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(3) That the Medical Practitioner keep on a card or sheet, in the form
set out in the Schedule, a continuous record of the clinical history
of the illness of each patient and particulars of the treatment given,
to the patient under his direction.
(4) That the Medical Practitioner submit the said card or sheet to the-
Consulting Officer at such times as may be arranged between them.
(5) That the Medical Practitioner prepare and transmit to the Consulting
Officer at such times as may be arranged between them, not being
less often than once in three months, a report in regard to each,
patient, giving particulars as to :-
(a) the progress of the patient;
(b) whether the conditions under which the patient is living and
receiving the treatment are satisfactory ;
(c) the behaviour of the patient in carrying out instructions given
to him; and
(ri) whether in the opinion of the Medical Practitioner any form
of institutional treatment has become desirable.
(6) That the Medical Practitioner confer with the Consulting Officer at
such times and in such circumstances as may be arranged between
them in regard to patients under the care of the Medical Practitioner.
(7) That the Medical Practitioner from time to time inform the Medical
Officer of Health of the Sanitary District in which the patient resides
of any circumstances known to the Medical Practitioner which may
affect adversely the sanitary conditions under which the patient is
living, and in respect to which action by the Medical Officer of
Health or of the Sanitary Authority would, in the opinion of the
Medical Practitioner, be necessary or desirable.
On the 6th December, 1912, a further circular letter was issued by the Local
Government Board with reference to schemes for institutional treatment of
tuberculosis.
A copy of a letter from the Chancellor of the Exchequer to Mr. Henry
Hobhouse, on the subject of the representations made on behalf of the County
Council's Association in regard to the financial arrangements, was appended.
Under "Preventive Measures" it states that the "The Board wish to
emphasise the fact that it is the duty of the Medical Officer of Health of the
sanitary district, upon the receipt of a notification under the tuberculosis
regulations, either himself or through an officer acting under his instructions,
to make such enquiries and take such steps as may appear to him necessary or
desirable for preventing the spread of infection and for removing conditions
favourable to infection. These enquiries will necessarily include investigation
into sources of infection, search for contacts, and inquiry into housing
conditions."