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117
tions made by the Departmental Committee on Tuberculosis
in regard to the distribution of the capital grant. In the latter
circular the Board stated the intention to be that the amount
of the annual maintenance grant should be one-half of the
total net cost incurred within reasonable limits by or on
behalf of the County Council in the treatment in dispensaries,
sanatoria and hospitals, which form parts of a scheme approved
by the Board for the general treatment of tuberculosis in the
area, of all persons, whether insured persons, dependents of
insured persons, or persons who are neither themselves insured
persons nor their dependents, after deducting the
amounts received from Insurance Committees out of the
monies available under the National Insurance Act for sanatorium
benefit and any sums received in respect of the treatment
of non-insured persons or otherwise."
"If the County Council are willing to make themselves
responsible for the provision of in-patient accommodation, the
grant in aid of the expenditure on this service would be paid
direct to them.
"The question of the financial arrangements to be made
in regard to dispensaries was discussed when the representatives
of the County Council attended at this office.
"The Board will be glad to receive the observations of the
County Council on this question, and particularly on the
point whether the arrangements for dispensary treatment
under the Insurance Act should be by the County Councillor
by Borough Councils with the Insurance Committees, and
whether the expenditure should be locally or centrally defrayed,
and the grant for maintenance of the dispensaries be allotted
to the Borough Councils individually or to the County Council.
In any case, it seems to be important that the dispensary
work should be brought into proper relation with the general
scheme for the Metropolis.