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The Consulting Physician (a specialist in tuberculosis of years'
experience), as at present arranged, will attend at the dispensary to
examine patients suffering from tuberculosis who may present themselves,
and any suspects, contacts, or susceptible persons who may be sent to
him. If necessary the consultations can be extended or increased.
The Resident Medical (Officer will be a whole time officer. Theexisting
Resident Medical Officer in addition to his University qualifications
is acquainted with the methods of Dr. Philip's Dispensary at
Edinburgh, had charge of the consumptive patients when resident at the
Nottingham General Hospital, has taken the Special Tuberculin course at
the Brompton Hospital, and also the Special Post Graduate course in
Tuberculosis at the same Hospital, for the last nine months he has seen
all the consumptive cases sent to the St. Pancras Dispensary, and is now
assisting the physician in the preparation and use of tuberculin.
The Tuberculosis Dispensary will be a centre and clearing house for
the diagnosis and treatment of all cases of tuberculosis. The records of
domicilary treatment by general practitioners will be kept there in
accordance with the Order of the Board, and provision will be made for
the treatment at the Dispensary of cases which can be properly treated
there.
With regard to co-ordinating the management and work of the
Tuberculosis Dispensary (1) The Tuberculosis Dispensary will continue
to pursue the practice followed during the last four years of medically
examining all suspects, contacts, and susceptible persons sent to the
Institution by medical practitioners or by the Medical Officer of Health,
and to report upon such persons as to whether they are suffering from
tuberculosis or from any other of the various causes of similar early
symptoms. The records of the Institution will be at all times open to the
inspection of the Medical Officer of Health, and such written information
as he may require he will be furnished with. It is now proposed with
the approval of the Board to constitute the Committee of Management
in the following number and proportions, namely, the Committee to
consist of 18 members, one-third representative of the original St. Pancras
Dispensary, one-third representative of the Borough Council, one-sixth
representative of the local medical practitioners, and one sixth representative
of local cognate institutions, that is, the Ranyard Nurses,
St Pancras Public Welfare Association, St. Pancras School for Mothers,
and in addition the Medical Officer of Health and Woman Inspector
ex-officio.
With regard to the finance of the Institution, the original St. Pancras
Dispensary is prepared to enter into an agreement with the Borough
Council that the Tuberculosis Department should be handed over to the
Borough Council and maintained by them to the satisfaction of the Board
in the event of the Committee of Management failing to maintain the
Tuberculosis Department to the satisfaction of the Board, provided that
the Local Government Board and the liorough Council re-imburse the
original St. Pancras Dispensary for the proportion of capital expenditure
disbursed by the original St. Pancras Dispensary for the establishment
and equipment of the Tuberculosis Department. The Capital Expenditure-