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 C
GENERAL HOSPITALS—GROUP G. II—For the treatment of chronic medical and surgical patients, including children,
and of other inmates.‡
ANALYSIS OF COST PER WEEK (IN PENCE) of maintenance of IN-PATIENTS, under the several heads of expenditure, during
the year 1st April, 1934 to 31st March, 1935. The cost per week is shown per occupied bed or "Patient" under P, and per available bed
or "Bed" under B. To facilitate comparison by reading across, the former costs are printed in heavy type. Figures in brackets are
sub-divisions of the inclusive heads.
Name of hospital
City of London.
Constance Road.
Fulham.
Hackney.
Hammersmith.
Holbom and
Finsbury.
Lambeth.
St. Alfege's.
St. John's.
St. Leonard's.§
St. Mary Abbots.
St. Pancras.
South Grove.
††Mean of
††Averagc of
group
Number of beds nominally available
623
817
475
1,116
501
978
395
846
637
174
605
1,202
678
696
696
Average daily number of patients
456.7
674.8
361.9
830.9
236.9
751.1
376.7
680.1
549.5
89.2
456.1
1,202
678
696
696
Percentage occupation
73.3
82.6
76.2
74.5
47.3
76.8
95.4
80.4
86.3
51.3
75.4
897.8
578.2
533.8
533.8
Normal establishment of staff—
74.7
85.3
75.3
76.7
Medical and nursing
100 (1.6)
123 (1.5)
20 (0.4)
55 (0.5)
16 (0.3)
94 (1.0)
0
88 (1.0)
142 (2.2)
6 (0.3)
51 (0.8)
75 (0.6)
0
77 (0.9)
77 (1.1)
Other, excluding engineering and teaching
(Totals and, in brackets, numbers per ten beds.)
63 (1.0)
92 (1.1)
65 (1.4)
126 (1.1)
60 (1.2)
110 (1.1)
0
130 (1.5)
130 (2.0)
10 (0.6)
66 (1.1)
77 (0.6)
0
84 (1.2)
84 (1.2)
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
P
B
P
B
P
B
P
B
Provisions and stimulants
50.7

48.2

43 4

46.0

59.6

43.2

48.0

42.3

51.0
45.1

46.1

47.7

50.0

47.8
XJ
47.2

Tobacco, sweets, and snuff
5.1

2.2

3 8

4.9

7.1

3.9

3.5

4.4

0.3
3.8

2.7

4.1

5.2

3.9
3.8

Surgery and dispensary
6.8

7.4

51

4.7

5.0

5.2

5.9
5.5

12.3
3.1

4.0

3.3

5.8

5.7
5.8

including Drugs, dressings sundries, etc.
( 3.6)

( 3.7)

( 4-2)

( 3.6)

( 4.0)

(1.8)

(1.8)
( 3.8)

(3.7)
(1.5)

(3.4)

(2.2)

(2.8)

(3.1)
(3.1)

Surgical equipment, appliances
and repairs
( 1.4)

( 1.6)
( 0-2)
( 0.5)

(0.2)

( 2.2)

(3.6)
( 0.4)

(4.3)
(0.3)

(0.4)

(0.6)

(0.5)

()1.2
(1.3)

Salaries and wages
( 1.8)
( 1.3)
( 2.1)
( 17)
( 0-7)
0.5)
( 0.6)
( 0.4)
(0.8)
( 0.4)
(1.2)
( 0.9)
(0.5)
( 0.5)
( 1.3)
(1.0)
(4.3)
( 3-7)
(1.3)
(0.7)
(0.2)
( 0.2)
(0.5)

