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 E
SPECIAL HOSPITALS—Group S. I—Infectious: Fever.
ANALYSIS OF COST PER WEEK (IN PENCE) of maiiitenance of IN-PATIENTS under the several heads of expenditure, during
the year 1st April, 1934 to 31st March, 193"). 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 and type of hospital
Brook.
(acute)
Eastern.
(acute)
Grove.
(acute)
Joyce Green and
Orchard.
North-Eastern.
(acute)
North-Western.
(acute)
Northern.
(convalescent)
Park.
(acute)
South-Eastern.
(acute)
South-Western.
(acute)
§ Southern.
(convalescent)
Western.
(acute)
tf Mean of group.
f-f- Average of
group.
Number of beds nominally available
560
565
556
(acute)
1,650
661
410
712
612
480
323
1.544
4 79
713
713
Average daily number of patients
436*9
459-5
468-9
624-0
512-0
368-6
529-6
390-3
389-8
297-3
640*8
378-3
458-0
458*0
Percentage occupation ...
78*0
81*3
84-3
37-8
77-5
89-9
74-4
63-8
81-2
92*0
41 -5
7Q.0
7^..1
Normal establishment of staff—
Medical and nursing
194 (3-5)
223 (3-9)
208 (3-7)
•»
223 (3-4)
162 (4-0)
186 (2-6)
171 (2-8)
179 (3-7)
131 (41)
263 (1-7)
lav
175 (3-7)
IO 1
192 (3-4)
192 (3-1)
Other, excluding engineering and teaching
(Totals and, in brackets, numbers per ten beds.)
162 (2-9)
196 (3-5)
196 (3*5)
194 (2-9)
139 (3-4)
195 (2-7)
173 (2-8)
162 (3-4)
131 (4-1)
226 (1-5)
163 (3-4)
176 (3-1)
176 (2-8)
1. In-patients, Maintenance op—
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 stinjulants
611

59 2

62 9

54 9

56*7

59 9
86 6
565
61*2
69 9
59*7
64 2
62*7
62-7
t Surgery and dispensary ... ... _
13 7
12'8
10 0
6 2

20 5

17 6

13 7

16 6

11 3
145
6 6
15 6
13 3
12 8
including Drugs, dressings, sundries, etc. ...
( 4-9

( 63

( 4 2
( 2*0)
( 5-9)
( 7*2

( 8 8

(5*9)

( 51)

( 6 0)
( 2 5)
( 6-0)
( 5*4)
( 5-2)
burgical equipment, appliances
and repairs
( 4 0

( 3 3
( 2 0
( 0 9)
(10 0)
( 6 0

( 2*3)

( 6-7)
( 2*3)
( 3 6)
( 0 9)
( 3'7)
( 3'8)
( 3 6)
Salaries and wages ...
pofhalni'ipbl qprvif»f*-i
( 4 8
**•1
( 3-7)
( 3-2
1 -9
( 2'6)
( 3 8
i n
( 3-2)
( 3-3)
1 .o
( 1*2)
( 4-6)
i4.i
( |3 6)
( 4-4
( 3-9)
( 2 6)
( 2 0)
( 4*0)
( 2-5)
( 3*9)
( 3-2)
( 4*9)
( 4-6)
( 3*2)
( 13)
( 5-9)
( 4-7)
( 4*1)
( 3-0)
( 4*0)
( 2-6)
rabuuiugiuiii oci viucs ... ... ... ...
o ±
1 u
14
4 4

