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(ii) The scheme must include provision, either in the
dispensary, or at a hospital working in connection with
the dispensary, for the diagnosis not only of ordinary
straightforward cases, but also for incipient, anomalous
and difficult cases, specially referred on the ground of
difficulty of diagnosis.
(iii) The physician in charge of the dispensary (or
"tuberculosis officer") must be a man of experience, not
only in dealing with tuberculosis affections, but also in
general medicine.
(iv) Proper records and statistics in connection with
the work of the dispensary shall be provided of the nature
and in the form required by the Council and approved
by the Local Government Board.
(v) The physician in charge of the dispensary shall
supply to the medical officer of health of the borough
from which the patients are drawn such information as
the medical officer of health may reasonably require, and
the county medical officer of health shall be entitled to
receive this information from the borough medical officer
of health. The physician in charge of the dispensary
shall also furnish the requisite information to any medical
practitioner carrying out domiciliary treatment, or in
a case which is referred to a sanatorium, to the medical
officer of that institution.
(vi) The scheme shall include provision for home
visitation of patients, either by the dispensary physician
or by the medical officer of health of the borough and his
staff, and for the examination of the dispensary physician
of such cases as the medical officer of health or a medical
practitioner may require, either at the dispensary or in
the home of suspects and contacts.
(vii) The scheme shall be conducted with reasonable
economy, and the arrangements and expenditure shall be
annually submitted to the Council for its approval.
(viii) The scheme shall provide for distinguishing
clearly between the cost of treating insured and uninsured
persons, having regard to the opinion expressed by the
Council that insured persons should not be paid for out
of the rates.