Other formats

    Adobe Portable Document Format file (facsimile images)   TEI XML file   ePub eBook file  

Connect

    mail icontwitter iconBlogspot iconrss icon

The Pamphlet Collection of Sir Robert Stout: Volume 67

[Report of the North Canterbury Hospital Board]

page 4

been effected. Insurances on the Hospital have been effected, and steps are being taken towards having the various properties now in the possession of the Board vested therein by deed.

The Board gratefully acknowledges the constant and valuable services rendered by the Honorary Staff in the care of the sick; to the many presents from kind and thoughtful persons for the inmates of the Hospital, and specially to the Belfast Freezing Company for supplying ice whenever solicited.

On assuming control, the Board found it necessary to at once consider the question of building an Operating Theatre. For some time previously this had been very strongly advised by the medical staff, owing to the unsuitable and unsafe condition of the room used for performing operations.

The building is now finished, and for design and completeness in every detail it reflects great credit on the architect, Mr. Seager. As the heating of the operating theatre was to be effected by means of a system of hot-water pipes, it was considered to be a most opportune time for introducing the same, (heat being generated from the same boiler) for heating and ventilating the adjoining (No. 6) men's surgical ward, and supplying hot water for baths. The previous method of heating consisted of two unsightly detached fire-places, which were not only quite inadequate to perform the purpose for which they were intended, but militated somewhat against the free circulation of air. Separate fires were also necessary for heating water for baths. All these works have been carried out in the most successful manner. The pressing want for more accommodation convinced the Board that, as the finances would not at present permit of building a new ward, it would be better to effect such alterations to the old portion, formerly used mostly as a convalescent ward, as would in a measure meet the difficulty.

Accordingly, it was decided to so convert the internal arrangements that it would contain two children's wards, one ophthalmic, one observation, and two convalescent wards, to- page 5 gether with the necessary offices, giving 36 additional beds, thoroughly ventilated throughout, all the old flooring, lining, and plaster being renewed with new material. 102 beds will then be available in the Hospital for ordinary cases, and on completion of an Infectious Diseases Ward, now under construction, a total number of 116 beds.

The principal portion of this work is now approaching completion, and the Board instructed the House Committee to prepare a report of similar alterations to Nos. 4 and 5 wards, with regard to heating and ventilating as were carried out in No. 6 ward. This has not yet been sent in, and is therefore a work which this Board may fairly recommend to the consideration of the new Board, together with the urgent necessity of erecting a new kitchen, and, connected with the laundry, a drying closet. The want of the former has been of long duration; for years past it has been brought under the notice of the Government constantly: the building is in a deplorable state of decay, and in a great degree devoid of those conveniences so necessary in carrying out satisfactorily the duties devolving upon the occupants thereof. With regard to the latter, an improved system of drying is indispensable before the advent of next winter; the powers of the laundresses were taxed to the uttermost in keeping up the supply of dry linen during the last wet weather, and an increase of washing must be expected with increased accommodation.

The Government having voted £1000 towards building an infectious diseases ward, a tender for the erection thereof has been accepted for the sum of £1543.

Attached to this is the statement of the receipts and expenditure for the twelve months ending 31st March, 1887, classified, of contracts for alterations and new buildings; also a comparative statement of ordinary expenditure between the last two annual returns and the present. By reference to the Statement of Receipts and Expenditure of Christchurch Hospital page 6 it will be seen that, with regard to ordinary expenditure, a considerable saving has been effected under each head, with the exception of drugs and printing; the former is probably due to the increase of patients, the latter to the complete renewal of office books, voucher forms, printing by-laws, &c. Of the last there is no corresponding item with which to form a comparison. Until the present Board took office, wages for men employed at daily labour about the grounds were paid by the Charitable Aid Board, and were not included in Hospital expenditure.

It will be seen that the amount of expenditure for Christchurch Hospital for the twelve months has been, for ordinary purposes £5098 16s. 2d., that for permanent works on contracts completed £2288 14s. 4d.; payments on account of uncompleted contracts, £750; and Architect's fees in connection therewith, £102 3s. 0d.; being £3140 16s. 7d.; and with regard to the latter it may be necessary to explain that the Hospitals and Charitable Institutions Act, 1885, came into operation on the 1st October of that year, from which date the contributions from the various local authorities were levied, the Government, however, in order to enable the Boards to more readily perform their functions, made provisions for the payment of all expenditure up to the 1st December: by so doing the Board became possessed of an amount equal to two months' expenditure, which, added to that already voted for permanent works and decrease in ordinary expenditure, enabled the Board to more effectually carry out those most necessary improvements.

Additional land having been granted for building a Fever ward, it was found necessary to clear and level it: doing this and the ordinary work about the grounds has absorbed the principal portion of the amount set down to wages account.

