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929 Parliamentary Intelligence. NOTES ON CURRENT TOPICS. Nnrses’ Registration Bill. Mr. MUNRO FERGUSON hasintroduced in the House of Commons a Bill to regulate the qualification of trained nurses and to provide for their registration. It was read a first time. The Rules and Orders under the National Insurance Act. Ax official volume containing all the statutory Rules and Orders under the National Insurance Act up to Dec. 31st is in course of pre- paration, and will be available in a few days. Forcible Feeding of Sztffragist Prisoners. Along discussion in the House of Commons on Tuesday, March 18th, turned largely on the forcible feeding of suffragist prisoners. Mr. :llCKENNA, the Home Secretary, in defending the action of the prison medical officers in administering nasal feeding in cases where mal- nutrition resulted, said that it was the duty of the authorities to see that the prisoners were maintained in health and life. It was only in cases where forcible feeding could not be administered on account of the health of the patients that release followed. That was the only alternative to allowing them to starve themselves to death. The right honourable gentleman dealt at considerable length with the case of Miss Lenton. He repudiated the idea that in the process of nasal feeding food had found its way into the lung, and cited medical evidence for the purpose of showing that the illness was pleurisy. The Easter floliday. The House of Commons, owing to the pressure of financial business, was only able to take one day’s Easter holiday, Good Friday. Tropical Diseases Research Fund. The Report of the Advisory Committee for the Tropical Diseases Research Fund for the year 1912 is issued as a Blue-book. The revenue for the year contributed by the Imperial Government, the Government of India, and various Colonial Governments was B3245, but the expenditure was B3833. The excess was met by drawing on the accumulated balance of the Fund, and Schools of Tropical Medicine have been warned that it will not be possible to repeat in 1913 grants on the same scale. In 1912 the London School of Tropical Medicine received .E1533, the Liverpool School of Tropical Medicine B1ZOO. the University of London B750, and the University of Cambridge 350. It was not found necessary to make any grant to the Royal Society from the fund, as other provision has been made for carrying out the research with regard to sleeping sickness under the general supervision of the society. During the year the Committee was consulted on various matters by the Colonial Secretary, including the advisability of the use of salvarsan in the treatment of yaws in tropical colonies. The Committee lay stress on the importance of the regular supply of reports on the anti-malarial measures taken in the colonies, and on the need of continuing these measures. Appended are numerous scientific reports on tropical diseases and research work. The J!f6M<a! Deficiency Bill. Mr. McKENNA, the Home Secretary, has reintroduced the Mental Deficiency Bill in the House of Commons. It is designed "to make further and better provision for the care of feeble-minded and other mentally defective persons and to amend the Lunacy Acts." The Bill was read a first time. It is understood that the text when printed will follow the lines of the Bill of last year as it left the Standing Committee. Prisoners (Temporary Discharge for Ill-health) Bill. In this Bill the Home Secretary seeks power to discharge temporarily from prison prisoners whose further detention is undesirable on account of the condition of their health. Its object is to deal with the case of "hunger-strikers." The Bill, which was introduced on Tuesday, March 25th, was read a first time. HOUSE OF COMMONS. MONDAY, MARCH 17TH. Jledieal Benefit in Ireland. Mr. W. O’BRIEN asked the Secretary to the Treasury whether he would give the House an opportunity of reading a report of the pro- ceedings before the Treasury Committee in reference to the extension of medical benefit under the National Insurance Act to Ireland.-Mr. MASTERMAN replied: The evidence taken by the Committee will be presented to Parliament in due course. Insured Persons and the Sicpply of Drugs. Mr. Hicgs-BEeca asked the Secretary to the Treasury to state why insured persons who make their own arrangements for treatment by doctors off the panel were not allowed to receive medicine free from chemists on the panel in the same way as other insured persons who were treated by doctors on the panel.-Mr. MASTERMAN answered: Section 15 (3) contemplates that when insured persons are allowed to make their own arrangements for medical attendance and treatment . they shall also make their own arrangements for the supply of medicines and appliances. It would be obviously unfair to require chemists on the panel whose remuneration is based on a eapitation system and accordingly limited to the sums available, to supply medicines to an unlimited extent on the prescriptions of doctors who have not, like those on the panel, a collective responsibility with regard to the arrangements made for medical benefit in the area. Deposit Contrib1ttors and Sanatorium Treatment. Mr. HiCKs-BEACH asked the Secretary to the Treasury whether a deposit contributor who had received treatment in a sanatorium, and was discharged from there owing to his or her condition being unsuit- able for further treatment in the sanatorium, was entitled to receive any other kind of medical relief in his or her home.