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to those tuberculous persons likely to benefit to the greatest extent
from such assistance, namely:—
(a) Ex-sanatorium patients likely to recover full workingcapacity;
and
(b) Patients with prospects of ultimate arrest of the
disease who are awaiting admission to sanatoria.
Enquiry is made into the financial position of every patient
recommended by the Tuberculosis Officers for the provision of
nourishment in order to ascertain whether the income of the patient
is within the "necessity" limit of the Council. The restriction of
grants to those patients who are unable to provide for their needs
is also necessary to keep the expenditure within the amount approved
by the Ministry of Health, namely, £2 per 1,000 of the population.
In February, 1933, the London County Council adopted a
joint report of its Central Public Health and Public Assistance
Committees dealing with the subject of securing improved cooperation
between the County Council and the Metropolitan Borough
Councils in connection with the welfare and treatment of tuberculous
persons. Among the recommendations contained in this report was
one for securing that adequate nourishment should be available
under the arrangements for public assistance for those patients whose
needs could not be dealt with adequately under the tuberculosis
schemes of the Borough Councils.
The Hackney Borough Council agreed to co-operate in this
matter on the lines suggested in the report, namely:—
(1) that tuberculous persons in need of extra nourishment
(a) who were already in receipt of public assistance, or
(b) whose needs could not be met adequately by the
provision of milk and eggs under the Borough Council's
arrangements, should be referred to the District
Medical Officers who, in turn, would make recommendations
to the local public assistance committee
for the extra nourishment required over and above
the relief which would normally be given to healthy
persons, and
(2) that all persons in respect of whom application is made
for out-relief should, if suffering from tuberculosis, be
referred to the Tuberculosis Officers in order that an
appropriate recommendation might be made to the
District Medical Officers as under (I).