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xvi.
Annual Report of the London County Council, 1912.
payment will be made by the Council for equipment (excluding structural alterations) on condition that it shall be purchased
through the Council's stores, shall be maintained in satisfactory condition by the committee of medical
practitioners and shall remain the property of the Council. This payment shall not exceed £100 in respect of the treatment
of eye, ear, nose and throat cases and a further sum of £75 where X-rays apparatus is provided.
(vii.) The Council shall, for the purpose of assisting the doctors in the treatment of refraction cases and ear,
nose and throat cases requiring operation, and ringworm cases, provide a nurse employed in the public health department
of the Council to attend the centre while treatment is being given. In connection with the treatment of these
cases the Council will also provide an officer who will attend the centre to regulate the attendance of children and to
supply information to enable the Council to ensure that every child attends the centre until discharged, and that any
home treatment or spectacles ordered by the doctor are satisfactorily provided.
(viii.) For the nursing treatment of minor ailments the Council shall make arrangements for the daily attendance
at the centre of a nurse from a local nursing association or elsewhere to carry out the instructions of the doctor,
and shall pay the local nursing or other association a sum of £100 for the equivalent of the services of a full-time nurse
and her equipment, drugs, lotions, etc., necessary for the treatment in the homes and travelling expenses.
(ix.) The Council's representatives shall from time to time visit the premises while treatment is being given.
Any lay officer who may be required to visit the centre shall not in any way interfere in respect of the treatment
prescribed or given.
(x.) The vouchor for the capitation payment shall be a card issued by the Council directing the child named
thereon to attend the medical treatment centre on a specified date, which shall be handed to the medical centre
authorities by the person presenting the child.
(xi.) Each patient shall be taken to the medical treatment centre by the parent or guardian or other responsible
person, and the prescription, in each case, shall be given to the child or its parent. Medicines or drugs required for
the immediate treatment of the defects (other than minor ailments, which are provided for in clause (vi.) ) for which
children are referred to the treatment centre will be supplied by the committee free of charge. In cases in which
spectacles are prescribed and children are referred to a particular optician the prescription card shall contain a statement
of the prices charged for the spectacles.
(xii.) The committee shall, if required by the Council, certify as to whether a child patient is fit to attend
school during the treatment.
(xiii.) Agreements shall be for one year and shall be subject to annual revision and to termination at the end of
each year by four months' notice on either side.
The following are the conditions and terms of the agreements between the Council and the
committees of voluntary institutions other than hospitals for the establishment of dental treatment
centres in the administrative county of London—
(i.) The committee of the centre shall provide a dental treatment centre in a central position in premises to be
approved by the Council, for the maintenance of which the committee of the centre shall be responsible. Administrative
control of the arrangements for supplying the centre with patients, " following up " and generally the supervision
of the dental work of the centre under the agreement with the Council shall be vested in the Council.
(ii.) No cases shall be received for treatment at the centre except such as are found on inquiry to be, from their
circumstances, suitable for treatment at the centre. The committee of the centre reserve to themselves the right to
refuse treatment in any particular case.
(iii.)Treatment shall be provided for children of six, seven and eight years of age, and, in urgent cases, for children
of other ages. The consent of the parents or guardians shall be obtained in each case before treatment is given.
(iv.) The hours of attendance should be made to suit the convenience of the committee of the centre and the
children.
(v.) Any dentist or ansethetist appointed for this work shall be fully qualified (the dentist being registered
on qualifications approved by the British Dental Association), and shall be selected by the Council from nominations
received from the committee of the centre. The dentist and anaesthetist shall devote the whole of the time for which
their services are paid for by the Council to the work of dealing with children referred to the centre by the Council.
(vi.) Each dentist shall be required to deal with an average of 10 new cases each half-day of 2J hours, viz., 440
cases a year, in addition to such old cases as he may have instructed to attend for further treatment, except on
half-days allotted to the treatment of cases requiring an ansethetist when no new cases shall be referred to the centre.
[An anaesthetist shall attend at each centre on one half-day a fortnight.]
(vii.) Payment shall be made by the Council either (a) at the rate of £50 a year for each dentist and ansethetist
working on one half-day a week, or (6) at the rate of £400 a year for a whole-time dentist working on 10 half days
a week, or £200 a year for a half-time dentist working five half-days a week, whichever is the more favourable to the
Council, and at the rate of £50 a year for each anaesthetist working one half-day a week. These payments and a
capitation fee of 2s. upon each child referred by the Council to the centre for dental treatment shall be accepted by the
committee of the centre in full discharge of any expenses incurred by them in providing the treatment. The Council
shall guarantee the capitation payment upon two-thirds of the cases agreed to be treated at the centre, whether or
not that number actually attend the centre. This part of the capitation payment shall be paid quarterly in advance at
about the middle of each quarter.
(viii.) A sum not exceeding £50 shall be allowed in the first year of the scheme only for the provision of the
necessary equipment on the understanding that any equipment so provided shall be purchased through the Council's
stores, and shall remain the property of the Council, and shall be maintained by the committee of the centre in a fair
condition. This payment shall not cover the cost of the materials for the treatment or the carrying out of any structural
alterations to the premises which may be necessary.
(ix.) The voucher for the capitation payment shall be a card issued by the Council directing the child named
thereon to attend the centre on a specified date, which card shall be handed to the authorities of the centre by the
person presenting the child for treatment.
(x.) The committee of the centre shall, if required by the Council, certify as to whether a child patient is unfit
to attend school during the treatment.
(xi.) Nothing in this agreement shall prevent the inspection of the work of the dentist by an officer appointed
by the Council, or the visit of a representative of the Council to the surgery while treatment is being given. The
Counoil shall provide a nurse employed in the public health department on each half-day that the children attend for
treatment. The committee of the centre shall allow an officer of the Council to attend the centre for the purpose of
regulating the attendance of the children, and of supplying the Council with such particulars as will enable it to
ensure that every child referred to the centre shall continue in attendance until discharged.
(xii.) The Council will at its own expense arrange for a duly qualified nurse employed in the publio health department
of the Counoil to be in attendance at the oentre on eaoh half-day that the children are being received by the
Association for treatment.
(xiii.) Agreements shall be for one year dating from 1st August, and shall be subject to annual renewal and to
termination at the end of each year by four months' notioe on either side.