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London County Council 1934

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

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Table: TABLE BGENERAL HOSPITALS—Group G. I (Twenty-seven hospitals)—For theANALYSIS OF COST PER WEEK (IN PENCE) of maintenance during the year 1st April, 1934, to 31st March, 1935. The cost per per available bed or "Bed" under B. To facilitate comparison Figures in brackets are sub-divisions of the inclusive heads.

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TABLE B

GENERAL HOSPITALS—Group G. I (Twenty-seven hospitals)—For the

ANALYSIS OF COST PER WEEK (IN PENCE) of maintenance during the year 1st April, 1934, to 31st March, 1935. The cost per per available bed or "Bed" under B. To facilitate comparison Figures in brackets are sub-divisions of the inclusive heads.

	Archway.			Bethnal Green.			Dulwich.			Fulham.			Hackney.			†Hammersmith.			Highgate.			Lambeth.			Lewisham.			Mile End.			New End.
Name of hospital
Number of beds nominally available	568			650			733			562			774			373			555			915			701			539			260
Average daily number of patients	348.2			461.8			667.0			464.4			651.5			232.9			414.3			731.1			613.7			394.7			211.9
Percentage occupation	61.3			71.0			91.0			82.6			84.2			62.4			74.6			79.9			87.5			73.2			81.5
Normal establishment of staff— Medical and nursing	147(2.6)			200(3.1)			223(3.0)			171(3.0)			264(3.4)			122(3.3)			172(3.1)			304†			293(4.2)			177(3.3)			86(3.3)
Other, excluding engineering and teaching (Totals and, in brackets, numbers per ten beds.)	144(2.5)			147(2.3)			168(2.3)			119(2.1)			178(2.3)			116(3.1)			126(2.3)			313†			229(3.3)			202(3.7)			81(3.1)
1. In-patients, Maintenance of—	P		B	P		B	P		B	P		B	P		B	P		B	P		B	P		B	P		B	P		B	P		B
Provisions and stimulants	71.1		–	74.9		–	65.1		–	60.6		–	67.1		–	100.5		–	74.9		–	64.8		–	65.8		–	73.2		–	72.4		–
Surgery and dispensary	37.8		–	35.9		–	36.5		–	35.5		–	39.5		–	100.2		–	34.1		–	66.3		–	50.4		–	49.0		–	50.6		–
including Drugs, dressings, sundries, etc.	(21.1)		–	(20.7)		–	(22.8)		–	(18.2)		–	(22.4)		–	(52.2)		–	(18.6)		–	(20.7)		–	(32.9)		–	(27.9)		–	(32.6)		–
Surgical equipment, appliances and repairs	(11.2)		–	(9.1)		–	(8.5)		–	(10.5)		–	(10.6)		–	(34.9)		–	(8.1)		–	(40.7)		–	(10.2)		–	(13.8)		–	(10.2)		–
Salaries and wages	(5.5)		(3.4)	(6.1)		(4.4)	(5.2)		(4.7)	(6.8)		(5.6)	(6.5)		(5.5)	(13.1)		(8.2)	(7.4)		(5.5)	(4.9)		(3.9)	(7.3)		(6.4)	(7.3)		(5.3)	(8.3)		(6.8)
