Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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(2) Uninsured persons
Payment by patients.
20. In all cases in which a patient, or the person legally responsible for a patient, is in receipt of
an income of £160 a year or over, and the circumstances of the case appear to justify the demand, a
charge shall be made for the treatment received.
Dispensary treatment.
21. In the event of the Council approving a local scheme, and upon payment from national funds
of 50 per cent, of the cost of providing dispensary treatment for uninsured persons within the area concerned,
the Council shall, if so desired by the local authority, contribute towards so much of the cost as
would otherwise have to be defrayed out of the funds of the local authority after taking into account
the Government Grant, provided that such contribution (i.) shall not exceed 50 per cent, of such cost;
(ii.) shall, in the first instance, be made from a date to be fixed by the Council; and (iii.) shall be conditional
upon the arrangements and expenditure being annually submitted to and approved by the Council.
22. Any grants from the national exchequer towards the cost of local schemes should be received
direct by the local authority concerned and should not pass through the Council. The Council will act
in concert with the Local Government Board in connection with the approval of estimates and payment
of grants to local authorities, and any approval by the Government as to the reasonableness of the
expenditure under any such scheme will be accepted by the Council on receipt of full information as
to the grants and disallowances, if any, made by the Government in connection with such scheme.
Residential accommodation for adults and children.
24. The cost of the residential tretment of adults and children shall be defrayed by the CounciL
provided that—
(1) Clause 20 with reference to payments by patients shall apply.
(2) Payment at the rate of £1 Is. in respect of the fee of the referee for each patient
examined shall be made by the local sanitary authority recommending the case for residential
treatment,
(3) No payment shall be made by the Council in respect of the cost of burial of patients.