(2.5)
(2.2)
(1.4)
~;
(1.4)
(1.0)
Clothing
7.4

3.9
5 9

7.8

6.1

6.2

5.3
8.3

4 0
9.9

6.0

5.7
(0.4)
8.1

6.5
( 1-1)
6.3

Funerals
2.4

1.2

0-2

1.3

2.0

1.3

2.6

0.8

2.5
_


2.7

0.6

1.7

1.6
1.4

2. Staff—
Salaries and wages (with Council's contributions
under National Insurance Acts)
256.5
188.0
193.9
160.2
99.3
75.7
71.3
53.1
135.4
64.1
118.6
91.1
198.1
188.9
127.8
102.8
256.3
221.1
102.7
52.6
103.6
78.1
91.6
68.4
120.4†
102.7
144.3
including Medical service
(20.7)
(15.2)
( 6.7)
( 6.5)
( 1.7)
( 1.3)
( 1.0)
( 0.7)
(2.5)
(1.2)
(5.6)
( 4.3)
(13.0)
(12.4)
(1.4)
(1.1)
(25.5)
(22.0)
( 2.6)
(1.3)
(2.0)
(1.5)
(1.8)
(1.4)
(2.0)
(1.7)
(6.7)
lil-o
140.9
107.9
N ursing service
(128.4)
(94.1)
(71.7)
(59.2)
(23.4)
(17.9)
(26.6)
(19.8)
(51.6)
(24.4)
(34.9)
(26.8)
(73.5)
(70.1)
(42.8)
(31.4)
(85.8)
(74.0)
(16.8)
(8.6)
(38.3)
(28.8)
(37.9)
(28.3)
(41.1)
(35.1)
( 51.8)
; 5-3)
(6.4)
(4.9)
Steward and clerical service
(12.5)
( 9.2)
(10.1)
( 8.3)
(13.2)
(10.0)
( 9.5)
( 7.0)
(12.9)
(6.1)
(10.2)
( 7.8)
(12.1)
(11.5)
(7.9)
(6.4)
(14.3)
(12.3)
(15.8)
(8.1)
(12.5)
(9.4)
(8.9)
(6.6)
(12.2)
(10.4)
(11.7)
(40-1)
(51.6)
(39.5)
General domestic service
(38.8)
(28.4)
(55.5)
(45.9)
(43.7)
(33.3)
(29.2)
(21.7)
(50.2)
(23.8)
(45.6)
(35.1)
(66.3)
(63.2)
(55.2)
(44.4)
(67.3)
(58.0)
(33.4)
(17.1)
(17.7
(13.4)
(29.7)
(22.2)
(49.5)
(42.2)
(44.8)
; 8-7)
(10.9)
(8.3)
Kitchen service
( 8.6)
( 6.3)
( 6.0)
( 4.9)
( 3.1)
( 2.4)
( 1.2)
( 0.9)
(8.5)
(4.0)
(2.8)
( 2.1)
(6.3)
( 6.0)
(8.2)
(6.6)
(9.7)
8.4)
(13.0)
(6.7)
(4.3)
(3.3)
(3.6)
(2.7)
(7.3)
(6.2)
(6.3)
(34-5)
(44.1)
(33.8)
Workrooms
( 2.2)
( 1.6)
( 6.5)
( 5.4)
( 1.0)
( 0.8)
( 2.7)
( 2.1)
(3.7)
(1.8)
(3.4)
( 2.6)
(2.7)
( 2.6)
(5.2)
(4.2)
(7.8)
6.8)
(6.5)
(3.3)
(1.3)
(1.0)
(3.6)
(2.7)
(5.7)
(4.8)
(4.0)
4-7)
( ^ -1 ^
(5.5)
(4.2)
Miscellaneous
( 7.6)
( 5.6)
( 5.1)
( 4.3)
( 2.6)
( 1.9)
( 1.0)
(0.8)
(4.4)
(2.1)
(3.4)
( 2.6)
(1.7)
( 1.6)
(2.7)
(2.2)
( 6.0)
5.2)
(6.2)
(3.2)
(1.8)
(1.3)
(1.4)
( 1.0)
(2.4)
(2.1)
(3.5)
( 3 L)
(4.0)
(3.1)
Non-residential allowances
(13.1)
( 9.6)
(31.8)
(26.3)
( 7.0)
( 5.3)


