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

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London County Council 1934

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

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TABLE B—continuedtreatment of acute medical and surgical patients, including children.

of IN-PATIENTS, under the several heads of expenditure, week is shown per occupied bed or "Patient" under P,and by reading across, the former costs are printed in heavy type.

Name of hospitalPaddington.St. Alfege's.St. Andrew's.St. Charles'.St.George-in-East.St.Giles'.St. James'.St. Leonard's.St.Luke's, Chelsea.St. Mary Abbots.St. Mary, Islington.St. Nicholas.St. Olave's.St. Pancras.St. Peter's.St. Stephen's.Mean of Group.Average of Group.
Number of beds nominally available603643620754410810902574391555858334686380404718603603
Average daily number of patients494.8525.5476.9539.73.5.6688.3858.1442.7296.1397.7758.3310.3596.8267.5258580.9480.4480.4
Percentage occupation82.181.776.971.674.585.095.177.175.768.488.492.987.070.464.080.978.279.7
Normal establishment of staff— Medical and nursing193 (3.2)208 (3.2)213 (3.4)229(3.0)126 (3.1)256(3.2)320(3.5)168(2.9)128(3.3)198(3.6)263(3.1)128(3.8)223(3.2)119(3.1)142(3.5)232(3.2)192(3.3)192(3.2)
Other, excluding engineering and teaching (Totals and, in brackets, numbers per ten beds.)152 (2*5)178 (2.8)190 (3.1)156(2.1)129 (3.1)185(2.3)160(1.8)133(2.3)97(2.5)123(3.2)154(1.8)89(2.7)156(2.3)68(1.8)125(3.1)131(1.8)144(2.5)144(2.4)
1. In-patients, Maintenance of—PBPBPBPBPBPBPBPBPBPBPBPBPBPBPBPBPBPB
Provisions and stimulants67.460.876.173.066.271.064.269.877.275.864.564.671.972.880.175.871.269.8
Surgery and dispensary39.849.744.437.744.851.836.439.240.173.436.558.241.049.363.643.947.645.7
including Drugs, dressings, sundries, etc.(26.0)(29.3)(26.9)(23.1)(20.2)(29.3)(21.0)(22.7)(18.8)(44.8)(19.7)(33.0)(24.5)(29.9)(39.8)(26.0)(26.8)(25.5)
Surgical equipment, appliances and repairs(6.1)(9.6)(12.5)(8.3)(18.5)(13.5)(10.4)(10.7)(14.8)(20.0)(11.5)(17.1)(9.0)(12.3)(14.3)(10.8)(13.6)(13.3)
Salaries and wages(7.7)(6.3)(10.8)(98.8)(5.0)(3.9)(6.3)(4.5)(6.1)(4.5)(9.0)(7.6)(5.0)(4.8)(5.8)(4.5)(6.5)(4.9)(8.6)(5.8)(5.3)(4.7)(8.1)(7.5)(7.5)(6.5)(7.1)(5.0)(9.5)(6.1)(7.1)(5.7)(7.2)(5.6)(6.9)(5.5)
Antitoxin establishment and pathological services2.35.04.45.27.26.27.413.38.525.111.58.06.114.115.44.710.09.3
Clothing5.25.05.95.88.55.13.85.46.04.93.05.25.04.45.24.04.84.6
Funerals5.13.02.05.72.33.93.73.54.58.03.84.72.59.07.35.04.03.8
2. Staff—
