3
Click here to load reader
Click here to load reader
353
of anybody you please, but leave the former to a manversed in the elements of physiology (no matter how
ignorant he may be of the technical details of propellinga boat), a man who understands human constitutions, andwho appreciates the difficulty of bringing eight men, often ofwidely differing characteristics, simultaneously up to thehighest pitch of physical efficiency. A coach-trainer whocombines all the essential characteristics, like the late R. B.Etherington-Smith, is, alas, a rartc avis indeed.
I should be sorry to see a restraint imposed upon com-petitive athletics for boys ; the moral value is very great,even if the physical side is open to criticism. But Ido agree with Mr. Boyd when rowing is in question,although I must admit that I agree with him on theoreticallines, because, like Mr. Howell, I have never seen anyundoubted injury in a healthy boy or man result from boatracing. 1 am, Sir, yours faithfully,
ADOLPHE ABRAHAMS,Consulting Medical Officer to the British Olympic
Athletic Team at Stockholm, 1912.Harley-street, W., July 25th, 1913.
ULTRA X RAYS AND LABYRINTHINEDEAFNESS.
To the Editor of THE LANCET.
SIR,-On p. 223 of THE LANCET of July 26th in the reportof a meeting of the British Oto-Laryngological Society it issaid : "Dr. H. D. McCulloch mentioned a case of papilloma ofthe larynx which was ultimately considered to be malignant,but which disappeared under treatment by the ultra X ra3 s.There had been no recurrence." It would appear that thesame treatment that is applicable to a superficial conditionhas been found to be equally applicable to a very remote anddeep condition, as the case in chronic labyrinthine con-
ditions is. Such is not the case. In the former theunfiltered short X rays, emitted by a soft Crookes’s tube,were applied, working at a spark gap of from 1 to 2 inches.In the latter the filtered long X rays from the hardestpossible Crookes’s tube were applied, working at a spark gapof from 10 to 12 inches.
I am, Sir, yours faithfully,Harley-street, W., Ju]y26tb, 1913. H. D. MCCULLOCI-1.H. D. MCCULLOCH.
THE MEDICAL DIRECTORY.To the Editor of THE LANCET.
SiR,—The annual circular for the Medical Directory willbe posted to the members of the medical profession on the31st inst. If by any chance the circular is not receivedwithin a few days of the date of posting, we shall be pleasedto forward a copy on request.We trust that all practitioners will make their returns to
us promptly, in order that the entries may be as accurateand up to date as possible.The Directory will, as usual, be published a few days
before Christmas, and to this end we ask for the cooperationof the profession.
We are, Sir, yours faithfully,J. AND A. CHURCHILL.
7, Great Marlborough- street, W., July 26th, 1913.J. AND A. CHURCHILL.
THE NATIONAL INSURANCE ACT:LOCAL MEDICAL COMMITTEES.
To the Editor of THE LANCET.
SIR,-At the meeting of the Hampstead Insurance MedicalSociety held this afternoon, the following resolution waspassed unanimously :-That the Hampstead Insurance Medical Society joins in a petition to
Parliament that in the Amending Bill to the National Health InsuranceAct now before Committee, Clause 62 be amended to the effect that theappointment of a Local Medical Committee be in the sole control of thepractitioners on the panel of the district.
I am, Sir, yours faithfully,S. BARKER, Hon. Sec.
Parkhill-road, Hampstead, N.W., July 22nd, 1913.S. BARKER, Hon. Sec.
