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setting out in detail their views as to the lines on which the arrangements
for providing dispensaries by these bodies should be further
developed.
In the opinion of the Board, the following general principles should
be observed:
1. One or more dispensaries should be available for each borough
or combination of boroughs, to which any person residing in the area
who is suffering from, or suspected to be suffering from, tuberculosis,
may have access for diagnosis and treatment. These dispensaries
may actually be provided either at general hospitals or hospitals for
consumption, or at voluntary dispensaries, or by the Borough Councils
themselves.
2. Where there is a general hospital, or a hospital for consumption,
situated in the borough or sufficiently near, and the authorities of the
hospital are willing to provide a dispensary which will comply with
any rules which may be made, and to work in co-operation with the
Borough Council and the London County Council, the Board are of
opinion that arrangements should be made for such a dispensary to
serve the whole or part of the borough.
3. Where a voluntary dispensary is already in existence which is
found to be efficient and to suffice for the needs of the area it should
be included, under similar conditions, in the Borough Conncil's scheme.
It is suggested that an agreement should be entered into with the
hospital or dispensary, indicating the nature and extent of the services
which they will provide, and specifying the amount of the payment
which the Borough Council will make to them.
4. In cases in which the needs of a borough or a combination of
boroughs cannot be adequately met by the utilisation of hospitals or
voluntary dispensaries the Borough Council or Councils should
establish, alone or in combination, a dispensary to serve the areas
which would not otherwise be provided for.
5. Every dispensary, other than those established at hospitals,
should be affiliated to a general hospital or a hospital for consumption,
to which specially difficult cases would be referred for diagnosis or
treatment.
6. Beds should be available to which cases needing observation
for the purpose of diagnosis, or for determining the form of treatment
best adapted to the patient's needs, may be sent. The Board consider
that such beds should not be provided at the dispensary itself, but by
the County Council.