-Mr. MASTERMAN said in reply: Yes, sir. A deposit contributor discharged from a sana- torium in the circumstances mentioned would be eligible for sanatorium benefit at home, including medical treatment and the supply of medicines and other articles ancillary to such treatment. He would also draw sickness benefit from the money standing to his account. Imports and Experts of O_pi2tnt Replying to Sir J. D. REES, Mr. BUXTON (President of the Board of Trade) wrote: The total quantity of opium imported into the United Kingdom in 1912 was 555,631 lb., the re-exports of opium in the same year were 163,55 Ib..making a net import of 392,176 lb. There were also exported 36,332 lb. of opium, dried and powdered in the United Kingdom. Thus on balance the imports of opium retained in the United Kingdom amounted to about 356,000 lb. During the five year 1908-1912 the imports retained have averaged about 272,000 lb. annu- ally. I understand that this opium is used principally in the prepara- tion of morphia and morphia salts, but there are no statistics available with regard to the total manufacture of these latter. The total exports’ of morphia and morphia salts of United Kingdom manufacture, how- ever, reached 276,572 oz. in 1912, and these exports must, therefore, have required for their manufacture a considerable proportion of the net imports of opium. As regards the imports of opium derivatives, the only statistics available are those relative to morphia and morphia salts, of which 21,539 oz. were imported, and 1663 oz. re-exported in 1912, leaving a net importation, on balance, of 19,876 oz. I have no information as to how much of the preparations and derivatives of opium retained for use in the United Kingdom are used medicinally and how much for other purposes. TUESDAY, MARCH 18TH. Deposit Contributory and DledicaL Tickets. Mr. LANE-Fox asked the Secretary to the Treasury whether the National Health Insurance Commissioners had received complaints of the difficulty experienced by deposit contributors in obtaining their medical tickets ; why this difficulty had occurred; and whether they were taking steps to remedy it.-Mr. MASTERMAN replied: I am not aware that any difficulty in obtaining medical tickets is being experienced by deposit contributors who are entitled to medical benefit but there have been numerous applications for tickets from deposit con- tributors to whom, owing to failure to notify their change of address or, to furnish the necessary particulars, it has been impossible to deliver tickets until application was made. If the honourable member has any such cases within his knowledge I should be glad if he would give me particulars. , Free Choice of Medical Man. Mr. LANE-Fox asked the Secretary to the Treasury whether the National Health Insurance Commissioners had received many com- plaints from insured persons who were now prohibited from employing their favourite doctor under the National Insurance Act because such doctor had not seen his way to join the panel; and how long it was- proposed to restrict the free choice of doctor in such cases.-Mr. MASTERMAN answered: The reply to the first part of the question is in the negative. With regard to the second part of the question, I have nothing to add to the full statement which I made on this subject on Feb. l2th. WEDNESDAY. MARCH 19TH. Professional Requirements under the National Insurance Act. Mr. CASSEL asked the Secretary to the Treasury whether the opinion of the Law Officers had been or would be taken on the question whether the Regulations made by the Insurance Commissioners limiting medical attendance and treatment to treatment of a kind which could con- sistently with the best interests of the patient be properly undertaken by a practitioner of ordinary professional competence or skill, but denying medical attendance and treatment when the condition of the’ patient was such as to require services beyond the competence of an ordinary practitioner, were intra vires and whether he was prepared to facilitate steps being taken by which this question might be authoritatively settled by a decision of the High Courts.-Mr. MASTERMAN replied: It would be contrary to practice to indicate upon what advice any Regulations had been framed in regard to any such point as that in the question. I see no reason for any such special action as is suggested in the latter part of the question. WEDNESDAY, MARCH 19TH. Hospital Nursing Staffs and the National Insurance Act. Sir PHILIP MAGNUS asked the Secretary to the Treasury whether the Form 43 (b)/I.C., relating to the procedure to be adopted by members of the nursing staff at hospitals, whereby they were allowed to make their own arrangements for medical benefit, had been forwarded by the Insurance Commissioners or by the Insurance Committee for the county of London directly to any London hospital; and, if so, which.-Mr, MASTERMAN replied : I am informed by the London Insurance Com- mittee that Form 43 (b)/I.C. has been sent out by the Committee directly in the cases of five hospitals and six similar institutions. As soon as application is received by the authorities of any hospital a copy of the form in question is forwarded immediately. The Committee under- stand that the Nurses’ Insurance Society with whom they have been in communication have. however, forwarded to the authorities of al1 hospitals and similar institutions copies of Form 43 (b)/I.C. supplied to them by the London Insurance Committee. Sir PHILIP MAGNUS: Has one hospital applied to the London In- surance Committee for these forms and has not received them yet?- Mr. MASTERMAN : I shall have inquiries made. I understood that any hospital which had applied for them had received them. Sir PHILIP MAGNUS asked the right honourable gentleman to state under what conditions, if any, a member of the resident or visit ing staff of a London hospital could have his name placed on the panel for a limited number of insured persons-viz., for nurses and other hos- pital employees; and whether any hospital doctor must obtain the consent of the other medical practitioners on the panel in order that
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Parliamentary Intelligence.NOTES ON CURRENT TOPICS.