Salaries and wages (with Council's contributions under National Insurance Acts)332.0272.4355.3290.4344.7265.2314.1224.9379.4‡282.7283.1240.6251.2239.0293.8226.6326.3247.1365.2249.8266.2235.3363.2337.5321.9280.0335.3236.1553.0354.1292.5236.7343.8266.4328.6261.9
including Medical service(55.0)(45.1)(53.7)(43.9)(59.0)(45.4)(45.1)(32.3)(55.1)(41.1)(46.0)(39.1)(39.4)(37.5)(45.4)(35.1)(57.2)(43.3)(68.0)(46.5)(35.0)(31.0)(57.4)(53.4)(39.8)(34.6)(60.8)(42.8)(63.7)(40.8)(41.0)(33.2)(53.0)(40.9)(49.4)(39.3)
Nursing service(123.2)(101.1)(115.7)(94.6)(107.4)(82.6)(109.5)(78.4)(112.7)(84.0)(100.1)(85.1)(86.4)(82.6)(105.1)(81.1)(118.3)(89.6)(127.5)(87.2)(92.8)(82.0)(118.5)(110.1)(120.2)(104.6)(120.9)(85.1)(160.7)(102.9)(118.6)(95.9)(114.7)(89.2)(110.8)(88.3)
Steward and clerical service(15.3)(12.6)(15.3)(12.5)(20.3)(15.6)(20.2)(14.4)(18.6)(13.8)(15.3)(13.0)(13.5)(12.8)(17.9)(13.8)(18.1)(13.7)(20.0)(13.7)(13.3)(11.8)(21.6)(20.1)(16.2)(14.1)(13.5)(9.5)(25.5)(16.3)(15.6)(12.6)(17.9)(13.9)(17.0)(13.6)
General domestic service(100.3)(82.3)(141.4)(115.6)(127.9)(98.4)(96.2)(68.8)(159.5)(118.9)(102.9)(87.4)(67.6)(64.3)(98.9)(76.3)(96.8)(73.3)(110.6)(75.6)(80.4)(71.0)(91.5)(85.1)(118.9)(103.4)(98.6)(69.4)(261.0)(167.1)(77.0)(62.3)(120.6)(92.6)(114.4)(91.2)
Kitchen service(10.8)(8.9)(15.9)(13.0)(7.5)(5.8)(8.6)(6.2)(12.3)(9.5)(8.9)(7.5)(9.2)(8.7)(17.3)(13.3)(16.8)(12.7)(9.9)(6.8)(6.3)(5.6)(16.5)(15.3)(6.6)(5.7)(12.1)(8.5)(21.9)(14.0)(9.9)(8.0)(12.0)(9.2)(10.9)(8.7)
Workrooms(5.9)(4.8)(6.4)(5.2)(10.4)(8.0)(5.1)(3.7)(10.7)(8.0)(5.3)(4.6)(6.1)(5.8)(3.9)(3.0)(5.8)(4.4)(4.5)(3.1)(4.9)(4.3)(7.3)(6.7)(6.2)(5.3)(2.4)(1.7)(10.1)(6.5)(5.4)(4.4)(6.2)(4.8)(5.8)(4.7)
Miscellaneous(3.9)(3.2)(3.7)(3.0)(5.8)(4.5)(4.3)(3.1)(7.9)(5.9)(2.9)(2.5)(3.0)(2.9)(2.4)(1.9)(4.9)(3.7)(6.9)(4.7)(2.3)(2.1)(3.3)(3.0)(5.6)(4.9)(5.7)(4.0)(5.9)(3.8)(3.9)(3.2)(4.7)(3.7)(4.4)(3.5)
Non-residential allowances(15.0)(12.3)(6.0)(4.6)(23.0)(16.5)(0.6)(0.4)(1.2)(1.0)(22.2)(21.2)(1.4)(1.0)(1.2)(0.9)(13.9)(9.5)(27.9)(24.6)(45.8)(42.5)(5.0)(4.4)(20.5)(14.5)(2.8)(1.8)(16.4)(13.3)(12.1)(9.9)(13.1)(10.4)
Adjustment of pay on grading (1930-1934)(2.6)(2.1)(3.2)(2.6)(0.4)(0.3)(2.1)(1.5)(1.5)(1.1)(0.5)(0.4)(3.4)(3.2)(1.5)(1.1)(7.2)(5.5)(3.9)(2.7)(3.3)(2.9)(1.3)(1.3)(3.4)(3.0)(0.8)(0.6)(1.4)(0.9)(4.7)(3.8)(2.6)(2.2)(2.8)(2.2)
Rations28.223.232.026.235.227.135.025.029.722.132.027.228.026.736.428.137.228.147.632.624.821.931.929.633.629.235.424.943.027.627.422.234.026.332.225.6
Uniforms and dresses8.26.76.35.17.75.96.74.86.34.75.44.63.63.46.04.67.55.78.45.83.83.47.16.55.95.14.93.45.73.64.33.56.24.85.94.7
