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42
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 or any other
contribution, being made as follows:—
(а) 50 per cent. from the Board (now the Ministry of Health).
(b) 25 „ „ the London County Council.
(c) 25 „ out of the rates of the Borough.
The functions of the Insurance Committee as regards the provision
of treatment for insured persons are shortly to be transferred
to the London County Council both in respect to the dispensaries
and the provision of sanatorium treatment, so that the London
County Council will be entirely responsible for the provision of
sanatorium treatment and partly responsible for the provision of
dispensary treatment, although the direct responsibility for providing
the dispensaries is laid upon the Borough Council. The
Council has entered, as previously reported, into contracts for the
provision of treatment for tuberculosis with the Metropolitan and
City of London Hospitals; the Boroughs of Bethnal Green and
Stoke Newington also contracting with these institutions for the
part use of the dispensary services.
It is evident that the difficulty of dealing with a problem so
complicated as the best means of preventing and treating tuberculosis,
admittedly one of the most difficult of the problems with
which the Public Health service is called upon to deal at the present
time, is not lessened by the fact that in order to make any improvement
in the arrangements for the treatment of tuberculous patients
living in one section of the Borough, the following authorities have
to arrive at an agreement:—
Hackney Borough Council,
Stoke Newington Borough Council,
Ministry of Health,
London County Council,
Metropolitan Hospital Management Committee.