Sixth report from the Select Committee on Estimates : together with the minutes of evidence taken before sub-committee D and appendices, session 1956-1957: Running costs of hospitals.
- Great Britain. Parliament. House of Commons. Select Committee on Estimates
- Date:
- [1957]
Licence: Public Domain Mark
Credit: Sixth report from the Select Committee on Estimates : together with the minutes of evidence taken before sub-committee D and appendices, session 1956-1957: Running costs of hospitals. Source: Wellcome Collection.
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![29 January, 1957.] | [Continued. 19. The Estimates of Boards of Governors are approved by the Minister under the following headings: Expenditure 1. Administration—central expenses of the Board. 2. Hospital Maintenance. Salaries and Wages. (i) Medical. (11) ‘Nursing. (iii) ‘Works and Maintenance. (iv) Other Staff. Provisions. Uniforms and clothing. Drugs, dressings, medical and surgical appliances and equipment. Fuel, light, power, water and laundry. Maintenance of buildings, plant and grounds. Domestic repairs, renewals and replacements. All other expenses. Less Direct credits. 3. Other expenditure. Income 20. The estimates prepared by Regional Hospital Boards in connection with their own services are approved by the Minister under the following headings : — Expenditure (1) Central administration expenses of the Board. (2) Blood Transfusion Services. (3) Mass Radiography. (4) Payments to Specialists and Registrars. (5) Payments under contractual arrangements. (6) Other expenditure. Income (if any) 21. It is left to Regional Boards to determine the amount of detail to be submitted to them by Hospital Management Committees in connection with their estimates and although the headings under which the Boards approve the estimates follow generally those set out in paragraph 19 above there are local variations. 22. Most Regional Boards initially retain varying sums as “regional reserves ”’, which they do not issue to Management Committees until later in the year, when it becomes clear what additional expenditure needs to be incurred. The procedure for issuing sums from these reserves is within the discretion of the Boards them- selves, but generally they ask their Management Committees to submit revised estimates in the autumn, and in approving those revised estimates both authorise transfers between subheads and then give effect to issues from the reserves in so far as they have not previously done so. The Minister requires both Regional Boards and Boards of Governors to furnish revised estimates of their own expendi- ture under the approval subheads when submitting their forecasts for the forthcoming year. 23. Since 1955-56, in view of the importance of maintaining the assets of the hospital service, the Ministry have, when notifying each Board of the total allocation for the services for which it is responsible “earmarked” the amount to be spent during the year on building maintenance (whether carried out under contract or by the hospital authorities’ own staff). Savings on this earmarked amount may](https://iiif.wellcomecollection.org/image/b32182466_0028.jp2/full/800%2C/0/default.jpg)