(0.7)
(0.3)
(6.7)
( 5.2)
(21.3)
(20.3)
(2.7)
(2.2)
(31.5)
'27.2)
(8.3)
(4.2)
(18.8)
(14.2)
(3.2)
( 1.0)


( 11.2)
( 2-6)
(3.2)
(2.5)
Adjustment of pay on grading
(1930-1934)
(24.6)
(18.0)
( 0.5)
( 0.4)
( 3.6)
(2.8)
(0.1)
( 0.1)
(0.9)
( 0.4)
(6.0)
( 4.6)
(1.2)
(1.2)
(1.7)
(1.3)
( 8.4)
7.2)
(0.1)
(0.1)
(6.9)
(5.2)
(1.5)
(2.4)
(1.1)
(0.2)
(0.2)
(4.3)
(4.3)
9-0)
3-3)
(11.0)
(4.2)
(8.4)
( 3.2)
Rations
11.0
8.0
9.6
7.9
7.2
5.5
7.0
5.2
8.9
4.2
11.5
8.8
12.8
12.2
12.4
9.9
19.6
16.9
4.2
2.2
9.7
7.3
5.8
4.3
3.4
2.9
9.5
7-3
9.7
7-4
Uniforms and dresses
3.8
2.8
2.7
2.3
1.2
0.9
1.3
1.0
1.1
0.5
2.2
1.7
3.2
3.1
1.8
1.4
4.5
3.9
1.3
0.6
3.8
2.9
1.1
0.8
1.9
1.6
2.3
1-8
2.3
1-8
3. Buildings, services and supplies—
Furniture and equipment
10.4
7.6
10.0
8.2
4.4
3.3
5.1
3.8
5.5
2.6
11.7
8.9
12.0
11-5
7.8
6.3
13.2
11.4
4.1
2.1
8.6
6.5
4.1
3.1
8.5
7.3
8.1
c.i
8.3
Cleaning and domestic materials
3.5
2.6
3.3
2.8
4.1
3.1
4.0
3.0
5.3
2.5
3.1
2.4
4.0
3-8
4.6
3.7
4.0
3.4
3.3
1.7
3.0
2.3
2.2
1.6
2.4
2.1
3.6
b-4:
3.5
b'o
2.7
Bedding and house linen
5.3
3.9
7.5
6.2
2.0
1.5
5.0
3.7
4.3
2.0
6.7
5.2
5.5
5-3
9.2
7.4
7.5
6.5
3.7
1.9
5.0
3.8
4.1
3.0
4.9
4.1
5.4
2 *7
5.8
A .A
Crockery and hardware
1.5
1.1
2.3
1.9
1.5
1.1
2.3
1.7
1.3
0.6
2.1
1.6
2.4
2-3
2.1
1.7
3.1
2.7
0.8
0.4
1.9
1.5
1.6
1.2
1.5
1.3
1.9
15
2.0
1 -4
1 *5
Heating, lighting, etc
43.3
31.7
27.4
22.6
26.1
19.9
19.7
14.6
54.8
25.9
30.0
23.1
29.3
27-9
25.8
20.8
37.4
32.2
68.4
35.1
38.3
28.8
23.6
17.7
36.1
30.8
35.4
25-5
30.8
23-6
including Wages of engineering
tenance staff
(11.9)
( 8.7)
( 7.1)
( 5.9)
(12.0)
( 9.2)
( 8.1)
(6.0)
(18.3)
( 8.6)
(7.9)
(6.1)
(6.1)
( 5-8)
( 5.7)
(4.6)
(13.8)
(11.9)
(14.8)
(7.6)
(7.8)
(5.9)
(5.4)
(4.0)
(13.7)
(11.7)
(10.2)
( 7.4"\
(9.0)
Fuel
(20.5)
(15.0)
(10.3
( 8.5)
( 6.2)
( 4.7)
(10.0)
(7.4)
(24.0)
(11.4)
(12.3)
(9.5)
(12.1)
(11-5)
( 9.0)
(7.2)
(16.9)
(14.5)
(33.2)
(17.0)
(19.0)
(14.3)
(12.8)
(9.6)
(14.0)
(12.0)
(15.4)
( ' ■*)
(13.4)
V 0 J)
11 r"». ON
Gas, electricity, water
(10.9
( 8.0)
(10 0
( 8.2)
( 7.9)
( 6.0)
(1.6)
(1.2)
(12.5)
( 5.9)
(9.8)
(7.5)
(11.1)
(10-6)
(11.1)
(9.0)
( 6.7)
5.8)
(20.4)
(10.5)
(11.5)
(8.6)
(5.4)
(4.1)
(8.3)
(7.1)
(15.4)
(11-0)
( 7. i \
(8.4)
(1U-J)
( ft.
Laundry
21.6
15.8
(23.2)
19.1
2.8
2.1
1.6
1.2
11.7
5.5
21.0
16.2
19.5
18-6
23.9
19.2
33.5
28.9
16.4
8.4
11.6
8.7
6.9
5.1
21.4
18.2
(9.8)
( ' i)
12-8
16.3
( " °)
12-5
including Wages
(15.3)
(11.2)
(17.4)
(14.4)





