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GENERAL.
The responsibility in respect of clinical matters will devolve entirely upon the Medical Officer
in Charge of the dispensary.
The dispensary will be open on two days in each week ; days and hours to be arranged later.
See Memo No. 4 below
Arrangements will be made for patients who require treatment at night, e.g., injections of
tuberculin in the case of patients who may be engaged in the daytime.
The Corporation to provide all forms required in connection with the work, and cabinets in
which to keep the same.
The Medical Officer of Health to have access to the dispensary at his pleasure.
PERIOD OF AGREEMENT.
This Scheme to be operative for twelve months in the first instance, and to be subject to
renewal after a Conference between Representatives of the Corporation and the Governing body of
the Hospital.
PAYMENT.
The Corporation will pay to the Governing Body of St. Bartholomew's Hospital a sum of
not less than 500Z. and not more than 7001, per annum to cover all the above services during the
first year.
Appendix I.
SUGGESTED RULES regulating the Admission of Patients to
the DISPENSARY.
In view of the fact that the Dispensary will only be available for the treatment of patients at
certain fixed hours, it seems desirable that rules should be framed which will ensure to some extent
that, in case of urgency, any patient who is undergoing treatment at the Dispensary will be able
to obtain medical assistance during such hours as the Dispensary is not open. Even if the Medical
Officer in charge of the Dispensary resided at the Hospital, it would not come within the scope
of his duties to attend to urgent calls outside the hospital. Such duties would fall within the
recognised sphere of a General Practitioner's activities. To provide, therefore, that assistance
should always be available, I beg to suggest that some similar arrangement to the following might
advantageously be made:—
1. All persons resident in the City of London or non-resident but working in the City
shall be medically examined and receive treatment on the first occasion on which they
present themselves at the Dispensary.
2. At such first visit, enquiry will be made of the patient as to whether he (or she) is—
(a) An insured patient;
(b) Under treatment as a private patient, or
(c) Under treatment as a Poor Law patient.
(4.) Must be mid-day.