1924

VICTORIA

THE CHARITIES BOARD OF VICTORIA

REPORT

Fon TIn

lW2JYEAH ENDED lOru

bull

IR~SNTRj) TO BOTH HOUSFS OF PMLIAMENT PURSUANT TO THF PROIISION OF HIE HOSPifAL AND CHARiTIES ACT 1922 (N( 3260)

[COg of amppvl1~ -llfIlttflUon no gb en Iriuting (675 ()]il) pound111

s~ Juthoritu H~ J (J1l1R~ GOVERXJENT pH1NnR )llJllounXE

No 7-[18] 8303

bull

CHARITIES BOARD REPORT

fhe Charities 130ard of V ict(Jlia

440 Little Collinmiddotr t Melbourno 30th JWl 1raquo24

SIli

In conformity with BeuroctioH 45 of the Hosp-ilals ljmiddotnltl OuHitpoundes poundLd 1922 the Oharities BOflld of Victoria fUlulf1hoEi herewith its first nnllunl report Oll the work and proceedings of the Board during the tWtlyf nlollth lllded on tl(middot thirtieth day of June 1924

Ihis report is divided into thro( S(CtiOHS middotz (1) A review of the work done (2) A general outline of tho policy which the Board purposes following (3) Recommendations as to amendments of existing legislation and

proposals for futnro legislation which are deemr-d to be desirable

SECl10N No 1

A HEVlEW OJ TIlE WORK DONE

The Act was proclaimed 011 1st July 19il alHl R preliminary ID(eting of the Board held on 22nd June 192a lluriug the pst l(l~ lllonths mCetillgs of the Board and its 8ub~Oommittees wpre hrld UIlt foHmn --_

Board li Metropolitan StanJillg COlllmitttmiddot 11 Country ~tilnding (~()mmjttf H

P1tHLUllNABY

The earlifJI llleeting6 Pl HO(ldSlUmiddotily OltUIJild in givitlg cOtlHidtlalioll o matters of ft generuluature dllllting with l)Jo((gtdUl( nwl the pliuciples of the ~-tL

REOISTliATlON )If CUARITlkN

The six mouths notioo from wLilJ UlJii ~(di(m jj of thtmiddot lt1 lttppHcatio1J for logilltration lIhoul) be mode in regurt] to nB rllallti(gt- 11 VhtOliu lU$ fixed 118 at l~t September 1923 Thp closing dfltc of nlpEltaflol~ qu Wth Tehluary 1924 and 366 applicationA 1f)n lPIilVtd ela~~ifiNi iflto~~~

J

Hospitals til Hospital Associations Homes for the Aged and [unrll H) Convalescent Home~

Medinal Dispen8arie~

N Ul~illg Societies Institutions 6nd SocleticI for Helie ill rt1ictiou Refuges and Reformatorie W OrphalHtgPR and X eglf~Jted tJr I1estitutu Children$

Institutions Ladies BBIHYolo11t SfJeieti6s un( (hllll-I OqgtHuizRtimHshy

giliug local rplicf 140 Hostels Ambulunce Sen-iees 2 Other Philallthlopie Orgauizatlon~ ~2

Orches and Kindergartens 39

866

IuYestigatioll hft b-PH UHH_h~ and i-l v]o((~e(liBgl in regard to the management and character of the ahove rharitios ~o that the Board may be in a pogtiition to detershymine to what oxtellt each i eBsential lind i ejfeedvoly affordiug tho relief for which it is stated to exit Already de-cisions to deter regig1rQtion in Bome illljtancea have been arrived at for one or fll of the- reasonSshy

(i) That the oharity ibullbulleriously mismanaged (ii) That the funds thereof are oubtantiaUy applied oth~MVise than for

affording the relief for which the charity exit

4

(iii) That the charity has ceased to effectively afford the relief aforeshyseid

(iv) That having regard to the administration management and opela~ dons of the charity its objects can be carried out as effectively and more economically by some other organization or

(v) rhat the accommodation provided is so defective insanitary or uMuitable that it cunnot by my leasonuble expenditure be mad(~ fit for the purpoSeuros intended

HOSPITALS

CLASSIFICATION OF HOSPITALS

In order to systematize tho scope of usefulness of hO3pituJs e~p()cially in country districts and as an aid in determining the relative amouutil for Bftl Sukidy the Board adopted a elasaification of hospitals as folIowsshy

Grade A Hospitals with daily average of 100 oceushypied beds and over ont-patients ano sub-departments a training school for r

nurses and recognized by the University of Melbourllc ill the curriculum for medical students as a clinical school

GlaJe H Hospitals with a daily average of under 100 occupied hels out-patients and sub-departrueutSJ a training school fol nurses and recognized by the ITniversity

General of Mebourne in the curriculum for medical student as a clinical schoo1

Grade C Hoapitals with a daily average of 50 occupied beds and over out~paticnts and sub-departments a training school for nurses but not recognized by the University of Melbourne in the currishyculum for medical students as a clinical

Metropolitan schoo Grade D Hospitals with a daily averago of 50

occupied leds and over out-patients and sulrdepartruents a training school for nurses and recognized by the University of 1felhourne ill the curriculum for medical students us a clinical school

Grade E Hospitals with a daily average of 50 occushypied beds and over but no out-patients or sub-departments and not recognized by tho University of 1felbourne in the currishyeulum for medical students as a clinical schooL

Grade P Hospitals existing for tho sole purpose of giving rolief fur specific conditions but

not recognized training schools or clinical schools and with no out-patients

f Base I

Grade H Daily average of 50 occupied beds and ove1 fully equipped und staffed with minimum requirements as speeified

CountlJ District Grade I Daily averuge of 20 to 50 occupied beltb giving full lUllgC of medical find surgical accommodation aud tlcatuumt

Cottage Grade J Daily afrngf of 11 JtdPl hH oc(upied heds Isolated Grado K

BAE HOSPITALS (CounRY) A standard as follows hus oeen set as tIle minimum requirements for a Base

Hospital shyHEDs-Not fewer than 50 occupied beds giving ill addition to general medical

and surgical accommodation b(gt-ds for midwif(ry and childrtn each at leltlst 5 per cent of total accommodation

OUT-PATIENTB-Fully etablished flud equipped Ont-Putient Department available to patients at any time in case of emergtuey alld with at least tri-weekly attendance of honorary medical officers

Sun-DEPARTMNTS-Equipped sub-departments of ~shyRadiology Pathology and Bacteriology Massage And other sub-departments as the needs ariso

--------~--

MEDICAL SrA~~F-Honora] a ttending medical officers to he elected to the yarious positions for a fixed term Applications to ho called publicly

N lRSEs-Training School for K urses The hospitals proposed to be raised to baso grade are ~Bal1arat Bendigo

Geclong Hamilton HorshflID Mildura ]Iooroopna Sale~ and W nrrnambool The introduction of this standard for Rase Hospital is for the purpose of

assn ring h(tter servi(C and higher fffi(1icnry and of providing fa()ilitics for ample trentmfIlt1 in Of near their home distriet~ to many patients who otherwise at muh djscoillfort and fXp lJSt travf11rJllg distalJ(~es to the oity for reUef Incidentally also this lllust

j to some fxtcnt J trud to mitigate the congestion in the Inetropolitall

hospitals It is recorded vith sLltifadioH rhut most of the Committees of the institutions

lJ1oposcd to he raised to hnse grade hayc alrCady signified their -rillinglHss to heartily (o-op12rate ith the l~onrd

l-lETROPOLITAN HOSPITAJ3

The major problem iIi lesp(et to iueufli(ieIry of hospital aceommodution in the metropolis is the necCssity for affording rClicf to th(~ present scrions congestioll

The Board invit(s the very seriolls attention of the GovernTll(nt to the fcgretshyhlble inn1lieiellry of hospital ltIt(onultodatiou in thf nwtropolis Both netual1y and rflativeiv thC public hospital aceoIiLlllOdation of )felhourne i~ far below what is ~lllp(ratil~ely necessary So fn as ruu be nsecrtuiupd by lCnilahle figllrtS a (om~ parlt10n vltlt otlhr Stvt(6 fully lwnrs out this (olltcnttOlJ As ltl result of rec(mt impIir by tlH noard~ jt 118 fom(l that 111( wHitillg li8t$ of pati(nt who WiC

l111lt1hlc t(J lf(eiY(~ attcuti)ll hlitllhmiddota 1)00 X~mlh(ls of pnhi hospi1rtl heds ntliluhll Pl 11000 of jJopulation -

_~dl)oullIi U) Sydney 37 Adelaide 20 Brishaue 43 Perth )3 I

Statistical informa_ion indhl[(S thu lvltilst tllP cOlltributiollS by the public are gpwrollS imd fairly proportionate) to what is usuul clsewhere in the Commonwealth (iovprllmrnt subsidy hy Vdolia iu aid of tho sirk awl needy poor is) and has been for yenr1 altogtther lJlaurquut(middot ns (omplllcrl wit1l the loral requirements 01 witll the rc(ogllition of this ohligation oy (Hrh of the othpr StatcB

It is not clenf vllethtl thf~(~ l~ UllV direlt~t ldatio11ship h(tw0cn the abovfl unsatisfactory (onditons nnd tl( r]lute drttth ra of Victoria which for the past 20 years~ has been wl-h rare cxCptiOl 111 et((ess of thal of allY other State Vhutshy0yer may be the cause it is worthy of sNious iuYcEtigatio11 The figures Dt least suggest 11 singular eoncicielHc 11~ view of the iUfmftiCtcmiddotney of hospital ac(ommodashytion whidl has been charactpristie of this StDtc for many years On 4th December lfJ23 the Board waited on the then Treadurr and upain on 14th February~ urging that an area of 16 acrfS at Par1 villj might he reservcd for the extension of Lhe )Ielbonrne 1Io1pita1 The 130nrd deS1rN to OJH~C more mOSt emphatical1y state that t~is rC00mmendation should be adopted as SOOl1 as possible1 aud to stress further that unless this provision be mrHlc) the hospital eonditions of Melbourne will in the near futnrc be chaotic

PHOPOS_~LS FOR REUlpoundYING CONJESTlOK IN THE l1ElROPULI

The following measures are propos(~d by the Board with a view of contribnting some relief to the present shortage of hospital accommodation in the metropolis

1 CAULFIELD MILITARyen HosfTTu-~VithiIl the area occupied by this illstitu~ Hon there arc fonrteen v[lennL wnrds and other small buildings whlch it is conshysidered might be made fairly suitahle for the accommodation of certnill types of seleeted cases and thus form a valuable though temporaryatijunct to the general hospitals Independent cxpfrts werE 8~ked to inspcft the buildings aud report upon the merits of this proposaL ~6 a result the Board is advised that for certain types of caseR the buildingR in llistiou could be made sultabie By this additional u(ComIDodntion plovision (oulrt be matle availab~c for 250 beds It may he mentioned that t11e ft1a 011 which tlV2SC huildirgs arc situated is sao feet by WD fret

The qllestion of uuuagemfnt and contJll for this pmposo prfaentfd 80me difficulty hut this has ~en satisfactorily met hy the -Melbourne Hospital Comshymittee exprcs3iug -it~ --illiTlglit3s to nndertake the mmltlgement and recfLivc eases from other metropolitan hOlpitaIs cOllditiOlllllly upon the Governmcllt proyidiTlg all neuroCCflSilrY funds for purehuse of site structural alt(rations aud equipment the ~jte to remain the property of the Govrrnment

