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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TABLE D
GENERAL HOSPITALS—Group G. Ill—For convalescent patients.
Group G. IV—For sane epileptic patients.
Group G. V—For certain children's diseases.
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.
GROUP G. III | GROUP G. IV | GROUP G. V | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Name and type of hospital | Queen Mary's, Sidcup. | St. Benedict's | ffMean of group III. | ft Average of group III. | St. David's | St. Faith's | tfMean of group IV. | ft Average of group IV. | St. Margaret's. | ||||||||||||||||||
Number of beds nominally available | 500 | 320 | 410 | 410 | 328 | 437 | 382 | 382 | 66 | ||||||||||||||||||
Average daily number of patients | 459.4 | 293.9 | 376.6 | 376.6 | 312.7 | 356.1 | 334.4 | 334.4 | 39.9 | ||||||||||||||||||
Percentage occupation Normal establishment of staff— | 91.9 | 91.8 | 91.8 | 91.9 ^ * | 95.3 | 81.5 | 88.4 • | 87.4 | 60.5 | ||||||||||||||||||
Medical and nursing | 81 (1.6) | 61 (1.9) | 71 (1.7) | 71 (1.7) | 33 (1.0) | 34 (0.8) | 33 (0.9) | 33 (0.9) | 23 (3.5) | ||||||||||||||||||
Other, excluding engineering and teaching (Totals and, in brackets, numbers per ten beds.) | 105 (21) | 66 (2.1) | 85 (2.1) | 85 (2.1) | i!7 (0.8) | 50 (11) | 38 (0.9) | 38 (1.0) | 15 (2.3) | ||||||||||||||||||
1. In.patients, Maintenance of— | P | B | P | B | P | B | P | B | P | B | P | P | B | P | P | ||||||||||||
Provisions and stimulants | 85.8 | — | 60 8 | — | 73 3 | — | 76 0 | — | 57.2 | — | 45 7 | 51 5 | 511 | 53 0 | |||||||||||||
Tobacco, sweets and pnuff | 10 | 10 | 0.6 | 7.2 | 0.5 | 3.8 | 36 | ||||||||||||||||||||
Surgery and dispensary | 10 1 | _ | 11 0 | _ | 10 5 | _ | 10.4 | 5.7 | 3 6 | 4.7 | 4.6 | 363 | |||||||||||||||
including Drugs, dressings, sundries, etc. | ( 5.4) | — | ( 6 5) | — | ( 5.9) | — | ( 5 8) | — | ( 5.2) | — | (3.3) | — | ( 4.3) | — | ( 4.2) | _ | (14 0) | _ | |||||||||
Surgical equipment, appliances and repairs | ( 2.0) | ( 18) | ( 1.9) | ( 1.9) | ( 0.5) | ( 0 3) | ( 0.4) | ( 0.4) | (14 9) | ||||||||||||||||||
Salaries and wages | ( 2.7) | 2.5) | ( 2.7) | ( 2.4) | ( 2.7) | ( 2.4) | ( 2.7) | ( 2.4) | — | — | _ | _ | ( 7.4) | ( 4.5) | |||||||||||||
Antitoxin establishment and pathological ser | |||||||||||||||||||||||||||
vices | 0.4 | — | 11 | — | 0 8 | — | 0 6 | _ | 0.1 | — | 0 2 | _ | 0 1 | _ | 0 2 | _ | 9 7 | _ | |||||||||
Clothing | 12.0 | — | 10 | _ | 6 6 | _ | 7.7 | __ | 15.7 | _ | 9.2 | _ | 12.5 | _ | 12.3 | 82 | |||||||||||
