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on the admission to an institution or hospital of any patient under his
care, to supply the Medical Officer thereof, if required, with such information
as may be in his possession as to the medical history of the case;
in the event of a case arising of a patient who has been recommended
by a member of the panel for hospital treatment, such recommendation
having been approved by the Medical Officer of Health, and such patient
refusing institutional treatment, to continue domiciliary treatment and
report the case to the Medical Officer of Health, who will submit the
same to the Public Assistance Committee for consideration ;
to meet the Medical Officer of Health (or one of the Council's medical
staff) when the latter so requires, for the purpose of examining, in consultation,
any patient in respect of whom the practitioner has sought
the advice of the Medical Officer of Health;
to give to the Council, when required by them, any reasonable information
respecting the case of any patient who is or has been under his care, and
certify, in writing, on the request of the Council or of a Relieving Officer,
or of the patient whom he is attending, the sickness of the patient, or
other cause of his attendance on him;
upon due notice being given, to afford to the Medical Officer of Health,
or such other person as he may appoint for the purpose, access at all
reasonable times to the practitioner's surgery or other place where the
records are kept, for inspection of these records;
to answer any enquiries of the Medical Officer of Health regarding any
prescription issued by the practitioner and furnish such information as
the Council or Minister may from time to time direct with respect to
any cases of sickness or death amongst patients;
in making entries in books, record papers, or other records, to employ
the terms used in the volume prepared by a Joint Committee appointed
by the Royal College of Physicians of London and entitled " The
Nomenclature of Diseases";
to send to the Medical Officer of Health a monthly statement of patients
attended (see Form (f) ), such statement to be circulated through the
Public Assistance Officer to the Relieving Officers for their information;
to keep clinical records of each patient similar to those kept by panel
practitioners for panel patients (see Form (g) ). This record, if a patient
changes his or her doctor, to be transferred to the new medical attendant;
to have the right to refuse to accept a patient. He must, however,
accept responsibility for the patient's treatment pending the submission
of a report to the Medical Officer of Health and the decision of the Public
Assistance Committee thereon ;
to name to the Council some duly qualified medical practitioner who
will, in case of his absence or other hindrance to his personal attendance,
act in his place.
Change of Medical Attendant.
A patient, once choosing his or her medical attendant, shall not be allowed
to change that attendant until 12 months thereafter.
Capitation Fee.
A capitation fee of 10s. per annum will be paid to the medical attendant
by instalments at the end of each calendar quarter, the first instalment being
payable at the end of the quarter in which the patient first receives treatment.
Services of Nurse.
Any medical practitioner requiring the Public Assistance District Nurse
to call and attend to any patient, shall complete a requisition form for this
purpose, the form to state:—Name, address, age, illness, assistance required
(see Form (d) ). This form shall be sent to the Medical Officer of Health
at whose office the nurse will visit at such times to be arranged to collect