Tho TIoard i$ prepared to authorize the Committee Df the Melbourne Hospital to make a general appeal for assis1an(Jc to tlle pnblic the procefls from which to be devoted to the dual purpose of eltwirating the existing overdraft 011 the hospitals maintcnar(t aCOUllt 311d tOWl1rdR thf objrfmiddott of the Caulfield unit All spNlfir contributions special rCV8111H Ulld pnvrruilts by patient3 -ill eOl1lHxiou with the Caulfield unit will be (gtlfdited to a slgt~middotiul mtlinLemwC atmiddotuut fld the deficieuy if nny 11lade good hy suh~idy fr0rn the rlH11ities votes

bull

CHARITIES BOARD REPORT

fhe Charities 130ard of V ict(Jlia

440 Little Collinmiddotr t Melbourno 30th JWl 1raquo24

SIli

In conformity with BeuroctioH 45 of the Hosp-ilals ljmiddotnltl OuHitpoundes poundLd 1922 the Oharities BOflld of Victoria fUlulf1hoEi herewith its first nnllunl report Oll the work and proceedings of the Board during the tWtlyf nlollth lllded on tl(middot thirtieth day of June 1924

Ihis report is divided into thro( S(CtiOHS middotz (1) A review of the work done (2) A general outline of tho policy which the Board purposes following (3) Recommendations as to amendments of existing legislation and

proposals for futnro legislation which are deemr-d to be desirable

SECl10N No 1

A HEVlEW OJ TIlE WORK DONE

The Act was proclaimed 011 1st July 19il alHl R preliminary ID(eting of the Board held on 22nd June 192a lluriug the pst l(l~ lllonths mCetillgs of the Board and its 8ub~Oommittees wpre hrld UIlt foHmn --_

Board li Metropolitan StanJillg COlllmitttmiddot 11 Country ~tilnding (~()mmjttf H

P1tHLUllNABY

The earlifJI llleeting6 Pl HO(ldSlUmiddotily OltUIJild in givitlg cOtlHidtlalioll o matters of ft generuluature dllllting with l)Jo((gtdUl( nwl the pliuciples of the ~-tL

REOISTliATlON )If CUARITlkN

The six mouths notioo from wLilJ UlJii ~(di(m jj of thtmiddot lt1 lttppHcatio1J for logilltration lIhoul) be mode in regurt] to nB rllallti(gt- 11 VhtOliu lU$ fixed 118 at l~t September 1923 Thp closing dfltc of nlpEltaflol~ qu Wth Tehluary 1924 and 366 applicationA 1f)n lPIilVtd ela~~ifiNi iflto~~~

J

Hospitals til Hospital Associations Homes for the Aged and [unrll H) Convalescent Home~

Medinal Dispen8arie~

N Ul~illg Societies Institutions 6nd SocleticI for Helie ill rt1ictiou Refuges and Reformatorie W OrphalHtgPR and X eglf~Jted tJr I1estitutu Children$

Institutions Ladies BBIHYolo11t SfJeieti6s un( (hllll-I OqgtHuizRtimHshy

giliug local rplicf 140 Hostels Ambulunce Sen-iees 2 Other Philallthlopie Orgauizatlon~ ~2

Orches and Kindergartens 39

866

IuYestigatioll hft b-PH UHH_h~ and i-l v]o((~e(liBgl in regard to the management and character of the ahove rharitios ~o that the Board may be in a pogtiition to detershymine to what oxtellt each i eBsential lind i ejfeedvoly affordiug tho relief for which it is stated to exit Already de-cisions to deter regig1rQtion in Bome illljtancea have been arrived at for one or fll of the- reasonSshy

(i) That the oharity ibullbulleriously mismanaged (ii) That the funds thereof are oubtantiaUy applied oth~MVise than for

affording the relief for which the charity exit

4

(iii) That the charity has ceased to effectively afford the relief aforeshyseid

(iv) That having regard to the administration management and opela~ dons of the charity its objects can be carried out as effectively and more economically by some other organization or

(v) rhat the accommodation provided is so defective insanitary or uMuitable that it cunnot by my leasonuble expenditure be mad(~ fit for the purpoSeuros intended

HOSPITALS

CLASSIFICATION OF HOSPITALS

In order to systematize tho scope of usefulness of hO3pituJs e~p()cially in country districts and as an aid in determining the relative amouutil for Bftl Sukidy the Board adopted a elasaification of hospitals as folIowsshy

Grade A Hospitals with daily average of 100 oceushypied beds and over ont-patients ano sub-departments a training school for r

nurses and recognized by the University of Melbourllc ill the curriculum for medical students as a clinical school

GlaJe H Hospitals with a daily average of under 100 occupied hels out-patients and sub-departrueutSJ a training school fol nurses and recognized by the ITniversity

General of Mebourne in the curriculum for medical student as a clinical schoo1

Grade C Hoapitals with a daily average of 50 occupied beds and over out~paticnts and sub-departments a training school for nurses but not recognized by the University of Melbourne in the currishyculum for medical students as a clinical

Metropolitan schoo Grade D Hospitals with a daily averago of 50

occupied leds and over out-patients and sulrdepartruents a training school for nurses and recognized by the University of 1felhourne ill the curriculum for medical students us a clinical school

Grade E Hospitals with a daily average of 50 occushypied beds and over but no out-patients or sub-departments and not recognized by tho University of 1felbourne in the currishyeulum for medical students as a clinical schooL

Grade P Hospitals existing for tho sole purpose of giving rolief fur specific conditions but

not recognized training schools or clinical schools and with no out-patients

f Base I

Grade H Daily average of 50 occupied beds and ove1 fully equipped und staffed with minimum requirements as speeified

CountlJ District Grade I Daily averuge of 20 to 50 occupied beltb giving full lUllgC of medical find surgical accommodation aud tlcatuumt

Cottage Grade J Daily afrngf of 11 JtdPl hH oc(upied heds Isolated Grado K

BAE HOSPITALS (CounRY) A standard as follows hus oeen set as tIle minimum requirements for a Base

Hospital shyHEDs-Not fewer than 50 occupied beds giving ill addition to general medical

and surgical accommodation b(gt-ds for midwif(ry and childrtn each at leltlst 5 per cent of total accommodation

OUT-PATIENTB-Fully etablished flud equipped Ont-Putient Department available to patients at any time in case of emergtuey alld with at least tri-weekly attendance of honorary medical officers

Sun-DEPARTMNTS-Equipped sub-departments of ~shyRadiology Pathology and Bacteriology Massage And other sub-departments as the needs ariso

--------~--

MEDICAL SrA~~F-Honora] a ttending medical officers to he elected to the yarious positions for a fixed term Applications to ho called publicly

N lRSEs-Training School for K urses The hospitals proposed to be raised to baso grade are ~Bal1arat Bendigo

Geclong Hamilton HorshflID Mildura ]Iooroopna Sale~ and W nrrnambool The introduction of this standard for Rase Hospital is for the purpose of

assn ring h(tter servi(C and higher fffi(1icnry and of providing fa()ilitics for ample trentmfIlt1 in Of near their home distriet~ to many patients who otherwise at muh djscoillfort and fXp lJSt travf11rJllg distalJ(~es to the oity for reUef Incidentally also this lllust

j to some fxtcnt J trud to mitigate the congestion in the Inetropolitall

hospitals It is recorded vith sLltifadioH rhut most of the Committees of the institutions

lJ1oposcd to he raised to hnse grade hayc alrCady signified their -rillinglHss to heartily (o-op12rate ith the l~onrd

l-lETROPOLITAN HOSPITAJ3

The major problem iIi lesp(et to iueufli(ieIry of hospital aceommodution in the metropolis is the necCssity for affording rClicf to th(~ present scrions congestioll

The Board invit(s the very seriolls attention of the GovernTll(nt to the fcgretshyhlble inn1lieiellry of hospital ltIt(onultodatiou in thf nwtropolis Both netual1y and rflativeiv thC public hospital aceoIiLlllOdation of )felhourne i~ far below what is ~lllp(ratil~ely necessary So fn as ruu be nsecrtuiupd by lCnilahle figllrtS a (om~ parlt10n vltlt otlhr Stvt(6 fully lwnrs out this (olltcnttOlJ As ltl result of rec(mt impIir by tlH noard~ jt 118 fom(l that 111( wHitillg li8t$ of pati(nt who WiC

l111lt1hlc t(J lf(eiY(~ attcuti)ll hlitllhmiddota 1)00 X~mlh(ls of pnhi hospi1rtl heds ntliluhll Pl 11000 of jJopulation -

_~dl)oullIi U) Sydney 37 Adelaide 20 Brishaue 43 Perth )3 I

Statistical informa_ion indhl[(S thu lvltilst tllP cOlltributiollS by the public are gpwrollS imd fairly proportionate) to what is usuul clsewhere in the Commonwealth (iovprllmrnt subsidy hy Vdolia iu aid of tho sirk awl needy poor is) and has been for yenr1 altogtther lJlaurquut(middot ns (omplllcrl wit1l the loral requirements 01 witll the rc(ogllition of this ohligation oy (Hrh of the othpr StatcB

It is not clenf vllethtl thf~(~ l~ UllV direlt~t ldatio11ship h(tw0cn the abovfl unsatisfactory (onditons nnd tl( r]lute drttth ra of Victoria which for the past 20 years~ has been wl-h rare cxCptiOl 111 et((ess of thal of allY other State Vhutshy0yer may be the cause it is worthy of sNious iuYcEtigatio11 The figures Dt least suggest 11 singular eoncicielHc 11~ view of the iUfmftiCtcmiddotney of hospital ac(ommodashytion whidl has been charactpristie of this StDtc for many years On 4th December lfJ23 the Board waited on the then Treadurr and upain on 14th February~ urging that an area of 16 acrfS at Par1 villj might he reservcd for the extension of Lhe )Ielbonrne 1Io1pita1 The 130nrd deS1rN to OJH~C more mOSt emphatical1y state that t~is rC00mmendation should be adopted as SOOl1 as possible1 aud to stress further that unless this provision be mrHlc) the hospital eonditions of Melbourne will in the near futnrc be chaotic

PHOPOS_~LS FOR REUlpoundYING CONJESTlOK IN THE l1ElROPULI

The following measures are propos(~d by the Board with a view of contribnting some relief to the present shortage of hospital accommodation in the metropolis

1 CAULFIELD MILITARyen HosfTTu-~VithiIl the area occupied by this illstitu~ Hon there arc fonrteen v[lennL wnrds and other small buildings whlch it is conshysidered might be made fairly suitahle for the accommodation of certnill types of seleeted cases and thus form a valuable though temporaryatijunct to the general hospitals Independent cxpfrts werE 8~ked to inspcft the buildings aud report upon the merits of this proposaL ~6 a result the Board is advised that for certain types of caseR the buildingR in llistiou could be made sultabie By this additional u(ComIDodntion plovision (oulrt be matle availab~c for 250 beds It may he mentioned that t11e ft1a 011 which tlV2SC huildirgs arc situated is sao feet by WD fret

The qllestion of uuuagemfnt and contJll for this pmposo prfaentfd 80me difficulty hut this has ~en satisfactorily met hy the -Melbourne Hospital Comshymittee exprcs3iug -it~ --illiTlglit3s to nndertake the mmltlgement and recfLivc eases from other metropolitan hOlpitaIs cOllditiOlllllly upon the Governmcllt proyidiTlg all neuroCCflSilrY funds for purehuse of site structural alt(rations aud equipment the ~jte to remain the property of the Govrrnment

Tho TIoard i$ prepared to authorize the Committee Df the Melbourne Hospital to make a general appeal for assis1an(Jc to tlle pnblic the procefls from which to be devoted to the dual purpose of eltwirating the existing overdraft 011 the hospitals maintcnar(t aCOUllt 311d tOWl1rdR thf objrfmiddott of the Caulfield unit All spNlfir contributions special rCV8111H Ulld pnvrruilts by patient3 -ill eOl1lHxiou with the Caulfield unit will be (gtlfdited to a slgt~middotiul mtlinLemwC atmiddotuut fld the deficieuy if nny 11lade good hy suh~idy fr0rn the rlH11ities votes

