London's Pulse: Medical Officer of Health reports 1848-1972
View report page
Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Willesden 1935
[Report of the Medical Officer of Health for Willesden]
This page requires JavaScript
129
APPENDIX P.
Submitted to the Health Committee on the 10th December, 1935.
MEMORANDUM BY THE MEDICAL OFFICER OF HEALTH.
The Remuneration of Specialists.
The effect of the proposals so far as the throat, nose and ear specialist is concerned is shown on the following table:—
| Cost as per Minutes 22. 10. 35. based on salary basis. | Cost based on sessional basis. | |||
|---|---|---|---|---|
| Attendances at Health Centres in connection with Throat, Nose and Ear Cases—30 sessions per annum of not more than 2 hours each session 1 | £400 per annum | At £2 12s. 6d. per session | £247 | |
| Attendances at Municipal Hospital for operations on Throat, Nose and Ear Cases—say 64 sessions at 8 cases per session. (Average for 3 years, 1933-35—487 cases) | ||||
| Emergency operations at Municipal Hospital 8 cases (being the annual average for 1933-35) | At £15 15s. 0d. per operation | £126 | ||
| 3 ,, ,, ,, ,, ,, | At £5 5s. 0d. per operation | £16 | ||
| Consultations at Municipal Hospital—2 Cases (being the annual average for 1933-35) | At £4 4s. 0d. per consultation | £8 | ||
| Total | £400 | £397 | ||
Having regard to the foregoing statement, it is recommended:—
(1) that the scale of sessional fees shown in column 2 be adopted instead of the salary basis
scale shown in column 1 and previously adopted by the Council.
It is further recommended:—
(2) that in respect of emergency operations a fee of 5 gns. be payable for a minor operation
and 15 gns. for a major operation. (This corresponds to a fee of 10 gns. for a minor
operation, 5 gns. being chargeable for a second minor operation performed at the same
visit, and 25 gns. for a major operation now paid to operating surgeons).
(3) that in respect of other emergencies or consultations, that is to say, in respect of special
calls for specialists outside their regular attendances, the fee payable be 4 gns. (This
is the same as the fee now payable to specialists called in in connection with difficult
cases of labour, but 5 gns. is now usually charged for a consultation at the Municipal
and Maternity Hospitals).
If the above scale of fees is adopted by the Council, then all specialists employed by them will
be paid at similar rates with the exception of the skin specialist who has been in office since 1913
and the Orthopaedic Surgeon who is supplied by the Royal National Orthopaedic Hospital, and in whose
cases the rate per attendance is higher. It is not suggested that the remuneration for these appointments
be altered during the tenure of the present holders.
GEORGE F. BUCHAN,
Medical Officer of Health.