Medical News.ROYAL COLLEGE OF SURGEONS OF ENGLAND.-
At the Preliminary Science Examination for the Licence inDental Surgery held on July 15th, 17th, 18th, and 19th, thefollowing candidates were approved in the undermentionedsubjects:-
Chemistry and Physics.-Harcourt Cecil Reuben Aubrey, Bristol’
University; Alan Harry Reynolds Bevan, Banbury TechnicalInstitute; Eric Bottomley, Bradford Technical College ; AubreyErnest Burt, Sherborne School; Leonard Salway Chesterfield,
! Hartley University College, Southampton; Neville GeorgeCompton, Royal Dental Hospital; Norman Henry Davey, Leeds
II University; Albert Edward Fyffe, Sheffield University; EdwinSpencer Goodwin, Mathematical School, Rochester; Rosa EdwardsHarse, London School of Medicine for Women; John LawrenceHughes, Swansea Technical College; Clifford Morley John, BristolUniversity; Gilbert Sidney Jones, Middlesex Hospital; HughLlywelyn Jones, Towyn Inter. School, Merioneth; Ronald VictorKnight, Bristol University; Wright Lambert, Leeds Institute;Oswald Octavius Lloyd, Birkbeck College; James Newman, RoyalTechnical Institute, Salford ; John Durrell Pank, Leeds University;John Peter, Royal Dental Hospital; Harold John Powell, City ofLondon School; Enoch Sanders, Liverpool University; RodneyFrederick Jarrett Sterwin, London Hospital; William HenryBarton Stride, Bristol University; Frederick Cuthbert Tonkin,University College, Nottingham; Stanley Ethelbert Tweney,Swansea Technical College; Edward Francis Vowles, BristolUniversity; Frederick Harry Wallace, Guy’s Hospital; MauriceHarold Wermig, Birkbeck College ; and George Wilshire, DulwichCollege.
Chemistry.-James Alan Gilbert, London Hospital; Geoffrey MilesHaydon, Bristol University; Alice Dora Headley, Birmingham
-,
University; Godfrey Macdona Hick, Bristol University; CharlesLuke Highton, Liverpool University; Thomas Sidda Hoyland,Sheffield University; Robert Hynes, University College, Notting-ham ; Aubrey Granville Maudsley, Polytechnic Institute ; William.
li Grant Milton, Bristol University; Arthur Leonard Minchin,Sheffield University; Clarence Norman Pearson, London Hospital;Hedley Victor Stebbings, Guy’s Hospital; and William LawrencePatrick Watterson, Royal Dental Hospital.
Physics.-George Rowland Durston Bradfield, University College,.Exeter; Rossiter Hodgson Bywaters. Royal Dental Rospital ;.Frederick Walter Day, Polytechnic Institute; Reginald Fysonand Oscar King Hardy, Royal Dental Hospital; Eric RupertHeaton, Birkbeck College; Walter Kember, Liverpool University;Alan Lethaby Morgan, Bristol University; Archibald Felix Percy,University College, Exeter ; Robert Ferdinand Sievers, JohnSpeak, and Leslie Horace Van der Pant, Royal Dental Hospital;Percy Williams, Liverpool University; Malcolm Wykes, Birming-ham University; and Claude Young, Royal Dental Hospital.
UNIVERSITY OF LONDON.-At examinationsheld in July the following candidates were successful :-
SECOND EXAMINATION FOR MEDICAL DEGREES, PART II.John Struan Alexander, University College; Mary Neville Andrews,London (Royal Free Hospital) School of Medicine for Women ;.Kevin Doyle Atteridge, St. Bartholomew’s Hospital; RobertTownly Bailey, King’s College and Charing Cross Hospital; GordonEric Barker. St. Mary’s Hospital; George Charles Berg, St. Thomas’sHospital; John Archibald Binning, University College; CharlesVincent Boland, St. Bartholomew’s Hospital; Margaret Stote GlenBott, London (Royal Free Hospital) School of Medicine for Women ;.Charles Hugh Colclough Byrne, St. Thomas’s Hospital; LouisAbel Celestin, University College; Alfred Wilkinson Cocking,Guy’s Hospital; Ronald Campbell Cooke, St. Thomas’s Hospital;Stephen Andrew Cornelius, University College ; William MauriceCrombie, St. Thomas’s Hospital; Allen Roy Dingley, St. Bartholo-mew’s Hospital; Reginald Oliver Eades, University College; EricHastings Eastwood, University of Liverpool; Charles YarrowEccles, St. Thomas’s Hospital; William Jones Evans, UniversityCollege, Cardiff; Victor Feldman, Ronald Kelson Ford, and PaulCurrey Gibson, London Hospital; Mohamed Hamza Hassan, King’s.College; George Edwin Heath, St. Bartholomew’s Hospital; .Geoffrey