CHARITIES BOARD REPORT

fhe Charities 130ard of V ict(Jlia

440 Little Collinmiddotr t Melbourno 30th JWl 1raquo24

SIli

In conformity with BeuroctioH 45 of the Hosp-ilals ljmiddotnltl OuHitpoundes poundLd 1922 the Oharities BOflld of Victoria fUlulf1hoEi herewith its first nnllunl report Oll the work and proceedings of the Board during the tWtlyf nlollth lllded on tl(middot thirtieth day of June 1924

Ihis report is divided into thro( S(CtiOHS middotz (1) A review of the work done (2) A general outline of tho policy which the Board purposes following (3) Recommendations as to amendments of existing legislation and

proposals for futnro legislation which are deemr-d to be desirable

SECl10N No 1

A HEVlEW OJ TIlE WORK DONE

The Act was proclaimed 011 1st July 19il alHl R preliminary ID(eting of the Board held on 22nd June 192a lluriug the pst l(l~ lllonths mCetillgs of the Board and its 8ub~Oommittees wpre hrld UIlt foHmn --_

Board li Metropolitan StanJillg COlllmitttmiddot 11 Country ~tilnding (~()mmjttf H

P1tHLUllNABY

The earlifJI llleeting6 Pl HO(ldSlUmiddotily OltUIJild in givitlg cOtlHidtlalioll o matters of ft generuluature dllllting with l)Jo((gtdUl( nwl the pliuciples of the ~-tL

REOISTliATlON )If CUARITlkN

The six mouths notioo from wLilJ UlJii ~(di(m jj of thtmiddot lt1 lttppHcatio1J for logilltration lIhoul) be mode in regurt] to nB rllallti(gt- 11 VhtOliu lU$ fixed 118 at l~t September 1923 Thp closing dfltc of nlpEltaflol~ qu Wth Tehluary 1924 and 366 applicationA 1f)n lPIilVtd ela~~ifiNi iflto~~~

J

Hospitals til Hospital Associations Homes for the Aged and [unrll H) Convalescent Home~

Medinal Dispen8arie~

N Ul~illg Societies Institutions 6nd SocleticI for Helie ill rt1ictiou Refuges and Reformatorie W OrphalHtgPR and X eglf~Jted tJr I1estitutu Children$

Institutions Ladies BBIHYolo11t SfJeieti6s un( (hllll-I OqgtHuizRtimHshy

giliug local rplicf 140 Hostels Ambulunce Sen-iees 2 Other Philallthlopie Orgauizatlon~ ~2

Orches and Kindergartens 39

866

IuYestigatioll hft b-PH UHH_h~ and i-l v]o((~e(liBgl in regard to the management and character of the ahove rharitios ~o that the Board may be in a pogtiition to detershymine to what oxtellt each i eBsential lind i ejfeedvoly affordiug tho relief for which it is stated to exit Already de-cisions to deter regig1rQtion in Bome illljtancea have been arrived at for one or fll of the- reasonSshy

(i) That the oharity ibullbulleriously mismanaged (ii) That the funds thereof are oubtantiaUy applied oth~MVise than for

affording the relief for which the charity exit

4

(iii) That the charity has ceased to effectively afford the relief aforeshyseid

(iv) That having regard to the administration management and opela~ dons of the charity its objects can be carried out as effectively and more economically by some other organization or

(v) rhat the accommodation provided is so defective insanitary or uMuitable that it cunnot by my leasonuble expenditure be mad(~ fit for the purpoSeuros intended

HOSPITALS

CLASSIFICATION OF HOSPITALS

In order to systematize tho scope of usefulness of hO3pituJs e~p()cially in country districts and as an aid in determining the relative amouutil for Bftl Sukidy the Board adopted a elasaification of hospitals as folIowsshy

Grade A Hospitals with daily average of 100 oceushypied beds and over ont-patients ano sub-departments a training school for r

nurses and recognized by the University of Melbourllc ill the curriculum for medical students as a clinical school

GlaJe H Hospitals with a daily average of under 100 occupied hels out-patients and sub-departrueutSJ a training school fol nurses and recognized by the ITniversity

General of Mebourne in the curriculum for medical student as a clinical schoo1

Grade C Hoapitals with a daily average of 50 occupied beds and over out~paticnts and sub-departments a training school for nurses but not recognized by the University of Melbourne in the currishyculum for medical students as a clinical

Metropolitan schoo Grade D Hospitals with a daily averago of 50

occupied leds and over out-patients and sulrdepartruents a training school for nurses and recognized by the University of 1felhourne ill the curriculum for medical students us a clinical school

Grade E Hospitals with a daily average of 50 occushypied beds and over but no out-patients or sub-departments and not recognized by tho University of 1felbourne in the currishyeulum for medical students as a clinical schooL

Grade P Hospitals existing for tho sole purpose of giving rolief fur specific conditions but

not recognized training schools or clinical schools and with no out-patients

f Base I

Grade H Daily average of 50 occupied beds and ove1 fully equipped und staffed with minimum requirements as speeified

CountlJ District Grade I Daily averuge of 20 to 50 occupied beltb giving full lUllgC of medical find surgical accommodation aud tlcatuumt

Cottage Grade J Daily afrngf of 11 JtdPl hH oc(upied heds Isolated Grado K

BAE HOSPITALS (CounRY) A standard as follows hus oeen set as tIle minimum requirements for a Base

Hospital shyHEDs-Not fewer than 50 occupied beds giving ill addition to general medical

and surgical accommodation b(gt-ds for midwif(ry and childrtn each at leltlst 5 per cent of total accommodation

OUT-PATIENTB-Fully etablished flud equipped Ont-Putient Department available to patients at any time in case of emergtuey alld with at least tri-weekly attendance of honorary medical officers

Sun-DEPARTMNTS-Equipped sub-departments of ~shyRadiology Pathology and Bacteriology Massage And other sub-departments as the needs ariso

--------~--

MEDICAL SrA~~F-Honora] a ttending medical officers to he elected to the yarious positions for a fixed term Applications to ho called publicly

N lRSEs-Training School for K urses The hospitals proposed to be raised to baso grade are ~Bal1arat Bendigo

Geclong Hamilton HorshflID Mildura ]Iooroopna Sale~ and W nrrnambool The introduction of this standard for Rase Hospital is for the purpose of

assn ring h(tter servi(C and higher fffi(1icnry and of providing fa()ilitics for ample trentmfIlt1 in Of near their home distriet~ to many patients who otherwise at muh djscoillfort and fXp lJSt travf11rJllg distalJ(~es to the oity for reUef Incidentally also this lllust

j to some fxtcnt J trud to mitigate the congestion in the Inetropolitall

hospitals It is recorded vith sLltifadioH rhut most of the Committees of the institutions

lJ1oposcd to he raised to hnse grade hayc alrCady signified their -rillinglHss to heartily (o-op12rate ith the l~onrd

l-lETROPOLITAN HOSPITAJ3

The major problem iIi lesp(et to iueufli(ieIry of hospital aceommodution in the metropolis is the necCssity for affording rClicf to th(~ present scrions congestioll

The Board invit(s the very seriolls attention of the GovernTll(nt to the fcgretshyhlble inn1lieiellry of hospital ltIt(onultodatiou in thf nwtropolis Both netual1y and rflativeiv thC public hospital aceoIiLlllOdation of )felhourne i~ far below what is ~lllp(ratil~ely necessary So fn as ruu be nsecrtuiupd by lCnilahle figllrtS a (om~ parlt10n vltlt otlhr Stvt(6 fully lwnrs out this (olltcnttOlJ As ltl result of rec(mt impIir by tlH noard~ jt 118 fom(l that 111( wHitillg li8t$ of pati(nt who WiC

l111lt1hlc t(J lf(eiY(~ attcuti)ll hlitllhmiddota 1)00 X~mlh(ls of pnhi hospi1rtl heds ntliluhll Pl 11000 of jJopulation -

_~dl)oullIi U) Sydney 37 Adelaide 20 Brishaue 43 Perth )3 I

Statistical informa_ion indhl[(S thu lvltilst tllP cOlltributiollS by the public are gpwrollS imd fairly proportionate) to what is usuul clsewhere in the Commonwealth (iovprllmrnt subsidy hy Vdolia iu aid of tho sirk awl needy poor is) and has been for yenr1 altogtther lJlaurquut(middot ns (omplllcrl wit1l the loral requirements 01 witll the rc(ogllition of this ohligation oy (Hrh of the othpr StatcB

It is not clenf vllethtl thf~(~ l~ UllV direlt~t ldatio11ship h(tw0cn the abovfl unsatisfactory (onditons nnd tl( r]lute drttth ra of Victoria which for the past 20 years~ has been wl-h rare cxCptiOl 111 et((ess of thal of allY other State Vhutshy0yer may be the cause it is worthy of sNious iuYcEtigatio11 The figures Dt least suggest 11 singular eoncicielHc 11~ view of the iUfmftiCtcmiddotney of hospital ac(ommodashytion whidl has been charactpristie of this StDtc for many years On 4th December lfJ23 the Board waited on the then Treadurr and upain on 14th February~ urging that an area of 16 acrfS at Par1 villj might he reservcd for the extension of Lhe )Ielbonrne 1Io1pita1 The 130nrd deS1rN to OJH~C more mOSt emphatical1y state that t~is rC00mmendation should be adopted as SOOl1 as possible1 aud to stress further that unless this provision be mrHlc) the hospital eonditions of Melbourne will in the near futnrc be chaotic

PHOPOS_~LS FOR REUlpoundYING CONJESTlOK IN THE l1ElROPULI

The following measures are propos(~d by the Board with a view of contribnting some relief to the present shortage of hospital accommodation in the metropolis

1 CAULFIELD MILITARyen HosfTTu-~VithiIl the area occupied by this illstitu~ Hon there arc fonrteen v[lennL wnrds and other small buildings whlch it is conshysidered might be made fairly suitahle for the accommodation of certnill types of seleeted cases and thus form a valuable though temporaryatijunct to the general hospitals Independent cxpfrts werE 8~ked to inspcft the buildings aud report upon the merits of this proposaL ~6 a result the Board is advised that for certain types of caseR the buildingR in llistiou could be made sultabie By this additional u(ComIDodntion plovision (oulrt be matle availab~c for 250 beds It may he mentioned that t11e ft1a 011 which tlV2SC huildirgs arc situated is sao feet by WD fret

The qllestion of uuuagemfnt and contJll for this pmposo prfaentfd 80me difficulty hut this has ~en satisfactorily met hy the -Melbourne Hospital Comshymittee exprcs3iug -it~ --illiTlglit3s to nndertake the mmltlgement and recfLivc eases from other metropolitan hOlpitaIs cOllditiOlllllly upon the Governmcllt proyidiTlg all neuroCCflSilrY funds for purehuse of site structural alt(rations aud equipment the ~jte to remain the property of the Govrrnment

Tho TIoard i$ prepared to authorize the Committee Df the Melbourne Hospital to make a general appeal for assis1an(Jc to tlle pnblic the procefls from which to be devoted to the dual purpose of eltwirating the existing overdraft 011 the hospitals maintcnar(t aCOUllt 311d tOWl1rdR thf objrfmiddott of the Caulfield unit All spNlfir contributions special rCV8111H Ulld pnvrruilts by patient3 -ill eOl1lHxiou with the Caulfield unit will be (gtlfdited to a slgt~middotiul mtlinLemwC atmiddotuut fld the deficieuy if nny 11lade good hy suh~idy fr0rn the rlH11ities votes

4

(iii) That the charity has ceased to effectively afford the relief aforeshyseid

(iv) That having regard to the administration management and opela~ dons of the charity its objects can be carried out as effectively and more economically by some other organization or

(v) rhat the accommodation provided is so defective insanitary or uMuitable that it cunnot by my leasonuble expenditure be mad(~ fit for the purpoSeuros intended

