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(c) Development of a market for the goods.
(d) Supervision of the work by a capable part-time instructor. It
will be a matter for experiment to ascertain how frequently the instructor
would need to visit, and whether the instructor at Cheam Sanatorium
could also be the instructor for patients in Croydon. A visit once a week
to the patient's house or to a central workshop may be assumed as a
commencement; there is obviously an argument here for such a central
workshop, in the saving of time in supervision.
It would be advisable to allow an experimental sum of £100 to cover
expenditure on this portion of the proposals during the first year.
Provision should therefore lie made in the first year for an expenditure
of £400, as follows:—
(a) For occupational work at Cheam Sanatorium £300
(b) ,, ,, ,, in Croydon 100
£400
Assuming the Sanatorium charge were spread evenly over all three
authorities concerned, this would mean a special charge for the first year
of about l/4d. per bed per week. It will be clear that the charge in this
first year is quite disproportionately heavy. In the second and subsequent
years the charge would be in the neighbourhood of 7d. per bed per week.
For the purposes of grant, the cost of an approved occupational scheme
at the sanatorium would be included by the Ministry of Health as part of
the ordinary sanatorium charges; and subject to approval of the total expenditure,
50 per cent. of the expenditure would be refunded by the Treasury.
If the Surrey and Kent County Councils do not feel prepared to meet
such additional expenditure, the cost of the scheme still extended to cover
all beds in the institution would be about 2/3d. per bed per week during the
first year, and 11d. per bed per week in subsequent years.
Recommendations.
1.—That the sanction of the Ministn of Health and the co-operation
of the Surrey and Kent County Councils be sought towards the establishment
of the scheme of sanatorium occupational work set out above, and
that the Ministry be asked to approve also the further general proposals for
occupational work by patients' in Croydon.
2.—That, subject to such sanction by the Ministry of Health, the Public
Health Committee be authorised to put the scheme into operation.
3.—That the sum of £400 be allowed in the estimates for 1925-26 to
cover the estimated expenditure.