3. BUILDINGS, SERVICES AND SUPPLIES— Furniture and equipment14.511.911.39.212.29.49.87.018.213.610.99.36.36.018.614.411.78.823.816.38.87.811.410.612.210.67.15.017.211.012.910.514.611.113.610.8
Cleaning and domestic materials4.94.05.34.35.54.24.73.35.03.74.63.93.83.65.34.05.34.05.73.94.43.95.24.86.05.25.43.88.15.24.63.75.54.25.24.2
Bedding and house linen12.910.611.29.210.27.814.010.09.16.811.29.57.06.79.57.314.511.015.510.67.56.68.98.39.38.111.07.810.76.97.66.210.48.110.08.0
Crockery and hardware3.63.03.83.13.52.74.43.13.62.78.02.63.63.44.83.74.73.66.64.53.02.64.54.24.64.03.02.15.93.84.73.84.43.44.23.4
Heating, lighting, etc63.852.349.540.481.662.847.734.276.757.244.738.037.535.750.438.971.253.971.949.240.936.147.444.161.153.251.736.493.159.648.138.960.046.356.545.0
including Wages of engineering maintenance staff(13.7)(11.2)(9.8)(8.0)(23.9)(18.4)(10.7)(7.7)(22.0)(16.4)(13.7)(11.6)(8.6)(8.2)(10.3)(7.9)(16.8)(12.7)(14.3)(9.7)(6.4)(5.7)(13.1)(12.2)(10.4)(9.1)(9.9)(7.0)(31.6)(20.2)(13.0)(10.5)(15.0)(11.5)(13.7)(10.9)
Fuel(29.3)(24.0)(20.1)(16.4)(26.0)(20.0)(19.6)(14.0)(26.7)(19.9)(18.3)(15.6)(14.5)(13.8)(16.8)(13.0)(27.0)(20.4)(32.5)(22.3)(21.1)(18.6)(11.1)(10.4)(25.9)(22.5)(21.1)(14.9)(30.7)(19.7)(27.1)(21.9)(24.1)(18.6)(23.0)(18.3)
Gas, electricity, water(20.8)(17.1)(19.6)(16.0)(31.7)(24.4)(17.4)(12.5)(28.0)(20.9)(12.7)(10.8)(14.4)(13.7)(23.3)(18.0)(27.4)(20.8)(25.1)(17.2)(13.4)(11.8)(23.2)(21.5)(24.8)(21.6)(20.7)(14.5)(30.8)(19.7)(8.0)(6.5)(20.9)(16.2)(19.8)(15.8)
Laundry38.931.943.935.954.441.836.526.251.438.337.131.544.242.034.626.746.735.474.951.332.128.441.138.232.328.148.133.953.634.332.626.344.534.442.533.9
including Wages(28.8)(23.6)**(42.4)(32.6)(25.5)(18.2)(36.6)(27.3)(25.4)(21.5)*(8.2)*(7.8)(24.2)(18.7)*(19.9)*(15.1)**(21.3)(18.8)(28.9)(26.9)(24.9)(21.6)****(21.7)(17.6)
Works (plant and buildings) — Maintenance: Wages10.88.98.67.122.717.56.74.827.720.712.410.53.12.911.38.710.88.212.88.76.96.17.87.210.69.311.68.125.916.67.15.712.79.711.59.1
,, Minor contracts, materials, etc.16.813.812.310.127.621.217.812.727.520.511.29.69.59.010.27.921.116.020.113.723.420.610.29.531.127.022.215.622.114.29.77.918.614.217.113.6
Special works50.141.132.726.747.436.549.935.753539.843.637.016.715.929.122.424.018.221.814.936.432.245.542.322.019.126.418.662.239.810.68.642.731.835.728.5
Gardens and grounds— Wages2.21.82.82.34.93.73.32.43.02.21.10.91.81.70.90.71.11.02.72.51.31.20.50.32.82.22.11.7
4. Rates, Taxes and Insurance22.818.717.814.640.531.116.811.925.018.725.321.517.116.316.012.317.413.216.211.021.018.619.318.033.429.012.79.026.016.617.914.521.917.121.717.3
