London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1934
[Report of the Medical Officer of Health for London County Council]
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TABLE H
SPECIAL HOSPITALS—Group S. V—Hospitals for children.
Group S. VI—Hospitals for convalescent children.
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.
| GROUPS. V | groups. vi | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Name of hospital | Downs. | Goldie Leigh. | Heatherwood. | High Wood. | Norwood. | Princess Mary's. | Queen Mary's, Carshalton. | White Oak. | ||Mean of group. | ||Average of group. | Millfleld. | St. Anne's Home. | ||Mean of group. | ||Avcrage of group | ||||||||||||||||||||||||||||
| Number of beds nominally available | 360 | 248 | 140 | 402 | 220 | 271 | 1,332 | 364 | 417 | 417 | 98 | 127 | 112 | 112 | ||||||||||||||||||||||||||||
| Average daily number of patients | 339.5 | 159.4 | 131.1 | 400.3 | 149.7 | 197.5 | 1,121.7 | 231.8 | 341.4 | 341.4 | 92.8 | 112.4 | 102.6 | 102.6 | ||||||||||||||||||||||||||||
| Percentage occupation | 94.3 | 64.3 | 93.6 | 99.6 | 68.0 | 72.9 | 84.2 | 63.7 | 80.1 | 81.8 | 94.7 | 88.5 | 91.6 | 91.2 | ||||||||||||||||||||||||||||
| Normal establishment of staff- | ||||||||||||||||||||||||||||||||||||||||||
| Medical and nursing | 85 (2.4) | 25 (1.0) | 46 (3.3) | 84 (2.1) | 41(1.9) | 59 (2.2) | 366 (2.7) | 19 (0.5) | 91 (2.0) | 91 (2.2) | 17 (1.7) | 13 (1.0) | 15 (1.3) | 15(1.3) | ||||||||||||||||||||||||||||
| Other, excluding engineering and teaching (Totals and, in brackets, numbers per ten beds.) | 103 (2.9) | 71 (2.9) | 46 (3.3) | 92 (2.3) | 24 (1.1) | 76 (2.8) | 312 (2.3) | 107 (2.9) | 104 (2.6) | 104 (2.6) | 22 (2.2) | 30 (2.4) | 26 (2.3) | 26 (2.3) | ||||||||||||||||||||||||||||
| 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 | ||||||||||||||
| Provisions and stimulants | 54 9 | - | 504 | - | 49.8 | - | 55.3 | - | 55.3 | - | 56.2 | - | 58.0 | - | - | - | - | - | 56.4 | - | 57.2 | - | 56.8 | - | 56.8 | - | ||||||||||||||||
| Surgery and dispensary | 14.4 | - | 12.7 | - | 90.2 | - | 12.3 | - | 23.6 | - | 18.7 | - | 8.1 | - | - | - | - | - | 1.3 | - | 3.1 | - | 2.2 | - | 2.3 | - | ||||||||||||||||
| including Drugs, dressings, sundries, etc. | (7.0) | - | (10.7) | - | (32.4) | - | (5.1) | - | (11.8) | - | (7.4) | - | (5.4) | - | - | - | - | - | (1.0) | - | (2.6) | - | (1.8) | - | (1.9) | - | ||||||||||||||||
| Surgical equipment, appliances and repairs | (3.4) | - | (2.0) | - | (40.5) | - | (3.0) | - | (2.5) | - | (3.6) | - | (2.7) | - | - | - | - | - | (0.3) | - | (0.5) | - | (0.4) | - | (0.4) | - | ||||||||||||||||
