London's Pulse: Medical Officer of Health reports 1848-1972

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City of London 1932

[Report of the Medical Officer of Health for London, City of ]

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93
APPENDIX F.—continued.
II.
Ambulances Supplied on Payment.
D.—Ambulances and ambulance-omnibuses are also provided by the Council, when not required for
the purposes stated above, on payment of charges, as laid down from time to time by the Council,
for the conveyance of infectious and non-infectious cases between private houses, hospitals (other
than to the Council's hospitals, etc., under the provisions of Section I), nursing homes and for
examinations, consultations and treatment by specialists or at special establishments.
The conveyance of private persons between addresses both of which are outside the administrative
county of London, cannot be undertaken, unless in circumstances of exceptional urgency.
Arrangements for the reception of an infectious case must be made by or on behalf of the
patient before application for an ambulance is sent to the Council, and a medical certificate as
to the nature of the infection must be handed to the ambulance driver before the patient is removed.
The charges as from and including 1st October, 1932, are as follows :—
(a) Within the Administrative County of London (private cases), 12s. 6d. for the removal
of one patient from one place to another within the administrative county of London, this
charge to include, if necessary, the services of a male attendant. A doctor and one friend
to be allowed to accompany the patient free of charge.
Additional charges to be made as follows :—
(i) 5s. if two patients are conveyed together;
(ii) 2s. 6d. if the friend accompanying the patient wishes to return in the ambulance
during the whole or some part of its journey to the ambulance station ;
(iii) 5s. for a journey back to the first address or, on to further addresses, at 5s.
plus the prescribed waiting fee, for each address ;
(iv) 2s. 6d. a head for each additional person who desires to accompany the patient,
together with 2s. 6d. for the return journey, if used;
(v) 5s. for the services of a nurse for a period up to two hours and thereafter at
an extra charge of 2s. an hour or part of an hour ;
(vi) 5s. an hour or part of an hour for keeping an ambulance waiting more than
15 minutes.
(b) For journeys extending outside the county and for work carried out for public authorities
within and without the county :—
For one or two persons, Is. 6d. a mile up to 50 miles and thereafter Is. 3d. a mile.
For three or four persons, Is. 10\d. a mile up to 50 miles and thereafter Is. (id. a mile.
For five to eight persons, 2s. 3d. a mile up to 50 miles and thereafter Is. 10^. a mile.
For over 8 persons, particulars of charges may be obtained on application to the
medical officer of health at the address given below.
The mileage is reckoned on the total distance travelled by the ambulance from
ambulance station back to ambulance station.
The highest number of persons at one time on the journey to be charged for on
the total mileage reckoned to and from the ambulance station.
For a journey occupying over eight hours, an additional charge to be determined
by the medical officer of health, to be made to cover drivers' expenses, and where the
journey extends to a second day, the person ordering the vehicle to be required to
arrange for garaging, and also for lodging and subsistence for the staff.
Additional charges to be made as under (a), (v) and (vi) above.
No charge will be made in respect of the conveyance by ambulance of patient's doctor
who accompanies the patient in the ambulance.
(Note.—The Council has entered into agreements with certain Metropolitan borough councils to hire
to those councils, on reduced terms, ambulances for the conveyance of non-urgent maternity
cases between the hours of 8 a.m. and 11 p.m.
How to Obtain an Ambulance (or Ambulance-Omnibus) for:—
Cases coming under classes (B) (C) and (D).
Application should be made by telephone to Headquarters—telephone number, CITy 7200
(12 lines).
III.
General Notes.
The vehicles are available at any hour of the day or night, including Sundays and public holidays,
subject, in the case of private hire, to their not being required for the work of the Council.
Applications may be made by telephone, as stated above, to the Headquarters, which is open
continuously.
Applications for vehicles may also be made by letter, telegraph, or personal call at the Headquarters
or at any of the ambulance stations.
Letters should be addressed to the :—
Medical Officer of Health,
London Ambulance Service,
London County Council,
The County Hall, S.E.I.