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66
The Council provide consumptives with disinfectants and sputum
flasks in suitable cases, and each consumptive patient receives a card
containing printed instructions on the precautions to be observed by
consumptives.
The expenditure of the Borough Council in connection with the
Dispensary will not fall entirely upon the local rates, grants being made
by the Government in aid of its equipment and maintenance. The
Borough Council has made application for a grant towards the initial
expenses of equipment.
Sanatorium Benefit under the National Insurance Act.
Upon the formation of the Insurance Committee for the County of
London, local sub-committees were elected for each Borough, temporarily,
to administer, subject to direction on all matters of principle by the
Committee, and pending the approval of a scheme for the appointment
of district insurance committees for each Borough, the provision of
sanatorium benefit to insured persons. The Chairman of the Public
Health Committee, Mr. Councillor Higginson, was appointed by the
Borough Council as its representative, and your Medical Officer of
Health was appointed in a consultative capacity. Mr. Higginson wasappointed
as the chairman of the local sub-committee for Hampstead.
At the request of this sub-committee I prepared a scheme for dispensary
and domicilary treatment of cases of pulmonary tuberculosis in
Hampstead, this scheme includes a list of fees respecting domiciliary
treatment which I arranged after consultation with the local medical
practitioners, and fees to chemists which I also agreed upon with them.
A considerable amount of time of the clerical staff, as well as of
myself, was required to perform the work which we were asked to
undertake by the Insurance County Committee and Sub-Committee, and
the Public Health Committee, after considering the request of the local
sub-committee, agreed to the Medical Officer of Health and his clerical
staff assisting in the work, provided that the ordinary work of the
Department was not mterferred with. It will be readily understood
that the arranging for domicilary treatment, out-hospital treatment, etc.,
involved a considerable amount of time and labour.