Funerals | 1.3 | — | 0 2 | — | 0 7 | _ | 0 9 | _ | 0.2 | _ | 0 1 | _ | 0 1 | _ | 0 1 | ||||||||||||
2. Staff— | |||||||||||||||||||||||||||
Salaries and wages (with Council's contributions under National Insurance Acts) | 224.6 | 206.4 | 234 2 | 215.1 | 229 4 | 210.8 | 228 4 | 209.8 | 138 9 | 132.4 ' | 92 0 | 75.0 | 115 5 | 103.7 | 113 9 | 99.6 | 390 0 | 235.6 | |||||||||
including Medical service | (23.5) | (21.6) | (27.9) | (25.6) | (25.7 | (23.6) | (25 2) | (23.2) | ( 5.1) | ( 4.9} | ( 5.1) | 4.1) | ( 51) | ( 4.5) | ( 5.1) | ( 4.4) | (39 8) | (24.0) | |||||||||
Nursing service | (33.8) | (31.1) | (710) | (65.2) | (52 4 | (48.2) | (48 4 | (44.4) | (80 3) | (76.5) | (27.8) | (22.7) | (54.1) | (49.15) | (52.4) | (45.8) | (165 7 | (100.1) | |||||||||
Steward and clerical service | (12.3) | (H.3) | (18 4) | (16.9) | (153 | (14.1) | (14.7) | (13.5) | (130) | (12.4) | (16.4) | (13.4) | (14.7) | (12.9) | (14 81 | (130) | (12 4 | ( 7.5) | |||||||||
General domestic service | (128.4 | (118.0) | (86 2) | (79.2) | (107 3 | (98.6) | (1119) | (102.8) | (151) | (14.4) | (19.9) | (16.2) | (17.5) | (15.3) | (17.6) | (15.4) | (124 0) | (74.9) | |||||||||
Kitchen service | (16.3) | (15.0) | (10.7) | ( 9.H) | (13.5) | (12.4) | (141) | (130) | ( 7 4) | ( 7.0) | ( 2.8) | 2.3) | ( 5.1) | 4.6) | ( 4.9; | ( 4.3) | (14 2 | ( 8.6) | |||||||||
Workrooms | (3.7) | ( 3.4) | ( 3.9) | ( 3.6) | ( 3 8) | ( 3.5) | ( 3.8) | ( 3.4) | ( 5.6) | ( 5.4) | ( 0 9) | 0.7) | ( 3 3) | ( 3.1) | ( 3.1) | ( 2.7) | (15 0 | ( 9.1) | |||||||||
Miscellaneous | ( 3.0 | ( 2.7) | ( 3.9) | ( 3.6) | ( 3 5) | ( 3.1) | ( 3 3) | ( 3.1) | t( 3 1) | ( 2.9) | ( 7.0) | 5.7) | ( 5 0) | ( 4.3) | ( 5.2) | ( 4.5) | ( 4.6) | ( 2.8) | |||||||||
Non.residential allowances | — | (11.2) | (103) | ( 5.6) | ( 5.2) | ( 4.4) | ( 4.0) | ( 8 9) | ( *.5) | (11.9) | 9.7) | (10.4) | ( 91) | (105) | ( 9.2) | (14.3) | ( 8.6) | ||||||||||
Adjustment of pay on grading (1930.19?4) | ( 3.6 | ( 3.3) | ( 10) | ( 0.9) | ( 2.3) | ( 21) | ( 2.6) | ( 2.4) | ( 0.4) | ( 0.4) | ( 0.2) | ( 0.2) | ( 0 3) | ( 0.3) | ( 0 3) | ( 0.3) | |||||||||||
Rations | 21.2 | 19.5 | 23 2 | 21.3 | 22.2 | 20.4 | 22 0 | 20.2 | 0 9 | 0.9 | 9 7 | 7.9 | 5 3 | 4.4 | 5 6 | 4.9 | 56 9 | 34.4 | |||||||||
Uniforms and dresses | 3.9 | 3.6 | 5.2 | 4.8 | 4 6 | 4.2 | 4.4 | 4.1 | 1.6 | 1.5 | 16 | 1.3 | 16 | 1.4 | 1.6 | 1.4 | 8 5 | 5.2 | |||||||||
3. buildings, services and supplies— | |||||||||||||||||||||||||||