0 4

12 4

2 0
2 3
0 9
2-5
4 0
3 9
Antitoxin establishment
8 9

15 1
6-2

5-6

15*1

6 3

0 4

10 1
29 8
14 3
14
17-4
10-9
100
Clothing
5*3
4 3
2 9

3*0

4-4

2 3

11-7

45

1-7

55
92
45
4 9
5 2
j. staff—
Salaries and wages (with Council's contributions
under National Insurance Acts)
305 5
238-4
343 3
279-1
325 4
274-4
349 8
132-3
302 9
234*6
372 5
334-9
282 8
210-4
339 2
216-3
355 3
288-5
392 2
361-0
273 8
113-6
339 4
268-0
331 8
246*0
326 4
211*8
including Medical service
(381
(29*7)
(37-9
(30-8)
(40-5
(34*2)
(45-7^
(17 *3)
(36*4)
(28-2)
(51 4
(46-2)
(38 4
(28-6)
(44*3)
(28-2)
(41-2)
(33-4)
(47-1)
(43*3)
(26 6)
(11-0)
(42 0)
(33-2)
(40-8)
(30-3)
(39-9)
(25-9)
Nursing service
(140 8
(109-8)
(141 8
(115-3)
(158 2)
(133-4)
(141-8)
(53-6)
(147-7)
(114*4)
(144*1
(129-5)
(104 3)
(77-6)
(146 4)
(93-3)
(148 2)
(120-4)
(131*0
(120*6)
(132 3
(54*9)
(157*5)
(124-3)
(140 9)
(103*9)
(140 3
(91-1)
Steward and clerical service
(22 6
(17-7)
(.21 6
(17-6)
(185
(15*6)
(21 2)
( 8*0)
(19-5)
(15-1)
<19 3
(17 4;
(13 6)
(10-1)
(28-4)
(18-1)
(22*2)
(18-0)
(23 4
(21-6)
(20 4)
( 8-5)
(25*3)
(20-0)
(21*4)
(15*7)
(21 0:
(13-6)
General domestic service
(84 4
(65-8)
(117 3
(95-4)
(90 8
(.76-6)
(110*5)
(41*8)
(80 3
(62-2)
(134 7
(121-1)
(103 0
(76-6)
(102 4)
(65-3)
(115 7)
(94-0)
(113 4)
(104*4)
(69 7
(28-9)
(98 9)
(78-1)
(101*8)
(75*9)
(99 7)
(64-7)
Kitchen service ...
Workrooms ... ... ...
( 9 6
( 7-5)
(10 5
( 8-5)
( 5-5)
( 4-6)
( 7*4)
( 2*8)
( 7-8)
( 6*0)
(12 4
(H-2)
( 7*5
( 5-5)
( 7-6)
( 4-9)
(12 8)
(10*4)
( 6 0
( 5*5)
( 9-2)
( 3-8)
( 9 0)
( 7-1)
( 8-8)
( 6-5)
( 8 7
( 5-6)
( 7-2
( 5-6)
( 9-2
( 7-5)
( 7-5
i B'3)
( 6*4)
( 2-5)
( 6-8)
( 5-3)
( 7 6
( 6*8)
( 5-2)
( 3-9)
( 7*3)
( 4-7)
(12*1)
( 9*8)
( 3 8
( 3*5)
( 3 9)
( 16)
( 3-2)
( 2-5)
( 6*7)
( 5-0)
( 6 6
( 4-3)
Miscellaneous
N on-residential allowances ...
( 2 5
( 2-0)
( 2 4
( 1*9)
( 2-4
( 2-0)
(16-4)
( 6-2)
( 2 3)
( 1-8)
( 3 0
( 2-7)
$(10-7)
X( 8-0)
( 2*8)
( 1-8)
( 2 6)
( 2-1)
( 3-7)
( 3*4)
(10 3
( 4*3)
( 3 0)
( 2-4)
( 5*2)
( 3-2)
( 5 8)
( 3-7)
( 2-5,
( 2"0)
( 1*5)
( 1*2)
( 2-0)
( 1-5)
(63-4)
(58-3)
( VP)
( 41
( °*7)
Adjustment of pay on grading
(1930-1934)
( 0 3
( 0-3)
( 0 1
( 01)
( 0 5)
( O S)
< 0 4)
( 0-1)
( 0-1)
( 0-1)
( 0*1)
( 01)
( 0 5)
( 0-4)
( 0-4)
( 0-4)
v i 6)
( 0-2)
\ u °J
( 01)
( 0 5)
( 0-4)
( O o)
( 0 3)
(. ° a)
( 0-2)
v * A)
( 0 3)
v. *'i)
( 0«2)
Rations
556
43-4
68 *5
55-7
66 9
56*4
57-5
21*8
52 0
40*3
59 3
53-3
47 4
35-3
61 2
39-0
62 6
50-8
62 7
57-7
60 *7
25-2
64 6
51-0
59 9
44-2
59-5
38-6
Uniforms and dresses
11-4
8-9
11 3
9-2
10-7
9-0
6 0
2-3
8 8
6-9
9 7
8-7
6 5
4-8
9 8
6-3
7 0
5-7
10 2
9*4
7 8
3-2
10*8
8-6
9*2
6-9
9 0
5*9
3. Buildings, services and supplies—
Furniture ano Equipment
18 1
14-2
23 4
19-0
7 0
5-9
9 5
3-6
19 4
15-0
14 9
13-4
26 8
19-9
24 1
15-4
17-7
14-4
18 3
16<8
17-2
7-2
16 0
12-7
17-7
13-1
17*7
11-5
Cleaning an } ^mestic materials
