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I understand that you will be 'starring' all our cases in
some way so that they may be seen in the light of these
circumstances.
It is agreed that if the scheme goes forward, my
Authority should pay the enhanced price of 10/- (ten shillings)
for each ticket, which is to include any pathological
report, and a print of any radiograph which may be necessary.
The idea behind this is that my Authority should
provide the Dental Surgeon here with mechanical assistance
to make such plates and apparatus as is designated by the
Orthodontic Specialist.
It is understood that these increased payments for the
tickets will involve no payment whatever by the patient.
In the event of there being any special cases where my
Dental Surgeon considers it will be advisable for a more
skilled mechanic'to deal with the necessary apparatus, would
it be possible for your mechanic to carry out the work at the
instruction of the Orthodontic Surgeon and charge us with
the cost?
It is of course understood that such a scheme as this is
subject to the confirmation of my Committee."
The final agreement reached was that the fee of 10/- had to
be raised to 12/- owing to the overhead charges of the Hospital
not covering the originally suggested fee of 10/-.
The greatest difficulty was found in assessing the amount which
the Committee would have to pay for necessary plates, bands,
etc., which would have to be made, and in many cases repeatedly
remodelled for the different types of cases.
After consultation with Mechanics and Dental Surgeons who
are doing this class of work, it was finally agreed that the sum
of 25/- per case would cover any treatment that may be required,
no matter how frequently the apparatus had to be readjusted or
remade. Thus the round sum of 37/- per case will be charged,
irrespective of the amount of work that is to be done.
The Royal Dental Hospital agree in return for 12/- to provide
this Authority with an Orthodontic Surgeon's report on the case,
and any radiograph and pathological reports which may be necessary
for the elucidation of the defect and the treatment.