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115
RECOMMENDATIONS RE HOSPITAL.
Having regard to all the foregoing facts, it is recommended—
(1) That the same districts, namely, Kilburn, Church End, Willesden Green, be worked
for Hospital purposes (other than Infectious Diseases, in respect of which, the hospital
would deal with the Urban District), as for Clinic purposes, and
(2) That every effort be made to expedite the provision of the necessary hospital
dation.
GEORGE F. BUCHAN,
Medical Officer of Health.
APPENDIX D.
To the Health Committee.
4th May, 1920.
I beg to report in accordance with the following minute :—
" We have instructed the Medical Officer of Health to report on the Economic Scale of the
Committee and the advisability of abolishing the quarter, half and three-quarter scale which has
been adopted by the Council in reference to milk. On receipt of this report we shall report as to
any additional Clinic Staff necessary to reduce overtime." (Council Minutes, March, 1920, page 987).

Average Cost of Maintenance per head of Family.
The minimum cost of the physiological upkeep of a child of ten years taken as the average
unit of a family and excluding rent, insurances, fares to and from work and care of children, was
last considered in April, 1919, in a report on the Feeding of School Children, presented to the Education
Committee, and the figures then given were as follows

The figure for clothing, namely 1s. 9d. was stated at that time to be too low, the investigation
giving this figure having taken place in March, 1918.
Revision of Scale, April, 1920.
The following figures relative to the cost of living are based on enquiries into the weekly
•expenditure of 15 families in receipt of or recently in receipt of benefits under the Council's Scheme
relative to School Children or Maternity and Child Welfare. The families taken, therefore, are poor.
The cost of clothing in the present revision is based on enquiry into the actual needs of thirteen
children of these families.
The following shows the average cost at the present time :—