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general scheme also included a complete scheme for
dispensary treatment in London.
15. Several Metropolitan Borough Councils have
so varied their tuberculosis dispensary schemes as to
comply with the views of the London County Council and
become entitled to grants from the County Council in
addition to those received from the Local Government
Board. It should, however, be borne in mind that grants
made by the London County Council are taken from the
County Fund, to which the metropolitan borough councils
contribute out of the general rates of their borough.
16. Some time ago the Insurance Committee for
the County of London agreed with certain local authorities
for the provision of treatment for persons insured
under the Act. Apparently, however, the financial arrangements
have not worked smoothly, as, according to
the statistical return which was obtained on behalf of the
Council in April last and circulated amongst members,
it appeared that some local authorities have not succeeded
in obtaining payments from the Insurance Committee
on a defined basis.
17. These financial difficulties have been the subject
of consideration by the Metropolitan Boroughs Standing
Joint Committee, and in or about July, 1915, representations
were made by that Committee to responsible
authorities.
18. On the 10th August, 1915, the Local Government
Board issued a letter to the Metropolitan Borough
Councils dealing with the financial difficulties which had
occurred with regard to payments by the London Insurance
Committee in respect of services rendered by the
dispensaries for insured persons, and the Board then