Oliver Hempson, University College; Norman HammondHill, St. Bartholomew’s Hospital; Harry Mainwaring Holt,University of Leeds; William Andrew Hotson, King’s College andWestminster Hospital; *George Philip Buckingham Huddy, LondonHospital; Edith Caroline Hudgell, London (Royal Free Hospital)School of Medicine for Women ; Hugh Llewelyn Glyn Hughesand Robert Percival Langford-Jones, University College;. ;.Francis Reginald Law, University of Leeds; Reginald Heber Leigh,King’s College; Herman Lewis, London Hospital; KennethThomas Limbery, St. Thomas’s Hospital; Walter Henry Lloyd,Middlesex Hospital; William Francis MacAlevey, St. Mary’sHospital; Peter George McEvedy, Guy’s Hospital; MauriceMackenzie, London Hospital; Desmond Manus MacManus, Guy’s.Hospital; George Alex Sheridan Madgwick, London Hospital;Ferdinand Molina, St. Thomas’s Hospital; John Kerr Muir,Middlesex Hospital; Doris Mary Pearce, University of Birmingham;Griffith James Randell and David Itees, University College,Cardiff; John Augustus Waring Robinson, King’s College;Elisabeth Henrietta Schwab, London (Royal Free Hospital) Schoolof Medicine for Women ; Thomas William Short, London Hospital;. ;.Bertram Baber Silcock, University College; John Forest Smithand Harold Gane Stormer, St. Thomas’s Hospital; RaymondStowers, University College; Edward Cowper Tamplin, St-Thomas’s Hospital; Hugh Watts Taylor, London Hospital; JamesWilliam Tudor Thomas, University College, Cardiff; WilliamThomas, St. Thomas’s Hospital; William Henry Thomas, UniversityCollege, Cardiff; Ralph Reakes Thompson, London Hospital; John
354
Woollaston Wayte, St. Thomas’s Hospital; William Ronald White-Cooper, St. Bartholomew’s Hospital ; Arthur Willatt, LondonHospital; and George Cuthbert Nelson Younger, MiddlesexHospital.
Distinguished in Anatomy.M.D. EXAMINATION.
Branch 1., .MecKcMe.—Alfred David Eldred Bayliss, B.S., UniversityCollege Hospital; Thomas Knowles Boney, B.S., St. Bartholomew’sHospital; Arthur Burrows, B.S., London Hospital; ArthurNeville Cox, B.S., Guy’s Hospital; Guy Stanley Earl, B.S., St.George’s Hospital; Allan Baines Fearnley, B.S., St. Bartholomew’sHospital; Henry Pollard Hacker, B.S., B.Sc., King’s College Hos-pital ; Charles Herbert Farley Johnston, B.S., Charing Cross Hos-pital ; Evan John Goronwy Jones. B.S., and David Kennedy, B.S.,University College Hospital; William James O’Donovan, B.S.,London Hospital; Ellen Mary Pickard, B.S,, London (Royal FreeHospital) School of Medicine for Women; and Charles McMoranWilson, B.S. (University Medal), St. Mary’s Hospital.
Branch III.. Dental Diseases and Psychology.-Joseph ArthurPerdrau, B.S., University College Hospital.
Branch IT’., Midwifery and Diseases of Women.-Arnold CharlesS. Courts, B.S., and Sidnev Forsdike, University College Hospital;Arthur Webb Jones, B.S., St. Thomas’s Hospital; and Mary EvaHastings Morris, London (Royal Free Hospital) School of Medicinefor Women.
Branch V., State Jledicine.-Norman Hamilton Walker, B.S., St.Bartholomew’s Hospital.
Branch VI., Tropical Medicine.-Charles Noel Davis, B.S., St.Bartholomew’s Hospital.
M.S. EXAMINATION’.Branch J., S1trgery.-Geoffrey Jefferson (University Medal), Victoria
University of Manchester; Thomas Duncan Macgregor Stout,Guy’s Hospital; James Owen David Wade, University College,Cardiff, and Charing Cross Hospital; and Charles Henry ShorneyWebb, Middlesex Hospital.
obtained the number of marks qualifying for the University medal.N.B.-This list, published for the convenience of candidates, is issued
subject to its approval by the Senate.
SOCIETY OF APOTHECARIES OF LONDON.-Atexaminations held recently the following candidates passedin the subjects indicated :-Surgery.-S. H. Andrews (Sections I. and 11.), St. Bwtholomew’sHospital; P. R. Cross (Sections 1. and II.), St. Mary’s Hospital;G. E. Cuttle (Sections I. and II.), Manchester; C. Duncan(Sections I. and II.), Durham; H. E. B. Finlaison (Sections I.and II.), St. Mary’s Hospital; A. Lorrndes (Sections I. and II.),Manchester; W. E. Masters (Section 1.), London Hospital; S. E.Murray (Sections 1. and II.), Durham ; and T. B. Paul (Section II.),Middlesex Hospital.
