Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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of IN-PATIENTS, under the several heads of expenditure, week is shown per occupied bed or "Patient" under
Name of hospital | Paddington. | 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 available | 603 | 643 | 620 | 754 | 410 | 810 | 902 | 574 | 391 | 555 | 858 | 334 | 686 | 380 | 404 | 718 | 603 | 603 | |||||||||||||||||||||||||||||||||||||
Average daily number of patients | 494.8 | 525.5 | 476.9 | 539.7 | 3.5.6 | 688.3 | 858.1 | 442.7 | 296.1 | 397.7 | 758.3 | 310.3 | 596.8 | 267.5 | 258 | 580.9 | 480.4 | 480.4 | |||||||||||||||||||||||||||||||||||||
Percentage occupation | 82.1 | 81.7 | 76.9 | 71.6 | 74.5 | 85.0 | 95.1 | 77.1 | 75.7 | 68.4 | 88.4 | 92.9 | 87.0 | 70.4 | 64.0 | 80.9 | 78.2 | 79.7 | |||||||||||||||||||||||||||||||||||||
Normal establishment of staff— Medical and nursing | 193 (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— | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Provisions and stimulants | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | |||||||||||||||||||||||||||||||||||||
Surgery and dispensary | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | |||||||||||||||||||||||||||||||||||||
including Drugs, dressings, sundries, etc. | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | |||||||||||||||||||||||||||||||||||||
Surgical equipment, appliances and repairs | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | |||||||||||||||||||||||||||||||||||||
Salaries and wages | (6.3) | (98.8) | (3.9) | (4.5) | (4.5) | (7.6) | (4.8) | (4.5) | (4.9) | (5.8) | (4.7) | (7.5) | (6.5) | (5.0) | (6.1) | (5.7) | (5.6) | (5.5) | |||||||||||||||||||||||||||||||||||||
Antitoxin establishment and pathological services | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | |||||||||||||||||||||||||||||||||||||
Clothing | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | |||||||||||||||||||||||||||||||||||||
Funerals | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | |||||||||||||||||||||||||||||||||||||
2. Staff— | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Salaries and wages (with Council's contributions under National Insurance Acts) | 272.4 | 290.4 | 265.2 | 224.9 | 282.7 | 240.6 | 239.0 | 226.6 | 247.1 | 249.8 | 235.3 | 337.5 | 280.0 | 236.1 | 354.1 | 236.7 | 266.4 | 261.9 | |||||||||||||||||||||||||||||||||||||
including Medical service | (45.1) | (43.9) | (45.4) | (32.3) | (41.1) | (39.1) | (37.5) | (35.1) | (43.3) | (46.5) | (31.0) | (53.4) | (34.6) | (42.8) | (40.8) | (33.2) | (40.9) | (39.3) | |||||||||||||||||||||||||||||||||||||
Nursing service | (101.1) | (94.6) | (82.6) | (78.4) | (84.0) | (85.1) | (82.6) | (81.1) | (89.6) | (87.2) | (82.0) | (110.1) | (104.6) | (85.1) | (102.9) | (95.9) | (89.2) | (88.3) | |||||||||||||||||||||||||||||||||||||
Steward and clerical service | (12.6) | (12.5) | (15.6) | (14.4) | (13.8) | (13.0) | (12.8) | (13.8) | (13.7) | (13.7) | (11.8) | (20.1) | (14.1) | (9.5) | (16.3) | (12.6) | (13.9) | (13.6) | |||||||||||||||||||||||||||||||||||||
General domestic service | (82.3) | (115.6) | (98.4) | (68.8) | (118.9) | (87.4) | (64.3) | (76.3) | (73.3) | (75.6) | (71.0) | (85.1) | (103.4) | (69.4) | (167.1) | (62.3) | (92.6) | (91.2) | |||||||||||||||||||||||||||||||||||||