Nnrses’ Registration Bill.Mr. MUNRO FERGUSON hasintroduced in the House of Commons a

Bill to regulate the qualification of trained nurses and to provide fortheir registration. It was read a first time.

The Rules and Orders under the National Insurance Act.Ax official volume containing all the statutory Rules and Orders

under the National Insurance Act up to Dec. 31st is in course of pre-paration, and will be available in a few days.

Forcible Feeding of Sztffragist Prisoners.Along discussion in the House of Commons on Tuesday, March 18th,

turned largely on the forcible feeding of suffragist prisoners. Mr.

:llCKENNA, the Home Secretary, in defending the action of the prisonmedical officers in administering nasal feeding in cases where mal-nutrition resulted, said that it was the duty of the authorities to seethat the prisoners were maintained in health and life. It was only incases where forcible feeding could not be administered on account ofthe health of the patients that release followed. That was the onlyalternative to allowing them to starve themselves to death. The righthonourable gentleman dealt at considerable length with the case of

Miss Lenton. He repudiated the idea that in the process of nasalfeeding food had found its way into the lung, and cited medicalevidence for the purpose of showing that the illness was pleurisy.

The Easter floliday.The House of Commons, owing to the pressure of financial business,

was only able to take one day’s Easter holiday, Good Friday.Tropical Diseases Research Fund.

The Report of the Advisory Committee for the Tropical DiseasesResearch Fund for the year 1912 is issued as a Blue-book. The revenuefor the year contributed by the Imperial Government, the Governmentof India, and various Colonial Governments was B3245, but theexpenditure was B3833. The excess was met by drawing on theaccumulated balance of the Fund, and Schools of TropicalMedicine have been warned that it will not be possible to repeatin 1913 grants on the same scale. In 1912 the London Schoolof Tropical Medicine received .E1533, the Liverpool School of

Tropical Medicine B1ZOO. the University of London B750, and theUniversity of Cambridge 350. It was not found necessary to make

any grant to the Royal Society from the fund, as other provision hasbeen made for carrying out the research with regard to sleeping sicknessunder the general supervision of the society. During the year theCommittee was consulted on various matters by the Colonial Secretary,including the advisability of the use of salvarsan in the treatment ofyaws in tropical colonies. The Committee lay stress on the importanceof the regular supply of reports on the anti-malarial measures taken in

. the colonies, and on the need of continuing these measures. Appendedare numerous scientific reports on tropical diseases and research work.

The J!f6M<a! Deficiency Bill.Mr. McKENNA, the Home Secretary, has reintroduced the Mental

Deficiency Bill in the House of Commons. It is designed "to makefurther and better provision for the care of feeble-minded and othermentally defective persons and to amend the Lunacy Acts." The Billwas read a first time. It is understood that the text when printed willfollow the lines of the Bill of last year as it left the StandingCommittee.

Prisoners (Temporary Discharge for Ill-health) Bill.In this Bill the Home Secretary seeks power to discharge temporarily

from prison prisoners whose further detention is undesirable onaccount of the condition of their health. Its object is to deal with thecase of "hunger-strikers." The Bill, which was introduced on

Tuesday, March 25th, was read a first time.

HOUSE OF COMMONS.

MONDAY, MARCH 17TH.Jledieal Benefit in Ireland.

Mr. W. O’BRIEN asked the Secretary to the Treasury whether hewould give the House an opportunity of reading a report of the pro-ceedings before the Treasury Committee in reference to the extensionof medical benefit under the National Insurance Act to Ireland.-Mr.MASTERMAN replied: The evidence taken by the Committee will bepresented to Parliament in due course.

Insured Persons and the Sicpply of Drugs.Mr. Hicgs-BEeca asked the Secretary to the Treasury to state why

insured persons who make their own arrangements for treatment bydoctors off the panel were not allowed to receive medicine free fromchemists on the panel in the same way as other insured persons whowere treated by doctors on the panel.-Mr. MASTERMAN answered:Section 15 (3) contemplates that when insured persons are allowed tomake their own arrangements for medical attendance and treatment

. they shall also make their own arrangements for the supply of medicinesand appliances. It would be obviously unfair to require chemists onthe panel whose remuneration is based on a eapitation system andaccordingly limited to the sums available, to supply medicines to anunlimited extent on the prescriptions of doctors who have not, like

those on the panel, a collective responsibility with regard to thearrangements made for medical benefit in the area.

Deposit Contrib1ttors and Sanatorium Treatment.Mr. HiCKs-BEACH asked the Secretary to the Treasury whether a

deposit contributor who had received treatment in a sanatorium, andwas discharged from there owing to his or her condition being unsuit-able for further treatment in the sanatorium, was entitled to receiveany other kind of medical relief in his or her home.-Mr. MASTERMANsaid in reply: Yes, sir. A deposit contributor discharged from a sana-torium in the circumstances mentioned would be eligible for sanatoriumbenefit at home, including medical treatment and the supply ofmedicines and other articles ancillary to such treatment. He wouldalso draw sickness benefit from the money standing to his account.

Imports and Experts of O_pi2tntReplying to Sir J. D. REES, Mr. BUXTON (President of the Board of

Trade) wrote: The total quantity of opium imported into the UnitedKingdom in 1912 was 555,631 lb., the re-exports of opium in the sameyear were 163,55 Ib..making a net import of 392,176 lb. There werealso exported 36,332 lb. of opium, dried and powdered in the UnitedKingdom. Thus on balance the imports of opium retained in theUnited Kingdom amounted to about 356,000 lb. During the five year1908-1912 the imports retained have averaged about 272,000 lb. annu-ally. I understand that this opium is used principally in the prepara-tion of morphia and morphia salts, but there are no statistics availablewith regard to the total manufacture of these latter. The total exports’of morphia and morphia salts of United Kingdom manufacture, how-ever, reached 276,572 oz. in 1912, and these exports must, therefore,have required for their manufacture a considerable proportion of the netimports of opium. As regards the imports of opium derivatives, the onlystatistics available are those relative to morphia and morphia salts, ofwhich 21,539 oz. were imported, and 1663 oz. re-exported in 1912, leavinga net importation, on balance, of 19,876 oz. I have no information asto how much of the preparations and derivatives of opium retained foruse in the United Kingdom are used medicinally and how much forother purposes.

TUESDAY, MARCH 18TH.

