Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for West Ham]
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to which the Corporation are put over and above the
ordinary upkeep of the Hospital by reason of the presence
of Patients within the Hospital and for such time after an
epidemic outbreak as is necessary to reduce the staff to its
normal limit. The actual cost of the maintenance of all
the Patients sent by the Council the other subscribing
Authorities and the Corporation shall be ascertained on
the 31st day of March and the 30th day of September in
every year and such cost of maintenance shall be arrived
at in the following way: The number of days during
which each of the said Patients remained in the Hospital
during the previous six months shall be added together
the actual cost of maintenance shall be divided by the
aggregate number of such days and the amount thus
obtained shall be deemed to be the cost of keeping a
Patient for one day during the half-year to which the
account relates. The sum which the Council shall pay to
the Corporation in respect of maintenance shall be arrived
at by multiplying the said cost of keeping a Patient for
one day by the total number of days that all Patients sent
by the Council shall in the aggregate have remained in
the Hospital during the said six months. Thirdly the
Council shall pay the reasonable charges of the Corporation
in respect of the conveyance of Patients to or from
the Hospital (should the Corporation at any time undertake
such conveyance) the provision of suitable clothing
for them or their funerals or burials or the obtaining of
any Magistrate's Order which may be necessary in connection
with such burial.
3. The Corporation shall within 21 days after the 31st day of
March and the 30th day of September in each year
transmit to the Clerk of the Council an account showing
the amount due for upkeep and an account showing in