Kitchen service | (8.9) | (13.0) | (5.8) | (6.2) | (9.5) | (7.5) | (8.7) | (13.3) | (12.7) | (6.8) | (5.6) | (15.3) | (5.7) | (8.5) | (14.0) | (8.0) | (9.2) | (8.7) | |||||||||||||||||||||||||||||||||||||
Workrooms | (4.8) | (5.2) | (8.0) | (3.7) | (8.0) | (4.6) | (5.8) | (3.0) | (4.4) | (3.1) | (4.3) | (6.7) | (5.3) | (1.7) | (6.5) | (4.4) | (4.8) | (4.7) | |||||||||||||||||||||||||||||||||||||
Miscellaneous | (3.2) | (3.0) | (4.5) | (3.1) | (5.9) | (2.5) | (2.9) | (1.9) | (3.7) | (4.7) | (2.1) | (3.0) | (4.9) | (4.0) | (3.8) | (3.2) | (3.7) | (3.5) | |||||||||||||||||||||||||||||||||||||
Non-residential allowances | (12.3) | – | (4.6) | (16.5) | (0.4) | (1.0) | (21.2) | (1.0) | (0.9) | (9.5) | (24.6) | (42.5) | (4.4) | (14.5) | (1.8) | (13.3) | (9.9) | (10.4) | |||||||||||||||||||||||||||||||||||||
Adjustment of pay on grading (1930-1934) | (2.1) | (2.6) | (0.3) | (1.5) | (1.1) | (0.4) | (3.2) | (1.1) | (5.5) | (2.7) | (2.9) | (1.3) | (3.0) | (0.6) | (0.9) | (3.8) | (2.2) | (2.2) | |||||||||||||||||||||||||||||||||||||
Rations | 23.2 | 26.2 | 27.1 | 25.0 | 22.1 | 27.2 | 26.7 | 28.1 | 28.1 | 32.6 | 21.9 | 29.6 | 29.2 | 24.9 | 27.6 | 22.2 | 26.3 | 25.6 | |||||||||||||||||||||||||||||||||||||
Uniforms and dresses | 6.7 | 5.1 | 5.9 | 4.8 | 4.7 | 4.6 | 3.4 | 4.6 | 5.7 | 5.8 | 3.4 | 6.5 | 5.1 | 3.4 | 3.6 | 3.5 | 4.8 | 4.7 | |||||||||||||||||||||||||||||||||||||
3. BUILDINGS, SERVICES AND SUPPLIES— Furniture and equipment | 11.9 | 9.2 | 9.4 | 7.0 | 13.6 | 9.3 | 6.0 | 14.4 | 8.8 | 16.3 | 7.8 | 10.6 | 10.6 | 5.0 | 11.0 | 10.5 | 11.1 | 10.8 | |||||||||||||||||||||||||||||||||||||
Cleaning and domestic materials | 4.0 | 4.3 | 4.2 | 3.3 | 3.7 | 3.9 | 3.6 | 4.0 | 4.0 | 3.9 | 3.9 | 4.8 | 5.2 | 3.8 | 5.2 | 3.7 | 4.2 | 4.2 | |||||||||||||||||||||||||||||||||||||
Bedding and house linen | 10.6 | 9.2 | 7.8 | 10.0 | 6.8 | 9.5 | 6.7 | 7.3 | 11.0 | 10.6 | 6.6 | 8.3 | 8.1 | 7.8 | 6.9 | 6.2 | 8.1 | 8.0 | |||||||||||||||||||||||||||||||||||||
Crockery and hardware | 3.0 | 3.1 | 2.7 | 3.1 | 2.7 | 2.6 | 3.4 | 3.7 | 3.6 | 4.5 | 2.6 | 4.2 | 4.0 | 2.1 | 3.8 | 3.8 | 3.4 | 3.4 | |||||||||||||||||||||||||||||||||||||
Heating, lighting, etc | 52.3 | 40.4 | 62.8 | 34.2 | 57.2 | 38.0 | 35.7 | 38.9 | 53.9 | 49.2 | 36.1 | 44.1 | 53.2 | 36.4 | 59.6 | 38.9 | 46.3 | 45.0 | |||||||||||||||||||||||||||||||||||||
including Wages of engineering maintenance staff | (11.2) | (8.0) | (18.4) | (7.7) | (16.4) | (11.6) | (8.2) | (7.9) | (12.7) | (9.7) | (5.7) | (12.2) | (9.1) | (7.0) | (20.2) | (10.5) | (11.5) | (10.9) | |||||||||||||||||||||||||||||||||||||
Fuel | (24.0) | (16.4) | (20.0) | (14.0) | (19.9) | (15.6) | (13.8) | (13.0) | (20.4) | (22.3) | (18.6) | (10.4) | (22.5) | (14.9) | (19.7) | (21.9) | (18.6) | (18.3) | |||||||||||||||||||||||||||||||||||||
Gas, electricity, water | (17.1) | (16.0) | (24.4) | (12.5) | (20.9) | (10.8) | (13.7) | (18.0) | (20.8) | (17.2) | (11.8) | (21.5) | (21.6) | (14.5) | (19.7) | (6.5) | (16.2) | (15.8) | |||||||||||||||||||||||||||||||||||||
Laundry | 31.9 | 35.9 | 41.8 | 26.2 | 38.3 | 31.5 | 42.0 | 26.7 | 35.4 | 51.3 | 28.4 | 38.2 | 28.1 | 33.9 | 34.3 | 26.3 | 34.4 | 33.9 | |||||||||||||||||||||||||||||||||||||
