London's Pulse: Medical Officer of Health reports 1848-1972

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West Ham 1913

[Report of the Medical Officer of Health for West Ham]

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34
In the financial statement issued by the Insurance Committee's
representatives on the Consultative Committee it is
suggested that the Insurance Committee should pay over to the
Council, in return for all services rendered by the Council, an
amount represented by 7½d. per insured person, with a minimum
of £3,000.
The number of insured persons is given as 92,000, which
figure at 7½d. works out at £2,875. In order to bring the
minimum of £3,000 up to £3,500 the number of insured persons
must be increased by 18,000. It is doubtful if this number will
be reached for many years to come, and it is therefore evident
that all the financial assistance which the Council can hope to
obtain from the Insurance Committee to meet this heavy
expenditure is £3,500.
Deducting this sum from the maintenance cost mentioned
above, viz., £13,120, a balance is left of £9,620 to be divided
between the Treasury and the Council, and it must be borne in
mind that to secure an even division of this amount the Council
will have to keep the whole of the expenditure at a sufficiently
low figure to satisfy the Local Gover nment Board.
GENERAL ADMINISTRATION.
It will be clear from the foregoing statement that while the
statutory functions laid upon the Insurance Committee include
(a) the duty of arranging for the treatment of all insured persons,
and (b) the power of arranging for the treatment of dependents
of insured persons, the funds at the disposal of the Committee
are strictly limited, and, in my opinion, insufficient to adequately
cover even the treatment of the insured.
It is further clear that if the Council enter into an arrangement
with the Insurance Committee and agree in consideration