METROPOLITAN ASYLUMS BOARD
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1049 as they exist in Guy’s Hospital, and said that during the forty-one I years he had been connected with hospitals the system had improved - very much. In reply to a question, he expressed his opinion that doubt- less the system of having lying-in women visited at their homes took away the work of many small practitioners in the neighbourhood of the hospitals. He thought that in the case of these women being unable .to obtain assistance from the hospitals or from a midwife they must apply to the parish doctor, although he thought the small prac- titioners in the neighbourhood would probably be very glad to attend such cases for the fee of half a guinea. In reply to Lord Sandhurst, he considered that in the large clinical wards there was a disposition among medical officers to select cases for treat- ment which were specially instructive to students ; but he pointed - out that those were the cases which required attendance most. In reply to Lord Kimberley, as to whether the attendance given by the medical students of Guy’s Hospital to lying-in women of the neigh- bourhood did not tend to encourage pauperism among those people, lie pointed out that the lying-in institution existed in the first instance for the benefit of the pupils, and did not know any other way of teaching them. He admitted, however, that all medical charities had a tendency to lead persons who were able to pay to seek charitable assistance instead of doing their duty to their own families. Em he rested the .defence of the practice upon the necessity for obtaining proper medical ..education. In reference to the collection of money in the hospital, he said there was a little box in every ward, and of late years the amount found in each was about £30 a year. In the out-patient department similar boxes were placed, and although some fifty or sixty thousand ;people passed through these rooms annually, the amount was scarcely .above five shillings in a year. Speaking of special hospitals and dis- pensaries, he said the majority of them were established for the purpose ,of making the fortune of some medical man, perhaps not in connexion with any hospital. The sanitation of hospitals required looking after - considerably, but he thought that the authorities were doing their best to effect improvement, and felt anxious to make them as perfect as pos- sible. The questions of nursing, of the Medical Schools, of the out-patient department, and matters connected with the financing of the hospital, were then goneinto. In reply to Lord Zouche, the witness thought Govern- ment might appoint abody acquainted with the work to look after financial matters, and to draw up a uniform plan for their management. Lord Thring directed several questions relating to the responsibilities and powers of the governing body of Guy’s Hospital, from which it appeared that ultimately any question of finance or discipline in connexion with any of the various departments of the hospital were first submitted to Dr. Steele, and afterwards, if necessary, laid before ,the treasurer of the hospital, who ultimately decided any point of that rkind, the governors, as Lord Kimberley pointed out, acting merely as ciphers.. Mr. Timothy Holmes (St. George’s Hospital) gave evidence Tegarding the growth of the out-patient administration, and was of ..opinion that it was a necessary part of the hospital for teaching purposes, but not for the treatment of diseases. No hardship would be entailed on the public by abolishing them, inasmuch as the poor, unable to pay for themselves, would be provided for by the Poor- law, and those who were able to pay might form clubs or pro- vident dispensaries. It was a new institution, and no out-patient ,department existed a hundred years ago in any hospital in England. He should like to see the out-patient department made a consultant ,department as in France and as it used to be in Scotland, and that out- patients should receive the opinion of the hospital consulting phy- sicians or surgeons only when referred to them by the medical officer of .a provident dispensary. Regarding special hospitals, he thought it would be better for the public if many of the special hospitals were .closed altogether, inasmuch as they would not be required to ,’Subscribe to them. They were unnecessary, because