| Salaries and wages | (4.0) | (3.8) | - | - | (17.3) | (16.2) | (4.2) | (4.2) | (9.3) | (6.8) | (7.7) | (6.4) | - | - | - | - | - | - | - | - | - | - | - | - | - | - | ||||||||||||||||
| Pathological services | 0.8 | - | 2.9 | - | 0.9 | - | 1.0 | - | 1.7 | - | 1.1 | - | 1.9 | - | - | - | - | - | 0.2 | - | 0.3 | - | 0.2 | - | 0.2 | - | ||||||||||||||||
| Clothing | 9.2 | - | 12.9 | - | 6.6 | - | 18.4 | - | 6.2 | - | 8.8 | - | 21.4 | - | - | - | - | - | 14.6 | - | 19.9 | - | 17.3 | - | 17.5 | - | ||||||||||||||||
| 2. Staff— Salaries and wages (with Council's contributions under National Insurance Acts) | 236.8 | 223.3 | 292.9 | 188.2 | 280.4 | 262.7 | 202.2 | 201.4 | 326.5 | 238.0 | 233.7 | 96.8 | 205.2 | 130.7 | - | - | - | 175.8 | 166.5 | 225.8 | 99.8 | 200.8 | 183.1 | 203.2 | 185.3 | |||||||||||||||||
| including Medical service | (42.3) | (39.9) | (34.1) | (21.9) | (53.8) | (50.5) | (28.1) | (28.0) | (57.2) | (41.7) | (25.4) | (21.4) | (10.6) | (6.8) | - | - | - | - | (6. 6) | (6.3) | (9.3) | (8.2) | (8.0) | (7.2) | (8.1) | (7.4) | ||||||||||||||||
| Nursing service | (68.3) | (64.4) | (58.2) | (37.4) | (82.4) | (77.2) | (53.5) | (53.3) | (88.5) | (64.5) | (86.0) | (72.4) | (37.6) | (23.9) | - | - | - | - | (58.1) | (55.0) | (44.9) | (39.7) | (51.5) | (47.4) | (50.9) | (46.4) | ||||||||||||||||
| Steward and clerical service | (16.6) | (15.6) | (27.8) | (17.8) | (42.2) | (39.5) | (14.4) | (14.3) | (25.8) | (18.8) | (12.6) | 10.6) | (18 3) | (11 7) | - | - | - | - | (17.9) | (16.9) | (16.4) | (14.5) | (17.1) | (15.7) | (17.0) | (15.5) | ||||||||||||||||
| General domestic service | (72.0) | (67.9) | (123.4) | (79.3) | (42.5) | (39.8) | (52.3) | (52.1) | (75.3) | (54.9) | (55.8) | (47.0) | (74.4) | (47.4) | - | - | - | - | (35.9) | (34.1) | (85.3) | (75.5) | (60.6) | (54.8) | (63.0) | (57.5) | ||||||||||||||||
| Kitchen service | (6.9) | (6.5) | (1.4) | (0.9) | (6.7) | (6.3) | (6.5) | (6.5) | (12.2) | (8.9) | (4.4) | (3.7) | (8.7) | (5.5) | - | - | - | - | (9.0) | (8.5) | (14.8) | (13.0) | (11.9) | (10.7) | (12.1) | (11.1) | ||||||||||||||||
| Workrooms | (8.1) | (7.7) | (11.0) | (7.1) | (13.4) | (12.5) | (7.0) | (7.0) | (15.1) | (11.0) | (10.9) | (9.2) | (7.4) | (4.7) | - | - | - | - | (2.5) | (2.3) | (17.8) | (15.8) | (10.2) | (9.1) | (10.9) | (9.9) | ||||||||||||||||
| Miscellaneous | †(22.6) | †(21.3) | †(36.9) | †(23.7) | †(39.4) | †(36.9) | †(39.3) | †(39.1) | †(49.4) | †(36.0) | †(36.2) | †(30.5) | †(46.0) | †(29.3) | - | - | - | - | †(45.8) | †(43.4) | †(24.6) | †(21.8) | †(35.2) | †(32.6) | †(34.2) | †(31.2) | ||||||||||||||||
