|
| |
|
|
| |
|
The Story of a Hospital
By Wilfrid Edgecombe, M.D., F.R.C.P., F.R.C.S.
The history of the Harrogate and District General
Hospital
APPENDIX
In conclusion of this history of
Harrogate and District Hospital, some figures relation to it's
gradual growth and development are interesting. The following table
shows the income and expenditure during and after the war years up
to the "take-over " - that is, from 1940 to 1947.
| |
1940 |
1941 |
1942 |
1943 |
1944 |
1945 |
1946 |
1947 |
| Total Income |
38,019 |
52,642 |
53,934 |
50,597 |
68,200 |
64,494 |
63,458 |
63,533 |
| Expenditure |
35,108 |
49,183 |
51,167 |
53,264 |
60,594 |
60,969 |
75,637 |
99,448 |
| From Ministry |
10,325 |
24,985 |
23,000 |
7,787 |
28,857 |
21,644 |
17,189 |
17,594 |
| From Contributory Scheme |
10,769 |
11,500 |
12,311 |
15,175 |
15,360 |
15,321 |
16,083 |
15,841 |
From these figures it will be seen that in 1947 normal
expenditure amounted to £99,448, to which must be added £5,074 for
"extras", making a total of £104,527.
In the year 1956-57, the ninth year under the National Health
Service, the total actual cost was £236,911, considerably more than
double the above figure. The estimated cost for 1957-58 is £243,280,
and for 1958-59, £251,300. Many other items, some of considerable
amount, financed from the Endowment Fund, still further swell the
total. In 1955-56, this amount is £8,122, and in 1956-57, £5,072.
This huge increase is accounted for by (1) Extension of the
general activities of the hospital, notably by the extra beds in the
hutted wards. (2) The increase in the cost of all commodities, food,
drugs, etc, and of medicine and other equipment. (3) Rise in
salaries and wages. (4) The increase in the number of staff, medical
and lay.
Here follows a list of the medical and surgical staff, greatly
increased under the National Health Service. The number of
out-patient clinics per week is 42.
List of Consultant Staff:
Anaesthetics, Dr W M Jones and Mrs
T V Pearce; General Medicine, Dr C W Curtis Bain and Dr T G Reah; General Surgery, Mr T V Pearce and Mr G N Bailey;
Obstetrics and Gynaecology, Dr G Kay and Mr C Rutherford Morison; Ophthalmology, Dr J A M Shepherd; Orthopaedic Surgery, Mr H Petty;
Otolaryngology, Mr J E Rees; Paediatrics, Dr L J Prosser; Pathology, Dr J V
Wilson; Radiology, Dr F Reid and Dr M W P Ward; enereology, Mr E H T Rutherford; *Dermatology, Dr F
F Hellier;
*Psychiatry, Dr D Robertson and Dr M C Gordon; *Radiotherapy.
Dr Campbell Robson. * Visiting Consultants from other Centres.
Senior Hospital Medical Officers:
Anaesthetics, Dr H Mathers ( part-time ) ; Orthopaedic Surgery,
Miss P I A MacLeod; Pathology, Dr P C McCrea.
Other medical posts on the establishment: one Registrar in
General Medicine; one Registrar in General Surgery; one Registrar in
Anaesthetics; one Registrar in Orthapaedic Surgery; one Senior House
Officer, Obstetrics and Gynaecology; one Senior House Officer,
Casualty and Orthopaedic Surgery; two Pre-Registration House
Physicians; two Pre-Registration House Surgeons.
Turning to the cost per patient per week, we find the earliest
relevant record in the minutes is in 1908, when it was £1 10s.4d.
Thence onwards the cost gradually increased until in 1918 it was 14s 2d and, in 1925, £4 11s. For the following years no
statement appears in the minutes.
The following table shows the cost for the years 1955-56 and
1956-57.
| |
1955-56 |
1956-57 |
| Total net cost |
£20 17s 2d |
£24 13s 1d |
| Adjusted in-patient cost |
£16 12s 6d |
£19 0s 8d |
| In-patient cost adjusted for vacant bed
factor |
£14 19s 9d |
£17 3s 7d |
The intermediate figure of £19 Os. 8d. represents the cost per
patient per week of in-patients only. This is adjusted according to
the number of vacant beds, bringing the amount down to £17 3s. 7d.
These figures are for statistical purposes to enable a comparison to
be made with the expenditure in other hospitals in the region and
country. The important fact is that the net cost to the Management
Committee, and through them to the Regional Board, of maintaining
each patient per week (that is, including both in and
out-patients) amounts in the Harrogate General Hospital to £24 13s.
1d.!
If these figures are at all comparable with those of other
hospitals in the Region and throughout the country, the total cost
of hospital administration would appear to be increasing to an
alarming extent.
Next |
| |
|