HOSPITALS

CLASSIFICATION OF HOSPITALS

In order to systematize tho scope of usefulness of hO3pituJs e~p()cially in country districts and as an aid in determining the relative amouutil for Bftl Sukidy the Board adopted a elasaification of hospitals as folIowsshy

Grade A Hospitals with daily average of 100 oceushypied beds and over ont-patients ano sub-departments a training school for r

nurses and recognized by the University of Melbourllc ill the curriculum for medical students as a clinical school

GlaJe H Hospitals with a daily average of under 100 occupied hels out-patients and sub-departrueutSJ a training school fol nurses and recognized by the ITniversity

General of Mebourne in the curriculum for medical student as a clinical schoo1

Grade C Hoapitals with a daily average of 50 occupied beds and over out~paticnts and sub-departments a training school for nurses but not recognized by the University of Melbourne in the currishyculum for medical students as a clinical

Metropolitan schoo Grade D Hospitals with a daily averago of 50

occupied leds and over out-patients and sulrdepartruents a training school for nurses and recognized by the University of 1felhourne ill the curriculum for medical students us a clinical school

Grade E Hospitals with a daily average of 50 occushypied beds and over but no out-patients or sub-departments and not recognized by tho University of 1felbourne in the currishyeulum for medical students as a clinical schooL

Grade P Hospitals existing for tho sole purpose of giving rolief fur specific conditions but

not recognized training schools or clinical schools and with no out-patients

f Base I

Grade H Daily average of 50 occupied beds and ove1 fully equipped und staffed with minimum requirements as speeified

CountlJ District Grade I Daily averuge of 20 to 50 occupied beltb giving full lUllgC of medical find surgical accommodation aud tlcatuumt

Cottage Grade J Daily afrngf of 11 JtdPl hH oc(upied heds Isolated Grado K

BAE HOSPITALS (CounRY) A standard as follows hus oeen set as tIle minimum requirements for a Base

Hospital shyHEDs-Not fewer than 50 occupied beds giving ill addition to general medical

and surgical accommodation b(gt-ds for midwif(ry and childrtn each at leltlst 5 per cent of total accommodation

OUT-PATIENTB-Fully etablished flud equipped Ont-Putient Department available to patients at any time in case of emergtuey alld with at least tri-weekly attendance of honorary medical officers

Sun-DEPARTMNTS-Equipped sub-departments of ~shyRadiology Pathology and Bacteriology Massage And other sub-departments as the needs ariso

--------~--

MEDICAL SrA~~F-Honora] a ttending medical officers to he elected to the yarious positions for a fixed term Applications to ho called publicly

N lRSEs-Training School for K urses The hospitals proposed to be raised to baso grade are ~Bal1arat Bendigo

Geclong Hamilton HorshflID Mildura ]Iooroopna Sale~ and W nrrnambool The introduction of this standard for Rase Hospital is for the purpose of

assn ring h(tter servi(C and higher fffi(1icnry and of providing fa()ilitics for ample trentmfIlt1 in Of near their home distriet~ to many patients who otherwise at muh djscoillfort and fXp lJSt travf11rJllg distalJ(~es to the oity for reUef Incidentally also this lllust

j to some fxtcnt J trud to mitigate the congestion in the Inetropolitall

hospitals It is recorded vith sLltifadioH rhut most of the Committees of the institutions

lJ1oposcd to he raised to hnse grade hayc alrCady signified their -rillinglHss to heartily (o-op12rate ith the l~onrd

l-lETROPOLITAN HOSPITAJ3

The major problem iIi lesp(et to iueufli(ieIry of hospital aceommodution in the metropolis is the necCssity for affording rClicf to th(~ present scrions congestioll

The Board invit(s the very seriolls attention of the GovernTll(nt to the fcgretshyhlble inn1lieiellry of hospital ltIt(onultodatiou in thf nwtropolis Both netual1y and rflativeiv thC public hospital aceoIiLlllOdation of )felhourne i~ far below what is ~lllp(ratil~ely necessary So fn as ruu be nsecrtuiupd by lCnilahle figllrtS a (om~ parlt10n vltlt otlhr Stvt(6 fully lwnrs out this (olltcnttOlJ As ltl result of rec(mt impIir by tlH noard~ jt 118 fom(l that 111( wHitillg li8t$ of pati(nt who WiC

l111lt1hlc t(J lf(eiY(~ attcuti)ll hlitllhmiddota 1)00 X~mlh(ls of pnhi hospi1rtl heds ntliluhll Pl 11000 of jJopulation -

_~dl)oullIi U) Sydney 37 Adelaide 20 Brishaue 43 Perth )3 I

Statistical informa_ion indhl[(S thu lvltilst tllP cOlltributiollS by the public are gpwrollS imd fairly proportionate) to what is usuul clsewhere in the Commonwealth (iovprllmrnt subsidy hy Vdolia iu aid of tho sirk awl needy poor is) and has been for yenr1 altogtther lJlaurquut(middot ns (omplllcrl wit1l the loral requirements 01 witll the rc(ogllition of this ohligation oy (Hrh of the othpr StatcB

It is not clenf vllethtl thf~(~ l~ UllV direlt~t ldatio11ship h(tw0cn the abovfl unsatisfactory (onditons nnd tl( r]lute drttth ra of Victoria which for the past 20 years~ has been wl-h rare cxCptiOl 111 et((ess of thal of allY other State Vhutshy0yer may be the cause it is worthy of sNious iuYcEtigatio11 The figures Dt least suggest 11 singular eoncicielHc 11~ view of the iUfmftiCtcmiddotney of hospital ac(ommodashytion whidl has been charactpristie of this StDtc for many years On 4th December lfJ23 the Board waited on the then Treadurr and upain on 14th February~ urging that an area of 16 acrfS at Par1 villj might he reservcd for the extension of Lhe )Ielbonrne 1Io1pita1 The 130nrd deS1rN to OJH~C more mOSt emphatical1y state that t~is rC00mmendation should be adopted as SOOl1 as possible1 aud to stress further that unless this provision be mrHlc) the hospital eonditions of Melbourne will in the near futnrc be chaotic

PHOPOS_~LS FOR REUlpoundYING CONJESTlOK IN THE l1ElROPULI

The following measures are propos(~d by the Board with a view of contribnting some relief to the present shortage of hospital accommodation in the metropolis

1 CAULFIELD MILITARyen HosfTTu-~VithiIl the area occupied by this illstitu~ Hon there arc fonrteen v[lennL wnrds and other small buildings whlch it is conshysidered might be made fairly suitahle for the accommodation of certnill types of seleeted cases and thus form a valuable though temporaryatijunct to the general hospitals Independent cxpfrts werE 8~ked to inspcft the buildings aud report upon the merits of this proposaL ~6 a result the Board is advised that for certain types of caseR the buildingR in llistiou could be made sultabie By this additional u(ComIDodntion plovision (oulrt be matle availab~c for 250 beds It may he mentioned that t11e ft1a 011 which tlV2SC huildirgs arc situated is sao feet by WD fret

The qllestion of uuuagemfnt and contJll for this pmposo prfaentfd 80me difficulty hut this has ~en satisfactorily met hy the -Melbourne Hospital Comshymittee exprcs3iug -it~ --illiTlglit3s to nndertake the mmltlgement and recfLivc eases from other metropolitan hOlpitaIs cOllditiOlllllly upon the Governmcllt proyidiTlg all neuroCCflSilrY funds for purehuse of site structural alt(rations aud equipment the ~jte to remain the property of the Govrrnment

Tho TIoard i$ prepared to authorize the Committee Df the Melbourne Hospital to make a general appeal for assis1an(Jc to tlle pnblic the procefls from which to be devoted to the dual purpose of eltwirating the existing overdraft 011 the hospitals maintcnar(t aCOUllt 311d tOWl1rdR thf objrfmiddott of the Caulfield unit All spNlfir contributions special rCV8111H Ulld pnvrruilts by patient3 -ill eOl1lHxiou with the Caulfield unit will be (gtlfdited to a slgt~middotiul mtlinLemwC atmiddotuut fld the deficieuy if nny 11lade good hy suh~idy fr0rn the rlH11ities votes

--------~--

MEDICAL SrA~~F-Honora] a ttending medical officers to he elected to the yarious positions for a fixed term Applications to ho called publicly

N lRSEs-Training School for K urses The hospitals proposed to be raised to baso grade are ~Bal1arat Bendigo

Geclong Hamilton HorshflID Mildura ]Iooroopna Sale~ and W nrrnambool The introduction of this standard for Rase Hospital is for the purpose of

assn ring h(tter servi(C and higher fffi(1icnry and of providing fa()ilitics for ample trentmfIlt1 in Of near their home distriet~ to many patients who otherwise at muh djscoillfort and fXp lJSt travf11rJllg distalJ(~es to the oity for reUef Incidentally also this lllust

j to some fxtcnt J trud to mitigate the congestion in the Inetropolitall

hospitals It is recorded vith sLltifadioH rhut most of the Committees of the institutions

lJ1oposcd to he raised to hnse grade hayc alrCady signified their -rillinglHss to heartily (o-op12rate ith the l~onrd

l-lETROPOLITAN HOSPITAJ3

The major problem iIi lesp(et to iueufli(ieIry of hospital aceommodution in the metropolis is the necCssity for affording rClicf to th(~ present scrions congestioll

The Board invit(s the very seriolls attention of the GovernTll(nt to the fcgretshyhlble inn1lieiellry of hospital ltIt(onultodatiou in thf nwtropolis Both netual1y and rflativeiv thC public hospital aceoIiLlllOdation of )felhourne i~ far below what is ~lllp(ratil~ely necessary So fn as ruu be nsecrtuiupd by lCnilahle figllrtS a (om~ parlt10n vltlt otlhr Stvt(6 fully lwnrs out this (olltcnttOlJ As ltl result of rec(mt impIir by tlH noard~ jt 118 fom(l that 111( wHitillg li8t$ of pati(nt who WiC

l111lt1hlc t(J lf(eiY(~ attcuti)ll hlitllhmiddota 1)00 X~mlh(ls of pnhi hospi1rtl heds ntliluhll Pl 11000 of jJopulation -

_~dl)oullIi U) Sydney 37 Adelaide 20 Brishaue 43 Perth )3 I

Statistical informa_ion indhl[(S thu lvltilst tllP cOlltributiollS by the public are gpwrollS imd fairly proportionate) to what is usuul clsewhere in the Commonwealth (iovprllmrnt subsidy hy Vdolia iu aid of tho sirk awl needy poor is) and has been for yenr1 altogtther lJlaurquut(middot ns (omplllcrl wit1l the loral requirements 01 witll the rc(ogllition of this ohligation oy (Hrh of the othpr StatcB

It is not clenf vllethtl thf~(~ l~ UllV direlt~t ldatio11ship h(tw0cn the abovfl unsatisfactory (onditons nnd tl( r]lute drttth ra of Victoria which for the past 20 years~ has been wl-h rare cxCptiOl 111 et((ess of thal of allY other State Vhutshy0yer may be the cause it is worthy of sNious iuYcEtigatio11 The figures Dt least suggest 11 singular eoncicielHc 11~ view of the iUfmftiCtcmiddotney of hospital ac(ommodashytion whidl has been charactpristie of this StDtc for many years On 4th December lfJ23 the Board waited on the then Treadurr and upain on 14th February~ urging that an area of 16 acrfS at Par1 villj might he reservcd for the extension of Lhe )Ielbonrne 1Io1pita1 The 130nrd deS1rN to OJH~C more mOSt emphatical1y state that t~is rC00mmendation should be adopted as SOOl1 as possible1 aud to stress further that unless this provision be mrHlc) the hospital eonditions of Melbourne will in the near futnrc be chaotic

PHOPOS_~LS FOR REUlpoundYING CONJESTlOK IN THE l1ElROPULI

The following measures are propos(~d by the Board with a view of contribnting some relief to the present shortage of hospital accommodation in the metropolis