It must not be forgotten that the latter four months of the year ending 31st March, 1886, was carried on under the provisions of the new Act, by the Board, elected in accordance therewith, so that a comparison of the expenditure between the administration of the Government and the Board can only be made by comparing the years 1885 and 1887.

page 7
The number of patients in the Hospital on March 31st, 1886, was 73
Admitted from April 1st, 1886, to March 31st, 1887 542
Discharged during that period 486
Deaths 59
Remaining in Hospital March 31st, 1887 70
The daily average number was 70

The receipts from patients for maintenance fees were £369 10s. 3d., as against £334 2s. 3d. and £354 6s. 6d. for the years quoted in comparative table.

The average daily cost of each patient, excluding cost for permanent works, has been 4s., but deducting the item wages, in order to form a comparison with former years, this would be reduced to 3s. 8d., as against 4s. 8¾d., (1885), and 4s. 3d., (1886), respectively, as per table.

The total number of out-patients treated at the Hospital during the year was 2547, viz., 1130 males and 1417 females.

There were also 131 cases of accidents treated which were not admitted to the wards.

Akaroa Cottage Hospital.
In Hospital March 31st, 1886 3
Number admitted from April 1st, 1886, to March 31st, 1887 26
Discharged during that period 26
Remaining in Hospital on March 31st, 1887 3

The receipts for the year have been £14 5s., as against £31 7s. and £35 8s. for previous years.

The expenditure was £402 3s. 7d., as against £415 19s. 1d. and £391 4s. 10d.

Casual Ward, Lyttelton.
Number admitted for the year 5
Discharged for same period 5
Receipts, nil; expenditure, £71 5s. 9d.
page 8
Return of out-Patients.
Males. Females. Accidents treated but not admitted to wards.
April 58 118 11
May 65 95 10
June 78 93 8
July 127 146 8
August 157 187 10
September 123 158 12
October 126 151 14
November 111 102 19
December 97 117 12
January 90 107 6
February 43 58 20
March 55 85 10
1130 1417 131
page break
Expenditure. Year ending 31st March, 1885 Year ending 31st March, 1886 Year ending 31st March, 1887 Difference between 1885 and 1887 Increase. Decrease. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. Salaries ... ... ... ... 1593 4 1 *1705 5 3 1429 17 2 163 6 11 Provisions ... ... ... 1665 4 6 1592 17 0 1219 12 8 445 11 10 Fuel ... ... ... ... 329 0 0 270 14 6 284 9 2 44 10 10 Gas ... ... ... ... 260 2 6 250 8 3 253 14 0 6 8 6 Bedding and Stores ... ... 272 0 9 274 17 9 108 11 8 163 9 1 Drugs and Instruments ... ... 470 8 1 473 9 0 500 12 11 30 4 10 Printing, Stationery, and Advertising 12 16 7 63 12 9 87 9 8 74 13 1 Medical Comforts ... ... 309 11 3 185 8 3 149 6 1 160 5 2 Burials ... ... ... ... 29 15 0 30 15 6 17 13 0 12 2 0 General lien airs and Furnishing ... 637 2 1 481 3 4 323 9 0 313 13 1 Incidental Expenses ... ... 140 7 6 172 6 4 144 5 10 3 18 4 Totals ... ... £5719 12 4 £5500 17 11 £4519 1 2 £108 16 3 £1309 7 5 Wages .. ... ... ... 130 4 6 574 15 0 108 16 3 £5631 2 5 £5093 16 2 £1200 11 2 Daily average of patients. 65 69 70 * In this item Carpenter's wages, for twelve months, are included.

Comparative Statement

Of the Annual Expenditure, for ordinary purposes, classified for the three years ending respectively 31st March, 1885, 31st March, 1886, and 31st March, 1887.

