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119
The arrangements existing for after-care in connection with
Dispensary Schemes already working in London differ very much,
some being more comprehensive than others. It appears that the
more complete measures for dealing with the after-care of Tuberculous
patients include the appointment of a Committee consisting
of representatives of the Borough Council, the Tuberculosis Officer,
the Medical Officer of Health, the Board of Guardians and local
charitable institutions in touch with the local Labour Bureau.
The function of such a Committee is to arrange for the after-care
of cases of Tuberculosis returning from residential institutions.
At this stage it is not possible to do more than state in general
terms the object of after-care and the machinery necessary to provide
it.
Finance.
The following extract from the Circular Letter of the Local
Government Board, dated 19th December, 1913, indicates how the
cost of the Dispensary is to be met:—
"The expenditure of the Borough Council on their
Dispensary Scheme, after deducting the payment made by the
Insurance Committee in respect of the treatment of insured persons,
and any other contributions, will be met as follows:—
(a) 50 per cent. from the Board ;
(b) 25 „ from the London County Council;
(c) 25 „ out of the Rates of the Borough."
"The Board may observe 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."
Huts, Shelters, &c.
I am informed the cost of providing these necessary adjuncts
in the Dispensary treatment of Tuberculosis may be included in
the general costs of maintenance, 50 per cent. of which will be
defrayed by the Local Government Board, as indicated above.