Medicine.-T. H. Cresswell (Sections I. and IT.), Middlesex Hospital ;G. E. Cuttle (Section II.), Manchester; C. Duncan (Section I.),Durham; W. E. Masters (Sections I. and II.), London Hospital;S. E. Murray (Section 1.), Durham; T. B. Paul (Sections I. and II.),Middlesex Hospital; and C. E. Reckitt (Section I.), Guy’s Hospital.
Forensic Medicine.-L. B. Clarke, Cambridge and St. Mary’s Hos-pital ; G. E. Cuttle, Manchester; H. Dudley, University CollegeHospital; C. Duncan, Durham; W. E. Masters, London Hospital;and S. E. Murray and W. Smith, Durham.
Jdw!/ef</.—C. Duncan, Durham; G. W. Maw, University CollegeHospital ; W. E. Masters, London Hospital; H. Morrison, Leedsand St. Mary’s Hospital; and S. E. Murray and W. Smith, Durham.
The diploma of the Society was granted to the following candidates,entitling them to practise medicine, surgery, and midwifery : S. H.Andrews, G. E. Cuttle, H. E. B. Finlaison, A. Lowndes, and T. B.Paul.
LONDON SCHOOL OF TROPICAL MEDICINE.-Thefollowing were the successful candidates at the examinationheld at the end of the forty-second session (May-July,1913):-With distinction: E. C. Perkins, H. H. G. Knapp, C. N. Davis, J. E. H.
Gatt, and W. E. Glover (Colonial Service). Pass: J. Hanington(Colonial Service), Mrs. D. Parsons, W. L. Webb (Colonial Service),G. Dunderdale (Colonial Service), B. B. Paymaster. R. Trudinger,W. E. S. Digby (Colonial Service), H. North (Colonial Service), J. A.Valentine, R. P. Ratnakar, G. da Silva, H. H. Stewart (ColonialService), P. J. Zepeda, J. M. Cure (Mauritius Scholar), A. Robert-son (Colonial Service), E. V. Smith (Colonial Service), C. E. F.Mouat-Biggs, H. E. Fretz, J. B. Dalzell Hunter, R. H. Miller(Colonial Service), J. Dunlop, C. R. Patton (Colonial Service), 0.Arnott (Colonial Service), C. S. G. Mylrea, C. J. H. Pearson (ColonialService), J. Y. Ferguson, and B. W. F. Wood.
ROYAL MEDICAL BENEVOLENT FUND.-At theJuly meeting of the committee 21 cases were considered andgrants amounting to 150 made to 16 of the applicants.The following is an abstract of the cases relieved :-Widow, aged 55, of M.R.C.S., L.R.C.P. No income, and has recently
undergone a severe internal operation. Voted ;B5.—Daughter, aged67, of M.R.C.S., L.S.A. No income; slight help from relations ; healthtoo indifferent for regular occupation. Relieved seven times, .870.Voted .810.—Widow, aged 67, of M.R.C.S., L.R.C.P. Has a smallpension from a City company and receives slight assistance from rela-tions, but is obliged to ask for help because she has tc support aninvalid daughter who is quite unfit for any occupation. Voted jil2.—M.R.C.S., L.R.C.P., aged 38. Incapacitated by phthisis, but is pro-gressing under treatment, and hopes to be soon able to workagain; dependent, with his wife and two children, on rela-tions who can ill afford to help. Voted .S12.—Wife, aged39. of M.R.C.S., L.R.C.P. Husband has been in bad healthfor some years past, and during the last three months had beenunable to earn anything. No income; three children, aged 16 to
7; small savings practically exhausted. Relieved three times, jE25.Voted jElO.—Daughter, aged 68, of late M.R.C.S. Receives a home inreturn for her services, but is given no salary; health indifferent.Relieved 11 times, .e156. Voted £12.-Widow, aged 63, of M.B. Glasg.Lost her husband a few months ago after a long illness; onlycertain income B18 a year. Relieved once, ;B6. Voted £6.-Widow,aged 63, of M.D. St. And. No income; precarious earnings by lettinglodgings; children unable to help. Relieved nine times, .elO8. Voted£12.-Daughter, aged 59, of late M.D. Edin. Used to be a governess,but for some years past has been unable to obtain a post in thatcapacity, and now endeavours to support herself by needlework.Relieved eight times, .e40. Voted JB10.—Daughter, aged 86, of lateM.R.C.S. No income; health too feeble to admit of self-support;slight help from friends. Relieved six times..876. Voted :E12.—Daughter, aged 32, of late M.D. Unable to earn a living onaccount of long-continued ill-health, and dependent on her mother,whose only income is £ 40 a year. Relieved eight times, .860.