page break
Receipts. To Contributions From Local, Authorities. Counties— Akaroa ... ... £89 16 6 Amuri ... ... 60 13 8 Cheviot ... ... 36 17 1 Kaikoura ... ... 25 18 2 £213 5 5 Road Boards, (Ashley County) Ashley ... ... 26 14 9 Kowai ... ... 46 18 2 Mandeville & Rangiora 50 12 0 Amberley Town District ... ... 2 16 2 127 1 1 Counties— Akaroa ... ... 91 17 5 Cheviot ... ... 75 7 8 Selwyn ... ... 800 0 0 967 5 1 Boroughs— Christchurch ... 624 7 1 Sydenham... ... 133 14 4 St. Albans ... ... 97 3 9 Lyttelton ... ... 73 16 0 Rangiora ... ... 26 10 4 Kaiapoi ... ... 17 19 9 Akaroa ... ... 11 2 6 984 13 9 Road Boards, (Asniey County) West Eyreton ... 33 1 4 Cust ... ... 29 1 5 Eyreton ... ... 74 14 1 Waipara ... ... 193 14 9 Oxford ... ... 40 0 0 Mandeville & Rangiora 103 9 11 Amberley Town District ... ... 5 15 0 479 16 6 Contribution of Akaroa County to United Chaitable Aid Board (year ending 31st March, 1886) ... ... 252 12 11 Maxwell Bequest ... 1000 0 0 Interest " ... 50 0 0 1050 0 0 Donations ... ... 37 4 0 Maintenance Fees paid by Patients ... ... 369 10 3 Subsidy on Contributions (Local Bodies) ... 3990 13 6 Subsidy " Maxwell Bequest 500 0 0 " " Donations ... 43 8 10 Grant Fever Ward ... 1000 0 0 " Childrens' Ward ... 20 0 0 Refund Wages, Charitable Aid Board ... ... 44 14 6 Contract Deposits ... 30 0 0 Balance overdraft (Colonial Bank, New Zealand) 164 9 8 £10274 15 6 Liabilities. £ s. d £ s. d. Colonial Bank, New Zealand, Cheque No. 526 ... ... 4 16 3 Overdraft Colonial Bank ... ... 159 13 5 Contracts uncompleted addition 1 and 2 Wards ... ... 195 10 0 Infectious Diseases Ward 1143 0 0 Heating and Ventilating 4 and 5 Wards ... ... 489 0 0 Alterations 1 and 2 Wards 28 0 0 Extra work in connection with uncompleted contracts ... ... 50 0 0 1905 10 0 Architects Fees ... ... 150 0 0 Outstanding Accounts, Ordinary expenditure for March, 1887 ... ... 500 0 0 Balance ... ... ... 370 18 5 £3090 18 1 Audited, and found correct Expenditure. By Overdraft, (April 1st, 1886) ... ... £127 19 9 " Salaries ... ... £1429 17 2 " Wages ... ... 574 15 0 " Grocery ... ... 505 18 9 " Meat ... ... 367 18 5 " Milk ... ... 178 7 10 " Bread ... ... 105 0 3 " Drugs ... ... 500 12 11 " Medical Comforts ... 149 6 1 " Coal ... ... 284 9 2 " Drapery ... ... 73 8 3 " Hardware ... ... 35 3 5 " Furnishing ... ... 213 12 11 " Repairs ... ... 109 16 1 " Fish and Poultry ... 50 0 9 " Vegetables ... ... 12 6 8 " Printing and Advertising ... ... 76 12 8 " Interments ... ... 17 13 0 " Insurances ... ... 57 10 0 " Legal Expenses ... 8 10 5 " Travelling Expenses ... 7 0 0 " Sundries ... ... 51 5 5 " Imprest ... ... 20 0 0 " Stationery ... ... 10 17 0 5093 16 2 Contracts, Permanent Works Completed Operating Theatre ... 691 9 4 Heating and Ventilating No. 6 Ward, and heating Operating theatre ... 306 2 5 Plumbing and Painting No. 6 Ward 60 14 6 Alterations and Repairs 1 & 2 Wards 649 10 0 Lavatories and Closets, 1 & 2 Wards 360 9 0 Plumbing 1 and 2 Wards ... 220 9 1 2288 14 4 Contracts— Uncompleted additions to Nos. 1 and 2 Wards ... 100 0 0 Infectious Diseases Ward 400 0 0 Heating and Ventilating 4 and 5 Wards 250 0 0 750 0 0 Architect's Fees ... 102 3 0 Charitable Aid Board— Akaroa County Contribution) ... 252 12 11 Contract Deposits Refunded 46 0 0 Akaroa Hospital— Salaries ... ... 131 5 0 Grocery ... ... 55 18 4 Meat ... ... 26 14 11 Coal ... ... 33 12 3 Drugs ... ... 77 7 9 Medical Comforts ... 20 10 0 Bread ... ... 13 18 5 Milk ... ... 28 4 2 Sundries ... ... 14 12 9 402 3 7 Casual Ward— Lyttelton ... ... 71 5 9 Maxwell Bequest Fixed Deposit ... ... 1050 0 0 Bal. per Bank Pass Book £159 13 5 Outstanding Cheque, No. 256 ... 4 16 3 Balance per Cash Book 164 9 8 £10274 15 6 Assets. £ s. d. £ s. d Contributions due by Local Authorities, year ending 31st March, 1887. Counties— Amuri ... ... ... 124 2 7 Kaikoura ... ... 53 0 0 Akaroa ... ... 91 17 5 Selwyn ... ... 507 2 4 776 2 4 Road Boards— Ashley ... ... 54 13 9 Oxford ... ... 41 19 0 Kowai ... ... ... 95 19 0 192 11 9 Subsidies on Contributions due 968 14 1 " " " received 103 9 11 Maxwell Bequest ... ... 1000 0 0 " Interest ... ... 50 0 0 1050 0 0 £3090 18 1 A. H. Maclean 6th June, 1887. Inspector of Audit, W. M. Miller, Treasurer.

North Canterbury District Hospital Board.

Balance Sheet from 31st April 1886, to 31st March, 1887.