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53
disfavour with which the Act was received by the
medical profession caused Mr. Lloyd George to modify
his original scheme, and payment for the domiciliary
treatment of tuberculosis has been promised to the
Doctors on the Insurance Panel as a make-weight.
This change will certainly modify the financial position
of Tuberculosis Dispensaries, inasmuch as the amount
available for Sanatorium treatment will be diminished
by the sum paid to the Doctors on the Insurance Panel
for the domiciliary treatment of tuberculosis.
Early in June a circular letter from the Local
Government Board, addressed to County and Borough
Councils, drew attention to the desirability of organizing
one or more Tuberculosis Dispensaries in each Metropolitan
Borough. The letter was referred to the Public
Health Committee, and I was directed to prepare a
report on the exact liability of the Council as to the
medical treatment of tuberculosis under the Public
Health (London) Act, 1891, the National Insurance
Act, 1911, and the various Orders of the Local Government
Board then in force.
The report, dated July 9th, was as follows :—
Pulmonary Tuberculosis.
Since Tuberculosis has been made a compulsorily
notifiable disease, regulations have been issued by the Local
Government Board imposing upon Sanitary Authorities,
and their officers, certain definite duties and obligations for
the administrative control of the disease. These are:—
(1) The Borough Council must provide and supply
printed copies of the scheduled notification form, must
pay certain fees to medical men for notification