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Group VI (Children's hospiials)—
Millfield. St. Anne's home.
Norwood.
Group VII (Sanatoria, etc.)—
Colindale. Pinewood.
Grove Park. St. George's home.
King George V. St. Luke's, Lowestoft.
Group VIII (Hospitals for infectious diseases)—
Brook. River hospitals—Joyce Green
Eastern. and Orchard (when used for
Grove. fever cases).
North-Eastern. South-Eastern.
Northern. Southern.
North-Western. South-Western.
Park. Western.
It will be seen that the Council's general hospitals are divisible into two groups,
I and III, according to use. So far as the institutions in group II are concerned,
it may be necessary, as a result of the adoption by the Council of proposals for the
re-classification of patients and inmates in public health and public assistance
institutions (see below), to vary the grouping indicated above.
With regard to the infectious diseases hospitals, there is no duty of recovery
of the cost of maintenance of London cases. Flat rate charges were already in
operation in regard to non-London cases admitted to the fever and smallpox
hospitals. The River hospitals consist of Long Reach, Joyce Green and Orchard
hospitals. They are primarily intended for smallpox cases, but when not required
for smallpox patients, Joyce Green and Orchard hospitals are used for fever cases,
and they have accordingly been placed in group VIII in this respect. No grouping
for smallpox is contemplated. The classes of infectious disease admitted to
St. Margaret's hospital and Sheffield Street hospital are not altogether comparable,
and the charges for non-London cases at these two hospitals will continue to be
separately calculated.
As regards the tuberculosis hospitals, all tuberculosis cases are now dealt with
under the Council's tuberculosis scheme, and the Council decided on 10th July,
1934, not to ask for any contributions towards the cost of the residential treatment
of tuberculosis. For the purpose, however, of charging for non-London cases, all
the tuberculosis hospitals and sanatoria have been grouped as one institution.
Classification of patients and inmates of public health and public
assistance institutions.
General.
In November, 1934, the Council considered a joint report of the Hospitals and
Medical Services Committee and the Public Assistance Committee with regard to
the question of the classification of patients and inmates in public health and public
assistance institutions.
The institutions concerned were 12 institutions and the one " non-appropriated "
hospital (St. John's) under the control of the Hospitals and Medical Services Committee.
and 15 institutions under the control of the Public Assistance Committee.
Redistribution
of cases
between Hospitals
and
Medical Services
and
Public Assistance
Committees.
Generally the institutions in question were of the type referred to in the report
of the Royal Commission on the Poor Laws and Relief of Distress, 1909, as the
"general mixed workhouses." The Royal Commission emphasised the necessity
of classification by institutions. They said "it is partly the great size to which
some of these institutions have grown which makes it impossible to deal with all
classes of inmate in a suitable way, but the difficulty mainly arises out of the attempt
to deal in one institution with people requiring such very different treatment as the
infirm and able-bodied, the old and the young, the feeble-minded, epileptic, insane
and those of bad character. The difficulty can only be met by setting apart special
institutions for special cases as was intended by the Royal Commission of 1832, so
that it may be possible to deal humanely with the aged without thereby attracting