6 1
4-8
8 3
6-7
7 3
6-2
5 6
2-1
7 3
|5*7
7 5
6*7
7 3
5-5
7*7
4-9
7 3
5*9
8 1
7-4
6 6
2-7
6 9
5-5
7-2
5-3
71
4-6
Bedding aD use linen
11 8
9-2
121
9-8
9 3
7-8
7 9
3-0
11 2
8-7
9 4
8-5
9 1
6-8
10 9
6-9
10 5
8-5
8 3
7-7
10 0
4-2
12*7
10-0
10*3
7-6
10 2
6*6
Crockery a .u hardware ...
7-8
6-1
6-2
5-1
51
4-3
5 0
1-9
4*7
3*6
5 6
5-0
6 4
4-7
42
2-7
5 0
4-1
8 8
8-1
6 5
2-7
6 1
4-8
5 9
4-4
5 9
3-8
Heating, lighting, etc ...
78 0
60-8
67-2
54-7
68 6
57-9
108 4
41-0
59*2
45*8
81 1
73-0
65 0
48-4
77 8
49-6
66 8
54-3
82 3
75-7
81 4
33-8
87 8
69-4
77 0
55-4
77 0
50-0
including Wages of engineering maintenance
Staff ...
(19 8
(15-4)
(148
(121)
(22-9)
(18-8)
(22 4)
( 8-5)
(168)
U30)
(192
(17 3)
(12*7)
( 9-4)
(21 6)
(13-8)
(14 6)
(11-8)
(20 4
(18-7)
(23*3)
( 9-7)
(14*8)
(11-7)
(18 6)
(13-4)
(18-7)
(121)
Fuel
(38 9
(30-3)
(36 2
(29-4)
(37 1
(31-3)
(55 2)
(20-8)
(28 9
(22-4)
(41 0
(36*9)
(36 5)
(27-2)
(47-2)
(30-1)
(35 3)
(28-7)
(40 0)
(3G-8)
(34 7
(14-4)
(54-8)
(43-3)
(40*5)
(29*3)
(40 1)
(26-1)
Gas, electricity, water
(19 3
(151)
(16 2
(13-2)
( 9-2)
( 7-8)
(30 8)
(11-7)
(135)
(10-4)
(20 9
(18-8)
(15 8
(118)
( 9 0)
( 5-7)
(16 9)
(13-8)
(21 9)
(20-2)
(23-4)
( 9-7)
(18-2)
(14*4)
(17-9)
(12-7)
(18 2)
(11-8)
Laundry ... ... ... ...
39 6
30-9
35 '9
29*2
28 0
23-6
14*3
5 *4
33 *5
26*0
32 4
29*1
25 9
19-2
39 8
25-4
40 5
32-9
36 4
33-5
16 3
6-8
36 7
29-0
31 6
24-2
30 3
19-6
including Wages
(28 4
(22-2)
(26 1
(21-2)
(18 0
(15-2)
( 7-9)
( 3-0)
0(25-4)
0(19-7)
*( 91
*( 8-2)
(18 4)
(13-7)
(29-4)
(18-7)
(28-7)
(23-3)
(24-7)
(22-8)
( 9-2)
( 3-8)
(24 9)
(19-7)
(20 9)
(16-0)
(20 0)
(130)
Works (plant and buildings)—
Maintenance: Wages
10 5
8-2
17 0
13-8
9 4
7-9
36 0
13-6
11 0
8-6
12 6
11-3
12 5
9-3
112
71
15 8
12-8
14 8
13-6
14*5
60
12 9
10-2
14 8
10-2
15-2
9-9
Do. Minor contracts,
materials, etc. ...
14 0
10-9
27 3
22-2
19 9
16-8
142
5-4
32 3
45-0
11 6
10-4
25 7
19-1
21*1
13-5
23 4
19-0
32-1
29 5
15 4
6-4
19-6
15-5
21*4
16-1
21-1
13*7
Special works
23 2
18-1
51-5
41-9
28 4
23-9
10
0-4
8 6
6-6
11 5
10-3
36 2
26-9
22 8
14-5
31 3
25-4
11-9
10 9
13 9
5-8
8-8
6-9
20*8
16-0
20*7
13-4
Gardens and grounds—
Wages
6 9
5-4
6 7
5*4
6 4
5-4
72
2-7
7-8
6-0
4 1
3-7
6 4
4-7
73
4-7
3 9
3-2
52
4-8
6 0
2*5
7*1
5-6
6 2
4*5
6 3
4-1
4. Rates, taxes and insurance
63 6
49-6
45 9
37-3
40 2
33-9
59 8
22*6
30 1
23-3
36 5
32-8
24 8
18-4
487
311
46 5
37-8
422
38-8
28 6
11-9
45 5
36-0
42 7
31-2
42 0
27-3
5. Miscellaneous expenditure—
Printing, stationery, postage, telephones, etc. ...
62
4-9
6 0
4-9
5 7
4-9
80
3-0
6 4
5-0
65
5-8
7 3
5-5
6 7
4-3
5 9
4-8
7 6
7-0
15 8
6-5
6 4
5-0
7*4
5-1
7-7
5-0
Travelling and 6undi7 expenses
0 4
0-3
0 5
0-4
0 2
0-2
14-7
5*5
0-5
0-4
0 4
0-3
18
1-4
0 4
0-2
0 5
0-4
0 5
0*4
8 5
3-5
0 3
0-2
2 4
11
2 9
1-9
Items 1 to 5—total per occupied bed
Deduct for sundry receipts, credits for transfer
62s. 8 8d.

