London's Pulse: Medical Officer of Health reports 1848-1972

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Islington 1912

[Report of the Medical Officer of Health for Islington, Metropolitan Borough of]

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234
1912]
NATIONAL INSURANCE ACT, 1911.
County Hall,
Spring Gardens, S.W.
21 st September, 1912.
Dear Sir,
I send herewith copies of the medical report forms regarding the application of Mr. A. J. B.
for sanatorium benefit under the National Insurance Act, 1911.
You will observe that the Council's expert medical adviser, Dr. J. E. S., recommends that
the case should be dealt with by dispensary or domiciliary treatment. In certain similar cases the
borough medical officer has been good enough to make arrangements for the treatment of the cases
by a local practitioner, the usual fee being 2s. 6d. per visit at the patient's house or at the
practitioner's consulting room, and 2s. 6d. in addition for each injection of tuberculin, the cost of
the tuberculin to be defrayed by the Insurance Committee.
I shall be glad if you will be good enough to inform me whether you would be prepared to
make similar arrangements in the case now in question. The fees have to be approved by the
Insurance Committee, and communicated to the Insurance Commissioners, and I shall, therefore,
be glad, in the event of your being willing to deal with the case in the manner suggested, if you will
be good enough to furnish me with particulars of the terms provisionally agreed, before definitely
arranging for the treatment of the patient.
Yours faithfully,
LAWRENCE GOMME,
Acting Clerk to the Committee.
To this letter was attached the report of the medical practitioner in
attendance on the patient, and that of Dr. S., the Council's medical expert
adviser.
The first step was to communicate with the medical adviser of the
patient in the following terms:—
NATIONAL INSURANCE ACT. 1911.
Town Hall, Islington.
26th September, 1912,
Dear Sir,
A. J. B., 32, Bemerton Street, N.
Your report on this man regarding his sanatorium benefit under the National Insurance
Act, 1911, has been forwarded to me. The Council's expert medical adviser, Dr. S., recommends
that the case should be dealt with by domiciliary treatment.
I therefore write to you to ask if you will undertake the treatment at the fee of 2s. 6d. per
visit at the patient's house or at your own consulting room, and 2s. 6d. in addition for each injection
of tuberculin, the cost of the tuberculin being defrayed by the Insurance Committee.