Note 859 — Chapter VII

It may be objected that, in thus directing attention to the fact that it is always an individual who is attacked, not, at first, the family as a whole, we are ignoring the fact that there are, at any rate, the families to be dealt with which are now, as whole families, in a state of destitution; and that, moreover, it must be anticipated, even with uniformly good administration of the preventive services, there will be not a few families who, as "missed cases," will have slipped into family destitution, without having had their descent arrested by the preventive action above described. We suggest that each member of even such a family requires, for restoration, specialised treatment according to his or her need. The infant, the child of school age, the mentally defective, the sick, the infirm or incapacitated, the boy or girl above school age and finally the able-bodied and able-minded adult, each requires that something different should be done for him or her, if that individual is to be properly dealt with. The alternative, namely, to treat the family as a whole, means to place it in the General Mixed Workhouse, or merely to give it a dole of Outdoor Relief. This, indeed, is to-day the dominant practice; and as such, has been condemned by Majority and Minority alike. It must, we think, be admitted that the several members of the family, with their very different needs, cannot be wisely treated without calling in the Public Authorities specialising on those heads, such as the Education, Health, Lunacy, Pension, and Unemployment Authorities. This does not mean that the needs of the other members of the family will escape consideration. Assuming that the cause of the destitution in which the family is plunged is the sickness of the breadwinner, and that the other members of the family are all normal, the Health Authority will, if it thinks domiciliary treatment desirable, not only give the necessary medical attendance, and look after the whole family environment by its Health Visitor, but, if there is no income, will grant (subject to the statutory rules and the Council's own Bye-laws) the home aliment that is requisite for the family maintenance. Would any one suggest that the Health Committee, with its Medical Officer and its Health Visitor should be excluded from this case, or that it should be precluded from treating the case at home when the doctor reports that it can properly be so treated? If there is a mentally defective person in such a family, ought the Lunacy Authority to be kept out? If there are children of school age in it, is it wise to prevent the intervention of the Education Authority and its School Attendance Officer? It is the business of the officers of the County or Town Council—in particular the Registrar of Public Assistance whom the Minority Report proposes—to see (a) that these Authorities do not overlap, (b) that they are all consulted as regards such members of the family as come within their respective spheres of treatment. We see no need for any general Poor Law or "Public Assistance Committee" at all; unless, indeed, merely for registration and co-ordination.