Furniture and equipment | 12.0 | 11. 0 | 6 3 | 5.8 | 9 1 | 8.4 | 9 8 | 9.0 | 5 3 | 5.1 | 7 3 | 5.9 | 6 3 | 5.5 | 6 4 | 5.6 | 63 6 | 38.4 | |||||||||
Cleaning and domestic materials | 3.3 | 3.0 | 4 8 | 4.4 | 4 1 | 3.7 | 3.9 | 3.6 | 2.7 | 2.6 | 27 | 2.2 | 27 | 2.4 | 2.7 | 2.4 | 6 6 | 4.0 | |||||||||
Bedding and house linen | 6.3 | 5.8 | 2 6 | 2.4 | 4 4 | 4.1 | 4.9 | 4.5 | 3 9 | 3.7 | 3 3 | 2.7 | 3 6 | 3.2 | 3 6 | 3.1 | 23 6 | 14.2 | |||||||||
Crockery and hardware | 2.9 | 2.7 | 1.7 | 1.6 | 2 3 | 2.1 | 2.4 | 2.2 | 16 | 1.5 | 20 | 1.7 | 18 | 1.6 | 1.8 | 1.6 | 6 9 | 4.2 | |||||||||
Heating, lighting, etc | 62.0 | 57.0 | 45 5 | 41.8 | 53 8 | 49.4 | 55 6 | 611 | 27 0 | 25.8 | 323 | 26.3 | 29 6 | 26.0 | 29 8 | 26.1 | 68 0 | 41.1 | |||||||||
including Wages of engineering maintenance staff | (14.0) | (12.9) | (16 6, | (15.3) | (15 3, | (14.1) | (150) | (13.8) | (106) | (101) | ( 91) | ( 7.4) | ( 9.8) | 8.7) | ( 9.8) | ( 8.5) | (16 0) | ( 9.7) | |||||||||
Fuel | (29.9 | (27.5) | (16 7 | (15.3) | (23 3 | (21.4) | (24 8) | (22.7) | (11.4) | (10.9) | (14.2) | (11.5) | (12.8) | (11.2) | (12 9) | (11.3) | (251) | (15.1) | |||||||||
Gas, electricity, water | (18.1 | (16.6) | (122 | (11.2) | (15 2 | (13.9) | (15.8) | (14.6) | ( 5 0) | ( 4.8) | ( 9 0) | ( 7.4) | ( 7.0) | 6.1) | ( 71) | ( 6.3) | (26 9) | (16.3) | |||||||||
Laundry | 17.3 | 15.9 | 17 9 | 16.4 | 17 6 | 16.2 | 17 5 | 16.1 | 10 4 | 9.9 | 102 | 8.3 | 10 3 | 9.1 | 10 3 | 9.0 | 79 1 | 47.8 | |||||||||
including Wages | * | # | — | — | — | — | — | — | ( 4.7) | ( 4.5) | ( 6 0) | ( 4.9) | ( 5.3) | ( 4.7) | ( 5.4) | ( 4.7) | • | • | |||||||||
Works (plant and buildings)— Maintenance: Wages | 11.4 | 10.5 | 10 0 | 9.2 | 10 7 | 9.8 | 10 9 | 10.0 | 13 2 | 12.6 | 7.7 | 6.3 | 105 | 9.5 | 10 3 | 9.0 | 6 8 | 4.1 | |||||||||
Do. Minor contracts, materials, etc. | 13.6 | 12.5 | 13 0 | 11.9 | 13 3 | 12.2 | 13 4 | 12.3 | 3 8 | 3.6 | 15 4 | 12.5 | 9 6 | 8.0 | 9 9 | 8.7 | 46 3 | 27.9 | |||||||||
Special works | 5.6 | 5.2 | 18.5 | 17.0 | 12 0 | 11.1 | 10 7 | 9.8 | 9 0 | 8.6 | 5 4 | 4.4 | 7.2 | 6.6 | 7 1 | 6.2 | 256 6§ | 155.0 | |||||||||
Gardens and grounds— Wages | 8.3 | 7.6 | 6 5 | 5.9 | 7.4 | 6.8 | 7 6 | C.9 | 30 | 2.8 | 7 2 | 5.8 | 5 1 | 4.3 | 5 2 | 4.5 | |||||||||||
4. Rates, taxes and insurance | 6.8 | 6.2 | 17 7 | 16.3 | 12 2 | 11.2 | 11 0 | 10.1 | 20 8 | 19.8 | 182 | 14.8 | 19 5 | 17.3 | 19 4 | 170 | 25 8 | 15.6 | |||||||||
5. Miscellaneous expenditure— | |||||||||||||||||||||||||||
Printing, stationery, postage, telephones, etc. | 3.9 | 3.6 | 5 4 | 4.9 | 4 6 | 4.2 | 45 | 41 | 9 4 | 9.0 | 88 | 7.2 | 9 1 | 8.1 | 9 1 | 8.0 | 81 | 4.9 | |||||||||
