H—22

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1. AUCKLAND HOSPITAL. Governing body : Auckland Hospital and Charitable Aid Board. Usual date of meeting : Every alternate Monday. Secretary.: H. N. Garland. Assistants, 2 ; and a collector. Honorary medical staff :T. Copeland Savage, M.8., FR.C.S. Eng.; S. Gore Gillon, M.D. Glasg., F.R.C.S. Edi'n.; Tacey Inglis, M.B. Melb. ;W. C. W. McDowell, M.B. M.S., Edin.; G. B. Sweet, M.8., M.S. Syd.; Constance Frost, M.8., B.S. N.Z.; J. Hardie Neil. M.8., Ch.B. N.Z., M.R.C.S. Eng., L.R.C.P. Lond.; J. C. Pabst, M.D.. B.S. Melb.; H. W. Goldstein, M.8., B.S. Lond. Dental surgeon —Mr. Charles Bennett. Stipendiary medical staff : Messrs. J. R. Closs, A. Thomson, J. J. Eade. Dispensers : 2. Nursing staff : Matron, Mrs. Kate Alma Wooten, and 17 registered nurses and 60 probationers. Domestic staff : 1 house manager, 3 cooks, 10 housemaids, 2 male nurses, 2 laundresses, 9 porters, 1 gardener, 2 engineers and stokers, 4 charwomen, 2 kitchen hands, 1 housekeeper, 1 messenger. Number of beds available for males, 151 ; for females, 74 ; children's costs, 23 ; isolation and infectious, 31 : total, 279. Average number of patients per diem, 215. Average number of patients to each of nursing staff, 2-7. In-patients—Number of patients on 31st March, 1908, 220 ;. admitted during year, 2,537; discharged during year, 2,311 ; died during year, 225; in hospital on 31st March, 1909, 221. Sex — Male, 1,762 ; female, 995 : total, 2,757. Collective days' stay, 78,680 ; individual average day's stay, 28 ; average daily cost per head, ss. Id.; average daily payment per head, lljd.; average daily cost per head after deducting in-patients' payments, 4s. l|d. ; weekly fee charged for maintenance, £1 15s. Percentage of cost of administration on maintenance-expenditure, 3-5. Localities, broadly, from which patients came: Auckland, 2,539 ; North of Auckland, 51 ; Coromandel, 4 ; Thames, 5 ; Waikato, 17 ; Bay of Plenty, 12 ; Waihi, 2 ; Cook, 3 ; Rotorua, 6 ; King-country, 17 ; Taranaki, 2 ; shipping, 99 : total, 2,757. Nationalities of patients : England, 599 ; Scotland, 175 ; Ireland, 193 ; New Zealand, 1,388 ; Australia, 230 ; America, 35 ; France, 9 ; Germany, 23 ; Austria, 17 ; Denmark, 8 ; India, 9 ; China, 3 ; Norway and Sweden, 24 ; Spain, 4 ; Russia, 3 ; Canada, 4 ; Africa, 5 ; Italy, 5 ; South Sea Islands, 17 ; Syria, 2 ; Switzerland, 4 : total, 2,757. Number of out-patients treated during year, 312 ; number of attendances of such out-patients, 3,223. There is an increase in the expenditure on this institution of nearly £3,000, but 345 more patients were accommodated than last year. The principal items of increased expenditure were —Provisions, £600 ; and salaries, £1,597. Visited on 7th December, 1908, and 6th and 11th April, 1909. Since my last report the Hospital has been much improved by the completion of the new Costley wards, which have been well and suitably furnished, and are provided with conveniences both inside and outside —such as proper storage-room for linen and patients' clothing, so badly needed in the central block. The old fever wards have been painted and cleaned throughout, superfluous woodwork removed, and the sanitary arrangements very greatly improved. Means have also been provided for nurses having their refreshments during duty-hours away from risk of infection from the wards. There have been comparatively few typhoid cases this year. The Costley wards have been thoroughly renovated and cleaned, thus bringing them more on a par with the new wards. Renovation of the basement of the central block is to be put in hand immediately, on plans approved by the Department. Though there are twelve nurses quartered outside the Hospital, the nurses' quarters are very overcrowded. The Board is alive to the need for additions here, and also to the servants' quarters. The old plague building, which was in use for the less serious cases last year during the typhoid epidemic, has been removed from the reserve outside the Hospital grounds. The question of more economical management was thoroughly gone into by the Hospital Board recently, and it is likely that a considerable reduction in expenditure will be effected. The laundry-work done at the Costley Home has been a great source of trouble and dissatisfaction, but will be improved under new arrangements. Dr. Aicken has resigned his position as Superintendent, and Dr. Closs appointed in his stead. 2. WELLINGTON HOSPITAL. Governing body : Wellington Hospital Trustees. Usual date of meeting : Alternate Tuesdays. Secretary : ,}. Coyle (non-resident). Assistants. 2 (both non-resident). All full time. House steward : L. H. Fox (resident). Honorary medical staff : Physicians — C. D. Henry, M.8., 8.C., M.A. Cantab. ; C. M. Begg, M.D., F.R.C.S. Edin.; W. E. Herbert, M.D., F.R.C.S. Edin., L.R.C.P. Lond.; H. E. Gibba, M.8., F.R.C.S. Edin. Surgeons—W. E. Collins, M.B. Lond., M.R.C.S. Eng. ;D. P. James, F.R.C.S. Eng. ; H. C. Faulke, F.R.C.S. Edin.; H. D. McLean. M.8., CM. Edin. Honorary consulting surgeon G. E. Anson, M.D., B.C. Cantab., M.R.C.S. Eng. Honorary consulting physician —H. Adams, M.R.C.S. Eng., L.R.C.P. Lond. Honorary consulting ophthalmic surgeon—H. W. M. Kendal!, M.R.C.S. Eng. Honorary ophthalmic surgeon—G. Harty, F.R.C.S., M.8., B.S. Edin, Honorary dental surgeon —W. H. Didsbury.