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I recommend, therefore, that the following changes in the
administration of the Tuberculosis work in the Borough be made:
(1). That the Dispensary be taken over by the Borough
Council, and be run as a part of the Public Health
Service.
(2). That the Medical Officer of Health be the Chief
Tuberculosis Officer.
(3). That Dr. Darroch be Assistant Tuberculosis Officer
at the Dispensary, and have the status of an Assistant
Medical Officer of Health.
(4). That Dr. Connan be Second Assistant Tuberculosis
Officer.
(5). That the two nurses and the dispenser be retained,
and that the present Secretary, Miss Dutch, be
given the status of an Assistant Clerk in the Public
Health Department.
(6). That an extra Centre be provided somewhere in
Rotherhithe, where attendance would be made two
or three times a week.
(7). That an X-ray apparatus be provided.
If the Dispensary be taken over, the question of affiliation
with Guy's Hospital for special diagnotic purposes can, no doubt,
be easily arranged.
The dental treatment would be provided by the Borough
Council's whole-time dentist, who could devote one or two days
a week to the Dispensary.
The Dispensary will thus become part of the Public Health
work of the Borough, and I think, under the circumstances,
special committees, such as the Interim Tuberculosis Care Committee
and the Dispensary Committee, will not be necessary,
since everything could be referred to the Public Health Committee.
The " following up " and supervision of eases, instead
of being relegated to a special committee as now, will be a part
of the routine work of the Public Health Department.
There are many details in the administration of Tuberculosis
work in Bermondsey which I might have discussed in this report,