other hospitals were better fitted to do their work. Moorfields and Brompton Hospitals were excepted as having done much good work. From his experience - of French hospitals he would not like to see the London hospitals put on the same basis of State aid as existed there. He should like to ’see the hospitals, especially of the Metropolitan Asylums Board, opened to students, as that was the only means by which a knowledge of infec- tions diseases could be obtained in London ; but suggested that it was ,only qualified students who could find time to participate in the .advantages to be derived from these infirmaries. Asked at the end of his examination whether he had any improvements to suggest in - reference to the management of hospitals, he replied that he did not see anything to complain of in the existing system of the management of the in-patients. The Committee will again meet at twelve o’clock on Monday, the 12th inst. METROPOLITAN ASYLUMS BOARD. Return of Patients remaining in the severaL Fever Hospitals of the Board at midnight on May 6th, 1890. SMALL-POX.-Atlas hospital ship, 2. Appointments. Sueeessftcl applicants for Iacancies, Secretaries of Public Institutions, and others possessing information suitable for this column, are invited to ’ forward it to THE LANCET Office, directed to the Sub-Editor, not later than 9 o’clock on the Thursday morning of each week for publication in the next number. BARKER, FREDK., M.R.C.S., L.R.C.P., has been appointed Resident Medical Officer to the Lincoln United Friendly Societies. CLOUGH, JOSEPH, M.R.C.S., L.R.C.P. Lond., House Physician to the Leeds General Infirmary, has been appointed Junior House Surgeon to the Bolton Infirmary and Dispensary, vice F. R. B. Hinde, M.B., M.R.C.S., resigned. COOPER, LUDFORD, M.R.C.S., L.R.C.P., has been appointed House Physician to the East London Hospital for Children, Shadwell. COPNER, ARTHUR L., M.R.C.S., L.R.C.P. Edin., has been appointed Medical Officer for the Seventh District of the Barnstaple Union, vice F. Gardner, M.R.C.S., L.S.A., resigned. DISTIN, H., L.R.C.P., M.R.C.S., has been appointed Assistant House Accoucheur to King’s College Hospital, vice E. D. Rees, L.R.C.P., L. S. A. DRURY, A., M.B., C.M. Edin., has been appointed Medical Officer and Public Vaccinator for the Township 01 Halifax. EDELSTEN, E. A., M.A., M.B., B.Ch. Oxon., M.R.C.S., L.R.C.P. Lond., has been appointed Assistant House Surgeon to the York County Hospital. FAULKE, H. C., L.R.C.P., L.R.C.S. Edin., has been appointed Medical Officer for the Third District of the Lexden and Winstree Union. FOSBROKE, GEORGE HAYXES, M.R.C.S., L.S.A., D.P.H. Camb., has been appointed Medical Officer of Health for the County of Worcester. Guw, P. W., M.R.C.S., L.R.C.P., L.S.A., late House Accoucheur, has been appointed Sir J. Lister’s House Surgeon, King’s College Hos- pital, vice A. H. Cheatle, M.R.C.S., L.R.C.P., resigned. HARRATT, HENRY, M.R.C.S., has been appointed Medical Officer for the Second District of the Rye Union, vice Harris, deceased. HASLETT, R. W., M.B. Univ. Irel., has been appointed Assistant Medical Officer to the Workhouse, Parish of Liverpool. HEWLETT, R. T., L.R.C.P., M.R.C.S., late Assistant House Physician, has been appointed House Physician to King’s College Hospital, vice T. B. Beach, M.R.C.S., L.R.C.P., resigned. HOLLIS, E., M.D. Edin., has been reappointed Medical Officer and Public Vaccinator for Woodbridge. LACK, H. L., M.R.C.S., L.R.C.P., has been appointed Mr. Cheyne’s House Surgeon, King’s College Hospital, vice P. T. B. Beale, M.R.C.S., L.R.C.P., L.S.A., resigned. LUCAS, R. H., M.B.C.S., has been appointed Assistant Medical Officer to the Sutfolk General Hospital. MACBRYAN, H. C., L.R.C.P., L.R.C.S. Edin., has been appointed Resident Medical Superintendent at the Tue Brook Villa Private Asylum, Liverpool, vice Hall, resigned. bTaR2i:v, MATTHEW, M.B. & C.M. Glas. Univ., has been appointed Medical Officer to the Third or Parkhead Medical District of the Barony Parish, Glasgow, vice Dr. Wm. Young, deceased. PALMER, B. A., M.B. Glas., L.R.C.S. Edin., has been appointed Medical Officer for the Mullaghglass Dispensary District, Newry Union, vice Lightburne, deceased. PRUEN, S. T., M.D. Durh.,M.R.C.S.,has been appointed Medical Officer of the Workhouse, Cheltenham. REES, E. D., L.R.C.P., L.S.A., late Assistant House Accoucheur, has been appointed