Voted .E10.—Daughter, aged 56, of late M.R.C.S. Gives her services inreturn for a home but receives no salary, and being in bad health isobliged to incur unavoidable expenses. Relieved hve times, .825. VotedE5.-Daughter, aged 63, of late F.R.C.S. Maintained herself as matronof an institution for many years but is now in indifferent health; onlyincome a small pension from another society. Relieved twice, .824.Voted £6.-Widow, aged 65, of L.R.C.P. Lond. Was left a widow manyyears ago with five young children, and has exhausted her means inbrinaing them up. Only income .e30 a year from Epsom College.Relieved three times, 236. Voted £6.-Daughter, aged 57, of lateL.R.C.P. Edin. Incapacitated for many years and dependent on twosisters, whose earnings are very small; has recently undergone a severeoperation. Relieved nine times, £81. Voted £10.-Daughter, aged 43,of late M.D. Lond. No income, and help given by a friend for some timeast unavoidably withdrawn. Relieved once, E5. VotedP,12.
Contributions may be sent to the honorary treasurer, Dr.Samuel West, 11, Chandos-street, Cavendish-square,London, W.’
CENTRAL MIDWIVES BOARD.-A special meetingof the Central Midwives Board was held on July 23rd atCaxton House, Westminster, with Sir Francis H. Champneysin the chair. The Board considered the following charges,amongst others, against the midwives whose names are givenbelow, and ordered them to be struck off the roll :-HannahEaster, that being in attendance as a midwife at a confine-ment, the patient suffering from rigor with raised tempera-ture, and being seriously ill, she did not explain that thecase was one in which the attendance of a registeredmedical practitioner was required, nor did she hand to thehusband or the nearest relative or friend present theform of sending for medical help, properly filled up andsigned by her, in order that this might be immedi-
ately forwarded to the medical practitioner, as requiredby Rule E. 20 (4), and she neglected to take or record thetemperature of the patient, as required by Rule E. 13.Eliza Keighley, that being in attendance as a midwife at aconfinement she did not observe the antiseptic precautionsrequired by Rules E. 3 and 7, she did not wash the patientat any time, and the child having died before the attendanceof a registered medical practitioner she did not notify thelocal supervising authority, as required by Rule E. 21. MaryPearson, that being in attendance as a midwife at a confine-ment, the placenta and membranes not having been expelledwithin two hours of the birth, which took place at 3.30 A.M.,she did not until 7.30 A.M. advise that the case was one inwhich the attendance of a registered medical practitionerwas required, nor did she hand to the husband or thenearest relative or friend present the form of sending formedical help, properly filled up and signed by her, inorder that this might be immediately forwarded to themedical practitioner, as required by Rule E. 20 (3), andwhen advising at such last mentioned hour that medical aidwas necessary she omitted to make use of the prescribedform, as required by Rule E. 22, and did not draw theattention of any person to the urgent circumstances of thecase, nor did she until 8.20 A.M. intimate that the conditionof the patient called for immediate assistance from a medicalpractitioner. Mary Elizabeth Smith, that being in attend-ance as a midwife at a confinement she did not correctlytake or record the temperature of the patient, and shewashed the patient once only-namely, on the day of theconfinement. Louisa Georgiana Stephens, that being inattendance as a midwife at a confinement she administereda drug other than a simple aperient without entering thefact in her register, as required by Rule E. 18, that she didnot correctly record the temperature of her patients as
required by Rule E. 13, and that she did not keep herregister of cases as required by Rule E. 23. Jane Taylor,that being in attendance as a midwife at a confinementshe neglected to swab the patient with an antiseptic solutionon the day of the confinement, as required by Rule E. 7,she neglected to take and record the temperature of the
355