1 CAULFIELD MILITARyen HosfTTu-~VithiIl the area occupied by this illstitu~ Hon there arc fonrteen v[lennL wnrds and other small buildings whlch it is conshysidered might be made fairly suitahle for the accommodation of certnill types of seleeted cases and thus form a valuable though temporaryatijunct to the general hospitals Independent cxpfrts werE 8~ked to inspcft the buildings aud report upon the merits of this proposaL ~6 a result the Board is advised that for certain types of caseR the buildingR in llistiou could be made sultabie By this additional u(ComIDodntion plovision (oulrt be matle availab~c for 250 beds It may he mentioned that t11e ft1a 011 which tlV2SC huildirgs arc situated is sao feet by WD fret

The qllestion of uuuagemfnt and contJll for this pmposo prfaentfd 80me difficulty hut this has ~en satisfactorily met hy the -Melbourne Hospital Comshymittee exprcs3iug -it~ --illiTlglit3s to nndertake the mmltlgement and recfLivc eases from other metropolitan hOlpitaIs cOllditiOlllllly upon the Governmcllt proyidiTlg all neuroCCflSilrY funds for purehuse of site structural alt(rations aud equipment the ~jte to remain the property of the Govrrnment

Tho TIoard i$ prepared to authorize the Committee Df the Melbourne Hospital to make a general appeal for assis1an(Jc to tlle pnblic the procefls from which to be devoted to the dual purpose of eltwirating the existing overdraft 011 the hospitals maintcnar(t aCOUllt 311d tOWl1rdR thf objrfmiddott of the Caulfield unit All spNlfir contributions special rCV8111H Ulld pnvrruilts by patient3 -ill eOl1lHxiou with the Caulfield unit will be (gtlfdited to a slgt~middotiul mtlinLemwC atmiddotuut fld the deficieuy if nny 11lade good hy suh~idy fr0rn the rlH11ities votes

6

When recently urging the foregohlg proposal pound01 the fuyorahle consideration of the Government the Board made cleal the fonowingshy

(a) That this proposal IS tlllw TlgHldud os it h)mpolury txvediellt to meet urgent current needH awl iA Hot to he tnkpn os n settlpUlent of thC metropolitan hospital questioll

(h) That it be regarded n lHIg (f lliP 101 n ptliud of HJ~ longl thuD five years

(c) That it hfts no bearing Oil allY other l((oltllutudatioll th-e Board has submitted or muy Bubmit in rcgurn to the fllturc- Heeds of t1f hospital population ill thJ TllrttopoHUIlI urea

(d) The proposal does 11m (ljllitwplup tranffpI of 01d1P1 patiPHts to the care of the Oiviliull (iOIDllIittP(

3 The llSe of aecoUlmodati(H ill counhy hf)cpitll~) wwle thp l1yui1n1)k lwds artgt greatly in oxeess of loea1 dltl1llmdsJ b hrjvil1g uullferlrd tlwreto pertain typps of patients i1O call for (onhtmlt I1Hllical fllHl 1lHlsing iltrell~ioll hut who nr not essentially CaSl-3 for relief in the beds of a(ute li0spitat~

3 The reduction in the HUUlbcl of COUJltl~ patiellt3 (omjlJ~ to 11felbnurllc b~ provision of improvpo facilities in (ouutn inf)tituriOl~cl

4 The BOt1d urgfs iutlodndion ar fHl ad (Iatt of lp~illlatloll aut1lOllzing the esrablishmpnt of inttlUlcditlf hospihllL 1udt instlt1ltions win proyidr UfcomshylTlodntion for cPltoin P(~l11(gtll1S who tlllnl1glJ lariuf llfl I1ltrlnfltiy( nyc PlfJ(itrnllv torc(d into tIl( public ho~pitalF

3 The IHNc6ity in lsp(cr lo 1JletlopoliLn ho~ptnt~ ~(lHlully ((11 tilt pl(lidshylug (jf sllitahlr f)ites ro meN xtpnsiOH ltqulltmenls

() That (neh g(lwral liofpital -hnv1((luln In lwhiillWllt l)llHitlent to tl1( (-itmiddot wheri1H (ollyul(gtsring flll(l otlHl -Initahltmiddot tYPt1I (f (U~i-I may 1 lliiommolI1ted with t(gtfmltuHt l(lHnt to tIllgt pntiPllf8 gltlhl (((Jl1l)llI jtl (middotnp1tnl jllul HlUttlt(11allN (OlH~ aHd with the iUCltuK(gttl lmiddotffl(rinlHll- )f wut( b-II acmntllOdltlQlI ill ilt muill hl)spitl-ll rIll yallle of sueh1 po1ieY lin lwill prfrn-d 11(1( Hnd nhyolcl

(IK lt1RY IIoSPlTAlS

1 T1lt Boall fillds t1mt t11CI( ik r ep]iderabllt degrtt of gdgtglophiiil OVCl~ 1appillg iu parts of themiddot count Thb i l1Willly dl1l 10 HlP fad that pertaiu instivllshyt~ons nre erected Ht it tlUtO when lotal aNivitjll- nttraetfd lal~e p()puhnioll~ but owing to changed conditioll~ thes( han d iHtllen d(nYtl to smaH proportlou3

As tilt Board is convine(gt(l thRt (hI il~titniioll$ (gttcllCd to hlV(~ e-eascd to bl l8stutinl at full strellgrh it 1((f)mDlNilio( tlwt 11-lt- 1nU~ h(gt 11ltHk of tIlt hnildiugs iu some other Stah lwnHh flctiyitv whe)e in8titutiOlwl llpntmcllL is lleeepSalY Sueh a proposal should if adopted hnw tlH effct of Slyjllg It 1arllt tlUlll ill Iupital expfHditnr( (ti011 is heing Ulktll h- HIP j)oald in lhi~ regard In addition 1t8 has boon S( (lut a hove some of tllP a~(~ommodari()tL 1lltiY he lld flH lllctropoliton ((l8eS

2 AMBFLCE SEBVICEH-IH o)hl that tIlE hmpital pnbiie mny be hotter ~t~r~Tnl in r-H$l( of siehuNs it is PlopoSNI tf foster tlw Xt(I1R10Il of IHHhu)u1H~e -r1TiNS 111 tht (oulitry By a wfll d(vl~d ~(b(gtHtF alll1 with a lHoi(ty of subsidy rlH--p amh111nJHl s(ryj((~s should 1)( T(l(~(lt1 from (hnrg-illg indiglllt patiPllb or fro11l Rpprouehil1g th~ publiC fot anY prnar (It-~Te(middot of finnncial help It may he found pos51hlfgt to arrnlll( thfgt-p fiB (itlwl ) nulIi(jpal mH~(gtrtt)killtr Of 05 a hlnnfh lt1ftiYity of the Civil Ambnlnntf Sfgtrviltf

3 MIDWIFERY WA1WE-Thl Bourd prOpOlpl nco fnr as posoh1f to further a 8pltem of midwifery wurds ill country hopitals Hnd feel strongly that country hopitals ShOllldJ with the least possilllc d(lay u1)l middothPrt lCUS011Rhh facilities are available lllakl~ thi) most (lesirub1~ lJIOyiSOH t tIl( present tillie only one country hospital complies with thh~ important reqninll1poundlH

4 INFEcTlOtcl WlJws---It hus beNt f011nlt1 thilt SOHIe 110spitals alt not work~ il)~ under ngrpf~llient (as Jlovided in the ReitH1l Cl) with municipalities in lcgnrd to Hie tdlUis~ioll alld tl(Ut1H(lIt of (aWM of llte(fiolll-l- di8enii(i~ Tlw uttell~ tion of the hOMpitals eOll((lllltd hal IweH drawn to this matHt

C)MBINlm HO~PfTATS ANn BEXbYOLFST ~BYLfallt

The BOHlO d((i(hmiddotd tlltt tht combiuution of hopjra nnd bfHEvolent aylnm 18 not sntisfut1oTY ami ac(ordinglv tIlt h(l(iolput asylum JHl~ lwvll eio1pd -in the tgtFlse of the six hospital~ 80 ~ffectcd y1z~ rlat l Daylesfoel GCP1011g llaID-ilton J)o1t Fairy lmd Warrnuuhool and rll( illl~][ltlts eotl(~(ll1(d huvp bfll trnnsferred to existing henEvolent 118y111111K Power WUR g-hfll to rll( Connnitrcf of Inllageshyrnent to retaln nny of the old folkli whu mirht sllfifl pllvqj~ill dicomfort by the transfer and also finy who hUYillg 1gt((11 pioll((r- ~H th( (listriet~ -hon1d) for s(nti~ mental reasouJ be not sent nway

The lOttSenSU$ uf upiui1li j~ thaI TIll W[lOH win II nthlldNl with rlistinetl- henefieln1 ltSUlts to tbf pntifuh 1lrl to tht ill-t1futiDll

T

FINANCtAL PmllTlON OF PATIENl8 IN HOSPITAlS

There has been a larJ( of uniformity in the type of tirket of adnission A standard form has bC(ll pltseribed This ensures lIU ~ all relevant lllformatlOl1 is reeordfd (gtollltentillg e(l(h patient Sp(~(ial Ilotiep i~ blkll of th~se tickets b ine Inspeetor of Chariti(gt~ fmd there has bNU murked illlproveuH~lt m h( system which now supplies an ndditional check on possible attempts at Imposltton An analysis of the eirCUn1stHnef~ of 400 patients rec0ntly admitted to geuelll hospltalH gives the following-middot

Single Marned

Under t2

i

per wook

1-

pound2-pound3 per work

22 6

I pound3-pound4 let week

12 9

poundt-pound5 iet IIfPoK

18 21

pound5-pound~ jle wPtk

II 5

pound6 Bu(l Over

1 3

Married 1 child

2 chIldren

6 6

I 2

8 3

IS 16

9 8

6 I

3 4 IQ 6 6 3 4

2 2 3 13 2 2

5 S 3 2 3 1

6 over I

1

I

2

I 2

Oldage Penlion(l(~ 57

I

The insi~tenee for more complete information from lOtiCllts at the time of admi8~ sion is affording additional guarantee that the facilities for hospital treatment shall not be abused

IxTERMEDIAlE HOSPITALS

Public hospitals are not maitltained for Borne of the patients shown in the preceding puragraph The suggestion is not that what is ttrmcd imposition is common but raher that the system is faulty The root of the trouble is that there is not a sufficiency of anv foasonable alteruuthe TherE are ill exiRtcncH ill 1feloournc three int~rmcdjate hospital~ controlleu und managed hy church orgauizati)lls with total accommodatlJu of some J20 beds III addition) the majority of the privatE hospitals have signified thpir willinglless io 8ft tl~idc a l)lOpoltion of their h(ds for the pllrpo~( of inte1l11ediate patients Hospital administrators have hee1l adyisld of this) hut it apphl1tl thztt full uhantage is Hot taken of the offer

In the opinion -of the lourd it is essential thnt legislation be (lIa~tttl to provide for the estahlishment of intcrmediate hospitals in the metropolis Hnd the larger provillcial towns also to permit the smlllhl pnblic hospitals In ltonntry districts to provide accollunodution for pati(llts to whom the facilit~(g so ttfiordell would apply awl that ill (~Ol1sultutio1t with du mcdi0Rl profession ft seale of inclusive chilrges be adopted Th( Board would plef(middotl that the orgauizatioll ~nd control of iutclmediate hospitals 1w more Itugpy undertakell hy ehnrch 01

the like organizations This ho~vcl~l (loes not eover the whole runge of necesishyties it stillleavc8 untonchtll that appreciable class jn the community llleh is ill a grade a bove the yery POOl yd whidl vould be embr~rlasE(d Ly eYen intershymediate fees A system of national or y)luntalY insurance covering hospital tlltatmeut may on investigation be found prnrticnblc in ~ll(h eases

