG=2424>Remote " XBD=1971 XHG=1818 YBD=2457 YHG=2423>control " XBD=2051 XHG=1997 YBD=2467 YHG=2424>by " XBD=2099 XHG=2076 YBD=2457 YHG=2435>a " XBD=2310 XHG=2125 YBD=2468 YHG=2423>Ministry " XBD=2378 XHG=2335 YBD=2457 YHG=2435>or " XBD=2529 XHG=2404 YBD=2457 YHG=2423>board " XBD=2600 XHG=2553 YBD=2457 YHG=2424>in" XBD=1641 XHG=1413 YBD=2513 YHG=2472>Whitehall, " XBD=1886 XHG=1671 YBD=2516 YHG=2472>exercising " XBD=2052 XHG=1921 YBD=2516 YHG=2483>power " XBD=2226 XHG=2085 YBD=2516 YHG=2471>chiefly " XBD=2310 XHG=2254 YBD=2516 YHG=2471>by " XBD=2603 XHG=2335 YBD=2517 YHG=2471>withholding-" XBD=1551 XHG=1414 YBD=2566 YHG=2524>grants " XBD=1612 XHG=1568 YBD=2555 YHG=2524>to " XBD=1842 XHG=1631 YBD=2555 YHG=2520>backward " XBD=2107 XHG=1860 YBD=2561 YHG=2520>authorities, " XBD=2257 XHG=2126 YBD=2554 YHG=2520>would " XBD=2383 XHG=2274 YBD=2555 YHG=2521>work " XBD=2595 XHG=2400 YBD=2566 YHG=2521>improve-" XBD=1525 XHG=1414 YBD=2604 YHG=2573>ment " XBD=1604 XHG=1562 YBD=2604 YHG=2581>so " XBD=1778 XHG=1642 YBD=2614 YHG=2569>slowly " XBD=1895 XHG=1814 YBD=2603 YHG=2569>and " XBD=2146 XHG=1931 YBD=2613 YHG=2569>unequally " XBD=2273 XHG=2180 YBD=2604 YHG=2569>that " XBD=2411 XHG=2308 YBD=2615 YHG=2570>good " XBD=2595 XHG=2448 YBD=2604 YHG=2570>service" XBD=1531 XHG=1415 YBD=2653 YHG=2618>could " XBD=1644 XHG=1572 YBD=2653 YHG=2622>not " XBD=1734 XHG=1685 YBD=2652 YHG=2618>be " XBD=2019 XHG=1775 YBD=2662 YHG=2618>guaranteed " XBD=2103 XHG=2058 YBD=2652 YHG=2621>to " XBD=2305 XHG=2145 YBD=2652 YHG=2618>citizens " XBD=2600 XHG=2346 YBD=2663 YHG=2619>everywhere" XBD=1555 XHG=1414 YBD=2701 YHG=2668>within " XBD=1595 XHG=1571 YBD=2701 YHG=2679>a " XBD=1858 XHG=1612 YBD=2701 YHG=2667>measurable " XBD=1985 XHG=1874 YBD=2701 YHG=2667>time. " XBD=2088 XHG=2038 YBD=2700 YHG=2666>In " XBD=2201 XHG=2104 YBD=2701 YHG=2667>each " XBD=2421 XHG=2217 YBD=2712 YHG=2667>locality &dquo; " XBD=2471 XHG=2438 YBD=2702 YHG=2668>it " XBD=2601 XHG=2487 YBD=2702 YHG=2671>must-" XBD=1465 XHG=1415 YBD=2750 YHG=2716>be " XBD=1742 XHG=1490 YBD=2760 YHG=2715>somebody’s " XBD=1871 XHG=1767 YBD=2759 YHG=2716>duty " XBD=1930 XHG=1887 YBD=2749 YHG=2719>to " XBD=2013 XHG=1950 YBD=2749 YHG=2727>see " XBD=2129 XHG=2037 YBD=2749 YHG=2716>that " XBD=2252 XHG=2153 YBD=2760 YHG=2716>they " XBD=2320 XHG=2270 YBD=2750 YHG=2716>do " XBD=2418 XHG=2346 YBD=2751 YHG=2720>not " XBD=2529 XHG=2436 YBD=2751 YHG=2716>look " XBD=2599 XHG=2552 YBD=2750 YHG=2717>in" XBD=1550 XHG=1415 YBD=2805 YHG=2765>vain,&dquo; " XBD=1663 XHG=1583 YBD=2798 YHG=2764>and " XBD=1735 XHG=1693 YBD=2797 YHG=2765>in " XBD=1863 XHG=1766 YBD=2797 YHG=2764>each " XBD=2056 XHG=1893 YBD=2808 YHG=2764>locality " XBD=2155 XHG=2086 YBD=2797 YHG=2764>the " XBD=2326 XHG=2186 YBD=2809 YHG=2764>people " XBD=2605 XHG=2355 YBD=2809 YHG=2764>responsible-" XBD=1476 XHG=1413 YBD=2847 YHG=2812>for " XBD=1690 XHG=1499 YBD=2857 YHG=2812>planning " XBD=1858 XHG=1715 YBD=2846 YHG=2812>should " XBD=1963 XHG=1881 YBD=2846 YHG=2812>also " XBD=2038 XHG=1990 YBD=2845 YHG=2812>be " XBD=2301 XHG=2059 YBD=2856 YHG=2813>responsible " XBD=2384 XHG=2322 YBD=2847 YHG=2813>for " XBD=2600 XHG=2409 YBD=2847 YHG=2813>adminis." XBD=1578 XHG=1414 YBD=2895 YHG=2862>tration. " XBD=1784 XHG=1644 YBD=2904 YHG=2861>Surely " XBD=1914 XHG=1833 YBD=2894 YHG=2860>this " XBD=2035 XHG=1961 YBD=2894 YHG=2872>can " XBD=2134 XHG=2086 YBD=2894 YHG=2861>be " XBD=2374 XHG=2164 YBD=2895 YHG=2862>achieved " XBD=2591 XHG=2420 YBD=2896 YHG=2862>without" XBD=1625 XHG=1414 YBD=2954 YHG=2910>impairing " XBD=1733 XHG=1663 YBD=2943 YHG=2909>the " XBD=1937 XHG=1771 YBD=2953 YHG=2908>healthy " XBD=2269 XHG=1974 YBD=2954 YHG=2909>independence " XBD=2352 XHG=2308 YBD=2944 YHG=2910>of " XBD=2464 XHG=2387 YBD=2944 YHG=2910>the- " XBD=2611 XHG=2494 YBD=2955 YHG=2910>good’" XBD=1631 XHG=1414 YBD=3001 YHG=2958>voluntary " XBD=1839 XHG=1652 YBD=3002 YHG=2957>hospital.

Primary Atypical Pneumonia" XBD=1555 XHG=1465 YBD=3146 YHG=3113>THE " XBD=1644 XHG=1568 YBD=3146 YHG=3113>rise " XBD=1698 XHG=1656 YBD=3146 YHG=3112>in " XBD=1913 XHG=1711 YBD=3146 YHG=3112>incidence " XBD=1971 XHG=1927 YBD=3146 YHG=3112>of " XBD=2158 XHG=1981 YBD=3157 YHG=3113>primary " XBD=2346 XHG=2171 YBD=3157 YHG=3112>atypical " XBD=2602 XHG=2358 YBD=3157 YHG=3112>pneumonia." XBD=1457 XHG=1414 YBD=3195 YHG=3162>in " XBD=1542 XHG=1472 YBD=3195 YHG=3161>the " XBD=1638 XHG=1559 YBD=3194 YHG=3160>last " XBD=1729 XHG=1654 YBD=3194 YHG=3161>few " XBD=1862 XHG=1747 YBD=3205 YHG=3172>years " XBD=2006 XHG=1880 YBD=3195 YHG=3172>seems " XBD=2172 XHG=2022 YBD=3206 YHG=3160>largely " XBD=2212 XHG=2189 YBD=3195 YHG=3173>a " XBD=2396 XHG=2230 YBD=3205 YHG=3161>genuine " XBD=2500 XHG=2412 YBD=3201 YHG=3161>rise, " XBD=2600 XHG=2520 YBD=3194 YHG=3158>and" XBD=1487 XHG=1415 YBD=3244 YHG=3212>not " XBD=1663 XHG=1514 YBD=3253 YHG=3209>merely " XBD=1759 XHG=1688 YBD=3243 YHG=3208>the " XBD=1989 XHG=1785 YBD=3243 YHG=3208>reflection " XBD=2062 XHG=2017 YBD=3243 YHG=3209>of " XBD=2216 XHG=2086 YBD=3243 YHG=3210>better " XBD=2497 XHG=2242 YBD=3253 YHG=3208>recognition. " XBD=2601 XHG=2552 YBD=3241 YHG=3208>In" XBD=1485 XHG=1415 YBD=3291 YHG=3258>the " XBD=1606 XHG=1512 YBD=3301 YHG=3268>year " XBD=1738 XHG=1634 YBD=3291 YHG=3258>since " XBD=1823 XHG=1765 YBD=3291 YHG=3269>we " XBD=2061 XHG=1849 YBD=3302 YHG=3258>published " XBD=2111 XHG=2088 YBD=3291 YHG=3269>a " XBD=2252 XHG=2138 YBD=3291 YHG=3257>small " XBD=2522 XHG=2278 YBD=3301 YHG=3256>symposium " XBD=2602 XHG=2549 YBD=3289 YHG=3267>on" XBD=1486 XHG=1416 YBD=3339 YHG=3306>the " XBD=1681 XHG=1502 YBD=3339 YHG=3305>disease hundreds " XBD=2025 XHG=1915 YBD=3340 YHG=3317>more " XBD=2150 XHG=2044 YBD=3339 YHG=3317>cases " XBD=2270 XHG=2167 YBD=3339 YHG=3306>have " XBD=2387 XHG=2286 YBD=3338 YHG=3305>been " XBD=2600 XHG=2402 YBD=3348 YHG=3304>reported,

1. Drew, W. R. M., Samuel, E. and Bell, M. Lancet, 1943, i, 761.Turner, J. C., Nisnewitz, S., Jackson, E. B. and Berney, R.Ibid, p. 765. Kennedy, J. A. Ibid, p. 769.