London's Pulse: Medical Officer of Health reports 1848-1972

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London County Council 1923

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

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24
Brunswick
House;
works-hop
hut.
The Manor,
Epsom.
28. A small hut has been erected at Brunswick House for use for woodwork
training, band practice, and similar purposes for which there was not suitable
accommodation.
29. The difficulties with regard to staff and as to the unsuitability in some
respects of the institution buildings for the criminal and intractable type of patient
referred to in the last Annual Report (vol. II. p. 28) have continued to hamper the
efficiency of The Manor. In spite of these difficulties, however, marked progress
has been made, particularly in the school department and in the workshops. In
addition to the industries mentioned in the last Annual Report (vol. II. p. 29)
printing, bookbinding, spinning and weaving, have been undertaken by patients.
The industries are profitable and they have helped to make the patients happy
and contented.
Boy scouts
and girl
guides.
30. The scout and guide patrols have helped very considerably to raise the
moral tone of the patients enrolled in them (See Annual Report 1922, vol II. p. 2S).
One male patient was presented by the Chief Scout with a gilt cross and a certificate
in recognition of his bravery and presence of mind in rescuing a child from danger.
The scout and guide movements have proved their value at Brunswick House and
the South Side Home, as well as at the Manor.
Admissions
and discharges.
31. 285 patients (141 males and 144 females) were admitted to the Manor
during the year ended 31st December, 1923, and in the course of the year 14 males
and two females were discharged from further detention. At 31st December, 1923,
two males and three females were absent on leave with a view to discharge, and
eleven males and two females were absent without leave, haviner escaped.
Resident
junior
assistant
medical
officer.
32. Mr. R. P. Stewart, M.B., Ch.B., was appointed junior assistant medical
officer (resident) at the Manor, and commenced duty on 19th December, 1923.
Contributions towards expenses of maintenance of defectives in institutions or under
guardianship.
Number of
cases under
contribution
and amounts
collected.

33. The following statement shows for the year ended 31st December, 1923. how the Council has discharged the duty of making recovery wherever possible of such contributions as are available in relief of the expenses of maintaining defectives in institutions or under guardianship:—

(1) Cases under contribution.(2) Sum collectable.(3) Sum collected.(4) Percentage of (3) to (2).(5) Sum written off.
£s.d.£s.d.£s.d.
9406,248925,8729494%382171

The sum collected included £19 6s., representing contributions for three
cases in State institutions collected on behalf of and paid over to the Board of
Control.
Legal proceeding
to
enforce payment.

34. Legal proceedings had to be taken during the year for the recovery of payment from persons liable to contribute, with the following result:-

(1) In 13 cases. Orders made to pay amounts totalling—(2) In 14 cases. Adjourned on undertaking to pay being given.(3) In 4 cases. Amounts paid at court before proceedings, totalling—
ArrearsCosts.ArrearsArrearsCosts.
£s.d.£s.d.£s.d.£s.d.£s.d.
65661190927012166090

One case adjourned sine die owing to insufficient evidence of means.
Statistics
of cases dealt
with.
Statistics.
35. In the absence of any directions by the Board of Control as to the form
in which statistics required by No. 28 of the Mental Deficiency Act Provisional
Regulations, 1914, shall be submitted, the Council submits the following tables,