Deposit Contributory and DledicaL Tickets.Mr. LANE-Fox asked the Secretary to the Treasury whether the

National Health Insurance Commissioners had received complaints ofthe difficulty experienced by deposit contributors in obtaining theirmedical tickets ; why this difficulty had occurred; and whether theywere taking steps to remedy it.-Mr. MASTERMAN replied: I am notaware that any difficulty in obtaining medical tickets is beingexperienced by deposit contributors who are entitled to medical benefit but there have been numerous applications for tickets from deposit con-tributors to whom, owing to failure to notify their change of address or,to furnish the necessary particulars, it has been impossible to delivertickets until application was made. If the honourable member has anysuch cases within his knowledge I should be glad if he would give meparticulars.

, Free Choice of Medical Man.Mr. LANE-Fox asked the Secretary to the Treasury whether the

National Health Insurance Commissioners had received many com-plaints from insured persons who were now prohibited from employingtheir favourite doctor under the National Insurance Act because suchdoctor had not seen his way to join the panel; and how long it was-proposed to restrict the free choice of doctor in such cases.-Mr.MASTERMAN answered: The reply to the first part of the question is inthe negative. With regard to the second part of the question, I havenothing to add to the full statement which I made on this subject onFeb. l2th.

WEDNESDAY. MARCH 19TH.

Professional Requirements under the National Insurance Act.Mr. CASSEL asked the Secretary to the Treasury whether the opinion

of the Law Officers had been or would be taken on the question whetherthe Regulations made by the Insurance Commissioners limiting medicalattendance and treatment to treatment of a kind which could con-sistently with the best interests of the patient be properly undertakenby a practitioner of ordinary professional competence or skill, butdenying medical attendance and treatment when the condition of the’patient was such as to require services beyond the competence of anordinary practitioner, were intra vires and whether he was preparedto facilitate steps being taken by which this question might be

authoritatively settled by a decision of the High Courts.-Mr.MASTERMAN replied: It would be contrary to practice to indicate uponwhat advice any Regulations had been framed in regard to any suchpoint as that in the question. I see no reason for any such specialaction as is suggested in the latter part of the question.

WEDNESDAY, MARCH 19TH.Hospital Nursing Staffs and the National Insurance Act.

Sir PHILIP MAGNUS asked the Secretary to the Treasury whether theForm 43 (b)/I.C., relating to the procedure to be adopted by membersof the nursing staff at hospitals, whereby they were allowed to maketheir own arrangements for medical benefit, had been forwarded by theInsurance Commissioners or by the Insurance Committee for the countyof London directly to any London hospital; and, if so, which.-Mr,MASTERMAN replied : I am informed by the London Insurance Com-mittee that Form 43 (b)/I.C. has been sent out by the Committee directlyin the cases of five hospitals and six similar institutions. As soon asapplication is received by the authorities of any hospital a copy of theform in question is forwarded immediately. The Committee under-stand that the Nurses’ Insurance Society with whom they have been incommunication have. however, forwarded to the authorities of al1hospitals and similar institutions copies of Form 43 (b)/I.C. supplied tothem by the London Insurance Committee.

Sir PHILIP MAGNUS: Has one hospital applied to the London In-surance Committee for these forms and has not received them yet?-Mr. MASTERMAN : I shall have inquiries made. I understood that anyhospital which had applied for them had received them.

Sir PHILIP MAGNUS asked the right honourable gentleman to stateunder what conditions, if any, a member of the resident or visit ingstaff of a London hospital could have his name placed on the panel fora limited number of insured persons-viz., for nurses and other hos-pital employees; and whether any hospital doctor must obtain theconsent of the other medical practitioners on the panel in order that

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the number of insured persons whom he might be required to attendmight be limited to members of the hospital staff only.-Mr. MASTER-MAN said in reply: The Insurance Commissioners have suggestedto Insurance Committees that they should allow medical men tocome on the panel for a limited number of insured persons under thefollowing conditions : (1) That provision has already been made for allinsured persons; (2) that the other medical men on the panel agreeto the proposed arrangement; (3) that the arrangement will not, at allevents without the consent of the other medical men on the panel,result in the doctor who is admitted to the panel on these terms havingon his list an undue proportion of selected lives, and I understand thatarrangements of the kind suggested are being made.

Sir PHILIP MAGNUS : Is the right honourable gentleman aware of thefact that the London Insurance Committee have issued instructionsdiffering essentially from those which he has just described?&mdash;Mr.MASTERMAN: I believe that the London Insurance Committee are

adopting the suggestion of the Commissioners and are prepared toadmit doctors to the panel for a limited number of patients under thosethree conditions.

Sir PHILIP MAGNUS : Is the right honourable gentleman aware thatthe London Insurance Committee will admit doctors to the panel for alimited number of patients without reference to the consent of theother doctors on the panel ?-Mr. MASTERMAN : If they are admittingmedical men for a limited number of patients they have received theconsent of the other doctors on the panel.

Clerical Work of Panel Medical Men in Scotland.Sir GEORGE YOUNGER asked the Secretary to the Treasury whether

the Insurance Committees in Scotland had been informed that theclerical work required to be performed by the doctors would besimplified ; whether the conditions would be the same as in England ;and when the doctors would receive notification of the changes.-Mr.MASTERMAN answered: I understand from the Scottish Insurance Com-missioners that they have informed the Insurance Committees in Scot-land that a mociification of keeping records is under consideration, andthat a card system may be substituted for the day-books if the medicalmen prefer it. Copies of a specimen page of a modified form of day-bookand of a specimen card are being distributed to the Local Medical Com-mittees so that their members may indicate their preference. It willbe necebsary to obtain information as to the wishes of the doctors them-selves before it can be stated whether the system ultimately adoptedwill be exactly the same in Scotland as in England. Doctors will beinformed of the details of the new system at the earliest possibledate.