Antitoxin establishment and pathological services	17.2		–	6.0		–	3.0		–	5.8		–	7.3		–	11.0		–	16.5		–	17.5		–	13.3		–	11.9		–	15.4		–
Clothing	5.0		–	5.0		–	2.8		–	2.7		–	4.0		–	5.7		–	3.7		–	5.3		–	2.4		–	6.4		–	2.7		–
Funerals	4.2		–	2.7		–	2.9		–	4.2		–	3.0		–	3.9		–	2.9		–	3.8		–	1.0		–	3.8		–	2.8		–
2. Staff—
Salaries and wages (with Council's contributions under National Insurance Acts)	340.9		209.0	351.3		249.5	276.9		251.9	287.6		237.7	346.6		291.7	517.4		323.0	330.8		247.0	349.9		279.6	322.3		282.1	409.3‡		299.7	371.2		302.5
including Medical service	(57.9)		(35.5)	(45.5)		(32.3)	(41.5)		(37.7)	(55.4)		(45.8)	(44.6)		(37.5)	(102.4)		(63.9)	(44.9)		(33.6)	(46.7)		(37.4)	(43.7)		(38.2)	(49.9)		(36.5)	(75.3)		(61.3)
Nursing service	(97.7)		(59.9)	(124.9)		(88.7)	(107.3)		(97.6)	(94.4)		(78.0)	(110.9)		(93.3)	(153.9)		(96.1)	(110.7)		(82.6)	(97.8)		(78.2)	(108.7)		(95.2)	(122.7)		(89.9)	(130.0)		(105.9)
Steward and clerical service	(21.4)		(13.1)	(21.0)		(14.9)	(12.1)		(11.0)	(14.9)		(12.3)	(14.7)		(12.4)	(24.8)		(15.5)	(18.3)		(13.7)	(16.2)		(12.9)	(16.1)		(14.1)	(23.9)		(17.5)	(20.3)		(16.6)
General domestic service	(134.8)		(82.7)	(126.2)		(89.7)	(83.4)		(75.9)	(94.0)		(77.7)	(127.0)		(106.9)	(189.4)		(118.3)	(108.9)		(81.3)	(147.9)		(18.2)	(126.8) (		110.9)	(177.2) (		129.8)	(111.7)		(91.0)
Kitchen service	(9.8)		(6.0)	(11.3)		(8.0)	(7.8)		(7.1)	(8.8)		(7.3)	(5.4)		(4.6)	(23.1)		(14.4)	(14.1)		(10.5)	( 8.8)		(7.0)	(12.8)		(11.2)	(17.5)		(12.8)	(13.1)		(107)
Workrooms	(7.5)		(4.6)	(5.5)		(3.9)	(5.2)		(4.8)	(5.4)		(4.4)	(6.0)		(5.0)	(10.8)		(6.7)	(3.5)		( 2.6)	( 2.9)		(2.3)	( 5.8)		( 5.1)	(6.6)		( 4.8)	( 7.1)		( 5.8)
Miscellaneous	(6.7)		(4.1)	(4.4)		(3.1)	(3.6)		(3.3)	(9.7)		(8.0)	(1.8)		(1.5)	(7.9)		(4.9)	(3.7)		( 2.8)	( 4.9)		(3.9)	( 3.5)		( 3.1)	( 4.7)		( 3.4)	( 4.4)		( 3.6)
Non-residential allowances	(5.0)		(3.0)	(11.5)		(8.2)	(13.2)		(12.0)	(4.1)		(3.4)	(21.6)		(18.2)	(3.2)		(2.0)	(26.3)		(19.6)	(23.0)		(18.4)	( 4.3)		( 3.8)	( 6.8)		( 5.0)	( 5.1)		(4.2)
Adjustment of pay on grading (1930-1934)	(0.1)		(0.1)	(1.0)		(0.7)	(2.8)		(2.5)	(0.9)		(0.8)	(14.6)		(12.3)	(1.9)		(1.2)	(0.4)		( 0.3)	( 1.7)		(1.3)	( 0.6)		( 0.5)	—		—	( 4.2)		( 3.4)
Rations	37.1		22.7	34.0		24.2	27.4		24.9	30.6		25.3	27.4		23.1	54.9		34.3	36.2		27.0	14.4		11.5	40. 6		35.6	35.4		25.9	43.1		35.1
Uniforms and dresses	5.8		3.5	5.0		3.5	4.3		3.9	4.6		3.8	6.1		5.1	9.5		6.0	7.0		5.3	3.8		3.0	.5		6.6	8.9		6.5	6.7		5.4
3. Buildings, services and supplies—
Furniture and equipment	28.4		17.4	16.2		11.5	9.8		8.9	10.6		8.7	17.6		14.8	28.6		17.9	15.4		11.5	15.3		12.2	11.2		9.8	16.1		11.8	16.6		13.6