House Accoucheur to King’s College Hospital, vice F. W. Gunn, M.R.C.S., L.R.C.P., resigned. ! RUFFER, MARC ARMAND, M.A., M.D. Oxon., &c., has been appointed Pathologist to the City of London Hospital for Diseases of the Chest, Victoria Park, vice Dr. Wethered, promoted to the office of Assistant Physician. ’ , SANDIFER, H. S., L.R.C.P., M.R.C.S., has been appointed Assistant House Physician to King’s College Hospital, vice R. T. Hewlett, L M.R.C.S., L.R.C.P. THOMASON, R. H., M.R.C.S., L.R.C.P., L.S.A., has been appointed , Mr. Rose’s House Surgeon, King’s College Hospital, vice J. Penny, M.R.C.S., L.R.C.P., resigned. WILSON, J., M.D. Edin., has been appointed Medical Officer for No. 4 District of the Cheltenham Union. Vacancies. Forfttrther information regarding each vacancy reference should be made to the advertiseinent. BARNWOOD HOUSE HOSPITAL FOR MENTAL DISORDERS, near Gloucester. Junior Assistant Medical Officer. Salary 4100 a year, with board, lodging, and washing. BRIGHTON, HOVE, AND PRESTON DISPENSARY.-House Surgeon to the parent institution. Salary £140 per annum, with furnished apart- ments, coal, gas, and attendance. CANCER HOSPITAL (FREE), Brompton, S.W.-Assistant House Surgeon and Registrar. Salary 50 per annum, with board and residence. CENTRAL LONDON THROAT AND EAR HOSPITAL, Gray’s-inn-road.-Three Clinical Assistants. CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, Victoria Park, E.-House Physician for six months. No salary, but board, residence, and allowance for washing provided. (Apply to the Secretary, 24, Finsbury-circus, E.C.) HANTS COUNTY ASYLUM, Knowle, Fareham.-Third Assistant Medical Officer. Salary f:lOO per annum, increasing to £125 after twelve months’ services, with furnished apartments, board, washing, and attendance.
Transcript of METROPOLITAN ASYLUMS BOARD
1049
as they exist in Guy’s Hospital, and said that during the forty-one Iyears he had been connected with hospitals the system had improved- very much. In reply to a question, he expressed his opinion that doubt-less the system of having lying-in women visited at their homes tookaway the work of many small practitioners in the neighbourhood of thehospitals. He thought that in the case of these women being unable.to obtain assistance from the hospitals or from a midwife they mustapply to the parish doctor, although he thought the small prac-titioners in the neighbourhood would probably be very glad toattend such cases for the fee of half a guinea. In reply to LordSandhurst, he considered that in the large clinical wards therewas a disposition among medical officers to select cases for treat-ment which were specially instructive to students ; but he pointed- out that those were the cases which required attendance most.In reply to Lord Kimberley, as to whether the attendance given by themedical students of Guy’s Hospital to lying-in women of the neigh-bourhood did not tend to encourage pauperism among those people, liepointed out that the lying-in institution existed in the first instance forthe benefit of the pupils, and did not know any other way of teachingthem. He admitted, however, that all medical charities had a tendencyto lead persons who were able to pay to seek charitable assistanceinstead of doing their duty to their own families. Em he rested the.defence of the practice upon the necessity for obtaining proper medical..education. In reference to the collection of money in the hospital,he said there was a little box in every ward, and of late years the amountfound in each was about £30 a year. In the out-patient departmentsimilar boxes were placed, and although some fifty or sixty thousand;people passed through these rooms annually, the amount was scarcely.above five shillings in a year. Speaking of special hospitals and dis-pensaries, he said the majority of them were established for the purpose,of making the fortune of some medical man, perhaps not in connexionwith any hospital. The sanitation of hospitals required looking after- considerably, but he thought that the authorities were doing their bestto effect improvement, and felt anxious to make them as perfect as pos-sible. The questions of nursing, of the Medical Schools, of the out-patientdepartment, and matters connected with the financing of the hospital,were then goneinto. In reply to Lord Zouche, the witness thought Govern-ment might appoint abody acquainted with