5. MISCELLANEOUS EXPENDITURE— Printing, stationery, postage, telephones, etc.10.68.712.410.19.47.37.25.18.86.55.54.65.45.27.25.66.85.111.17.67.16.39.48.86.45.610.57.410.16.58.46.89.57.28.56.8
Travelling and sundry expenses0.70.50.40.40.40.40.40.30.90.70.30.20.40.30.50.40.50.40.30.20.30.30.80.70.50.40.70.5§14.5§9.30.40.31.10.80.80.6
ITEMS 1 to 5—total cost per occupied bed61s.8.8d.60s.9.1d.70s.0.7d.58s.6.2d.71s.2.8d.55s.9.4d.46s.2.7d.55s.4.9d.61s.10.9d.74s.1.1d.50s.7.0d.63s.1.1d.59s.10.7d.61s.3.6d.93s.7.2d.51s.10.2d.64s.1.6d.60s.9.3d.
Deduct for sundry receipts, credits for transfer services and balances on farm or industrial accounts0s.3.9d.0s.8.7d.0s.5.5d.0s.6.8d.1s.1.1d.0s.5.7d.0s.11.8d.0s.9.9d.0s.2.9d.0s.11.0d.0s.1.7d.0s.9.3d.0s.2.2d.0s.2.5d.0s.9.4d.0s.4.1d.0s.7.1d.0s.6.8d.
Net COST per occupied bed—£s.d.£s.d.£s.d.£s.d.£sd£Sd£sd£sd£sd£sd£sd£sd£sd£sd£sd£sd£sd£sd
per day89879118310071166710810105728118689133749187
per week3153003972711310221542532147318313221053242196311412102116336302
per year16025156871818315019111821881445411719614261160156190151131810162103155158159512420713454165111156173
Net cost per occupied bed per week, 1933-193421972139379219113622101024421012184361025330102198310488290
PBPBPBPBPBPBPBPBPBPBPBPBPBPBPBPBPBPB
6. Superannuation Fund (Council's contributions)41.033.644.236.150.538.835.125.152.439.138.832.931.329.741.331.841.631.542.629.133.829.947.444.045.239.334.424.266.442.639.632.044.034.242.333.7
7. Annual charge in respect of capital outlay45.137.029.624.249.337.934.824.937.728.146.539.635.734.027.321.135.526.933.723.044.439.229.827.728.324.626.718.837.924.237.130.038.029.737.930.2
8. Establishment charges—Pensions32.526.732.326.437.528.829.321.040.530.228.724.422.621.528.522.030.523.132.522.224.821.936.734.131.227.129.620.850.932.627.522.332.825.431.224.9
Other51.542.351.542.151.539.651.536.951.538.451.543.851.549.051.539.751.539.051.535.351.545.551.547.951.544.851.536.351.533.051.541.751.540.551.541.1
£s.d.£s.d.£s.d.£s.d.£s.d.£s.d.£s.d.£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, 1934-35315731324543106454391217037034114663343161312931211510134631743139
Inclusive cost per occupied bed per week, 1933-34313103644310312641133921510313311331962178314731293127548312
Percentage occupation, 1933-3478.183.172.468.973.984.487.583.874.270.285.489.782.168.062.681.2

that the service, inclusive of labour, was rendered and charged ior by another establishment,
from staff—see deduction for receipts below. || See page 6.
§ Includes conveyanoe of nursos living out or at ctlu^r institutions.
H Conditions not comparable.