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COMMITTEE OF MANAGEMENT. HALF-YEARLY MEETING. NEW VISITING BYE-LAW. THE FINANCES OF THE INSTITUTION. THE NEED OF INCREASED SUBSCRIPTIONS. A half-yearly meeting of the Committee of Management of the Tenby Cottage Hospital was held in the Charity Trustees' Room, St. George Street, at noon last Saturday, when there were present—Mrs C. F. Egerton Allen, Mrs Voyle (The Norton), Miss Emily Edwards (Brython), Miss Evans (St. Mary's House), Mr Edward Laws, J.P., Mr Robert Lock, M.A., Mr J. F. C. Burgess, the Rev. Benjamin Lewis (Presby- terian), the Rev. G. C. Clarke (Wesleyan), and Mr G. E. Mainland (lion. sec. and treasurer). On the proposition of Mr Lock, seconded by the Rev. B. Lewis, Mr Laws was voted to the ohair. Letters expressing regret at inability to at- tend the meeting were read from Mr C. F. Egerton Allen, J.P., and the Rev. T. Erasmus Gravell (Cold Inn). The minutes of the last half-yearly meeting (held on Saturday, April 17th) having been read and confirmed, Mr Mainland submitted the financial state- ment from April 1st to September 30th, from which it appeared that for the last six months the total receipts of the institution from all sources had been £224 17s. 4 £ d., as compared with £205 3s. 3 £ d. during the corresponding period of last year, while the expenditure had amounted to J3198 12s. 2^d. as against J3164 13s. Id. for the same period of 1908. The re- ceipts had thus increased by jS19 14s. Id., and the expenditure by J355 19s. l^d. The debit balance was thus £14 5s. 0 £ d. Analyzing the receipts, Mr Mainland pointed out that the subscriptions had increased by £9; congrega- tional collections, B2; entertainments, £24; and Linen and Bed Fund, £7; total, £24. The decreases were donations, £11; patients' payments, £1; alms boxes, Sl auction sale, £6; and Hospital Saturday, j35 total, £22; thus leaving a nett increase of £20. In the matter of expenditure, there had been an in- crease of £6 for provisions J314 for medicine, etc. £1 domestic; jSl garden £9 repairs; £9 salaries and wagea while the only decrease had been that of £6 in the Linen and Bed Fund expenditure, the nett increase being J354. The number of subscribers to the hospital on the register on January 1st last was 147, con- tributing B128 38., compared with 144, contri- buting B124 2s. on the corresponding date of the previous year. During 1909 there had been five new subscribers, bringing in an additional £32s. 6d., while four subscribers had increased their subscriptions by 16s. 6d. and one de- creased by 10s. 6d., the nett increase being thus 6s. During the year seven subscribers had either left the town or died, their contri- butions totalling £6 3s. Up to September 30th 108 subscribers had paid J3101 10s. 6d., leaving 37 to pay JB25 18s. With regard to the large increase in the medicine bill, Mr Mainland pointed out that this was more apparent than real, as the account had come in later this year. The repairs item was increased by the expense of exterior painting. A return of the patients was then presented by Mr Mainland, from which it appeared that on April 1st last there were six patients in the hospital as compared with five on the corres- ponding date last year. Thirty-one had been admitted since as against 35, so that altogether 37 had been under treatment during the past six months, as against 40 last year. Thirty had been discharged, nunQ had died, and seven re- mained. During the last six months there were no dental cases. The total number of days spent in the hospital during the last six months was 966, represented by 686 for 29 paying patients, and 280 for eight free patients. Compared with the same period of last year these figures showed a marked increase, 40 patients spending only 754 days in the institu- tion. Mr Mainland, in explanation of the in- crease of over 200 days, said they had had to deal with some very serious and tedious cases during the past half-year, one case of appen- dicitis remaining under treatment for 116 days. This increase in the duration of time accounted for the increased expenditure already referred to. There had been 15 surgical cases as against 11 last year. Mr Mainland said that in consequence of these serious cases there had been a heavy bill for extra nursing. Sister Lloyd was very hard worked indeed, and was obliged to have a nurse in for about six weeks, the bill amounting to j312 6s. In view of this he (Mr Mainland) applied to their old friend, Mr Clement Williams, asking if he could give them any help, and in answer to this he wrote enclosing a cheque for ten guineas. (Applause.) At the same time Mr Williams expressed the opinion that an effort should be made by some of the subscribers to give a little more by increasing their subscriptions. The next