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Identity Statement

Reference code(s): GB 0074 ACC/2674
Held at: London Metropolitan Archives
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Date(s): 1912-1974
Level of description: Collection
Extent: 13 linear metres
Name of creator(s): Inner London Executive Council of Family Practitioners | 1948-1974
Insurance Committee for the County of London | 1912-1948


Administrative/Biographical history:

Under the National Health Insurance Act, 1911, certain groups of the working population, mainly manual and lower paid workers, could obtain free general practitioner medical services by virtue of their contributions to the scheme. The 'panel' system was operated by local insurance committees (in this case, for the County of London) who also provided pharmaceutical services for the contributors. In the complicated system of 'approved' societies, some contributors qualified for additional benefits of free or reduced cost dentistry or ophthalmic services. The Insurance Committee for the County of London had representatives from various interests such as insured persons, medical practitioners, local government and central government.

The Inner London Executive Council (ILEC) was constituted under the provisions of Section 31 of the National Health Service Act, 1946. The Act stipulated that an executive council should consist of 25 members, 8 appointed by the Local Health Authority for the area, 5 appointed by the Minister of Health, 7 appointed by the Local Medical Committee, 3 appointed by the local Dental Committtee and 2 appointed by the Local Pharmaceutical Committee.

The duties of the ILEC were to make arrangements for the provision of: personal medical services (including maternity services), proper and sufficient drugs, medicines and prescribed appliances to all persons receiving general medical services, general dental services, and supplementary ophthalmic services in the County of London.

The ILEC entered into contractual relations with medical practitioners and ophthalmic medical practitioners and opticians. Payment was made for the work carried out. There were a number of statutory committees: finance, allocation, medical services, pharmaceutical services, dental services, and joint services. Other committees were established to deal with ophthalmic services, obstetrics and general benefits (the last having most contact with medical practitoners).

The ILEC's main roles lay in acceptance and deletion of medical cards, together with the renumeration of general practitioners. Membership of ILEC was for a three year period; the Council included a Chairman and a Clerk.

The ILEC could nominate people to the Hospital Management Committee, it also acted in cooperation with Local Health Authorities over the establishment of Health Centres, and in consultation with the Local Medical Committee, the Local Dental Committee and the Local Pharmaceutical Committee. The Council met not less than once every three months, its meetings generally being open to the press and public, but closed for discussions of reports from service committees or if the Council elected to go into Committee.

The Committees acted as important bodies in the conduct of everyday business in specialist fields in a way in which the full Council could never function. The Allocation Committee dealt with lists of patients on practitioner's books. The Medical, Dental and Pharmaceutical Service Committees were disciplinary bodies for the professional services involved. The General Benefit Committee regulated the day to day problems in practice: entry into service, employment of assistants, surgery accommodation, leave of absence, variation of consultation place, use of drugs and advertising by pharmaceutical companies. The Obstetric Committee examined applications received from practitioners for recognition as having obstetric experience. Joint Committees between the professional services of between the ILEC and the Local Medical Committee could be set up to deal with matters such as vacancies or Fixed Annual payments (made to assist persons building up a practice).

The Executive Councils were abolished in 1974 and replaced by Family Practitioner Committees which were to provide administrative services for the independent contractors to the National Health Service.


Scope and content/abstract:

Records of the Insurance Committee for the County of London, 1912-1948, and the Inner London Executive Council, 1948-1974. The records consist of bound, printed minutes which include agenda, reports and appendices for both the Insurance Committee for the County of London, the Inner London Executive council and its constituent committees and joint committees. Most of the series of minutes are complete.

Access & Use

Language/scripts of material:

System of arrangement:

Minutes are arranged according to originating Committee.

Conditions governing access:

These records are available for public inspection, although records containing personal information are subject to access restrictions under the UK Data Protection Act, 1998.

Conditions governing reproduction:

Copyright to these records rests with the depositor.

Finding aids:

Please see online catalogues at:

Archival Information

Archival history:

Immediate source of acquisition:

Deposited in 1989.

Allied Materials

Related material:

There are references to the ILEC and ICCL in the London County Council minutes, available on the open shelves in the LMA Information Area.

Signed minutes and agenda of the Insurance Committee for the County of London 1912-1948 are held at The National Archives. Files of correspondence between central government, Insurance Commissioners and local committees are also held there.

Publication note:

For further information on executive councils see The National Health Service: A Guide for Practitioners, ed M Sarsby (London 1962). A copy is held at the LMA Library.

Description Notes

Archivist's note:

Rules or conventions:
Compiled in compliance with General International Standard Archival Description, ISAD(G), second edition, 2000; National Council on Archives Rules for the Construction of Personal, Place and Corporate Names, 1997.

Date(s) of descriptions:
November 2009 to February 2010

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