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Hospital Administration.
the disease has a tendency to get the upper hand. It is found in
these cases that Dispensary treatment alone is not sufficient, but
that on the other hand the case is not one for the Hospital. In
other words he is a Sanatorium case. Can we as at present
placed treat this case satisfactorily ?
Up to a certain point, yes, i.e., we can give him a month's open
air treatment in a shelter in order to watch his progress. If the
progress is satisfactory then he should be transferred to a
Sanatorium proper, and there put through such physical outdoor
culture as we cannot give him here. The air and surroundings
moreover in other Sanatoria might be preferable to those found
locally.
4. With regard to the keeping on of our shelters I would
suggest that they might be somewhat reduced, and that if we kept
accommodation for five patients that would be sufficient. I say
this because the new ward block will have cubicles and
verandahs, so that any individual case can be treated practically in
the open air should his condition justify it.
I might then summarise as follows:—
1. Keep on the Dispensary.
2. Maintain a cubicle ward to hold twelve, more or less
advanced cases.
3. Retain some shelters for observation purposes, and particularly
for those patients whom we intend to draft shortly into a
properly established Sanatorium where advanced cases are not
treated.
AGREEMENT BETWEEN THE SURREY C.C AND THE
BARNES U.D.C.
The County Council will during the continuance of this agreement
establish Institutional treatment of Tuberculosis in the said
Urban District by means of a Dispensary, a Hospital and Shelters.