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those of the Public Health Committee of this Council. The following
sets out the views of the two parties, the draft agreement having
been drawn up by the Dispensary section:—
1. That the agreement which follows shall take place during a provisional
period of twelve months. Agree.
2. That the Borough Council shall recognise the Camberwell Dispensary for
the prevention of consumption as one of the elements in a scheme for the prevention
and treatment of tuberculosis. Agree.
3. That the Dispensary shall, at the request of the Medical Officer of Health,
treat any tuberculous patient residing in the Borough of Camberwell who is not
under treatment; and shall, when such examination is considered advisable by the
Medical Officer of Health, arrange for the medical examination of the "contacts"
of such tuberculous patients upon the following lines: —
The Dispensary Medical Officer shall have a "march, past" of the
household of the patient, and where the Medical Officer of Health considers
necessary, the patient shall be visited by the Dispensary nurse at intervals
of three months for a period of one year from the first notification, or
longer if required. A record shall be kept of the result of the examination
made at the "march past," and the general sanitary conditions of the
patient and the dwelling house at each visit of the nurse shall be recorded,
together with particulars of any suspicious illness in any member of the
household. Agree.
4. That the chief Medical Officer of the Dispensary shall assist under the
administrative direction of the Medical Officer of Health in the carrying out of a
scheme for the prevention and treatment of tuberculosis in the Borough. Agree.
5. That in everything pertaining to the diagnosis and treatment of patients,
the chief Medical Officer of the Dispensary shall be independent of control by the
Medical Officer of Health or any other medical man. Agree.
6. That the freest interchange shall take place between the Medical Officer of
Health and the chief Medical Officer of the Dispensary of information regarding
cases of tuberculosis which have been discovered. Agree.
7. That the Dispensary shall be managed by a Committee conforming to the
rules of the Central Fund, and shall include two representatives of the Borough
Council, of which the Medical Officer of Health shall be one.
Agree as Amended.
8. That the Borough Council shall grant the sum of £300 to the Dispensary,
to be credited against the institutional expenditure incurred during the said provisional
period of twelve months. Agree.
9. That nothing in this agreement shall affect the right of the Dispensary to
carry out, in addition to the duties hereinbefore set out, all other duties incidental
to the scheme of procedure for the conduct of dispensaries approved by the Central
Fund; and, in particular, the right to accept as a patient any person who is either
insured or unable to afford to pay for the treatment required; the right (if any) to give
domiciliary treatment to any patient, and the right of the Dispensary doctor and
nurse to visit the house of any patient. Agree.
10. The Dispensary shall, subject to the consent of the Borough Council, be
permitted to delegate any duties contained in this agreement to any other institution
qualified to discharge them; such consent not to be unreasonably withheld.
Agree.
This was duly submitted to the Public Health Committee, but
it was unfortunately adjourned till a meeting had been arranged
between the representatives of King's College Hospital who in
January, 1913, had written to enquire in what way they could aid
the Borough both as to internal accommodation and the dispensary
treatment of tuberculosis under the National Insurance Act. This
meeting was duly held, and the question of reinmbursing any
additional expense to the Hospital by the Borough Council was
discussed.