REBClllT101 OF LAND FOR INbTITUTlOSS

Three metropolitan hospitah have applied for [Hhantag~ to bn taken of the powers of resumption under the provision of section 78 of the Act The Ohildrena ~t Vi1Hlllfs and QUfen YictOliil Hospitals applied to uql1ire adjollling pl0Iwrshyti(s Tho Board 111quired into the proposal6l inspected the Hites Dud re(~mUlellded to the JIinistel that the lands he rt~umed for th illstitlltit)lls The belHfits to the ~harities accruing from this sction of the A(middott IH1e hpen alreadY demollstrated for in at Itgt8Pt two of the above cases the Terl ne((gtlbiU xtel1s1on of property had heen found to be impog8ible~ but for the powers which may be exereis((i under this section

N ltw HOSP11AL~

AppJicatio1H for permlflSlOn TO establish new hospitals have been received from Korumburru RusllworthJ Ouyen Orbobt Footserny Dnndenollg j )erbein~ Minyip Drutl1(~U) Piaugil Uupanyup fttr considering aU cir(UInHtlln(-8 COllshynected wivh the npplicntiolls permLlJiou has so far been gnmtpd ill two distriets vizOuyell and Orhost The Board i guided ill it decisons on applications ol this character by the 110spital accomlllouatiou alreuJy (ol1Y(niently available aud by the necessity for discouragiljg dUlllicRtion of administrntion und other oe1shyhead charges

The Board lltls giY(I1 eOllsidelutioH to the question of what tlistlllCC should he set ill the oouut1 H8 the radius of netidty of n hospital) and it has beCH

resolved that this should be not less thall O miles except in casts when the

requirements of the popu)ution invite special consideration or where intervening mountainous country or othCr phvsleul hiudrflTlCe p1ovid(1 a har to ambulance transport facilities ~

BORNrR ROSrIlALS

Applications were received by th Board for Suhilidies to 1)( paid to the Nmiddotew South Wales hospitals in Albury aJld (01OW11 th( reason adyunced being thut a large proportion of the patiputs tleatrd wen T(sident in Victoria The Crown La uuthorities advised that the Board had mt Tloter to ncoIDl1lcnd payntent of nnv nmonnt out of the fnnd to chnritieR ontsior Victmiu It may 1)( mentioned that aEimirar condition exists in regard to the horder hospitals of Victoria It il probable that the net T(Sl1]ts flS between tlw two StatEs [lrc fni1ly rceiprocnl

BFILUfXG PLAXS

In fw(gtordanec vlith the condiTion of grad to suhRidiz(d institutions mutly J)1ans for proposed buildlngs have ])r(11 submittl(l to the Board The nssiFtance of the Ohiltf Architect of the Public rorks Dq1l1ltlllfllt lws bfeu of yaIue 1n these matters 1t the suggesdOli of the no~ud th committees of s(vernl hospita1s have made material alteration in tllcir plan to thc disril1c1 benefit of the institushytion in regard to cost (mfort [lud C011(111(U(C

MEDICAL STPF

The Board slrmgly disapproves of the pruetice which is in Y()g1IC ill somf hospHals under whkh a practitiOlllr cugagrd 111 private pratiee is paid for doing llOspital work when there arc other tlomor 11ing to fict jn fin honorary capacity The honorary svstem should be nvaihmiddotu of wll1CTfr prnti(nbllt Bnd in iusdtushytons wlwlO the aT~rage numl)ers of J)atilnts ununts it R fesident mdiral officer should lw installed This vonld enSllr n mOf complft( ]0conling of medical histories relieve the matron rmd tlUrss of mmh rCspollsibility rtfmh in more thorough attention to cletail in tht) treatrnfHt of ltasc~ and also overrome the diffishyculties which are nmv expCrieueed ill rt~gmd to bueteriologicul WDlk X-ray munipushylation and the like snb-departments No sman portion of n hospitals function 1S that of making avuiI8blc its fnJillti(s for fllubling r(pntlv qualified doctors to obtain some post-graduIlte CXPCflC11(( nndJr dhfction of more Cxpelieneed medical men

HOMES FOR THE AGED AND INlIRM

A careful survey of these institlltions is lwitlg made It should btgt morc fully recognized that the Benevolent Asylums1 besides giving a home to de2titute elderly people provide considerahle arcommodution for infirm perfons Indeed in many instances the institutions nrc on the illfirmalY side incurable hospitals The need for immediate reforms in regard to the Victorian lIomes for the Aged [lnd Infirm has been already urged ou the Goyernment and it is again emphasized that the strurtnrnl nlterotloll anltl add1tion so urgently required should be undershytaken

FREE D1SPENSARIES

The system of free dispensaries which exists in England and other places has proycd of value to the community) and is a fnctor in relieviJ)g pressure on the public hospitals

Two snch orgalliZ)tiOl1H xist in 1tl(lbourH( but these call for reform Inyesshytigation will be made with a view to ascertaining how far the establishment of efficifnt orgnnizations of this ellarater mHi hnd to thE Imhlie 1tcnefit

IMIOStTlON AND OVFRlArpI~j

In regard to the relief in temporary uistlcbS there appears to he facilities foz n degree of overlapping The Board has undel consideration the establishment of a register in the main centres or population wherein will be recorded ]1urticulars of all applirunts for this form of relief HeferCnee to tIlis lr~ister by flny Beneshyvokllt Society would quikly deteTmille if the person is und(S(gtredly living permanently on beneYol(nt flllHlC [ml 110t working for Hying

M~CIPAL GRANTS - ~

The Board uoted middotwith regrt the paucity of total gltillts to charities from municipalities The care and attention of the sick and destitute is recognized us a portion of municipal rcspousibilitY1 as evidenced by the fact that most munishyeipalities pass some mtgtr)sure Qf assistance It is considrrcd that a fur greatcr degree of assistance should he nllc[pred hy tlugt nnlJlieipnlitlfls

NEW CHARITIES

Applications were 1(eeivcd from amI grouted to the authorities of the Church of England to cstah1ish St Johns Church of Enghtnd Home for Boys atH

nawvll~road C~mtflhllrr nlHl the C(ntrnl fefhodist )flBiQl to estnbliBh a Girh

requirements of the popu)ution invite special consideration or where intervening mountainous country or othCr phvsleul hiudrflTlCe p1ovid(1 a har to ambulance transport facilities ~

BORNrR ROSrIlALS

Applications were received by th Board for Suhilidies to 1)( paid to the Nmiddotew South Wales hospitals in Albury aJld (01OW11 th( reason adyunced being thut a large proportion of the patiputs tleatrd wen T(sident in Victoria The Crown La uuthorities advised that the Board had mt Tloter to ncoIDl1lcnd payntent of nnv nmonnt out of the fnnd to chnritieR ontsior Victmiu It may 1)( mentioned that aEimirar condition exists in regard to the horder hospitals of Victoria It il probable that the net T(Sl1]ts flS between tlw two StatEs [lrc fni1ly rceiprocnl

BFILUfXG PLAXS

In fw(gtordanec vlith the condiTion of grad to suhRidiz(d institutions mutly J)1ans for proposed buildlngs have ])r(11 submittl(l to the Board The nssiFtance of the Ohiltf Architect of the Public rorks Dq1l1ltlllfllt lws bfeu of yaIue 1n these matters 1t the suggesdOli of the no~ud th committees of s(vernl hospita1s have made material alteration in tllcir plan to thc disril1c1 benefit of the institushytion in regard to cost (mfort [lud C011(111(U(C

MEDICAL STPF

The Board slrmgly disapproves of the pruetice which is in Y()g1IC ill somf hospHals under whkh a practitiOlllr cugagrd 111 private pratiee is paid for doing llOspital work when there arc other tlomor 11ing to fict jn fin honorary capacity The honorary svstem should be nvaihmiddotu of wll1CTfr prnti(nbllt Bnd in iusdtushytons wlwlO the aT~rage numl)ers of J)atilnts ununts it R fesident mdiral officer should lw installed This vonld enSllr n mOf complft( ]0conling of medical histories relieve the matron rmd tlUrss of mmh rCspollsibility rtfmh in more thorough attention to cletail in tht) treatrnfHt of ltasc~ and also overrome the diffishyculties which are nmv expCrieueed ill rt~gmd to bueteriologicul WDlk X-ray munipushylation and the like snb-departments No sman portion of n hospitals function 1S that of making avuiI8blc its fnJillti(s for fllubling r(pntlv qualified doctors to obtain some post-graduIlte CXPCflC11(( nndJr dhfction of more Cxpelieneed medical men

HOMES FOR THE AGED AND INlIRM

A careful survey of these institlltions is lwitlg made It should btgt morc fully recognized that the Benevolent Asylums1 besides giving a home to de2titute elderly people provide considerahle arcommodution for infirm perfons Indeed in many instances the institutions nrc on the illfirmalY side incurable hospitals The need for immediate reforms in regard to the Victorian lIomes for the Aged [lnd Infirm has been already urged ou the Goyernment and it is again emphasized that the strurtnrnl nlterotloll anltl add1tion so urgently required should be undershytaken

FREE D1SPENSARIES

The system of free dispensaries which exists in England and other places has proycd of value to the community) and is a fnctor in relieviJ)g pressure on the public hospitals

Two snch orgalliZ)tiOl1H xist in 1tl(lbourH( but these call for reform Inyesshytigation will be made with a view to ascertaining how far the establishment of efficifnt orgnnizations of this ellarater mHi hnd to thE Imhlie 1tcnefit

IMIOStTlON AND OVFRlArpI~j

In regard to the relief in temporary uistlcbS there appears to he facilities foz n degree of overlapping The Board has undel consideration the establishment of a register in the main centres or population wherein will be recorded ]1urticulars of all applirunts for this form of relief HeferCnee to tIlis lr~ister by flny Beneshyvokllt Society would quikly deteTmille if the person is und(S(gtredly living permanently on beneYol(nt flllHlC [ml 110t working for Hying

M~CIPAL GRANTS - ~

The Board uoted middotwith regrt the paucity of total gltillts to charities from municipalities The care and attention of the sick and destitute is recognized us a portion of municipal rcspousibilitY1 as evidenced by the fact that most munishyeipalities pass some mtgtr)sure Qf assistance It is considrrcd that a fur greatcr degree of assistance should he nllc[pred hy tlugt nnlJlieipnlitlfls

NEW CHARITIES

Applications were 1(eeivcd from amI grouted to the authorities of the Church of England to cstah1ish St Johns Church of Enghtnd Home for Boys atH

nawvll~road C~mtflhllrr nlHl the C(ntrnl fefhodist )flBiQl to estnbliBh a Girh

Hostel in L)llSdale-strcet Melbourne The Board is thoroughly in accord with activities such fiB these being undertak(~n by cllUlch organizations No new charities should be euroStablished nOr the fnnctioll B of registered charities be extended until the fullest advantAge is taken of facilities afforded by cxisting organizations It is essential to guard the public against the activities of well intentioned people yho may desire to create forms of relieurof vhieh nre not really 110CeSStllY and if permitted would rather tend to d-iscourage 8l~lf-help in favour of dependence 011 public assistance

I~SIECTlO~

~rost of the subsidized charities have been inspected but owing to the large yollllHe of work involved in regald to inspection of nOll~SU bsidized institutions which have applied for registration h has been impossible to visit all thoso which arc suhsidized The inspector reports that the Committt~os generally are working fnthllstieally in the intercsts of the institution they represent and pays a tribute to tlw nHITlCfOllS mcmh(rs of thmiddots( Committrcs who arc striving to reduce the ~llfferings and distress amongst the poor Thc puhlic are prohably little aware of the Sl(~rifi(middotc of timc and effort- repnsruted hv the efiort of thrse voluntarr workerso