patient at each visit, as required by Rule E. 13, and she didnot keep her register of cases as required by Rule E. 23.Mary Ann Whitfield, that being in attendance as a midwifeat a confinement she did not at any time take the pulse andtemperature of the patient, as required by Rule E. 13, andshe did not keep her register of cases as required byRule E. 23. Ann Wood, that being in attendance as a mid-wife at a confinement, the case being one of puerperal fever,she attended another patient in her confinement withouthaving undergone disinfection to the satisfaction of thelocal supervising authority, as required by Rule E. 5.The following midwives were censured after charges ’,against them had been considered : Edith Emily AugustaJohnson and Matilda Robinson.--A meeting was alsoheld at Caxton House, Westminster, on July 24th, SirFrancis H. Champneys being in the chair. A letterwas considered from the medical officer of health of thecity of Manchester asking the Board to regard all breechpresentations as abnormal cases requiring medical aid. TheBoard directed that the medical officer for the city ofManchester be informed that Rule E. 20 (3) has been fullyconsidered at each revision of the rules, and that its presentform is the result of considerable experience, but that hisletter shall be filed for consideration at the next revision.Rule E. 20 (3) reads as follows : I I Conditions in which medicalhelp must be sent for....... Labour. (3) In the case of awoman in labour at or near term, when there is any abnor-mality or complications, such as fits or convulsions, a
puruient discharge, sores of the genitals, a malpresentation,presentation other than the uncomplicated head or breech,where no presentation can be made out, where there isexcessive bleeding, where two hours after the birth of thechild the placenta and membranes have not been completelyexpelled, in cases of serious rupture of the perineum, or ofother injuries of the soft parts." "
PRESENTATION TO SIR THOMAS CROSBY.-OnJuly 29th, at the House of the Royal Society of Medicine,Sir Thomas Boor Crosby, M.D., F. R. C. S., late Lord Mayor ofLondon, was presented with a service of plate and a volumecontaining the signatures of medical practitioners who hadsubscribed to the testimonial. Sir Thomas Barlow, Presidentof the Royal College of Physicians of London, took thechair, and the presentation was made by Sir Rickman J.Godlee, President of the Royal College of Surgeons of
England, and Mr. W. Bramley Taylor, Master of the Societyof Apothecaries. Among those present were Sir Francis
Champneys, President of the Royal Society of Medicine,Sir James Goodhart, Sir David Ferrier, Sir W. ArbuthnotLane, Mr. G. H. Makins, Dr. Mary Scharlieb, Mr. R.Clement Lucas, Mr. C. A. Ballance, Mr. Edmund Owen, andSir John Broadbent.
PEARN CONVALESCENT HOME, NEAR PLYMOUTH.-The Pearn Convalescent Home has been performing a
most useful work for the past 18 years, and at theannual meeting of the friends of the charity on
July 24th it was stated that during the past 12 months447 patients had been admitted, the majority of whomcame from the South Devon and East Cornwall Hospital, theRoyal Albert Hospital, and the Plymouth Royal EyeInfirmary. In addition, 93 nurses requiring rest wereaccommodated at the "Nurses’ Home" attached to theinstitution. The financial statement showed that the
expenditure in connexion with the convalescent home was£1131, the average cost of each patient amounting to 2s. 6d.a day.
Parliamentary Intelligence.NOTES ON CURRENT TOPICS.
VlentaL Deficiency Bill.THE House of Commons sat until a quarter to four o’clock on the
morning of Tuesday, July 29th, discussing the Mental Deficiency Billon report.The report stage was concluded at any early hour on the morning of
Wednesday, July 30th. The Bill was then read a third time.
Highlands and Islands (Medical Service) Bill.The Highlands and Islands (Medical Service) Bill which Mr.
MCKINNON WOOD (Secretary for Scotland), recently introduced in theHouse of Commons has been printed. Its object is to authorise a
special annual grant of .242,000 for the purpose of improving medicalservice in these remote districts.Clause 2 provides for the appointment of a Board consisting of not
less than five and not more than nine members, to be called theHighlands and Islands (Medical Service) Board.The Board has the duty imposed on it of providing by a scheme or
schemes for the purpose of improving medical service in the High-lands and Islands of Scotland, and otherwise providing and improvingmeans for the prevention, treatment, and alleviation of illness andsuffering.Clause 3 contains important provisions in respect to the schemes.