68s. 7-7d.

60s. 1 5d.

64s. 7 8d.
58s. 10 5d.

63s. 10 Id

58s. 8 7d.
66s. 1 Od.
-
67s. 2 Od.
-
70s. 8 Id.
~
55s. 0 8d.
65s. 5 8d.
-
63s. 6 Id.
62s. 9 6d.
-
services and balances on farm or industrial
accounts
Is. 0 8d.

Is. 7-7d.
0s. 11 8d.

2s. 1 3d.
Is. 5 4d.
2s. 1 6d.

0s. 11 Od

Is. 5 6d.

Is. 10 2d.

2s. 2 5d.
Is. 1 8d.
Is. 0 2d.
Is. 6 Od.
Is. 5 5d.
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.
per day
8
10
9
7
8
5
8
11
0
8
2
8
10
8
3
9
3
9
4
9
9
7
8
9
3
8
10
8
9
per week
3
1
8
3
7
0
2
19
2
3
2
6
2
17
5
3
1
8
2
17
10
3
4
7
3
5
4
3
8
6
2
13
11
3
4
6
3
2
0
3
1
4
per year
160
15
6
174
13
7
154
5
1
162
18
11
149
13
10
160
15
6
150
15
7
168
7
7
170
6
8
178
11
9
140
11
4
168
3
3
161
12
10
159
18
1
Net cost per occupied bed per week, 1933-34 ...
2
14
7
3
0
6
2
13
3
2
14
5
2
10
fi
4
2
18
0
2
13
8
2
17
3
2
19
3
3
3
9
1
19
3
3
0
7
2
15
5
2
13
10
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)
50 6
39-5
51 3
41-7
47 3
39-8
41 8
15-8
45 1
B4-9
49 4
44 4
37 5
27-9
50 4
32-1
51 9
42-1
54 4
50*1
36 1
15-0
58 2
46-0
47 8
35-8
46-7
30-3
7. Annual charge in respect of capital outlay ...
109 1
85-1
88 6
72-0
81 2
68*5
95 8
36-2
49 7
B8-5
73 3
65-9
53 6
39-8
95 8
611
77 9
63-3
83 8
771
63 8
26*5
93 5
73-8
80 5
59*0
79 1
51-3
8. Establishment charges—Pensions
30 2
23-6
32 7
26-6
31 0
26-2
36 0
13-6
30 3
y3-5
34 1
30-7
27 0
20-1
32 9
21-0
33 8
27-4
36 9
33*9
27 9
11-5
32 5
25-7
32*1
23-6
31*7
20-6
Other
41 1
32-1
41 1
33-4
41 1
34-6
41 1
15-6
41 1
(31-8
41 1
36-9
411
30-6
41 1
26-2
411
33-4
41 1
37*8
41*1
17-0
41 1
32-5
41 1
30-2
41 1
26-7
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
d.
£
s.
<'•
£
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
0
11
4
4
10
3
15
L0
4
0
5
3
11
3
3
18
2
3
11
1
4
3
0
4
2
5
4
6
6
3
8
0
4
3
3
3
18
10
3
17
11
Inclusive cost per occupied bed per week, 1933-34
3
11
9
3
16
11
3
8
5
3
9
5
3
2
ii
14
2
3
6
0
3
13
9
3
14
11
4
0
11
2
10
1
3
18
6
3
10
8
8
7
Percentage occupation. 1933-34...
840
861
B'JO
a*-A
90 3
770
700
863
933
54 6
806
7 91
740
NOTES (see also General Notes on page 7).—The coat per available bed (B) is not shown where the expenditure is strictly dependent upon the number of patients. • Part of the washing was done at another hospital. 0 Services rendered for another hospital also.
t See also " Antitoxin establishment " below. ft See page G. ♦ Includes teachers and instructors. $ Calculated on the period of occupation. •• See note on page facing.