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

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Croydon 1923

[Report of the Medical Officer of Health for Croydon]

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(2) It is, therefore, desirable that certain routine charges should be settled. The following are suggested:—

Clinic.Actual Cost.Present charge to parent.Suggested routine charge to parents.
Eye3/4 per attend'ee.Nil.Nil.
Dental5/4 per attend'ce.3d. per attend'ce. (1/- for anaes.)6d. per attende'ce (1/6 for anaes.)
X-Ray£2/12/6 for full treatment.Nil.2/- for full treatment.
Tonsils & Adenoids17/10 per opn.Nil.2/- for operation.
Remedial Ex1/- per attend'ce.Nil.1d. per attend'ce.
Cleansing11d. per attend'ce.Nil.Nil.
Minor Ailments1/9.Nil.Nil.

These charges should apply to all cases, subject to modification
under the following circumstances:—
(a) Where either the medical officers or the nurses
report that the family is undoubtedly poverty-stricken, the
charge may be reduced by the School Medical Officer to an
appropriate lesser amount or to nil, according to the degree
of necessity indicated by these officers without any detailed
enquiry into actual income.
(b) Where the medical officers or nurses report that
the circumstances are exceptionally good, a higher charge
should be made, similarly without any detailed enquiry into
income. It is suggested that the charge should be doubled
in these cases.
(c) Only in cases in which parents raise objection to the
amount charged should any detailed enquiry be made into
income. Where the School Medical Officer has reason to
believe that the objection is valid, it is suggested that he be
authorised to charge such lesser sum as appears reasonable.
That in cases where it is not accepted, or in other cases of
difficulty, the circumstances should be referred to the School
Attendance Officer for a report as to the family income. In
this group of cases alone, in which the income is investigated
by the School Attendance Officer, a scale of contributions as
set out below is suggested.
Net income per week after deducting
2/6 for each child under 14 years
who is not in employment. Amount to be charged.
Under 30/-. Nil.
Exceeding 30/- and not 50/- Routine charges as set
out above.
Exceeding 50/- Double the routine
charges as set out
above.
In cases in which this final decision as to a charge is not
accepted by the parent, the case should be referred to the SubCommittee
for individual consideration.