(13.3)
(10.2)
(13.0)
(12.4)
(18.3)
(14.7)
(20.3)
(17.5)
*
*


(5.4)
(4.0)
(16.3)
(13.9)
16.5

Works (plant and buildings)—
Maintenance:Wages
11.2
8.2
8.7
7.2
10.6
8.0
9.2
6.9
18.4
8.7
7.3
5.6
8.9
8.5
7.2
5.8
10.7
9.2
10.2
5.2
6.6
5.0
5.8
4.3
16.0
13.6
10.1
7-4
9.2
7-0
Do. Minor contracts,
materials, etc.
14.8
10.9
10.4
8.6
9.1
7.0
10.0
7.4
10.1
4.8
10.2
7.8
11.1
10.6
6.2
5.0
10.5
9.1
17.7
9.1
7.6
5.7
7.8
5.8
11.0
9.4
10.5
7-8
9.8
7.5
Special works
23.9
17.6
76.7
63.3
15.8
12.1
15.5
11.6
13.0
0.2
6.4
4.9
11.6
11.1
11.9
9.6
23.0
19.8
26.1
13.3
14.4
10.8
14.3
10.7
13.3
11.4
20.5
15-6
20.9
16-0
Gardens and grounds—
Wages


3.1
2.6




3.1
1.5






1.5
1.3






1.3
1.1
2.2
1-6
0.6
0-5
4. Rates, taxes and insurance
12.9
9.5
11.0
9.1
18.0
13.7
8.2
6.1
21.6
10.2
23.5
18.0
15.4
14.7
13.8
11.1
15.0
12.9
13.0
6.7
13.9
10.5
7.0
5.3
14.2
12.1
14.4
10-8
13.6
10-4
5. Miscellaneous expenditure—
Printing, stationery, postage, telephones, etc—
5.0
3.7
3.1
2.6
2.6
2.0
3.1
2.3
6.7
5.2
2.5
1.9
3.2
3.0
2.6
2.1
4.9
4.2
4.3
2.2
5.5
4.2
2.0
1.5
2.4
2.1
3.7
2-7
3.3
2-6
Travelling and sundry expenses
1.1
0.8
2.4
2.0
0.2
0.2
0.6
0.5
0.2
0.1
0.2
0.1

0.1
0.1
0.4
0.4
0.2
0.1
0.1
0.1
0.2
0.2
0.3
0.2
0.5
0-4
0.5
0-4
Items 1 to 6—total per occupied bed
41s. 6.2d.

38s. 2.2d.

21s. 11.3d

19s. 0.6d.

31s. 9.2d.

26s. 4.8d.

33s. 6.3d.

26s. 6.5d.

42s. 11.2d

28s. 2.3d

24s. 7.1d.

19s. 11 5d

27s. 5.8d.

