View report page

24
Dispensary, the Brompton Hospital, and with Officers of the Local Government Board and the
London County Council, on the question of ways and means for the establishment of a comprehensive
scheme for dealing with insured and non-insured consumptives. In regard to finance
it has been suggested that the Borough Council might be willing to pay one half of the cost of
the treatment of the uninsured provided the other half were paid by the Treasury, and provided
the whole of the cost of the treatment of the insured were met out of the insurance funds. As
regards tne administrative control of such scheme, it has been suggested that this should be placed
in the hands of the Borough Council and their officers. Since the negotiations with the various
bodies concerned are still in progress, further space need not be devoted to the description of
proposals which are certain to be modified before they are included in the scheme which is finally
approved.
Notification of Consumption.—During the year 1,945 notification certificates relating to
persons suffering from consumption were received and dealt with in the Public Health Department.
The sources from which these official certificates were forwarded were as follows, viz., from officers
of Boards of Guardians, under the Tuberculosis Regulations, 1908, 402 certificates; from the
Medical Officers of hospitals, under the Tuberculosis Regulations, 1911, 1,218 certificates; and from
private medical practitioners under the Tuberculosis Regulations, 1911, 265 certificates.

Of the 80 certificates on Form B from District Medical Officers 63 related to persons under
treatment in their homes who were subsequently removed to the Infirmary and re-notified on Form
A. Only 17 cases remain in which consumptive persons sought medical advice from the District
Medical Officers before the disease was so far advanced as to demand admission to the Infirmary.
The admissions for consumption to the Kensington Infirmary numbered 210, and were duly notified
on Form A ; the discharges notified on Form C numbered 93, and to this figure may be added the
73 deaths from consumption which occurred in the Kensington Infirmary during the year. If this
be done the following figures, based on the notification and death certificates received, will represent
the record of the wards reserved for consumption in the infirmary during the year 1912.
Kensington Infirmary.
Discharges 93
Deaths 73
Admissions 210
Discharges and Deaths 166
Balance 44
The balance 44 which represents the difference between the number of admissions and the
number of discharges or deaths during the year is to be accounted for in one or more of the
following ways:—
(i) By an increase in the number of consumptives remaining in the infirmary at the end of
the year 1912, as compared with the number under treatment at the end of 1911.
(ii) By the discharge of patients to addresses beyond the Borough.
(iii) By failure to notify the discharge of consumptive patients to addresses in Kensington.