Travelling and sundry expenses | 0.6 | 0.5 | 0 2 | 0.2 | 0 4 | 0.3 | 0 4 | 0.4 | 0 4 | U.4 | 2.4 | 2.0 | 14 | 1.2 | 15 | 1.3 | 0 0 | 0.4 | |||||||||
Items 1 to 5—total per occupied bed | 42s. 10 3d | — | 40s. 6 8d. | — | 41s. 8.5d. | 41s. 11.6d. | 28s. 2 Od. | — | 23s. 9 5d. | — | 25s. 11 8d | — | 25s. 10 Id | ~ | 96s. 2 6d. | ||||||||||||
services and balances on farm or industrial accounts... | 1s. 0.8d. | — | 0s. 9 4d. | — | 0s. 11 Id. | — | 0s. 11 5d, | 0s. 10 8d | 0s. 3 2d. | 0s. 7 Od. | . | 0s. 6 8d. | . | Os.O 9d. | — | ||||||||||||
Net COST per occupied bed— | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | £ | d. | £ | s. | d. | £ | s. | d. | £ | s. | d. | |
per day | 6 | 0 | 0 | 5 | 8 | 5 | 10 | 5 | L0 | 3 | 11 | 3 | 4 | 3 | 8 | 3 | 7 | 13 | 9 | ||||||||
per week | 2 | 1 | 10 | 1 | 19 | 9 | 2 | 0 | 9 | 2 | 1 | 0 | 1 | 7 | 3 | 1 | 3 | 6 | 1 | 5 | 6 | 1 | 5 | 3 | 4 | 16 | 25 |
per year | 109 | 1 | 4 | 103 | 12 | 8 | 106 | 4 | 10 | 106 | 17 | 10 | 71 | 0 | 11 | 61 | 5 | 4 | 66 | 6 | 4 | 65 | 16 | 7 | 250 | 14 | 5 |
7 | |||||||||||||||||||||||||||
aaaaaaa | P | B | P | B | P | B | P | B | P | B | P | B | P | P | P | ||||||||||||
C. Superannuation fund (Council's contributions) | 28.2 | 26.0 | 30 7 | 28.2 | 29 4 | 27.1 | 29 2 | 26.8 | 17 6 | 16.8 | 14 8 | 12.0 | 16 2 | 14.4 | 16 1 | 14.1 | 37 5 | 22.7 | |||||||||
7. ANNUAL CHARGE IN RESPECT OF CAPITAL OUTLAY | 11.8 | 10.8 | 34 8 | 31.9 | 23 3 | 21.4 | 20 8 | 19.1 | 33 9 | 32.3 | 29 2 | 23.8 | 31 5 | 28.0 | 81 4 | 27.4 | 45 7 | 27.6 | |||||||||
8. Establishment charges—Pensions | 20.9 | 19.2 | 21 6 | 19.9 | 21 3 | 19.5 | 21 2 | 19.4 | 14 8 | 13.9 | 11.9 | 9.7 | 13 3 | 11.8 | 13 2 | 11.5 | 33 2 | 20.1 | |||||||||
Other | 51.5 | 47.3 | 51 5 | 47.3 | 51.5 | 47.3 | 51 5 | 47.3 | 24 5 | 23.3 | 24.5 | 20.0 | 24.5 | 21.7 | 24 5 | 21.4 | 41 1 | 24.7 | |||||||||
£ | 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 | 2 | 11 | 2 | 2 | 11 | 4 | 2 | 11 | 3 | 2 | 11 | 3 | 1 | 14 | 10 | 1 | 10 | 3 | 1 | 12 | 6 | 1 | 12 | 4 | 5 | 9 | 3§ |
NOTES (see also General Notes on page 7).—The co«t per available bed (B) is not shown where the expenditure is strictly dependent upon tlienumberof patients An asterisk (•) indicates that theservice,inclusiveoflabour, was rendered
and charged for by another establishment. In the hospitals in group U.1V the labour of inmates is utilised. t Includes teachers and instructors, ft See page ti. § Exceptional cost mainly due to provision of a special department.