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Estimated requirements for Uninsured population.—The conditions for the provision of beds for
uninsured persons are hardly comparable with those which obtain in the case of the insured, for the
following, among other reasons :—
(1) Considerable provision for the uninsured portion of the population is made, apart from
Council beds, in many other ways—e.g.,
(a) Poor Law Infirmaries.
(b) Metropolitan Asylums Board.
(c) General and special voluntary hospitals.
(d) Certain voluntary associations, of which the Invalid Children's Aid Association is the
most prominent.
(2) The age and sex distribution of the uninsured population is essentially different. It consists
very largely of women and children.
(3) Socially it contains the two extremes—viz., the well.to.do and the destitute.
Calculations, therefore, for institutional accommodation are not only not comparable with those
already given for the insured persons, but are much more difficult owing to the complex and heterogeneous
factors concerned. Furthermore they may have to be entirely altered in the near future as a result
of Government legislation or a change in the Council's policy and the gradually increasing tendency
of voluntary hospitals and associations to " cut" their responsibilities for the care and treatment of
tuberculous patients. Furthermore, one must not lose sight of the possible effects which may result
from (a) the extension of the open.air schools, (6) the introduction of a better system of selection of cases
for institutional treatment, and (c) the increased demand referred to already in the case of insured
persons that may arise from the knowledge that additional and better accommodation is available.
Under the Council's scheme the first party of children was admitted to Nayland Sanatorium on
the 15th June, 1914, and women were admitted to Maltings Farm Sanatorium from the 15th July,
1914. The Metropolitan Asylums Board institutions came into use on the 11th December, 1914, when
women were sent to Winchmore Hill Sanatorium and children to Queen Mary's Hospital, Carshalton.

♦During this year the Council provided specially for the treatment of ex.soldiers and sailors by request of the
Local Government Board. Later, this work was transferred to the London Insurance Committee.

Results of institutional treatment of insured persons.—In a memorandum to the Insurance Committee
for the County of London, Dr. Bardswell has made an attempt to ascertain the after.histories
of the patients who were recommended for sanatorium benefit during the year 1914. Up to December 31st,
1918, the condition on that date of 2,588, out of 3,224, patients recommended for sanatorium benefit
in 1914, was as follows :—