Sir GEORGE YOUNGER: Will the right honourable gentleman under-take that the arrangements will be not less generous in Scotland thanin England ?-Mr. MASTERMAN : Certainly not less generous; acting onpast precedents, probably more generous.

The Health of the Army and the Army Medical Corps.In the course of his annual statement on the army, Colonel SEELy

(Secretary of State for War) said: The health of the troops has improvedin a remarkable degree. If we take the number of men constantlyunder treatment in hospital and add those to the number of mentreated in barracks we now have a ratio of 31-83 per 1000. In the tenyears between 1889 and 1898-that is, before the South African war-the ratio was just short of double that, almost 60 per 1000, so that inthis short time we have reduced the number of men under treatmentalmost exactly by one-half in regard to the various diseasesfrom which soldiers suffer. This means a great increase to our

fighting strength. From this wonderful change, due in a greatmeasure to the Royal Army Medical Corps, due in a great measure alsoto the spread of education, good behaviour, and good morals amongstthe masses of our population. the result has been to add thousands ofmen to our fighting strength, while actually to decrease the expensewhich falls on the State. The number of men discharged from the armyas invalids for the six causes of invaliding are all lower than they havebeen since statistics were taken. That is a gratifying record, and whileit reflects credit on the Army Medical Corps, it also reflects credit in agreat degree upon the troops themselves.

THURSDAY, MARCH 20TH.The Assistants of Medical Men and Panel Practice.

Mr. KEIR HARDIE asked the Secretary to the Treasury whetherdoctors who were engaged as assistants and had covenanted with theiremployers not to open a practice within a given radius during a certainterm of years were thereby debarred from serving on the NationalHealth Insurance Panels within the areas specified in their contracts.- Mr. MASTERMAN answered: Unless debarred by the terms of the privatecontract the doctors referred to would be entitled to be placed on thepanel.Uninsured Members of Friendly Societies and Medical Treatment.Sir CLEMENT KINLOCH-COOKE asked the Secretary to the Treasury

whether he was aware that members of Friendly Societies who were65 years of age and upwards on July 15th last, or who through perma-nent disablement at that date were unable to become insured personsunder the Act, were called on to pay increased contributions for medicalattendance and treatment, and that doctors were refusing to acceptsuch members except at a fee at least equal to that paid forinsured members; and whether he would consider the possi-bility of paying the difference out of moneys provided byParliament.&mdash;Mr. MASTERMAN answered: I am aware that whilesome societies have been able to make satisfactory arrangementsfor the medical attendance of their uninsured members, in somedistricts the medical men are demanding higher rates of remunerationthan the societies are prepared to give. I cannot understand why thefact that doctors are receiving an additional grant in respect of insuredmembers should make them demand not only the increase of about50 per cent., which societies are generally prepared to give, but an ’’,increase of nearly 100 per cent. in the rates which they have hithertobeen receiving for their uninsured patients.

The Inspection of Pharmacies.Mr. Tysox WILSON asked the Secretary to the Treasury whether any

inspectors of pharmacies had been appointed; if not, whether it wasproposed to appoint any; and, if so, whether those appointed would befully qualified chemists.-Mr. MASTERMAN said in reply : The questionof the appointment of inspectors of the kind referred to in the questionis under consideration, and I am not yet in a position to make anannouncement.

Medical Scheme of the Scortish Clerks’ Association.Mr. JAMES HOGGE asked the Secretary to the Treasury whether he

was now in a position to make a statement about the specialmedical scheme under the National Insurance Act of the ScottishClerks’ Association.-Mr. MASTERMAN replied: The special medicalscheme of the Scottish Clerks’ Association is an arrangement wherebythe member calls in his own medical man, who renders his bill in theusual way to the patient. The association refunds the amount of thebill in so far as it does not exceed a certain fixed sum per visit. TheCommissioners are legally advised that this scheme is not the systemwithin the meaning of Section 15 (4) of the National Insurance Act.The association formally applied for approval of the scheme as a

system on Dec. 20th last and was informed on Jan. 8th that theapplication could not be considered as the scheme was not a systemwithin the meaning of the subsection.

MONDAY, MARCH 24TH.The Grants to Scottish Universities.

Mr. MUNRO FERGUSON asked the Secretary to the Treasury whether,although three out of the four Scottish Universities had agreed tofulfil the conditions attached to the payment of the additional grants,no part of these grants had yet been paid; and whether these grantswould now be paid in full to these three universities.&mdash;Mr. MASTERMANwrote in reply : The answer is in the affirmative. Payment is beingmade immediately.

Small-pox at Tilbzcry Docks.Mr. CROOKS asked the President of the Local Government Board

whether he was aware that five cases of small-pox were reportedamongst the crew of the steamship Gloucestershire, which arrived atTilbury Docks from Rangoon on March 8th; and whether he wouldstate the vaccinal condition of these patients.-Mr. BURNS (in a writtenanswer) replied : I am aware of the occurrence of the cases referred to,but I have no information at present as to the vaccinal conditions ofthe patients.

