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

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London County Council 1926

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

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Table 3—continued.

Males.Females.Total.
Private patients at Horton mental hospital-131131
Patients in various London County mental hospitals on the private list (Lunacy Act, 1891, section 3), including ex-soldiers classified as "service" patients and private patients1,0082391,247
Total Private patients1,0083701,378
Criminal lunatics in various London County mental hospitals chargeable to the Prison Commissioners11—11
8,19511,61219,807

The sub-totals in the last column, printed in italics, appear again in Table 5.
[This table does not include male private patients at Claybury Hall, but it does include female
private patients at Horton mental hospital, all of whom have London settlements and are
received at a low charge, so that probably, if they were not dealt with thus, the Council would
have to provide for them as parish cases. This is true also of the "private list" cases, all of
whom are admitted in the first instance as parish cases and also of the majority of the
"service" cases.]
Parish
patients.
13. The number of parish patients accommodated in London County mental
hospitals on 1st January, 1927, exceeded by 462 (238 males, 224 females) the number
so accommodated on 1st January, 1926. This increase is accounted for chiefly by
the opening of further wards at West Park mental hospital. The number of London
patients accommodated in out-county mental hospitals, under arrangements made
by London boards of guardians, i.e., patients admitted to out-county mental hospitals
but subsequently found to be chargeable properly to London parishes or unions,
was 14 less on 1st January, 1927, than on 1st January, 1926, viz., 124 as against
138. During the year 1926 the number of such patients transferred from outcounty
mental hospitals to London County mental hospitals was 99.
Patients
boarded out.
14. The number of patients boarded out under contracts made between the
Council and out-county authorities was, on 1st January, 1926, 380 (35 males, 345
females). During the year 1926, a contract, dated 29th December, 1925, with
the West Riding mental hospital for the reception of 50 London female patients
became effective and a contract for the reception of 50 female patients at the Three
Counties mental hospital was extended to cover from 11th April, 1926, the reception
of 50 male patients also. Additional contracts were entered into for the
maintenance, one at the Hants County mental hospital and one at the Ipswich
Borough mental hospital, of two London female patients whose relatives lived near
the respective institutions. A contract with the Derby County mental hospital
for the reception of 15 female patients expired on 13th December, 1926. The
contract with the East Riding mental hospital was renewed for a further term from
6th February, 1926, but the number of patients to be received was reduced from
70 females to 40 females. During 1926, 139 London patients were sent to outcounty
hospitals under reception contracts, viz., 57 males and 82 females, 17 (1 male
and 16 females) died, 5 (4 males and 1 female) were discharged, 1 male was
transferred to the service class, thus ceasing to be chargeable to London, and 22
(1 male and 21 females) were brought back to London County mental hospitals.
There has been therefore a net increase during the year of 50 males and 44 females,
making the total number boarded out at 1st January, 1927, 474 (85 males, 389
females).