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41
to be made for providing institutions for the treatment of tuberculosis
in London.
The Board retain the views which they expressed in their
letter of the 11th December last, to which Mr. Bird's letter refers.
They consider that the London County Council should be the
Tuberculosis Authority for the Metropolis, and that through the
County Council all the various agencies should be properly coordinated
so as to form parts of a complete scheme of institutional
treatment for this disease.
The Departmental Committee on Tuberculosis pointed out
that a complete scheme would comprise dispensaries and residential
institutions, and they suggested that it should be considered
whether in London the dispensaries should not be provided by
the Metropolitan Borough Councils.
It is essential that the dispensary arrangements should be
closely related to the preventive work which it is the duty of the
Sanitary Authority to carry out, and there are many advantages
in regarding the Metropolitan Borough as the unit area for
dispensaries.
In their letter of the 11th December last the Board informed
the County Council that they had acted on the view suggested by
the Departmental Committee, and that they had invited the
Metropolitan Borough Councils to provide or arrange for the
provision of these institutions.
The Board agree with the view contained in the resolution
of the County Council that all possible use should be made of
existing institutions, and in their communications with the
Metropolitan Borough Councils they have throughout pressed
this view. In regard to this point the Board may observe that,
in their opinion, any hospitals or other voluntary institutions
which are to be recognised as forming part of the Tuberculosis
scheme for London should be willing to work in close co-operation
with the local authority.
Although the Board have invited the Metropolitan Borough
Councils to provide or arrange for the provision of Dispensaries
to serve the various boroughs, they would welcome any suggestions
which the London County Council might be able to make for
securing greater efficiency in this branch of the work. The Board
agree with the County Council in thinking that as far as practicable