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Council towards the expenses of the dispensary should be made in
respect of the whole population of the borough, and that the payments
of the Insurance Committee for the dispensary treatment of insured
persons should be made to the Borough Council. Similarly, the
payments made by the Borough Council to the hospital with which the
dispensary is affiliated should be regarded as covering the whole
population of the borough. The general principles to be kept in view
are:
(a) That the Borough Council are to be regarded as the
providing authority for dispensaries, although the dispensary
which will serve the borough may be provided at a hospital or by
a voluntary organisation ; and
(b) That the dispensary is to serve the needs of the whole
community, including insured persons.
The Borough Council will arrange with the Insurance Committee
as to the contributions to be paid by the latter in respect of insured
persons, and the Board think it would be preferable that these contributions
should take the form of lump sum payments, rather than
that fees per case should be paid. The Borough Council's contributions
to hospitals and voluntary dispensaries should also be in the form
of lump sum payments.
It is urged that the various agencies should be properly co-ordinated
through the County Council, so as to form parts of a complete scheme
of institutional treatment. The expenditure of the Borough Council on
their dispensary scheme, after deducting the payment made by the
Insurance Committee in respect of insured persons, will be met as
follows •
(a) 50 per cent. from the Board.
(b) 25 per cent. from the London County Council.
(c) 25 per cent. from the borough rates.
It is added that the promise of the grant of 50 per cent. of the net
cost of schemes is subject to the expenditure being kept within
reasonable limits, and to compliance with rules and conditions laid
down by the Board.
In conclusion, the Board urge on the councils the importance of
completing their dispensary arrangements as early as practicable, and
of co-operating in every way with the London County Council in
formulating and carrying out their schemes.