Report of the Joint Committee on State Medicine of the British Medical and Social Science Associations, on the report of the Royal Sanitary Commission.
- Joint Committee on State Medicine of the British Medical and Social Science Associations.
- Date:
- [1871]
Licence: Public Domain Mark
Credit: Report of the Joint Committee on State Medicine of the British Medical and Social Science Associations, on the report of the Royal Sanitary Commission. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![4. An intermediate authority, for pur- poses of appeal, and to compel action, and if necessary to execute works in the first instance, for [disputed] elections, and for water-supply questions. 5. A Ministry of Health as the central authority. 6. An extended area for the district of the local authority. 7. An improved personnel of the local authority. 8. A ll functions of a sanitary or quasi- sanitary character to be discharged by the local authority. 9. Such a division of the country into districts as shall, after due local inquiry, be found best to meet all sanitary re- quirements. 10. Compulsory powers as to joining districts for drainage-purposes. it. a. The recognition and appoint- ment of high-class medical officers of health, to watch over the public health, register sickness and death, devoting their whole time to the duties of the office, with such an extended area as should insure adequate remuneration. b. Deputy medical officers of health. 12. The appointment of all officers to be over such an area as would secure high-class service, with adequate remu- neration for the employment of the whole time without perquisites. 13. Extended powers for taking land compulsorily; also land covered with water, for purposes of water-supply. 14. Revision of statutes as to compul- sory water-supply to houses, where me- dical officer of health reported water to be impure. 15. Property of municipal authorities, where not required for the purposes of the Municipal Acts, to be available for sanitary purposes, and in aid of rates. 16. Additional powers of borrowing, and of mortgaging property, and relief in certain cases from the necessity of repay- ment in a fixed number of years. 17. Alteration of incidence of rating in proportion of benefits received. 18. Where an act to be done, with penalty, then, on default, local authority in all cases to have power to perform the act. «, 4. No intermediate authority. 5. A Ministry of Health and Destitu- tion as the central authority. (>. a. Existing areas as urban, b. Uni- ons as rural authorities over areas re- presented by rural guardians. 7. Where altered—Boards of Guar- dians. 8. Rural authorities to have no con- trol of highways. 9. Untouched, save in exceptional in- stances. (See p. 25, as to “elective Boards”.) 10. Permissive powers under control of central authority, but not rural au- thor ities. (Seep. 27.) 11. a. One medical officer of health, oj no special acquirements, and following private practice, for each urban au- thority. b. In rural districts, all the Poor-law medical officers. 12. Each district to have its osun offi- cers: in rural districts, the officers oj the unions, where available. 13. Extended powers for taking land compulsorily, etc., for purposes of water- supply. 14. Revision of statutes, with increased facilities, if necessary; making it the duty of the local authority to enforce them. (See p. 42.) 16. No powers of mortgaging property. No relief from necessity oj repayment. 17. No alteration recommended in ex- isting modes of rating. 18. Penalties still continued, and even extended (seep. 37), virtually abrogating § 49 «/ the Sanitary Act, 1SC6.](https://iiif.wellcomecollection.org/image/b22352685_0023.jp2/full/800%2C/0/default.jpg)