View report page

97
(iii) The physician in charge of the dispensary (or "tuberculosis
officer") must be a man of experience, not only in dealing with
tuberculosis affections, but also in general medicine.
(iv) Proper records and statistics in connection with the work
of the dispensary shall be provided of the nature and in the form
required by the Council and approved by the Local Government
Board.
(v) The physician in charge of the dispensary shall supply to
the medical officer of health of the borough from which the
patients are drawn such information as the medical officer of
health may reasonably require, and the county medical officer
of health shall be entitled to receive this information from the
borough medical officer of health. The physician in charge of
the dispensary shall also furnish the requisite information to
any medical practitioner carrying out domiciliary treatment, or in
a case which is referred to a sanatorium to the' medical officer
of that institution.
(vi) The scheme shall include provision for home visitation
of patients, either by the dispensary physician or by the medical
officer of health of the borough and his staff, and for the examination
by the dispensary physician of such cases as the medical
officer of health or a medical practitioner may require, either
at the dispensary or in the homes of suspects and contacts.
(vii) The scheme shall be conducted with reasonable economy
and the arrangements and expenditure shall be annually submitted
to the Council for its approval.
(viii) The scheme shall provide for distinguishing clearly
between the cost of treating insured and uninsured persons,
having regard to the opinion expressed by the Council that
insured persons should not be paid for out of the rates.
(b) That it be suggested to local sanitary authorities that they
should make arrangements to pay for patients residing in the
districts under their respective jurisdiction, attending dispensaries
attached to hospitals in any part of the Administrative County of
London.
(c) That, in the opinion of the Council, it is essential that, in
connection with the treatment of tuberculosis in London:—
(i.) All possible use should be made of existing institutions;
and
(ii.) Approval should not be given to any scheme which fails
to provide for each dispensary being linked up with a hospital
to which special cases shall be referred for consultation or treatment,
residential or otherwise.
The Local Government Board and Dispensary Schemes.
(December 18th, 1913.)
In view of the recent decisions of the London County Council in
regard to provision for the treatment of tuberculosis, the Local Government
Board have issued to metropolitan Borough Councils a circular