Cleaning and domestic materials	5.6		3.4	6.2		4.4	4.0		3.6	3.5		2.9	6.3		5.3	10.5		6.6	4.6		3.4	5.1		4.0	5.1		4.5	6.8		5.0	7.5		6.l
Bedding and house linen	9.8		6.0	11.1		7.9	7.0		6.4	7.0		5.8	11.9		10.0	16.0		10.0	6.8		5.1	7.0		5.6	11.6		10.2	13.0		9.5	10.7		8.7
Crockery and hardware	5.6		3.4	6.2		4.4	3.5		3.2	3.0		2.5	5.0		4.2	5.5		3.4	5.0		3.7	3.0		2.4	4.9		4.3	4.8		3.5	5.5		4.4
Heating, lighting, etc.	62.9		38.6	50.2		35.6	45.3		41.2	45.9		37.9	48.3		40.7	80.0		49.9	59.6		44.5	51.3		41.0	72.2		63.3	90.0		65.9	76.1		62.0
including Wages of engineering maintenance staff	(19.2)		(11.8)	(15.0)		(10.6)	(12.3)		(11.2)	( 8.5)		( 7.0)	( 2.6)		( 2.2)	(12.0)		( 7.5)	(14.3)		(10.7)	(14.2)		(11.3)	(20.2)		(17.8)	(33.2)		(24.3)	(23.6)		(19.3)
Fuel	(24.0)		(14.7)	(24.4)		(17.4)	(20.8)		(18.9)	(21.1)		(17.4)	(14.8)		(12.5)	(41.2)		(25.7)	(24.4)		(18.2)	(18.9)		(15.2)	(30.3)		(26.5)	(34.1)		(25.0)	(29.4)		(23.9)
Gas, electricity, water	(19.7)		(12.1)	(10.8)		( 7.6)	(12.2)		(11.1)	(16.3)		(13.5)	(30.9)		(26.0)	(26.8)		(16.7)	(20.9)		(15.6)	(18.2)		(14.5)	(21.7)		(19.0)	(22.7)		(16.6)	(23.1)		(18.8)
Laundry	53.2		32.6	43.8		31.1	35.6		32.4	43.9		36.3	46.7		39.3	67.6		42.2	41.8		31.2	27.6		22.1	42.8		37.4	58.8		43.0	38.1		31.1
including Wages	(38.2)		(23.4)	(30.1)		(21.4)	(24.9)		(22.6)	*		*	*		*	*		*	(27.1)		(20.3)	(19.8)		(15.8)	†( 9.5)		†(8.3)	(46.4)		(34.0)	(26.4)		(21.5)
Works (plant and buildings)—
Maintenance: Wages	15.3		9.4	12.6		9.0	7.8		7.1	6.4		5.3	6.4		5.4	15.8		9.8	14.3		10.7	8.9		7.1	16.7		14.6	27.3		20.0	14.1		11.5
Minor contracts, materials, etc.	20.4		12.5	26.7		19.0	5.6		5.1	12.1		10.0	7.5		6.3	43.2		27.0	13.2		9.9	11.1		8.9	23.4		20.5	18.1		13.2	29.3		23.9
Special works	78.2		47.9	47.0		33.4	14.7		13.4	29.3		24.2	13.4		11.3	199.7		124.7	36.3		27.1	11.6		9.3	10.1		8.8	64.7		47.4	75.4		61.4
Gardens and grounds— Wages	8.8		5.4	1.8		1.3	3.6		3.3	3.3		2.8	1.3		1.1	–		–	1.8		1.3	–		–	4.7		4.1	6.1		4.5	–		–
4. Rates, Taxes and Insurance	38.6		23.7	29.3		20.8	17.6		16.0	19.0		15.7	18.0		15.1	25.1		15.7	7.6		5.6	15.2		12.1	31.1		27.2	23.7		17.4	22.0		17.9
5. Miscellaneous expenditure— Printing, stationery, postage, telephones, etc.	9.6		5.9	8.2		5.9	5.0		4.5	6.9		5.7	6.7		5.6	38.6		24.1	5.6		4.2	9.8		7.8	6.9		6.0	9.3		6.8	14.5		11.8
Travelling and sundry expenses	1.8		1.1	0.3		0.2	0.4		0.4	0.5		0.4	0.4		0.4	0.9		0.6	1.2		0.9	–		–	0.5		0.4	0.4		0.3	0.3		0.3