including Wages | (23.6) | * | * | (32.6) | (18.2) | (27.3) | (21.5) | *(7.8) | (18.7) | *(15.1) | * | * | (18.8) | (26.9) | (21.6) | * | * | * | * | (17.6) | – | – | – | – | |||||||||||||||||||||||||||||||
Works (plant and buildings) — Maintenance: Wages | 8.9 | 7.1 | 17.5 | 4.8 | 20.7 | 10.5 | 2.9 | 8.7 | 8.2 | 8.7 | 6.1 | 7.2 | 9.3 | 8.1 | 16.6 | 5.7 | 9.7 | 9.1 | |||||||||||||||||||||||||||||||||||||
,, Minor contracts, materials, etc. | 13.8 | 10.1 | 21.2 | 12.7 | 20.5 | 9.6 | 9.0 | 7.9 | 16.0 | 13.7 | 20.6 | 9.5 | 27.0 | 15.6 | 14.2 | 7.9 | 14.2 | 13.6 | |||||||||||||||||||||||||||||||||||||
Special works | 41.1 | 26.7 | 36.5 | 35.7 | 39.8 | 37.0 | 15.9 | 22.4 | 18.2 | 14.9 | 32.2 | 42.3 | 19.1 | 18.6 | 39.8 | 8.6 | 31.8 | 28.5 | |||||||||||||||||||||||||||||||||||||
Gardens and grounds— Wages | 1.8 | 2.3 | 3.7 | 2.4 | 2.2 | 0.9 | 1.7 | – | 0.7 | – | 1.0 | 2.5 | 1.2 | – | 0.3 | – | 2.2 | 1.7 | |||||||||||||||||||||||||||||||||||||
4. Rates, Taxes and Insurance | 18.7 | 14.6 | 31.1 | 11.9 | 18.7 | 21.5 | 16.3 | 12.3 | 13.2 | 11.0 | 18.6 | 18.0 | 29.0 | 9.0 | 16.6 | 14.5 | 17.1 | 17.3 | |||||||||||||||||||||||||||||||||||||
5. MISCELLANEOUS EXPENDITURE— Printing, stationery, postage, telephones, etc. | 8.7 | 10.1 | 7.3 | 5.1 | 6.5 | 4.6 | 5.2 | 5.6 | 5.1 | 7.6 | 6.3 | 8.8 | 5.6 | 7.4 | 6.5 | 6.8 | 7.2 | 6.8 | |||||||||||||||||||||||||||||||||||||
Travelling and sundry expenses | 0.5 | 0.4 | 0.4 | 0.3 | 0.7 | 0.2 | 0.3 | 0.4 | 0.4 | 0.2 | 0.3 | 0.7 | 0.4 | 0.5 | §9.3 | 0.3 | 0.8 | 0.6 | |||||||||||||||||||||||||||||||||||||
ITEMS 1 to 5—total cost per occupied bed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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 | £ | s | d | £ | s | d | £ | s | d | £ | s | d | £ | s | d | £ | s | d | £ | s | d | |
per day | 7 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
per week | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
per year | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
7 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
6. Superannuation Fund (Council's contributions) | 33.6 | 36.1 | 38.8 | 25.1 | 39.1 | 32.9 | 29.7 | 31.8 | 31.5 | 29.1 | 29.9 | 44.0 | 39.3 | 24.2 | 42.6 | 32.0 | 34.2 | 33.7 | |||||||||||||||||||||||||||||||||||||
7. Annual charge in respect of capital outlay | 37.0 | 24.2 | 37.9 | 24.9 | 28.1 | 39.6 | 34.0 | 21.1 | 26.9 | 23.0 | 39.2 | 27.7 | 24.6 | 18.8 | 24.2 | 30.0 | 29.7 | 30.2 | |||||||||||||||||||||||||||||||||||||
8. Establishment charges—Pensions | 26.7 | 26.4 | 28.8 | 21.0 | 30.2 | 24.4 | 21.5 | 22.0 | 23.1 | 22.2 | 21.9 | 34.1 | 27.1 | 20.8 | 32.6 | 22.3 | 25.4 | 24.9 | |||||||||||||||||||||||||||||||||||||
Other | 42.3 | 42.1 | 39.6 | 36.9 | 38.4 | 43.8 | 49.0 | 39.7 | 39.0 | 35.3 | 45.5 | 47.9 | 44.8 | 36.3 | 33.0 | 41.7 | 40.5 | 41.1 | |||||||||||||||||||||||||||||||||||||
£ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | |||
Inclusive cost per occupied bed per week, 1934-35 | 3 | 15 | 7 | 3 | 13 | 2 | 4 | 5 | 4 | 3 | 10 | 6 | 4 | 5 | 4 | 3 | 9 | 1 | 2 | 17 | 0 | 3 | 7 | 0 | 3 | 4 | 11 | 4 | 6 | 6 | 3 | 3 | 4 | 3 | 16 | 1 | 3 | 12 | 9 | 3 | 12 | 11 | 5 | 10 | 1 | 3 | 4 | 6 | 3 | 17 | 4 | 3 | 13 | 9 | |
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.