the work to look after financialmatters, and to draw up a uniform plan for their management. LordThring directed several questions relating to the responsibilities andpowers of the governing body of Guy’s Hospital, from which it appearedthat ultimately any question of finance or discipline in connexionwith any of the various departments of the hospital were firstsubmitted to Dr. Steele, and afterwards, if necessary, laid before,the treasurer of the hospital, who ultimately decided any point of thatrkind, the governors, as Lord Kimberley pointed out, acting merely asciphers.. Mr. Timothy Holmes (St. George’s Hospital) gave evidenceTegarding the growth of the out-patient administration, and was of..opinion that it was a necessary part of the hospital for teachingpurposes, but not for the treatment of diseases. No hardship wouldbe entailed on the public by abolishing them, inasmuch as the poor,unable to pay for themselves, would be provided for by the Poor-law, and those who were able to pay might form clubs or pro-vident dispensaries. It was a new institution, and no out-patient,department existed a hundred years ago in any hospital in England.He should like to see the out-patient department made a consultant,department as in France and as it used to be in Scotland, and that out-patients should receive the opinion of the hospital consulting phy-sicians or surgeons only when referred to them by the medical officer of.a provident dispensary. Regarding special hospitals, he thought it wouldbe better for the public if many of the special hospitals were
.closed altogether, inasmuch as they would not be required to,’Subscribe to them. They were unnecessary, because other hospitalswere better fitted to do their work. Moorfields and Brompton Hospitalswere excepted as having done much good work. From his experience- of French hospitals he would not like to see the London hospitals puton the same basis of State aid as existed there. He should like to’see the hospitals, especially of the Metropolitan Asylums Board, openedto students, as that was the only means by which a knowledge of infec-tions diseases could be obtained in London ; but suggested that it was,only qualified students who could find time to participate in the.advantages to be derived from these infirmaries. Asked at the endof his examination whether he had any improvements to suggest in- reference to the management of hospitals, he replied that he did notsee anything to complain of in the existing system of the management ofthe in-patients.The Committee will again meet at twelve o’clock on Monday, the
12th inst. ________________
METROPOLITAN ASYLUMS BOARD.
Return of Patients remaining in the severaL Fever Hospitalsof the Board at midnight on May 6th, 1890.
SMALL-POX.-Atlas hospital ship, 2.
Appointments.Sueeessftcl applicants for Iacancies, Secretaries of Public Institutions, and
others possessing information suitable for this column, are invited to’ forward it to THE LANCET Office, directed to the Sub-Editor, not later
than 9 o’clock on the Thursday morning of each week for publication inthe next number.
BARKER, FREDK., M.R.C.S., L.R.C.P., has been appointed ResidentMedical Officer to the Lincoln United Friendly Societies.
CLOUGH, JOSEPH, M.R.C.S., L.R.C.P. Lond., House Physician to theLeeds General Infirmary, has been appointed Junior House Surgeonto the Bolton Infirmary and Dispensary, vice F. R. B. Hinde, M.B.,M.R.C.S., resigned.
COOPER, LUDFORD, M.R.C.S., L.R.C.P., has been appointed HousePhysician to the East London Hospital for Children, Shadwell.
COPNER, ARTHUR L., M.R.C.S., L.R.C.P. Edin., has been appointedMedical Officer for the Seventh District of the Barnstaple Union,vice F. Gardner, M.R.C.S., L.S.A., resigned.
DISTIN, H., L.R.C.P., M.R.C.S., has been appointed Assistant HouseAccoucheur to King’s College Hospital, vice E. D. Rees, L.R.C.P.,L. S. A.
DRURY, A., M.B., C.M. Edin., has been appointed Medical Officer andPublic Vaccinator for the Township 01 Halifax.
EDELSTEN, E. A., M.A., M.B., B.Ch. Oxon., M.R.C.S., L.R.C.P. Lond.,has been appointed Assistant House Surgeon to the York CountyHospital.
FAULKE, H. C., L.R.C.P., L.R.C.S. Edin., has been appointed MedicalOfficer for the Third District of the Lexden and Winstree Union.
FOSBROKE, GEORGE HAYXES, M.R.C.S., L.S.A., D.P.H. Camb., hasbeen appointed Medical Officer of Health for the County ofWorcester.
