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Family practitioner committees were established by the National Health Service Re-organisation Act 1973. They replaced local executive councils which had been established in 1948 to manage primary care. Executive councils were direct descendants of the
insurance committee Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to hedge ...
s established by section 59 of the National Insurance Act 1911 but with additional responsibility for
NHS dentistry Dentistry provided by the National Health Service in the United Kingdom is supposed to ensure that dental treatment is available to the whole population. Most dentistry is provided by private practitioners, most of whom also provide, on a commerci ...
and
NHS optician The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
services. Their role was essentially neutral and routine. They played little part in developing the services they administered. There were 138 executive councils in England and Wales and 25 in Scotland. The role of the council was to maintain GPs’ lists of patients and to receive practitioners’ claims for payment. It was headed by an administrator with managerial control only over the staff, not the practitioners. Each family practitioner committee had thirty members, eleven of which were appointed by the area health authority with which it was coterminous. Eight were appointed by the
local medical committee A local medical committee is a statutory body in the UK. LMCs are recognised by successive NHS Acts as the professional organisation representing individual GPs and GP practices as a whole to the primary care organisation. The NHS Act 1999 extended ...
, three by the
local dental committee Local may refer to: Geography and transportation * Local (train), a train serving local traffic demand * Local, Missouri, a community in the United States * Local government, a form of public administration, usually the lowest tier of administrat ...
, two by the
local pharmaceutical committee Pharmacy in the United Kingdom has been an integral part of the National Health Service since it was established in 1948. Unlike the rest of the NHS, pharmacies are largely privately provided apart from those in hospitals, and even these are now ...
, two by the
local optical committee Local Optical Committees are statutory bodies established within the British National Health Service to represent the interests of community optometrists and opticians. There are 78 Local Optical Committees in England. They are supported by the ...
and four by the local authority. One of the tasks of the committee was to maintain lists of registered patients and registered practitioners. The National Health Service and Community Care Act 1990 abolished the committees and they were replaced by family health services authorities. Nearly half of all family practitioner committee administrators were sacked, and the new appointees came from outside the NHS, nearly all from industry or the armed forces. The functions of the FHSAs were later subsumed into
primary care trust Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May ...
s. The Family Health Services Appeal Authority was established to hear appeals and applications resulting from decisions made about the inclusion of patients and practitioners in lists. It was abolished in 2005.


References

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External links


National Health Service Re-organisation Act 1973
Defunct National Health Service organisations National Health Service (England)