Leprosy in England.Colonel YATE asked the President of the Local Government Board

whether leprosy was spreading in this country; and whether he pro-posed to institute the compulsory segregation in this country ofpersons suffering from the disease.&mdash;Mr. BURNS furnished the follow-ing written reply: There are only a few cases of leprosy in thiscountry, and, so far as I am aware, the disease is not spreading here.I am advised that measures for the compulsory segregation of personssuffering from leprosy in this country would not be justified at present.I may add that the whole question is under the careful considerationof my department.

TUESDAY, MARCH 25TH.

Hospitals and Legacy Duty.Sir JOHN BARRAN asked the Secretary to the Treasury whether the

Chancellor of the Exchequer had been appealed to on behalf of volun-tary hospitals to remit legacy duty on all sums left by will to suchhospitals; whether he was aware that for the last four available years,1907-10, this duty averaged only about .B57,000 per annum ; whether allIrish hospitals were already exempt from such duty ; and whether, inview of the present and prospective difficulties and responsibilitiesdevolving on voluntary hospitals through the National Insurance Act,he would sympathetically consider the question of placing the volun-tary hospitals of Great Britain in the same position as those of Irelandin this respect.-Mr. MASTERMAN replied: The answers to the first andthird parts of the question are in the affirmative. With regard to thesecond part, I am advised that, so far as it can be ascertained, theamount of duty involved is approximately &pound;100,000 per annum. llyhonourable friend’s suggestion haq received most careful consideration,but I fear that the l hancellor of the Exchequer does not see his way tomake the suggested alteration.

Maternity Benefit in Scotland.Mr. WATT asked the Secretary to the Treasury whether in Scotland,

and particularly in Edinburgh, maternity benefit was not being paid tothe women themselves but to male relatives representing themselves asauthorised to receive such ; whether this was according to the Act, orwhether the Insurance Committees had power to alter this method ofpayment.-Mr. MASTERMAN answered : The Scottish Commissionersare not aware that maternity benefit either in Edinburgh or else-where in Scotland is being paid to persons other than the insuredpersons entitled to it without proper authority from the latter.Section 18 (1) of the Act provides that where the husband is insured thematernity benefit is payable in respect of his insurance and by hissociety, and is to be treated as his benefit, though the society has powerto administer it in cash or otherwise as it thinks fit. Insurance Com-mittees administer under similar conditions the maternity benefit ofdeposit contributors, but they have no powers with regard to thematernity benefit of members of Approved Societies.

Panel Practitioners and Income-tax.

Mr. MALCOLM asked the Chancellor of the Exchequer whether hecould see his way to permit medical men earning incomes under theNational Insurance Act to bank such moneys free of income-tox.&mdash;Mr.LLOYD GEORGE wr te in reply: I do not see my way to the granting ofdifferential income-tax treatment to doctors who may be derivingincome under the National Insurance Act.

Advisory Committee on Vivisection.Mr. VINCENT KENNEDY asked the Secretary of State for the Home

Department to state the names of the new advisory body set up toassist his department in the administration of the Vivisection Act;and how many members of this body had personally made experiments,giving the name or names.&mdash;Mr. MCKENNA (in a written answer)replied : The names of the members of the Advisory Committee for thepurposes of the administration of the Cruelty to Animals Act, 1876,are: Sir Anthony Bowlby, C.M.G., F.R.U.S., Sir John Rose Bradford,K.C.M.G., M.D., D.Sc., F.R.C.P., F.R.S.. Sir H. Bryan Donkin, M.D.,F.R.C.P., George Henry Makins, C.B., F.R.C.S., Lord Moulton,Seymour John Sharkey, M.D., F.R.C.P., and Charters J. Symonds,M.D., M.S., F.R.C.S. Sir A. Bowlby and Sir J. R. Bradford are the

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only members who have held licences to perform experiments on livinganimals, the former 26 years ago, the latter 9 years ago.

WEDNESDAY, MARCH 26TH.

A Pure Floicr Bill.

In reply to Sir JOHN LONSDALE, Mr. BURNS (President of the LocalGovernment Board) stated that he had in preparation a Bill dealingwith the prevention of the adulteration of flour, and he hoped to intro-duce it soon.

BOOKS, ETC., RECEIVED.

ALLEN, GEORCtE, AND COMPANY, LIMITED, 44 and 45, Rathbone-place,London, W.Zones of the Spirit. A Book of Thoughts. By August Strindberg.With Introduction by Arthur Babillotte. Translated by ClaudField. M.A. Price 5s. net.

A. MARCUS AND E. WEBER’S VERLAG, Bonn.Ueber nervose Erkrankungen nach Eisenbahnunfiillen. Von Dr.med. Paul Horn, in Bonn. Mit einem Vorwort von Dr. Th.Rumpf. Price, paper, M. 4; bound, M. 4.80.

BAILLIERE, J. B., ET FILS. Paris.La Pratique des Maladies des Enfants. Diagnostic et Thera-peutique. Publie en Fascicules. VIII. Chirurgie du Crane,du Rachis, du Thorax, du Bassin et des Membres, Orthop&eacute;die.Par M. Denuce de Bordeaux, et M. Nove-Josserand, de Lyon.Price Fr.14.

BAILLIEEE, TINDALL, AND Cox, London.Minor Maladies and Their Treatment. By Leonard Williams,M.D., M.R.C.P., Physician to the French Hospital. Thirdedition. Price 5s. net.

CHURCHILL, J. AND A., London.A Short Practice of Midwifery. By Henry Jellett, B.A., M.D’(Dublin University), F.R.C.P.I., Master, Rotunda Hospital.With a Preface by Sir W. J. Smyly, M.D., F.R.C.P.I., FormerlyMaster of the Rotunda Hospital. Sixth edition, revised. TwentiethThousand. Price 10s. 6d. net.

