every attendant, within three days of the commencement and cessation of duty. A copy of every such entry shall be transmitted to the board within the same three days. 10. A Case Book, kept by the medical officer, in which shall be entered an account of the physical condition of every patient, founded on medical examination, made whenever possible immediately after admission, and in which the history of every patient shall from time to time be recorded, an entry being made by the medical officer soon after admission and at least once every six months thereafter. In every case a copy of the report of the first examination shall be transmitted to the board by the Governor within three days after the admission of the patient; but whenever any evidence of injuries, or previous neglect or maltreatment, is apparent, the notice shall be sent immediately. 11. A Medical Attendant's Book, in which medical officers who are nonresident shall record their visits to the wards, with any remarks which may be thought desirable on the conditions of the wards and the treatment of the patients. 12. A Book, kept by the Governor, recording investigations into complaints of ill-usage and reports of the forcible control or compulsion of patients by attendants when they relate to occurrences not calling for record in the register of accidents. 2. Exchequer Contribution Grant. CONDITIONS AND INSTRUCTIONS TO BE OBSERVED IN THE DISTRIBUTION OF THE CONTRIBUTION TO THE COST OF MAINTENANCE OF PAUPER LUNATICS, APPROVED BY THE SECRETARY FOR SCOTLAND, JUNE 10, 1890. 1. The cost of the maintenance of any pauper lunatic shall be deemed to be the amount which has been actually paid out of the rates for the maintenance of such pauper lunatic during the year or portion thereof during which he was chargeable, under deduction of the sums recovered or recoverable from relatives and other sources. 2. Payments for certificates, or for quarterly visits under the Lunacy Acts, or for removals to and from places of detention, are not to be included in the cost of maintenance, and any claim in respect of such payments will be disallowed. 3. If the expenditure on maintenance has been in excess of 8s. per week, no claim will be admitted in respect of the excess, but the expenditure on which the parochial board* will be allowed to claim will be limited to 8s. per week. 4. When the claims have been audited and the total expenditure on which the contribution from the Local Taxation (Scotland) Account is to be distributed has been ascertained, the contribution will be divided among the various parochial boards* who have established their claims at such rate per £ as will exhaust, or as nearly as may be exhaust, the whole amount of the contribution. 5. No claim on account of any pauper lunatic will be recognised unless the certificate from the General Board of Lunacy is to the effect that, in their opinion, the lunatic has been necessarily detained and properly cared for in the place in which the said lunatic has been maintained. 6. All claims, without exception, must be made in the subjoined form. 7. The pauper lunatics are to be entered in the subjoined form in the class to which they belong:-Class I., those in which the net cost to the parochial board* has been 8s. and upwards per week; and Class II., those in which the net cost has not amounted to 8s. per week. In the case of a lunatic who has been chargeable in both classes, the name will be entered in each class with the same number. 8. The inspector of the parish in which a pauper lunatic has his admitted settlement at 14th May, 1890, will enter the name of the pauper lunatic in the claim. Accounts between *Now Parish Councils or Council, as the case may be. parishes as to the cost of maintenance of any pauper lunatic should be finally adjusted and settled before the case is included in the claim. If the settlement of the pauper lunatic has not at the above date been determined, the claim will be made by the inspector of the relieving parish. 9. When a pauper lunatic has been detained in more than one place during the year, the name of each place in which he has been detained must be stated in a separate line under columns 2 or 9 (as the case may be), and the other columns filled up with reference thereto. 10. The inspector of poor will enter in columns 4 or 11 (as the case may be) the number of complete weeks during which the pauper lunatic has been chargeable. Fractional parts of a week will be omitted, and the year will be held to consist of 52 weeks. 11. In the case of pauper lunatics residing in private dwellings, receipts from the persons with whom they are boarded for the payments made by the parochial board* on account of the pauper lunatics must be furnished. A statement showing separately and specifically the amount paid for aliment and for clothing, &c., should be transmitted along with the vouchers, The weekly cost in columns 5 or 12 (as the case may be) will include aliment, clothing, &c. 12. In the case of pauper lunatics in parochial asylums and in the licensed wards of poorhouses, belonging to parishes to which the lunatics are chargeable, the weekly cost per head will be determined by the annual return made by the governor or treasurer to the Board of Supervision, † and the weekly cost per head will be intimated by the governor or treasurer to the inspector or inspectors of poor of the parish or parishes to which the poorhouse belongs. In the case of parishes boarding paupers in these institutions by agreement, the actual rate paid will be entered in the claim. 13. A certificate of rates of maintenance in district asylums, and of rates paid for boarders in royal, district, and parochial asylums, and licensed wards of poorhouses, will be furnished by the General Board of Lunacy, and vouchers relating to payments in such cases need not therefore be transmitted, but in the case of paupers in institutions for imbeciles, receipts from the treasurer must be forwarded to the Board of Supervision.t Approved by the Secretary of Scotland, 10th June, 1890. * Now Parish Councils or Council, as the case may be. |