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147
CAPITAL EXPENDITURE.
Notes.
School Medical Service.
The above Capital Expenditure of £792,314 includes Capital Expenditure of £284,957 on
the School Medical Service to bring this service up to the requirements of the Board of Education.
This item of expenditure cannot be separated from the other items.
Provision of Meals.
Special Schools.
The total Capital Expenditure of £792,314 does not, however, include expenditure which is
contemplated under the Education (Provision of Meals) Acts for the acquisition or erection of a
suitable Feeding Centre in the South Kilburn area or in connection with Special Schools including
Open Air Schools.
Capital Expenditure under the School Medical Service, Provision of Meals, and Special Schools
is expenditure for which the Education Committee are responsible and should therefore be deducted
from the Council's Capital indebtedness.
Government Grants.
The total Capital Expenditure of £792,314 includes expenditure of £368,957 on Maternity
and Child Welfare and £284,957 on School Medical Service, and £184,478 of the expenditure on
Maternity and Child Welfare and £142,479 of the expenditure on School Medical Service is returnable
by Central Departments, making the total Capital Expenditure which the Local Authority would
have to find £465,357.
Small Pox Hospital Accommodation.
Hospital Steward's Accommodation.
Admission of Maternity Cases to Willesden Infirmary.
48 Hour Week at Hospital.
Increased Power for Hospital Machinery.
Clinic Extension.
These problems have all been and are still before the Committee. The approval of the above
Capital Expenditure would enable them to be solved.
GEORGE F. BUCHAN,
Medical Officer of Health.
J o be submitted to the Health Committee on 5th October, 1920.
APPENDIX N.
To the Hospital Committee.
28th October, 1920.
X-RAY OUTFIT FOR MUNICIPAL HOSPITAL.
In accordance with instructions, I beg to report on the above.
As suggested at the last meeting of the Committee, in company with Mr. Campbell, Surgeon
to the Municipal Hospital, I visited the Willesden Cottage Hospital, Harlesden Road, and was shewn
the apparatus used for Radiography at this Institution.
Surgical Conditions.
General Considerations.—It is undesirable in many instances to move fractures any distance,
and it should be possible to have such conditions radiographed on the premises.
In connection with such conditions as a needle in the foot or hand which may be referred from
the Schools or the Clinics, it is important to localise accurately and indeed in many cases it is necessary
to remove the foreign body under X-Rays, the forceps being applied to the needle while it is being
shown up on the screen by the X-Ray apparatus.