| Non-residential allowances | - | - | - | - | - | - | - | - | (3.0) | (2.2) | (2.3) | (1.9) | - | - | - | - | - | - | - | - | - | - | - | - | - | - | ||||||||||||||||
| Adjustment of pay on grading (1930-1934) | - | - | (0.l) | (0.1) | - | - | (1.1) | (1.1) | - | - | (0.1) | (0.1) | (2.2) | (1.4) | - | - | - | - | - | - | (12.7) | (11.3) | (6.3) | (6.6) | (7.0) | (6.3) | ||||||||||||||||
| Rations | 37.0 | 34.9 | 35.6 | 22.9 | 34.1 | 32.0 | 24.4 | 24.3 | 41.7 | 30.4 | 39.6 | 33.4 | 30.7 | 19.6 | - | - | - | - | 31.6 | 30.0 | 19.9 | 17.6 | 25.7 | 23.8 | 25.2 | 23.0 | ||||||||||||||||
| Uniforms and dresses | 5.9 | 5.6 | 5.6 | 3.6 | 4.9 | 4.5 | 5.2 | 5.1 | 4.0 | 2.9 | 5.5 | 4.7 | 2.5 | 1.6 | - | - | - | - | 3.4 | 3.2 | 3.2 | 2.8 | 3.3 | 3.0 | 3.3 | 3.0 | ||||||||||||||||
| 3. Buildings, services and supplies— | 530. 5 | 361.0 | ||||||||||||||||||||||||||||||||||||||||
| Furniture and equipment | 16.0 | 15.1 | 20.6 | 13.2 | 5.8 | 5.4 | 14.6 | 14.5 | 10.4 | 7.6 | 10.2 | 8.6 | 13.1 | 8.3 | - | - | - | - | 39.0 | 37.0 | 5.8 | 5.1 | 22.4 | 21.1 | 20.8 | 19.0 | ||||||||||||||||
| Cleaning and domestic materials | 5.1 | 4.8 | 5.3 | 3.4 | 10.6 | 10.0 | 4.5 | 4.5 | 4.5 | 3.3 | 4.6 | 3.8 | 5.5 | 3.5 | - | - | - | - | 3.6 | 3.4 | 3.2 | 2.8 | 3.4 | 3.1 | 3.4 | 3.1 | ||||||||||||||||
| Bedding and house linen | 7.5 | 7.0 | 7.0 | 4.5 | 6.1 | 5.7 | 12.0 | 11.9 | 4.6 | 3.4 | 8.4 | 7.1 | 5.1 | 3.2 | - | - | - | - | 4.4 | 4.1 | 4.8 | 4.2 | 4.6 | 4.2 | 4.6 | 4.2 | ||||||||||||||||
| Crockery and hardware | 3.4 | 3.2 | 3.6 | 2.3 | 3.2 | 3.0 | 4.2 | 4.2 | 3.8 | 2.7 | 4.5 | 3.8 | 4.9 | 3.1 | - | - | - | - | 3.2 | 3.1 | 2.5 | 2.3 | 2.9 | 2.7 | 2.9 | 2.5 | ||||||||||||||||
| Heating, lighting, etc. | 42.9 | 40.4 | 54.4 | 35.0 | 98.1 | 91.8 | 34.6 | 34.5 | 56.3 | 41.1 | 42.8 | 36.0 | 46.2 | 29.4 | - | - | - | - | 35.4 | 33.5 | 26.9 | 23.8 | 31.2 | 28.7 | 30.8 | 28.1 | ||||||||||||||||
| including Wages of engineering maintenance staff | (11.4) | (10.7) | (19.9) | (12.8) | (42.4) | (39.7) | (7.3) | (7.2) | (22.0) | (16.0) | (10.8) | (9.1) | (13.3) | (8.4) | (5.2) | (5.0) | (4.5) | (3.9) | (4.9) | (4.4) | (4.8) | (4.4) | ||||||||||||||||||||
| Fuel | (19.3) | (18.2) | (21.3) | (13.7) | (49.0) | (45.9) | (9.6) | (9.6) | (16.6) | (12.2) | (16.7) | (14.0) | (15.8) | (10.1) | - | - | - | - | (15.3) | (14.4) | (9.3) | (8.3) | (12.3) | (11.4) | (12.0) | (11.0) | ||||||||||||||||