Items 1 to 5—total cost per occupied bed	71s.	5.3d	–	64s.	6.4d	–	48s.	2.8d	–	51s.	11.0d	–	57s.	6.5d.	–	111s.	2.6d.	–	59s.	11.3d.	–	57s.	7.7d.	–	62s.	0.5d.	–	78s.	1.0d.	–	72s.	11.0d.	–
Deductfor sundry receipts, credits for transfer services and balances on farm or industrial accounts	0s.	6.5d	–	0s.	8.6d	–	0s.	5.0d	–	0s.	1.5d.	–	0s.	11.5d.	–	1s.	2.8d.	–	0s.	5.2d.	–	0s.	3.6d.	–	0s.	8.6d.	–	0s.	7.1d.	–	0s.	11.6d.	–
Net cost per occupied bed—	£	s.	d.	£	s	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.
per day		10	2		9	1		6	10		7	5		8	1		15	9		8	6		8	2		8	9		11	1		10	3
per week	3	10	11	3	3	10	2	7	10	2	11	10	2	16	7	5	10	0†	2	19	6	2	17	4	3	1	4	3	IT	6	3	11	11
per year	184	17	9	166	8	6	124	14	2	135	2	9	147	10	5	286	15	9	155	2	6	149	9	6	159	18	1	202	1	1	187	9	11
Net cost per occupied bed per week, 1933-1934	3	0	8	2	12	7	2	11	10	2	10	11	2	15	1	3	5	8	2	12	7				2	18	10	3	16	11	3	5	11
6. Superannuation Fund (Council's contributions)	p		B	P		B	P		B	P		B	P		B	P		B	P		B	P		B	P		B	P		B	P		B
6. Superannuation Fund (Council's contributions)	48.4		29.7	53.3		37.9	37.8		34.4	33.5		27.7	37.4		31.5	50.7		31.7	38.6		28.8	41.5		33.1	46.8		41.0	61.7		45.2	52.1		42.4
7. Annual charge in respect of capital outlay	68.6		42.0	41.5		29.5	32.1		29.2	38.5		31.8	34.4		28.9	45.8		28.6	14.6		10.9	29.4		23.4	61.8		54.1	35.9		26.3	43.3		35.3
8. Establishment charges—Pensions	34.4		21.1	34.8		24.7	20.6		24.2	25.9		21.4	30.9		26.0	47.1		29.4	31.8		23.7	27.5		22.0	31.7		27.7	43.6		31.9	36.3		29.6
Other	51.5		31.6	51.5		36.6	51.5		46.9	51.5		42.6	51.5		43.4	51.5		32.2	51.5		38.5	51.5		41.2	51.5		45.1	51.5		37.7	51.5		42.0
	£	s.	d.	£	s	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.
Inclusive cost per occupied bed per week, 1934-35	4	7	10	3	18	11	3	0	2	3	4	3	3	9	5	6	6	3	3	10	11	3	9	10	3	17	4	4	13	7	4	7	3
Inclusive cost per occupied bed per week, 1933-1934	3	15	6	3	5	5	3	4	6	3	3	6	3	7	9	3	18	0	3	3	1				3	14	8	4	12	8	4	0	7
Percentage occupation, 1933-34	63.5			81.6			80.5			77.5			79.5			87.6			81.0						92.1			70.5			78.5

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NOTES (see also General Notes on page 7), __The cost per available bed (B) is not shown where the expenditure is strictly dependent upon the number of patients. An asterisk (*) indicates
† See note referring to this hospital on page 10. ‡ Includes value of certain emoluments which was recovered

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

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London County Council 1934

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