It runs :-" (1) Provision shall be made by scheme under this Act for the con-
ditions under which any money from the Highlands and Islands(Medical Service) Fund placed at the disposal of local authorities,insurance committees or other bodies or persons or any joint com-mittee of local authorities or insurance committees, or of localauthorities and insurance committees, is to be applied by them, andas respects any money from that Fund which is to be ’applied by the’Board, as to the purposes for which it is to be so applied.
11 (2) Where under any such scheme any money is be applied by theBoard for the purpose of building houses for medical practitioners ornurses, or for the purpose of building hospitals, or for any other pur-poses for which land may be required, the Board, if the money is to beapplied by them, shall, if the scheme so provides, have the like powersfor those purposes with respect to the acquisition, holding, and dis-posal of land as authorities under the Public Health (Scotland) Act,1897, have for the purposes of that Act, and that Act shall be construedaccordingly.
11 (3) Where under any such scheme any money is to be applied bya local authority for any purpose, that authority shall have allsuch powers for the purpose as the scheme may provide, and ifthe scheme so provides, any powers vested in a local authority ofacquiring land, or erecting buildings, or borrowing on the securityof any rate for any purpose, shall be extended so as to include the
purposes of the scheme, and any Act conferring any such power shallbe construed accordingly.
11 (4) Any scheme under this Act may be revoked or varied by ascheme prepared and approved in like manner as the original scheme.
11 (5) The provisions of Section 15 of the Public Health (Scotland) Act,1897, with respect to the removal of a medical officer by or with thesanction of the Local Government Board for Scotland shall extend t<
any medical practitioner appointed by a parish council for the purposeoi any duties of that council."
It is intended that the measure will be operative until the end of1917, but certain powers are given to provide further by Order inCouncil for the continued administration of the Fund.The Bill received a second reading in the House of Commons,
and on Tuesday, July 29th, was passed by the Scottish StandingCommittee.There was one change of some importance made in the schedule,
which originally enumerated as follows the areas to which the Bill wasapplicable :. The counties of Argyll, Caithness, Inverness (excludingthe Burgh of Inverness), Ross and Cromarty, Sutherland, Orkney, andZetland; the Highlands of Perthshire-that is to say, the HighlandDistrict of the county of Perth, and the parishes of Balquhidder,Callander, Comrie, Killin, and Kirkmichael.On the motion of Mr. MUNRO it was decided to excise from the
schedule the Highlands of Perthshire, so as to confine the operation ofthe Bill entirely to the crofting counties, of which Perthshire is notone.
National Insecrance Act (1911) Antendiiient BiLL.Standing Committee C of the House of Commons has been sitting
daily on the National Insurance Act (1911) Amendment Bill.On Thurday, July 24th, there was some discussion on an amendment
proposed to Clause 9 (extension of powers of Commissioners to makeregulations). This amendment, moved by Mr. BATHURST, was to theeffect that the regulations should not limit medical attendance andtreatment. He said that it was a serious grievance that the regula-tions had narrowed the range of cases which an ordinary practitionermight be called upon to treat, and that insured persons had beenreferred to medical men with specialist knowledge to whom a specialfee was payable. Mr. MASTERMAN denied that the regulations couldhave the effect of limiting the rights of insured persons in receivingsuch treatment as an ordinary practitioner might reasonably give. SirPHILIP MA4NUS pointed out that it had been understood by themedical profession that a medical man who accepted panel serviceshould only treat such cases as came within the general knowledge ofthe ordinary practitioner. The amendment was not pressed. Anotheramendment to merge the National Insurance Commissioners for
England, Wales, Scotland, and Ireland into one body was not acceptedby the committee.On Friday, July 25th, the committee completed the discussion of the
text of the Bill, but numerous proposed new clauses appeared on thenotice paper. Considerable discussion arose on a new clause proposedby Mr. GODFREY LOCKER-LAMPSON providing that the maternity benefitshould be payable to the mother or some woman nominated by her.The matter raised had not been finally decided when the committeeadjourned.adjourned.
Hospitals and the Sick-itess Benefct.On Tuesday, July 29th, Mr. CHARLES BATHURST moved to repeal
Section 12 of the principal Act, which provided that sickness, disable-