It is rt(omnlenJe-d thHt in an illstitution which catersmiddot in whole or ill pUlt for womeuroJ) and children there should he a proportion of wOlllfn on the Ommnittee

StfPS are beiig taken for the introduction of administration and warkin (middotosting -hich will materinlly r(gt(11wr tlu mail1tennu( ltxpenditure ~ It is found tll ~ome institutions the llv(gtrage (xpenditurc under (crtaln headings compares fwvornhly with the general ay(1agt~ yet obscrration disclosed a degree of ~astc l)btHinR in Rome snh-departmtgtntH The fiUtlne111g of the institution is so seriolls a feature to tllC management thut economy as well us dfieicTI(Y in the n-0 of (very item is a mattfr of m01e than o1dinury (OUCfrll It iB OCBilfd lly th~ Introtluc-tion of a propDr system of laquoostin14 mel ucconnts to eliwnutc danger of possible waste with a 18sultant highrr efficieucy The Committees hase been uniformly he-lpful to the Inspector in discu5iiions in legard to the snggestionl mad(~ by tilt Rom-d This friendly (omiddotoP(middotlfltlon is higlly nppl(~dutcd

(h~ERAL ApPEALS

Under the pOW(lS as set out ill section 44 of th(gt Act tho Board controls thc gClwraI pUblic appeals on behalf of charities Applications for permission to make general appeals have heen made by thirtc(ll charities and pCrmission has been granted in f01H instances Tlw exercise of tho power to control general appeals is of distinct benefit to the ohariti(~s and to the public In granting permissiou the Board carefully considers the statQd grounds for appealing and the purpose to wl1ich it is proposed to devote tIle funds also that the amount sought to llc obtained is only sufficiellt for the stltJtcd purpose Iu addition it is a condition in gnlnting permlssion with the metropolitan area that the employees in factories shops and offices be not approached by the appeal organiza tion it being regarded that this is the main field of the Lord 1fayor lIfetropolitan Hospitals and Oharities Fund in organizing a ~y6tem of reogular small contributions for the maintenauce funds of the eharities

~LIOCATIOl OF GRANT

The allocation of subsidies for the year was recommonded and approved by the Treasurer In regard to hospitals it was decided that the distributioll be on a formula having for its basis the work done as reflected on the daily average of occupied lJeds with other special cireumstances including df~ree of special service rendered in sub-departments out-paticnt3 treated training of lH1rS0S and of medieul students In addition local conditions were taken into (onicieration such as financial position of the in2titutiol1 degree of locpoundll (ontrihntiofl4 average stay of patients As the Government grant is suppleInentalY to othcr sources of inc01mj it is the duty of the Committees to take full advantage of thc various facilities for raising fundE As to the stay of patiEuts~ a standard of stay has been set and if this he extceded the daily avprag(~ of beds by formula r0duced uccording-Iy The object of this latter ruling is to ensUre that the hospitals function as institnshyions for giving relief to acute conditions and not for the purpose of houRing eases more suited for the infirmary Naros of llencvolcnt Asylums or Incnrablr Hospitals The allocation of grants to other charities is bUAeri 011 information available 11 rrgard to work done and finaneial position

COMPAlUsm

A comparison of the 8t~lfisti(middots and nIH111ccB of tlle Vietoriull hospitals aud ehllritics with those of oth(1 States and countries has 1lot so far heen possible as it is found that dassification difitrs thToughout At a later period dl-lta will be pollected and adaptpd in sl1eh mamwr as win make n (01l1111180n of value

STATIIlTlCAL AXD JXASt1U IKFOlOLTIOX lor the year PlIded 30th TlllIC 1924 win be sulnnitted liS goon HS Iolt~ihlf aftrl thfl 1Ier($flr~ retmlIf eome to ham

10

SECIllON No 2

A GENERAL OUTLINE OF THE POLICY WnWll THE BOARD PCRPOSES FOLLOWING

The limited time Juring which the Board has fUlICtlOlWd prevents the formushylation of a fully detailed scheme but the following ROts out the main features of the lines along ivll1rh it igt proposed t9 workshy

HOSrlTALs

Generally the muin proposals ill the Dr1 3cction of this report and are summarized as follows

(a) Netropolitan 1 Use of the Caulfield Mllitl) Hospital as u temporary expedient 2 IIse of surplus beds ill country hospitals 3 Reduction in Humber of eountry patients eom1ng to Mltgtlbourne 4 Convalescing unit) attached to general hospitals 5 Hescrvation of the Iarkrillc site fol the future needs of the Melshy

bovrne IIospitaL 6 The estahliBhment of iutermediate hospitnls 7 Such further mraaurcs as may be uereuroasury to relieve the present

hospital congestion

(b) Cvu1Itry 1 Improvemellt of facilities for grllclul and special treatment in base

11Ospitals 2 Ambulance serviees 3 The estnblishmellt of intermcdiatr hospital) either as separate units

or in combination with smaller hospitrrls

rhilst the care of the sick is the poundltlt coneern of the hospitals tho Board dEsires it to be lllore widely lecogniz(d that this is not the only ltonccrn Patients in public hospitals fiS well lIS ill private life may obtain the benent of highly qualified physicians surgeons awl 5ipeeiulsltl Dilly lJe(flu8(~ of the fnci1itioB which ~1lmiddote ayailablv i11 the n-2ujor hospitals fol 3dlutifh ngt~(ll(h alld the praetieal education of doctor$ both ill qualif~illg fUi (heir lJotlsion amI in uttaining Jost-graduate profiei(lJ(~r and tlHFe fftciliti(~ md( it lossiblcl for tIll whole community to receive the hcmiddotst of sldlled att(utiOll Th( training and experience of llllriHS is a1so drpfndpnt entirely ou our hospitah ~part from spontaneous kindJJtss and sympathy toward8 the sick poor tlirT i4 a duty 011 the vart of tho people generally towtild thf sJ)ecinl J(ryife Hle uf hospital work tIw medical llud nursing g(h(lol~J thf lfs()nh 1ld diagnostie deptlrtIlllllt~ of X-rnys pathology Ilnd the like

N UHS~S The inqfliricA of the Board include the character of rhp uConlmodatkm J treat

ment find other condition undr-r which Ill1rA(~ arr (xpccted to ptrform their onerous duties ArLOCAYION OF Srmmw

The Board hus bCfn informed by the TlenSlll tltat It IH uot possible to upplcmrnt n Hulnidy madp during thr current yral Jll which un allocntion bas already brru made Thf Board rill be glad uf VQUl assurance b0for( rceom~ mending the ullocutiun of the Yotc for the yrH HI2~) thtlt llHir onrtureg in regard tn 5upplrmentary allocations will be met It t~ mallifpoundgtstly iml)Os8ible to foresee mauy moutl) aheud the ne(d of (harities ghlng 10lt11 relief The initial hllocation should hf regarded as the main subsidy for the year and a sum kept in band to meet any special (ontingeneies of -whatcYer llntull) which may arise

Larger subsidi(~s lllay be essential not for the purposr of extending the list of subsidized charities so mucb as to enable those which aTe subsidized to meet absolutely necessary demands

RtILDlNG GRANTS

It is noted by thE Board that mRny institutions aTe fngaged in or giving (gtOusidaration to more or less large expenditure on buildings In those instances which have been suhmitted for prrmi8AionJ it ha~ beell fonnd that the need for the work is quite definite indeed ill some casps structural alterntions and repairs are long oyrrdur The Board 1esirrs to ftntr a policy ill rcgarfl to fmbsidies for buildings as follow-

That pound01 uew lmilding yorks nppTuved hY the Board permission may be grauted to make it general appeal for U Bum estimated to cover the actual (ost such estimate will he dwcked nnd vouched for by the Chif Government Ardlitect The Board may ogree to recommiddot mend the slIbsidizillg uf tIle vuluntary cOlltribut~ons to this appeal up tQ n fflmiddottuln amount fucn llmount to jf fixeurod hy the Board in

11

eneh individual illtlltnncc after n reew of an (ircumstaneee eg the genera] eircumtmwrs of thr r(lsidents of th( digtricl servfd by the hospital

The financial POSitiOll of tlU institution The adfquucy or othclJsf of thr organization for the appeal Thf Amounts fOf jmiddotapitnl (xpBnditunl contlihuted by the public ill past

years and Othrl relcvnnt mfltter~

OltlUAfS_1-GNIS

A review of the iU8titutiull~ which Hxiilt for WelfUli~ of urphans and neglected u1 destitute ebildlen is being uwteltukflL It is vfry dCsirable from every point of yiew th11t r11i should w a mojo function of tho oeiul service side of religions organizathms With only tpw excfptiollS) the petonal care of the children) the syritem Undtl whlch the Ul( direettd their aftcr-(filltt aud ind4ed the who] utmospherl of thpir tlCatuHmt by till (huleh iUBtitutifJtis are mnny d(grr(s hettel thun obtRllls in thc lJutside olgaul7RtionB The J1oald will endeavour to foster thpse (hurch acth-ities and to so aJjnst matters that the whole systom dll be lU sequence thus --oulldlillg Homes yhrre illfaHts will b(1 (ared for Childr(ll~ Homes for those from three to tVtll yeuls iust-itutiollS NHerillg pehoo1 age with ill addition some scientific method of guiding the rltildrtu to the LltSt aYCllil( fiji thllr fnture and from which apprCuticPship may he arrfwgeti l ulHl ill OlljIUlftlOll lt1 hOAt(middotl whlr( thC workin boy or gill muy lwn dll( ftlHJ sUII(tyi~ion during the pcrif)(l of frrrly lldolesrClIl~l

fltHstigfltton 1s proeeedlug yith n ifw to lltioH hring take-II townds refusing lfgistlatioll of Borne of these orgfmizHtion~

It has he-fll found thut uneuro of the orphanages baR hcrlL lllwffiriolly uscd aB a hOlllt of dct(intioH for eonfirmtd trufluts The Hoard suggests thut a considerahle lillhility for mai1tpllan(~ 11(14 againM tilt rflutatioll Departmeuront -ill utilizing II (middothalitHhl(middot lUllritntiou wheu UUr1Pl tltrlt EdneariOll yL rh( laquo~ttlh1ishm(llt of surmiddoth llll iuslitntol i~ H Ilat(il tluty of tliftr Di~IHllmiddotIBHj)t

HEFt (Jlt bull

5 ill th(~ (liSe of olpluUllgtS the Hoaru eOHAidns that these would be mole tlHt1sfaNorv if (OHtroUf] hy (middotll1llIh organizatiolls _ yHtern Ulhlpr whi(h the iJltltitutiolllt eOll be made to luHttioll to tIl(gt fnl1 ex-tellt uf their accommodation i urgentl~ H(gt(o(d Tlttlf ar( (a~fS iu which asslstallf( is Hot afforded although llJuch luItabhmiddot tH(ommodat1on ie a yitilabltgt ~ rniflfl of thC rondit1fnls of tulmi~ iQn of expectant mothers it pry desirablt~ A growing nnmheuror of girls umiddotill uot ~lIbmit to rules whCrennder they are cOlnpimiddot11pmiddotd to liye in the homes for ptfrioda as long aA twelve months nftpr eonfitwm(nt The- Board intends to establish R (o~oldinarion amol1gst rffugC3 and inyestignte tho whole question ill an fltt0mpt to det(~rmine where there should be 8 variation in regulations tl) provide for the cOlltiugenci4-5 which arlH(1 b(tvIell the two extremes of those girls yllO wish to leHve the institution as aoou its possibl~ u-fteurol confinement on thf one hnnd and those who will agree to remain for Hilleuro or tw(ln mflIltlis ou the Ot1Hl lIHidenshytaU thp Board is of opillion thnt there i- nred for lcgisladotl with suitable saftgunrd to proyide for the absolute adoption of fhUdTen Sltvolll instances huyc befTt reported whmiddote1e (xtrrllH lwrdsl1ip has be]] imposed 011 bOylO aud girl~ W11O deserted in lufalltv hneuro l)()(TJ hmiddotft to the (fU( of inst1tntio1l8 and iudividua1R until attaining earning age) wh(n a paTellt has appeared flnd taken the (hau to hp lllpd a8 n wugt-rarnel frequently llndtgtr most unsl1tisfa(tolY domplte (onrlitinTs