FISCHER, GUSTAV, Jena.Vorarbeiten zur Bekampfung der Diphtherie. Von Prof. Dr. H.Conradi in Dresden. Price M. 3.50.

Die Morphologic der Missbildungen des Menschen und der Tiere.Herausgegeben von Dr. Ernst Schwalbe. III. Teil. Die Einzel-missbildungen. IX. Lieferung. 1. Abteilung. 4. Kapitel. DieMissbildungen des Kopfes. Price M. 3.20.

Leitfaden zur Untersuchung der Zerebrospinalfliissigkeit. Bear-beitet von F. Plaut, Miinchen, 0. Rehm, Bremen-Ellen, H.Schottmiiller, Hamburg-Eppendorf. Price, paper, M. 8.50 ;bound, M. 10.

Lehrbuch der Augenheilkunde. Herausgegeben von Dr. TheodorAxenfeld, Professor der Augenheilkunde in Freiburg i. Br.Dritte Auflage. Price, paper, M. 15 ; bound, M. 16.50.

- Die Pathologie und Therapie der plotzlich das Leben gefahrdendenKrankheitszustiinde. Von Sanitatsrat Dr. Richard Lenzmann,prakt. Arzt und Oberarzt am Diakonenkrankenhause zu Duisburg.Dritte, sorgfaltig durchgearbeitete und vielfach vermehrteAuflage. Price, paper, M. 12.50 ; bound, M. 14.

Handbuch der pathogenen Mikroorganismen. Herausgegeben vonDr. W. Kolle und Dr. A. von Wassermann. Zweite vermehrteAuflage. Achtundzwanzigste Lieferung (Bd. V., Seite 607-766).NeunundzwanzigsteLieferung (Bd. 11., Seite 289-448). DreissigsteLieferung (Bd. II., Seite 449-608). Einunddreissigste Lieferung ’,(Bd. II., Seite 609-778). Price M. 5 each. ’

Handbuch der Vergleichenden Physiologie. Herausgegeben vonHans Winterstein in Rostock. Dreissigste Lieferung. Band III.Physiologie des Energiewechsels. Physiologic des Formwechsels.Erste Halfte. Einunddreissigste Lieferung. Zweite Halfte.Price M. 5.

Zur Klinik der Opsonine. Von Professor Dr. med. AlexanderStrubell. Price M. 8.

Die Arteriosklerose, ihre pathologische Anatomie, ihre Pathogeneseund Aetiologie. Von Arne Faber. Aus dem pathologischen

_ Institut des Kommunehospitals Kopenhagen. Price M. 9.

Jenaer medizin-historische Beitrage. Heft 2. Darstellungennormaler und krankhaft veranderter Korperteile an antikenWeihgaben. Von Dr. Theod. Meyer-Steineg, a.o. Professor an derUniversitat Jena. Price M. 3. Heft 3. Kranken-Anstalten imgriechischromischen Altertum. Von Dr. med. -et. jur. Theod.Meyer-Steineg. Price M. 1.50.

Glaso2T, ROBERT, AND SONS (GLASGOW), LIMITED, 45, Queen-street,Glasgow.The Medical Practitioner’s Pocket Day-Book. For 697 names.Price 7d. net.

HEINEMANN, WILLIAM, London.First Year Course in General Science. A Combined Text-book andNote-book. By E. A. Gardiner, M.A., Senior Science Master,

: Berkhamsted School. Price 2s. 6d. net.

HIRSCHWALD, AUGUST, Berlin.’

Kompenclium der Rontgen-Therapie (Oberflaehen- und Tiefenbe-strahlung). Von Dr. H. E. Schmidt, Berlin. Dritte vermehrteund verbesserte Auflage. Price M.5.

JOUVE ET CIE, 15, Rue Racine, Paris.Contribution &agrave; 1’Etude Histologique de I’Hypophyse pendant laGestation. Par le Docteur Alfred Siguret, de la Faculte deMedecine de Paris. Price not stated.

LOESCHER, ERMANNO, AND Co. (W. REGENBERG), Rome.Dottor Arcangelo Creazzo. Studio su la Morte Apparente e laMorte Reale. Price L.3.

MALOINE, A., Paris. ,

Technique Clinique Medicale et Semeiologie Elementaires. Pub1i&eacute;essous la Direction du Dr. Emile Sergent. Preface du Dr. JustLucas-Championni&egrave;re. Price Fr.12.

Appointments.Successful applicants for Vacancies, Secretaries of Publie Institutions,

and others possessing information suitable for this column, areinvited to forward to THE LANCET Office, directed to the Sub-Editor, not later than 9 o’clock on the Thursday marning of eachweek, such information for gratuitous publication.

ALMOND, G. HFLY-HuTCHINSON, B.M., B.Ch. Oxon., M.R.C.S., L.R.C.P.Lond., has been appointed Honorary Pathologist to the RoyalMineral Water Hospital, Bath.

ANDREWS, Fleet-Surgeor, R.N., has been appointed Medical Officer ofHealth for the combined area of the Urban Councils of Newnham,

, Westbury, and Awre, with the Rural District Councils of Gloucester,East Dean, and Lydney.

BACK, H. H., M.B. Lond., M.R.C.S., has been appointed CertifyingSurgeon under the Factory and Workshop Acts for the AcleDistrict of the county of Norfolk.

