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70
Sanitary Administration of the District.
same but if Brentford, Chiswick and Ealing were
all three combined, a more difficult position arises
to consider for one hospital (Brentford) would be
abolished, and would cause the displacement of Dr.
Bott, and the consequent loss to him of £100 a year
unless another position be found for him.
"In such a combination a medical superintendent
over all three hospitals would be the ideal arrangement,
for then they could be administered impartially so as
to meet the needs of all districts, the staffs could be
so managed that there would be some arrangement
between them in unusual times when nursing help could
be sent from one to the other, and lastly the stores
could be supplied to all three from a central stores
department under the same superintendence.
"If such a medical superintendent were appointed
he would be purely an administrative officer, and a
medical attendant would be appointed for the Ealing
Hospital and one for the Chiswick Hospital.
"However, such an arrangement is not practicable
when the positions of Dr. Bott and Dr. Brebner are
considered. In my view two arrangements are practicable.
Dr. Brebner could retain his position as medical
superintendent of Chiswick Hospital should it be made
into a Maternity Hospital. As to Ealing Hospital,
either I could retain the position of medical superintendent,
with Dr. Bott as medical attendant, or Dr.
Bott could become medical superintendent with Dr.
Garrow, Assistant Medical Officer for Ealing, as medical
attendant as he is at present.
"Either of these two arrangements would provide
for the three districts being represented on the medical
staff at the initial stage.
"THOMAS ORR,
"Medical Officer.