| Gas, electricity, water | (12.2) | (11.5) | (13.2) | (8.5) | (6.7) | (6.2) | (17.7) | (17.7) | (17.7) | (12.9) | (15.3) | (12.9) | (17.1) | (10.9) | - | - | - | - | (14.9) | (14.1) | (13.1) | (11.6) | (14.0) | (12.9) | (14.0) | (12.7) | ||||||||||||||||
| Laundry | 19.6 | 18.4 | 28.7 | 18.4 | 24.4 | 22.8 | 25.5 | 25.4 | 24.3 | 17.7 | 29.4 | 24.7 | 18.6 | 11.8 | - | - | - | - | 21.7 | 20.6 | 17.7 | 15.7 | 19.7 | 18.1 | 19.5 | 17.8 | ||||||||||||||||
| including Wages | ‡(15.8) | ‡(14.9) | (16.9) | (10.9) | (12.4) | (11.6) | ‡(18.0) | (17.9) | ‡(16.0) | ‡(11.7) | (17.0) | (14.3) | ‡(14.8) | ‡( 9.4) | - | - | - | - | - | - | * | * | - | - | - | - | ||||||||||||||||
| Works (plant and buildings)— | ||||||||||||||||||||||||||||||||||||||||||
| Maintenance: Wages | 7. 8 | 7.3 | 10.2 | 6.6 | 10.4 | 9.7 | 4.1 | 4.1 | 8.0 | 5.9 | 7.5 | 6.3 | 11.3 | 7.2 | 9.5 | 9.0 | 2.7 | 2.4 | 6.1 | 5.7 | 5.8 | 5.3 | ||||||||||||||||||||
| Do Minor contracts, materials, etc. | 10.6 | 10.0 | 9.1 | 5.8 | 8.9 | 8.4 | 11.7 | 11.6 | 8.0 | 5.8 | 10.3 | 8.7 | 14.6 | 9.3 | - | - | - | - | 26. 4 | 25.0 | 31.6 | 28.0 | 29.0 | 26.5 | 29.2 | 26.7 | ||||||||||||||||
| Special works | 21.7 | 20.4 | 21.2 | 13.6 | 8.1 | 7.6 | 1.9 | 1.9 | 10.2 | 7.4 | 19.2 | 16.2 | 3.8 | 2.4 | - | - | - | - | 2.2 | 2.1 | 2.3 | 2.0 | 2.2 | 2.1 | 2.3 | 2.1 | ||||||||||||||||
| Gardens and grounds— | ||||||||||||||||||||||||||||||||||||||||||
| Wages | 5.6 | 5.3 | 14.7 | 9.4 | 37.3 | 34.9 | 4.9 | 4.9 | 4.3 | 3.1 | 3.7 | 3.1 | 13.8 | 8.8 | - | - | - | - | 13.9 | 13.2 | 4.2 | 3.7 | 9.1 | 8.4 | 8.6 | 7.8 | ||||||||||||||||
| 4. Rates, taxes and insurance | 24.0 | 22.7 | 58.5 | 37.6 | 32.7 | 30.6 | 18.2 | 18.2 | 14.9 | 10.9 | 23.2 | 19.5 | 40.7 | 25.9 | - | - | - | - | 15.9 | 15.1 | 11.5 | 10.1 | 13.7 | 12.6 | 13.5 | 12.3 | ||||||||||||||||
| 5. Miscellaneous expenditure— Printing, stationery, postage, telephones, etc. | 5.3 | 5.0 | 3.5 | 2.3 | 15.3 | 14.4 | 5.4 | 5.4 | 12.5 | 9.1 | 5.2 | 4.4 | 2.4 | 7.1 | 6.7 | 16.9 | 15.0 | 12.0 | 10.8 | 12.4 | 11.4 | |||||||||||||||||||||
| Travelling and sundry expenses | 3.1 | 3.0 | 0.8 | 0.5 | 1.5 | 1.4 | 2.6 | 2.6 | 4.9 | 3.6 | 4.5 | 3.8 | 1.6 | 9.7 | 9.2 | 5.2 | 4.6 | 7.4 | 6.9 | 7.2 | 6.6 | |||||||||||||||||||||
| Items 1 to 5—total per occupied bed | 44s. 3 .6d. | - | 54s. 2.6d. | - | 60s. 9.3d. | - | 38s. 7.0d. | - | 44s. 2.5d. | - | 52s. 1.7d. | - | 44s. 9.1d. | 42s. 3.8d. | - | 47s. 7.9d. | - | 45s. 0.5d. | - | 39s. 7.3d. | - | 38s. 8.7d. | - | 39s. 2.0d | - | 39s. 1.5d. | - | |||||||||||||||
| 0s. 10.6d. | - | 0s. 9.5d. | - | 0s. 10.4d. | - | 0s. 10.8d | - | 0s. 8.4d. | - | 1s. 0.2d. | - | 0s. 7.6d. | 1s. 3.9d. | - | 0s. 10.8d | - | 0s. 9.8d. | - | 0s. 1.9d. | - | 1s. 2.8d. | - | 0s. 8.4d | - | 0s. 9.0d. | - | ||||||||||||||||