BROWN, T. GRAHAM, M.B., B.S. Edin., has been appointed Lecturer inExperimental Physiology in the University of Manchester.

BUCKLEY, W. H., M.R.C.S., L.R.C.P. Lond., has been appointed Certi-fying Surgeon under the Factory and Workshop Acts for thePoulton-le-Fylde District of the county of Lancaster.

CAMERON, J., M.D. Lond., has been appointed Certifying Surgeonunder the Factory and Workshop Acts for the Loanhead District ofthe county of Edinburgh.

CONNON, MIDDLETON, C.M., M.D., D.P.H. Aberd., has been appointedMedical Officer to the Aberdeen Dispensary.

FINDLAY, J. S., M.B., M.S. Aberd., has been appointed CertifyingSurgeon under the Factory and Workshop Acts for the Duff townDistrict of the county of Banff.

FOSTER, CHARLES MICHAEL, L.R.C.P. Lond., M.R.C.S., has been ap-pointed Medical Officer for the Hawkesbury District by theChipping Sodbury (Gloucestershire) Board of Guardians.

JOLL, C. A., F.R.C.S. Eng., has been appointed Senior Resident MedicalOfficer at the Royal Free Hospital.

JULER, FRANK A., M.B. Cantab., F.R.C.S. Eng., has been appointedAssistant Surgeon to the Central London Ophthalmic Hospital.

KELLIE, KENNETH, M.B. Cantab., M.R.C.P. Lond., has been appointedPhysician to the Belgrave Hospital for Children.

LEECH, E. B., M.D. Cantab., M.R.C.S., has been appointed AssistantLecturer and Demonstrator in Materia Medica and Therapeutics inthe University of Manchester.

MANN, HAROLD CORRY, M.D. Lond., M.R.C.P. Lond., has been appointedConsultant Medical Officer to the Foundation of St. Olave’s andSt. Saviour’s Grammar Schools.

MUNRO, J. M. H., M.R.C.S., L.R.C.P. Lond., has been appointed; Honorary Pathologist to the Royal Mineral Water Hospital, Bath.RAWLINS, Miss, MLB., B.S. Lond., has been appointed Senior Obstetric

Assistant to the Royal Free Hospital.Ross, SHEILA M., M.D. Edin., D.P.H., has been appointed Assistant

’ Medical Officer for the Borough of Richmond, Yorkshire.VALENTINE, WILLIAM ARTHUR, M.D., B.Ch., B.A.O. Dub., has

been appointed Medical Officer of Health for the Barnstaple(Devon) Port Sanitary Authority.

WALKER, E., M.B., Ch.B. Aberd., has been appointed Certifying Sur-geon under the Factory and Workshop Acts for the Westray Districtof the county of Orkney.

WESTLAKE, Mrs., M.B., B.S., has been appointed Clinical Assistant tothe Royal Free Hospital.

WHITE, ADAM, M.B., Ch.B. Edin., has been appointed Assistant Tuber-culosis Medical Officer for the County of Hereford.

Vacancies.For further information regarding each vacancy reference should be

made to the advertisement (see Index).

BtRKENEEAD BOROUGH HOSPITAL.-Junior House Surgeon. Salary&pound;80 per annum, with board and laundry.

BIRKENHEAD UNION INFIRMARY AND WORKHOUSE.&mdash;Senior ResidentAssistant Medical Officer. Salary B130 per annum, with board,apartments, &c.

BIRMINGHAM AND MIDLAND EYE HOSPITAL.-Third House Surgeon.Salary &pound;75 per annum, with board, rooms, &c.

BIRMINGHAM. RUBERY HILL ASYLUM.-Junior Assistant MedicalOfficer. Salary B150 per annum, with apartments, board, andwashing.

BIRMINGHAM UNION, DUDLEY-ROAD INFIRMARY.-Assistant MedicalOfficers. Salary &pound;125 per annum, with apartments, rations,laundry, and attendance.

BOLIN6BROKE HOSPITAL, Wandsworth Common, S.W.-House Surgeonfor six months. Salary &pound;75 per annum, with board, residence, andlaundry.

BooTLE BOROUGH (GENERAL) HOSPITAL.-Junior House Surgeon.Salary :eSO per annum, with residence, board, and laundry.

BRIDGWATER HOSPITA-L.-House Surgeon, unmarried, for six months.Salary at rate of &pound;100 per annum, with board, lodging, andwashing.

BRIGHTON, ROYAL SUSSEX COUNTY HOSPITAL.-Assistant HouseSurgeon, unmarried. Salary &pound;80 per annum, with apartments,board, and laundry. Also Assistant House Surgeon, unmarried, forSeptic Block. Salary &pound;80 per annum, with apartments, board, andlaundry.

BRISTOL GENERAL HOSPITAL.&mdash;First House Physician, Second HousePhysician, and Casualty House Surgeon for six months. Salary &pound;80per annum, with board, residence, &c. Also Assistant Anaesthetist.

BRISTOL ROYAL INFIRMARY.-Obstetric and Ophthalmic HouseSurgeon for six months. Salary at rate of &pound;75 per annum, withboard, laundry, and apartments.

BUXTON, DEVONSHIRE HOSPITAL, Derbyshire.-Assistant House Phy-sician for six months. Salary &pound;100 per annum, with apartments,board, and laundry

CAMBRIDGE, ADDENBROOKE’S HOSPITAL.-House Physician. Salary&pound;80 per annum, with board, residence, and laundry.


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