View report page

25
REGULATIONS GOVERNING TERMS AND CONDITIONS
OF SERVICE. (Revised December, 1934.)
COUNTY BOROUGH OF EAST HAM.
Public Assistance Domiciliary Medical Service.
Regulations governing Terms and, Conditions of Scheme.
The scheme shall come into operation on the 1st October, 1933. The
regulations for the medical attention and treatment of Poor Persons referred
to a Medical Practitioner shall be as follows:—
The Medical Practitioner to visit and treat a patient whose condition so
requires at any place in the Borough where the patient may at the time
be ;
(The treatment which a practitioner is required to give to his patients
comprises all proper and necessary medical services other than those
involved in the application of special skill and experience of a degree
or kind which general practitioners as a class cannot reasonably be
expected to possess.)
The Relieving Officer to issue a medical relief card (see Form (a)), and
to insert thereon the name of the Medical Practitioner selected by the
applicant. (A list of those available, including Surgery Hours, will be
printed and exhibited at the Public Assistance Sub-Office, Arragon
Road, East Ham.)
The card to be countersigned and dated by the Medical Practitioner,
who will retain card during treatment.
The Medical Practitioner to "sign off" patient when recovered, and
to return card to the Medical Officer of Health with his monthly return
referred to below. The Medical Officer of Health to return cards to the
Public Assistance Officer.
The Medical Practitioner
to attend and treat at the places, on the days, and at hours to be arranged
to the satisfaction of the Council, any patient who attends there for
that purpose, but to be permitted, with the consent of the Council, to
alter the places, days or hours of his attendance, or any of them ;
to provide proper and sufficient surgery and waiting room accommodation
for patients;
to issue prescriptions for drugs and appliances, including cod liver oil
and malt, to be signed by the practitioner with his own hand, but not
to be written in such manner as to necessitate reference on the part
of the person supplying the drugs or appliances to a previous prescription ;
Note.—The drugs, appliances, dressings, etc., recommended for patients
on prescriptions shall be subject to the same regulations as govern
the prescribing of these articles under the National Health Insurance
Acts.
to advise a patient whose condition is not within the scope of the practitioner's
obligations, as to the steps to be taken to obtain that treatment;
Note.—Ophthalmic cases should be referred to the Medical Officer of
Health for reference to the Ophthalmic Surgeon, arrangements to
be made by the Public Assistance Committee as to fee to be paid
to the Ophthalmic Surgeon for his services. Minor operations
should be referred by Medical Practitioners to Hospitals,
desiring a patient to be admitted to a Public Assistance Hospital or
Institution, UNLESS THE CASE IS URGENT, to consult with the