ABSTRACT

In 1912 an official committee, called the Highlands and Islands Medical Service Committee, reported to the government on the conditions found by them in these areas, and concluded that in view of their social, economic, and geographical difficulties, exceptional treatment was demanded. Medical attendance in the Highland district of Perth comes in part under the Highlands and Islands scheme and is concerned chiefly with providing aid for the wives and dependents of men insured under the national insurance Act. The scheme of special services for special areas in Scotland was called for in view of their exceptional conditions, economic, geographical, and medical. The Highlands and Islands scheme is the only instance in which governmental assistance has been given, which “aims explicitly at the improvement of medical practice and services as a whole”. The Insurance Act with its capitation fees and the Highland scheme with its subsidies have widely extended the possibilities of medical care.