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51
The course suggested would also avoid the heavy capital outlay
necessary in the establishment by the Council of its own Dispensary
(£2,000).
It would be necessary for arrangements to be made with the London
Insurance Committee for treatment of insured persons, on terms to be
agreed. A contribution of £400 per annum was suggested as a reasonable
sum. The amount would be a matter of arrangement, but the
Committee understood that the Insurance Committee offered £200 per
annum to the Dispensary, but that, in view of the conditions laid down
and consequent inadequacy of this amount, treatment of insured cases,
as such, was discontinued at the Dispensary on the 30th June last.
Assuming a minimum contribution of £1,200 per annum by the
Council to the Dispensary, and a payment of £400 by the London Insurance
Committee for insured cases, the actual net charge on local rates
would be £200 per annum, thus:—
Alternative
Figures.
Council's contribution to Dispensary £1,200 £1,600
Less—London Insurance Committee's contribution
for insured persons, to be
agreed (say) 400 200
800 1,400
Less—Government Grant 50 per cent. 400 700
400 700
Less—London County Council contribution,
50 per cent. of balance 200 350
Council's net contribution £200 £350
All the suggestions of the Local Government Board are already in
full operation at the Bow Road Dispensary, with the exception of reference
of special cases for consultative purposes to an appointed hospital, this
having hitherto been considered unnecessary in view of the fact that
the doctor in charge of the Dispensary is himself an expert in consumptive
cases.
Any agreement would require to be submitted to the London County
Council and to receive the sanction of the Local Government Board before
completion.
The Public Health and Housing Committee recommended the
Council—That agreement with the Committee of the Bow Road Dispensary
for treatment of insured and non-insured cases of Tuberculosis
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