29s. 4.7d.
28s. 6.0d.
Deduct for sundry receipts, credits for transfer
services and balances on farm or industrial
accounts
0s. 11.6d

0s. 3.0d.

0s. 3.9d.

0s. 9.9d.

2s. 9.3d.

0s. 6.6d.
7—
0s. 9.4d.

0s. 11.8d

0s. 7.1d.

0s. 2.1d.

0s. 4.5d.

0s. 1 Id.

0s. 4.6d.

0s. 8.4d.
0s.7.4d.
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.
£
d.
£
d.
£
d.
£
d.
£
s.
d.
per day
5
10
5
5
3
1
2
7
4
2
5
1
4
8
3
8
6
1
4
0
3
6
2
10
3
10
4
1
4
0
per week
2
0
7
1
17
11
1
1
7
18
3
1
9
0
1
5
10
1
12
9
1
5
7
2
2
4
1
3
0
1
A
0
19
10
1
1
8
8
1
7
11
per year
105
16
2
98
17
1
56
5
5
47
11
7
75
12
2
67
0
85
7
8
66
14
0
110
7
5
73
0
0
63
4
6
51
14
2
1
70
4
12
1
2
74
14
9
72
15
8
Net cost per occupied bed per week, 1933-34
2
4
7
1
9
6
1
2
0
16
5
1
3
3
1
4
3

1
4
11
1
19
11
1
10
10
18
5
18
8
1
7
0


P
B
P
B
P
B
P
B
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)
31.9
23.4
16.6
13.7
16.1
12.3
14.6
10.9
15.0
7.1
14.6
11.2
22.0
21.0
18.4
14.8
30.9
26.7
15.6
8.0
14.4
10.8
12.4
9.2
16.0
13.7
18.3
14.1
17.9
13.7
7. Annual charge in respect of capital outlay
14.3
10.5
20.8
17.2
36.9
28.1
15.3
11.4
40.9
19.4
21.3
16.4
29.7
28.3
23.5
18.9
31.0
26.8
20.6
10.6
29.3
22.1
14.6
10.9
21.6
18.4
24.6
18.4
22.7
17.4
8. Establishment charges—Pensions
23.9
17.5
19.2
15.9
14.6
11.1
11.3
8.4
18.6
8.8
12.1
9.3
27.5
26.3
14.5
11.6
24.8
21.4
10.3
5.5
13.7
10.3
9.6
7.2
14.4
12.3
16.5
12.7
15.9
12.2
Other
24.5
17.9
24.5
20.2
24.5
18.7
24.5
18.2
24.5
11.6
24.5
18.8
24.5
23.3
24.5
19.7
24.5
21.1
24.5
12.6
24.5
18.5
24.5
18.3
24.5
20.9
24.5
18.4
24.5
18.8
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
d.
£
R.
d.
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
d.
inclusive cost per occupied bed per week, 1934-35
2
8
5
2
4
8
1
9
4
1
3
8
1
17
3
1
11
11
2
1
5
1
12
4
2
11
7
1
13
11
1
11
1
1
4
11
1
13
6
1
15
8
1
14
8
Inclusive cost per occupied bed per week, 1933-34
2
11
8
1
15
8
1
9
4
1
1
6
1
8
10
1
10
1

1
10
10
2
8
1
16
10
1
4
10
1
3
6
1
13
3


Percentage occupation, 1933-34
64.
4
85.1
76.3
78.6
82.3
3
7 8.4

84.8
89.8
50.1
66.5
77.3
85.3


NOTES (see also General Notes on page 7).— The cost per available bed iB) is not shown where the expenditure is strictly dependent upon the number of p itients. An asterisk (•) indicates that the service, inclusive of labour, was rendered and charged for by another establishment. In many cases the labour of inmates was utilised.
} See second paragraph on page 4. 0 See note referring to this hospital on page facing. t Includes value ol certain emoluments which was recovered from staff—see deduction for receipts below. § Undergoing partial reconstruction during the year. tt See page 0. H Conditions not comparable.