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48
The Borough Council is to arrange with the London Insurance
Committee as to the contributions to be paid by the latter in respect of
insured persons, and this should take the form of a lump sum rather than
for fees per case.
On November 4th the London County Council resolved that under
certain conditions they are prepared to contribute up to 50 per cent. of
the net cost of the dispensary treatment of uninsured persons in the City
of London and on the Metropolitan Boroughs after deducting the amount
of the Government Grant. The scheme of the Borough Council should
be forwarded to the London County Council when it is submitted to the
Local Government Board, as well as the scheme for linking up the dispensary
with the general hospital or hospital for consumption.
The Board should be informed as soon as possible of the arrangements
proposed for completing the scheme.
The expenditure of the Borough Council on their dispensary scheme
after deducting the payment made by the London Insurance Committee
in respect of the treatment of insured persons, and any other contributions,
will be met as follows:—
(а) 50 per cent. from the Local Government Board.
(b) 25 per cent. from the London County Council.
(c) 25 per cent. out of the rates of the Borough.
When preparing the scheme the Borough Council should communicate
with the London Insurance Committee with a view to arrangements being
made between the two bodies as to the terms on which the services of
the scheme will be available for insured persons residing in the Borough;
the Insurance Committee will inform the Insurance Commissioners of the
arrangements proposed, and the Council should send similar information
to the Local Government Board: the arrangements should not be finally
completed until the Local Government Board have expressed their
concurrence.
The approval of the dispensaries is to be given by the Local Government
Board under the National Insurance Act, under certain conditions
which are set out in the letter.
With respect to the provision of residential institutions both for
insured and uninsured persons, the London County Council is prepared
to arrange for this, and in the case of insured persons the cost will be borne
by the Insurance Committee.