Registration wi1l be grantfd tol ehality known a8 the City New~boys Societlt In adirising of this registration tht Board middotwishes to record that whilst thpy rOlnshy

mend the excellent work whirh i bring done by thl lllanl~trnellt this dops not lIleal1 that the Board in fiTly tl~middot apprOye5 of th( -~~hHl whiCh pt~rmhF rhildrtt of tClldff ar4 to trade on themiddot fltr~ets

SECTION No3

RECOMMEXDATIOXS AS TO AMENDMETS OF ~EXISTIKG

LEGISLATIOK AD PHOPOSALS FOR FFTFllE UmSLATION WHlCH ARE DEEMED TO BE DESIRABLE

~L((iJSTBD lMENDbnITS TO THf~ ~Clmiddot

llipresentations have beelt 1iJpoundlde frolll lHUIlY iustitutiollo that seetioHB 56 Hnd 6Ihe amended to provide that honorU1Y offiee-bearers bp elected hy the (Jommitt(e~ of Afanagement instead of by subscribers It haB been llrged that (ommittees follows ti definite system in the ele~tiol1 of IJonorvry officamp-btarers which tends to ditribution of the honour of office alld incidontlly widelling of the ph8l8 of itlcsl interest nnd the- BOR1d lvalizing the fairnfS8 of tlw lfqUBsr re(lomtnends thnt the muendment he p[lssed

11

eneh individual illtlltnncc after n reew of an (ircumstaneee eg the genera] eircumtmwrs of thr r(lsidents of th( digtricl servfd by the hospital

The financial POSitiOll of tlU institution The adfquucy or othclJsf of thr organization for the appeal Thf Amounts fOf jmiddotapitnl (xpBnditunl contlihuted by the public ill past

years and Othrl relcvnnt mfltter~

OltlUAfS_1-GNIS

A review of the iU8titutiull~ which Hxiilt for WelfUli~ of urphans and neglected u1 destitute ebildlen is being uwteltukflL It is vfry dCsirable from every point of yiew th11t r11i should w a mojo function of tho oeiul service side of religions organizathms With only tpw excfptiollS) the petonal care of the children) the syritem Undtl whlch the Ul( direettd their aftcr-(filltt aud ind4ed the who] utmospherl of thpir tlCatuHmt by till (huleh iUBtitutifJtis are mnny d(grr(s hettel thun obtRllls in thc lJutside olgaul7RtionB The J1oald will endeavour to foster thpse (hurch acth-ities and to so aJjnst matters that the whole systom dll be lU sequence thus --oulldlillg Homes yhrre illfaHts will b(1 (ared for Childr(ll~ Homes for those from three to tVtll yeuls iust-itutiollS NHerillg pehoo1 age with ill addition some scientific method of guiding the rltildrtu to the LltSt aYCllil( fiji thllr fnture and from which apprCuticPship may he arrfwgeti l ulHl ill OlljIUlftlOll lt1 hOAt(middotl whlr( thC workin boy or gill muy lwn dll( ftlHJ sUII(tyi~ion during the pcrif)(l of frrrly lldolesrClIl~l

fltHstigfltton 1s proeeedlug yith n ifw to lltioH hring take-II townds refusing lfgistlatioll of Borne of these orgfmizHtion~

It has he-fll found thut uneuro of the orphanages baR hcrlL lllwffiriolly uscd aB a hOlllt of dct(intioH for eonfirmtd trufluts The Hoard suggests thut a considerahle lillhility for mai1tpllan(~ 11(14 againM tilt rflutatioll Departmeuront -ill utilizing II (middothalitHhl(middot lUllritntiou wheu UUr1Pl tltrlt EdneariOll yL rh( laquo~ttlh1ishm(llt of surmiddoth llll iuslitntol i~ H Ilat(il tluty of tliftr Di~IHllmiddotIBHj)t

HEFt (Jlt bull

5 ill th(~ (liSe of olpluUllgtS the Hoaru eOHAidns that these would be mole tlHt1sfaNorv if (OHtroUf] hy (middotll1llIh organizatiolls _ yHtern Ulhlpr whi(h the iJltltitutiolllt eOll be made to luHttioll to tIl(gt fnl1 ex-tellt uf their accommodation i urgentl~ H(gt(o(d Tlttlf ar( (a~fS iu which asslstallf( is Hot afforded although llJuch luItabhmiddot tH(ommodat1on ie a yitilabltgt ~ rniflfl of thC rondit1fnls of tulmi~ iQn of expectant mothers it pry desirablt~ A growing nnmheuror of girls umiddotill uot ~lIbmit to rules whCrennder they are cOlnpimiddot11pmiddotd to liye in the homes for ptfrioda as long aA twelve months nftpr eonfitwm(nt The- Board intends to establish R (o~oldinarion amol1gst rffugC3 and inyestignte tho whole question ill an fltt0mpt to det(~rmine where there should be 8 variation in regulations tl) provide for the cOlltiugenci4-5 which arlH(1 b(tvIell the two extremes of those girls yllO wish to leHve the institution as aoou its possibl~ u-fteurol confinement on thf one hnnd and those who will agree to remain for Hilleuro or tw(ln mflIltlis ou the Ot1Hl lIHidenshytaU thp Board is of opillion thnt there i- nred for lcgisladotl with suitable saftgunrd to proyide for the absolute adoption of fhUdTen Sltvolll instances huyc befTt reported whmiddote1e (xtrrllH lwrdsl1ip has be]] imposed 011 bOylO aud girl~ W11O deserted in lufalltv hneuro l)()(TJ hmiddotft to the (fU( of inst1tntio1l8 and iudividua1R until attaining earning age) wh(n a paTellt has appeared flnd taken the (hau to hp lllpd a8 n wugt-rarnel frequently llndtgtr most unsl1tisfa(tolY domplte (onrlitinTs

Registration wi1l be grantfd tol ehality known a8 the City New~boys Societlt In adirising of this registration tht Board middotwishes to record that whilst thpy rOlnshy

mend the excellent work whirh i bring done by thl lllanl~trnellt this dops not lIleal1 that the Board in fiTly tl~middot apprOye5 of th( -~~hHl whiCh pt~rmhF rhildrtt of tClldff ar4 to trade on themiddot fltr~ets

SECTION No3

RECOMMEXDATIOXS AS TO AMENDMETS OF ~EXISTIKG

LEGISLATIOK AD PHOPOSALS FOR FFTFllE UmSLATION WHlCH ARE DEEMED TO BE DESIRABLE

~L((iJSTBD lMENDbnITS TO THf~ ~Clmiddot

llipresentations have beelt 1iJpoundlde frolll lHUIlY iustitutiollo that seetioHB 56 Hnd 6Ihe amended to provide that honorU1Y offiee-bearers bp elected hy the (Jommitt(e~ of Afanagement instead of by subscribers It haB been llrged that (ommittees follows ti definite system in the ele~tiol1 of IJonorvry officamp-btarers which tends to ditribution of the honour of office alld incidontlly widelling of the ph8l8 of itlcsl interest nnd the- BOR1d lvalizing the fairnfS8 of tlw lfqUBsr re(lomtnends thnt the muendment he p[lssed

12

The Board submits the followillg recommendations fOT amendmenti shy1 Section 84 (c) That the conditiolls attached to the payment of

snbsidy be made and issued by the Board 2 Section 42 (4) The application of the fund shonld he in the honds

of the Board 3 Section 43 Addit-i01l8 or amendments to provide that the Board have

power to retain a sum of money in the fund to meet unforcEeen contingencies throughout the year

4 An ad-itional scction under the Board will havo authoriLv OVer aU collections and public appeals of a charitable or scmi-charitable nature and whether for the pnrpose of affording relief in Victoria Or elsewhere

5 The Board is of opinioll that it would be in tl position to exercise fI

more efficiEllt administration if it he given wider executive power by amending certain sections yhenln the Board can ouly recomshymend courses of actlOn

6 That the GOYflnmtnt of VitJnria takc st(P8 to have JUethyiuted spirits so treated as to preYfllt its being used for dlinkin~ Muny sad easBS of this pClnieioU5 habit han come ullck1 the llotice of the Board iu rCspltct to iUlhat(8 of beneYOIut asylums

7 That in lCgard to a child who has been deserted hy its parent or paronts for a period of one year and who is admitted to the care of auy registerCd orphauage Or 8imila1 Institution 01 is in th( (nrc of any npplon-d persoll for a I)(riod of lit least tVO year8 r

applieatioll may be made to the COllrt by pcrmis8ion of the Board) for the completc adoption llud(l sueb sufeguuldR as may be deemed desirable of sueh ellild by tll( jlllititution or tlpP1ovCd person respectively

The Board is unaLI(~ t~ recommlt1lrl tht~ anoptioll of tlH following snggfstiollS fnr amenrlment of the definItion of ( contributor ~

(a) If a municipal eoullil strikes a gelleral rute for hospital pnrpose the (nuueil have rigbt of 1(gtprCfltntation Oll tbe committee of the hospital and

(b) Any taxpayer whose 1818 is 58 or 0(1 be a contrihutor It is urged by the institutioll8 that when the tax is levied there i8 a disinclination on the part of ratepayers to fmb5cribe volnntarily~ Hnd so there are few if any subscribers The Board im-1t(gts attention to this evidence that taxation of this charaeter practi shyeaUy dOflS away with private contribntions As to tlll suggestioH for amendment the Board is of )pinion that the Act may be rearl (section 4) contributor (d) and (e) ) to give the councils as corporations right of nomination of candidates for election on

committfes

GE-gtERAL A1TENR-lNCES AT MxET1NGS

The attendances of members at tho seventecn meeting of tho ]3oard woreshyH on M Saltau MLO (chairman) 16 Mr X ewman Barker 17 ~fr O A Ohampion 13 Mr A Dunstan 17 Mr T Fairloy 16 Mr A W Glencross 17 Dr T E V Hurley 14 Mrs G G Henderson 16 Mr F Knight 13 Mrs J Lister 17 1fr X Lockyer 16 Mr A J Pittard 17 ltIr R A Hankin 15 Dr J L Thomson 14

The Metropolitali and Coulltry Standing Committees consisting each of seven members of thc Board held rcspceth-ely ten and nille meetings

SERVICES )F THl SECRETARY

The Board desires to express its high appreciation of the excellent services rcndered by its seCTetary 111 R J Love whose marked ability indm5try) and exceptional experience of charity organizatiou and administration have materia]y contributed to the present endeavour to plafe the charities of Victoria upon a Houndflr basis and ul1(ler proper control

13

BOARD-EOOM

The Board is much indehted to the Committee of the Melboume Hospital for its courteous eonsidclution in placing for a period of several months the hospital botlld~room at the disposal of the Charities Board until suitable office accommoshydation was secllred

DU)POSITION 01 THE IlmHlTALS A1D CHARITIES FtLili FOR 1923-24--AltOLKT VOTED

BY P ARLllMEXT pound130000 Amount recommended for a11ooatio11 to charities Administrationshy

Salaries pound1193 6 2 Rent 100 15 0 Reimhur3emen t of expcnees to Doanl

members find travelling expenses of ispector 240 4 7

Office requLites 26 5 4 Telephone 7 0 9

1567 11 10

128903 11 10 1096 8 ~

pound130000 0 0

I have the honour to be Sir

Yours faithfully

M SALTAU Chairman

To the Honorable the TlCaSllItl of Victoria Melbourne

bull

-----~ -~~- By AnLhority II J T GRIULN Goyernment Printer Melbourne