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London County Council 1923

[Report of the Medical Officer of Health for London County Council]

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18
similar, which it is advisable should be treated on consistent lines. Consideration
is being given to this with other questions arising out of the administration of the
Acts of 1909 and 1918.
Income and
expenditure.

Finance. 77. The income and expenditure on maintenance account on mental hospitals, etc., during the year ended 31st March, 1924, is shown in the following table in comparison with the amounts for the previous eight years—

Year ending 31st March.Income.Expenditure.Year ending 31s' March.IncomeExpenditure.
££££
1916669,174660,50619211,868,6461,641,962
1917662,312674,23719221,872,4821,564,770
1918670,079736,34719231,508,0391,381,656
1919753,767889,01219241,330,0681,391,237
19201,270,6661,314,295

Statement
of accounts.
Cost of maintenance.
A detailed statement of the accounts for the year ended 31st March, 1924, is
shown with other accounts of the Council in the published Abstract of Accounts
(see vol. V.).
78. The charge made by the Council to London boards of guardians at 31st
March, 1923, for the maintenance of parish patients in the mental hospitals was
25s. 8d. a head a week. This charge was reduced from 1st July, 1923, to 22s. 9d.,
at which figure it stood at 31st March, 1924. As the charges for in-county parish
patients have exceeded the limit of 14s. a week prescribed by section 283 of the
Lunacy Act, 1890, the same charges have been made for patients chargeable to
out-county parishes. The charges made for private patients (other than "private
list" cases) are dealt with on p. 6. The charges for "private list" cases (i.e., those
admitted chargeable to a parish who, having a settlement in or status of
irremovability from a London parish, are able to pay the full cost of maintenance,
or perhaps a little more as a contribution to capital expenses which are not included
in cost of maintenance) have been at the minimum, the charge current for the time
being for parish patients and, at the maximum, a charge 4s. 1d. a week in excess
of that charge.
H. F. Keene, W. Sidney,
Chief Officer. Chairman.
Appointment
of Committee.
Meetings.
Departmental
arrangements.
CHAPTER XX.
Sixth Report of the London County Council to the Board of Control.
Administrative arrangements.
1. The Council's administrative arrangements for the discharge of its duties
under the Mental Deficiency Act, 1913, remain as described in previous reports
(see Annual Reports for 1915-19, vol. II., p. 29, and 1920, vol. II., p. 17).
2. During 1923 meetings of the Mental Hospitals Committee and of subcommittees
wholly concerned with work under the Mental Deficiency Act, have been
as follows:—Committee, 11; managing sub-committees of certified institutions
for the mentally defective, 39; other sub-committees and Cases Section, 32.
Staff.
3. Administrative and executive work continues to be divided between the
Mental Hospitals Department and the Public Health Department, in accordance
with the scheme detailed in the first annual report (see Annual Report for 1914,
vol. II., p. 280). The Comptroller of the Council collects contributions towards
the Council's expenses of maintaining defectives in institutions (and in some instances
towards the Board of Control's expenses of maintaining defectives in a State institu-