| 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 | 6 | 2 | 7 | 8 | 8 | 7 | 5 | 5 | 6 | 3 | 7 | 4 | 6 | 4 | 5 | 9 | 6 | 8 | 6 | 4 | 5 | 8 | 5 | 4 | 5 | 6 | 5 | 6 | ||||||||||||||
| per week | 2 | 3 | 5 | 2 | 13 | 5 | 2 | 19 | 11 | 1 | 17 | 8 | 2 | 3 | 6 | 2 | 11 | 1 | 2 | 4 | 2 | 2 | 1 | 0 | 2 | 6 | 9 | 2 | 4 | 3 | 1 | 19 | 5 | 1 | 17 | 6 | 1 | 18 | 6 | 1 | 18 | 4 |
| per year | 113 | 3 | 10 | 139 | 5 | 4 | 156 | 4 | 3 | 98 | 4 | 1 | 113 | 8 | 3 | 133 | 3 | 8 | 115 | 3 | 0 | 106 | 17 | 10 | 121 | 17 | 8 | 115 | 7 | 4 | 102 | 15 | 4 | 97 | 15 | 4 | 100 | 7 | 6 | 99 | 18 | 10 |
| - | 5 | |||||||||||||||||||||||||||||||||||||||||
| P | B | P | B | P | B | P | B | P | B | P | B | P | B | P | B | P | B | P | B | B | P | B | P | B | P | B | ||||||||||||||||
| 6. Superannuation fund (Council's contributions) | 37.6 | 35.4 | 38.2 | 24.5 | 47.9 | 44.9 | 22.9 | 22.8 | 17.2 | 11.7 | 39.6 | 28.9 | 32.6 | 27.4 | 31.9 | 20.3 | 33.5 | 27.0 | 32.1 | 26.2 | 24.3 | 23.1 | 25.4 | 22.5 | 24.8 | 22.8 | 24.9 | 22.7 | ||||||||||||||
| 7. Annual charge in respect of capital outlay | 51.7 | 48.7 | 92.8 | 59.6 | 26.3 | 26.6 | 33.1 | 32.9 | 15.1 | 10.2 | 24.7 | 18.0 | 49.7 | 41.8 | 80.8 | 51.5 | 46.8 | 35.9 | 48.3 | 39.4 | 32.2 | 30.5 | 19.2 | 17.0 | 25.7 | 23.7 | 251 | 22.9 | ||||||||||||||
| 8. Establishment charges—Pensions | 23.6 | 22.3 | 28.2 | 18.2 | 31.8 | 29.7 | 19.6 | 19.6 | 18.5 | 12.6 | 31.5 | 23.0 | 22.6 | 19.0 | 22.4 | 14.2 | 24.8 | 19.8 | 23.3 | 19.0 | 16.3 | 15.4 | 18.8 | 16.6 | 17.6 | 16.0 | 17.6 | 16.1 | ||||||||||||||
| Other | 32.1 | 30.3 | 32.1 | 20.7 | 32.1 | 30.1 | 32.1 | 32.0 | 51.5 | 35.1 | 32.1 | 23.4 | 32.1 | 27.1 | 32.1 | 20.5 | 34.5 | 27.4 | 33.2 | 27.1 | 32.1 | 30.5 | 32.1 | 28.5 | 32.1 | 29.5 | 32.1 | 29.4 | ||||||||||||||
| £ | 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, 1934-35 | 2 | 15 | 6 | 3 | 9 | 4 | 3 | 11 | 5 | 2 | 6 | 8 | 2 | 12 | 0 | 3 | 1 | 9 | 2 | 15 | 7 | 2 | 14 | 11 | 2 | 18 | 5 | 2 | 15 | 8 | 2 | 8 | 2 | 2 | 5 | 5 | 2 | 6 | 10 | 2 | 0 | 0 |
| - | 7 | 7 | 3 | |||||||||||||||||||||||||||||||||||||||
| - | - | - | ||||||||||||||||||||||||||||||||||||||||
NOTES (see also General Notes on page 7).—The cost per available bed (B) is not shown where the expenditure is strictly dependent upon the number of patients. An asterisk (•) indicates that the service,
inclusive of labour, was rendered and charged for by another establishment. †Includes teachers and instructors. ‡ Services rendered for other hospitals also. || See page 6.