MEDICAL DEPARTMENT. 209 



payment of a shilling ; and the medicine ordered can be procured 

 at certain appointed shops at a reduced rate. 



Persons applying for advice without certificate are regarded 

 as private patients. 



In the case of paupers and others unable to pay, the medical 

 officer will visit on the order in writing of the warden, and will 

 be entitled to payment from the ward funds of a single fee of 

 4s. per visit, with Is. mileage allowance. 



He is responsible for attending, whether prepaid or not, in 

 any case of extreme urgency, or on the summons of any warden, 

 magistrate, or police officer. 



Similar provisions have been made for the boroughs of Port- 

 of-Spain and San Fernando. Let me observe that the certificate 

 from the warden is not always easily obtainable, as he may reside 

 several miles from the patient's residence ; and many find it too 

 inconvenient or too tiresome to walk several miles to obtain the 

 necessary document. Thus the good intentions of the Govern- 

 ment may be defeated. The only remedy that I can discover is 

 the following : — Let a list of all the paupers in each ward be 

 prepared, and left at the different places appointed for giving 

 advice ; the list should be revised every year. There cannot be 

 much difficulty in doing this. I would also suggest the forma- 

 tion of categories, in which to include all those who might be 

 considered as poor — for instance, of people residing on estates, or 

 day labourers, assistant masons and carpenters, &c. 



Surgeon-General, £1,000 ; twenty-three medical officers, £300 

 each : £6,900 ; three supernumeraries, £900. Resident-surgeon, 

 Colonial Hospital, £200 ; senior assistant, £50. Resident- 

 surgeon, San Fernando Hospital, £200. Medical officer of ship- 

 ping, &c, £150. Medical officer, lunatic asylum and gaol, 

 £200. Medical officer, leper asylum, £150. Consulting surgeon, 

 San Fernando Hospital, £100. Surgeon to Chaguanas depot, 

 £50. Total, £1,100. For several medical officers for residence 

 and houses, £1,925. Personal allowance to seven medical offi- 

 cers, as compensation, £950. Total, £12,175. 



Hospitals. — Colonial Hospital : dispenser, £200 ; assistant, 

 £100 ; clerk, £200 ; assistant, £50 ; stewards and issuer, £195 ; 

 matron, £150; superintendent of nurses, £248 15s.; sixteen 

 nurses, £680 10s. lid. ; six supernumerary, £195 ; other inferior 

 'employes, £742 : total, £2,761. 

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