44:" in 1912. This report exposed inadequate medical and nursing services across large parts of the crofting counties and recommended a new way of delivering state funded medical services. Doctors would be guaranteed a minimum salary and cost of travel would be reimbursed. In return they would be expected to visit all those requesting help, be involved in public health and school work, attend midwifery cases and provide themselves with adequate transport. The service also planned an expansion of nursing services with associated nursing accommodation, provide state support to the hospitals and specialists and purchase ambulances. The service was administered by a Board of between 5 & 9 with the first Chair being
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but the First World War held back developments and was used merely to support the doctors salaries and provide travel expenses. In 1919 administration moved to the
Scottish Board of Health and in due course it was seen to be having the desired effect of providing adequate medical services to the
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population and supporting doctors to live and work in the area. Eventually other aspects of the service were developed including support for specialist surgeons and physicians, a laboratory in
Inverness and even the first air ambulance service to the outer isles in 1936.
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1936 Cathcart Report: "This service has revolutionised medical provision in the
Highlands. It is now reasonably adequate in the sense that for all districts the services of a doctor are available on reasonable
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1920 MacAlister Report stressed importance of: "... personal service, such as can be rendered to the people in their own homes only by a family doctor who has continuous care of their health".
48:. After an initial survey they predicted an increase in doctors from 170 to 185 and an additional 100 new houses. They requested and were granted an annual treasury grant of £42,000.
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Scottish Board of Health. Consultative
Council on Medical and Allied Services. Interim report. A Scheme of Medical Service for Scotland. Cmd. 1039 (Edinburgh, 1920)
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The service came into being as a direct result of the publication of the Report of the
Highlands and Islands Medical Service Committee or "
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24:) provided state funded healthcare to a population covering half of Scotland's landmass from its launch in 1913 until the creation of
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which succeeded it, fees were set at minimal levels and people could still get treated even if they were unable to pay.
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The
National Health Service in Scotland: Origins and ideals, 1900-1950 Morrice McCrae, 2003, Tuckwell Press
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CBE of the
Department of Health for Scotland. She had previously been an administrator for the HIMS.
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Improving the Common Weal, Gordon McLachlan, 1987, The
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The service had an uncertain start. An early achievement was the posting of a nurse to
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1914 Provision of travel support provided to doctors and resident nurse appointed to
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Insurance Scheme set up but unworkable in crofting communities
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published describing wholly inadequate medical provision in
Highlands & Islands
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1929 73 District Nursing Associations established employing 175 nurses.
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Scottish Health Services Report ("Cathcart Report") 1935/6 Cmb 5208
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directed funds to urban poorhouses and away from rural provision
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Act gives limited provision of medical care to remote areas
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1913 Highlands & Islands Medical Service set up.
440:Medical and health organisations based in Scotland
246:"Highlands and Islands Medical Service (HIMS)"
128:1919 Control moved to Scottish Board of Health
118:1916 Grant provided to prevent the closure of
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470:Government agencies disestablished in 1948
161:1934 Consultant surgeons established in
465:Government agencies established in 1913
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147:1933 first Air ambulance journey, from
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18:Highlands and Islands Medical Service
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134:1924 First consultant appointment -
435:1948 disestablishments in Scotland
153:Midland & Scottish Air Ferries
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460:History of the Scottish Highlands
346:from the original on 30 July 2017
256:from the original on 5 March 2016
445:Organisations based in Edinburgh
430:1913 establishments in Scotland
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215:1948 NHS took over from HIMS
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450:Social history of Scotland
226:Emergency Hospital Service
66:Frontier Nursing Service
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250:ournhsscotland.com
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124:Fort William
101:Dewar Report
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197:established
193:service to
52:Early years
424:Categories
286:4 December
260:12 January
232:References
155:flight to
36:Foundation
185:Inverness
181:Physician
171:Caithness
360:cite web
341:Archived
296:cite web
254:Archived
220:See also
163:Shetland
114:St Kilda
87:Poor Law
80:Timeline
70:Kentucky
58:St Kilda
350:3 March
201:terms."
157:Glasgow
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204:1942
189:1936
175:Lewis
151:on a
149:Islay
99:1910
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85:1845
393:ISBN
383:ISBN
366:link
352:2013
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288:2014
262:2015
138:for
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