Guw, P. W., M.R.C.S., L.R.C.P., L.S.A., late House Accoucheur, hasbeen appointed Sir J. Lister’s House Surgeon, King’s College Hos-pital, vice A. H. Cheatle, M.R.C.S., L.R.C.P., resigned.
HARRATT, HENRY, M.R.C.S., has been appointed Medical Officer forthe Second District of the Rye Union, vice Harris, deceased.
HASLETT, R. W., M.B. Univ. Irel., has been appointed Assistant MedicalOfficer to the Workhouse, Parish of Liverpool.
HEWLETT, R. T., L.R.C.P., M.R.C.S., late Assistant House Physician,has been appointed House Physician to King’s College Hospital,vice T. B. Beach, M.R.C.S., L.R.C.P., resigned.
HOLLIS, E., M.D. Edin., has been reappointed Medical Officer andPublic Vaccinator for Woodbridge.
LACK, H. L., M.R.C.S., L.R.C.P., has been appointed Mr. Cheyne’sHouse Surgeon, King’s College Hospital, vice P. T. B. Beale,M.R.C.S., L.R.C.P., L.S.A., resigned.
LUCAS, R. H., M.B.C.S., has been appointed Assistant Medical Officerto the Sutfolk General Hospital.
MACBRYAN, H. C., L.R.C.P., L.R.C.S. Edin., has been appointedResident Medical Superintendent at the Tue Brook Villa PrivateAsylum, Liverpool, vice Hall, resigned.
bTaR2i:v, MATTHEW, M.B. & C.M. Glas. Univ., has been appointedMedical Officer to the Third or Parkhead Medical District of theBarony Parish, Glasgow, vice Dr. Wm. Young, deceased.
PALMER, B. A., M.B. Glas., L.R.C.S. Edin., has been appointed MedicalOfficer for the Mullaghglass Dispensary District, Newry Union,vice Lightburne, deceased.
PRUEN, S. T., M.D. Durh.,M.R.C.S.,has been appointed Medical Officerof the Workhouse, Cheltenham.
REES, E. D., L.R.C.P., L.S.A., late Assistant House Accoucheur, hasbeen appointed House Accoucheur to King’s College Hospital, viceF. W. Gunn, M.R.C.S., L.R.C.P., resigned.
! RUFFER, MARC ARMAND, M.A., M.D. Oxon., &c., has been appointedPathologist to the City of London Hospital for Diseases of the Chest,Victoria Park, vice Dr. Wethered, promoted to the office of Assistant
Physician. ’
, SANDIFER, H. S., L.R.C.P., M.R.C.S., has been appointed AssistantHouse Physician to King’s College Hospital, vice R. T. Hewlett,
L M.R.C.S., L.R.C.P.THOMASON, R. H., M.R.C.S., L.R.C.P., L.S.A., has been appointed
, Mr. Rose’s House Surgeon, King’s College Hospital, vice J. Penny,M.R.C.S., L.R.C.P., resigned.
WILSON, J., M.D. Edin., has been appointed Medical Officer forNo. 4 District of the Cheltenham Union.
Vacancies.Forfttrther information regarding each vacancy reference should be made
to the advertiseinent.
BARNWOOD HOUSE HOSPITAL FOR MENTAL DISORDERS, near Gloucester.Junior Assistant Medical Officer. Salary 4100 a year, with board,lodging, and washing.
BRIGHTON, HOVE, AND PRESTON DISPENSARY.-House Surgeon to theparent institution. Salary £140 per annum, with furnished apart-ments, coal, gas, and attendance.
CANCER HOSPITAL (FREE), Brompton, S.W.-Assistant House Surgeonand Registrar. Salary 50 per annum, with board and residence.
CENTRAL LONDON THROAT AND EAR HOSPITAL, Gray’s-inn-road.-ThreeClinical Assistants.
CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, VictoriaPark, E.-House Physician for six months. No salary, but board,residence, and allowance for washing provided. (Apply to theSecretary, 24, Finsbury-circus, E.C.)
HANTS COUNTY ASYLUM, Knowle, Fareham.-Third Assistant MedicalOfficer. Salary f:lOO per annum, increasing to £125 after twelvemonths’ services, with furnished apartments, board, washing, and
- attendance.