business on the agenda was the revision of the bye-law relating to visitors to patients. Mr Mainland, in bringing the matter forward, said it had been found, now that the hospital was so much more used, the the rule for the admission of visitors and friends to patients was much too lax. At present people were allowed to visit patients every week day from three to four and from six to seven, and on Sundays from three to five. When there were a number of patients in the hospital, seven, eight, and nine beds being occupied some weeks, it had been a very great strain on a very small staff; and the medical staff had brought this matter under his notice. He had looked into the rules of other similar hospitals at different places, and found that none of them allowed visitors on every day of the week the average was about two days during the week and Sundays. It was now suggested in regard to the Tenby Cottage Hospital that three days in the week, Tuesday, Thursday, and Saturday, between the hours of three and four and six and seven, and from three to five on Sundays, should be available for visitors. The Chairman, in formally proposing that the bye-law with regard to visitors to the hospital to see patients should be altered in accordance with the terms put before the meeting by Mr Mainland, said that, of course, a lot of tramping in and out meant a lot of work for the servants to keep the hospital clean and as they were all aware it was absolutely necessary that a hospital should be kept perfectly clean. The more trampling in and out there was the more dirty boots which added enormously to the labour of those who had to do the work of keeping the place clean. He proposed that the hours of visiting should be altered—three to four and six to seven on Tuesday, Thursday, and Saturday, and from three to five on Sundays. Even with this alteration the visiting time wottld be very much more liberal than any of the other hospi- tals which Mr Mainland had named Abingdon, Llandudno, Axminster, Evesham, etc. Mr Lock seconded, and in doing so said he agreed with Mr Laws that a great deal of extra work was brought upon the staff by people tramping in and out. He thought that the wish of the doctors in this matter should be acceded to. The Rev. B. Lewis—Would that apply to ministers visiting sick patients 1 Mr Mainland replied in the negative, and added that ministers of religion could visit patients at any time and at all times. The Rev. G. C. Clarke, in supporting the resolution, said he considered it a very reason- able move. The Chairman suggested that perhaps it would be as well to add to the proposition that the clergy and ministers would be free to visit patients at any time. Mr Mainland did not think this necessary, as there was already a rule abont it. The Rev. G. C. Clarke-I think that is gene- rally understood in every institution. Mr Mainland—Patients have the utmost reli- gious liberty and can be visited by ministers whenever desired. -0_ The resolution was then put to the meeting and carried unanimously. The Rev. G. C. Clarke said he wished to say how altogether thankful they were as well as delighted with the regular working of the hos- pital. It was a joy to him in hisJiumble minis- trations, now and again, to find everything in such good order and the patients so well cared for. For this state of things great thanks were due to the members of the House Committee and especially to their wonderful nurse. (Hear, hear.) The Chairman, referring to the services rendered to the hospital by Mr Mainland, said he (the speaker) had so often impressed upon them the thankfulness they ought to feel to their friend that it was becoming almost tire- some, but he did not think it was possible for them to get a better man than they had got as hon. secretary. (Applause.) Mr Mainland spent the whole of his time—morning, noon and night— in doing almost the best work that a man could do, and he (Mr Laws) was sure that they all felt most thankful to him—they as committee men the patients and the town of Tenby. (Applause.) Mr Mainland said he was very much obliged for the kind remarks of the chairman. It was a great pleasure to him to do what he was doing, and he hoped to continue as long as he was spared and given health and strength to carry on the work. At the same time he must say that the good regular working of the insti- tution was not so much due to him as to Sister Lloyd and the doctors who saw after every- thing. (Applause.) Every praise was due to the Sister and the medical staff for the great care and time they gave to the institution. Everyone who had been a patient said how pleased and grateful they were at the treatment received and he instanced the case of a little boy who upon the first night he left the hospital cried to return to go to bed there. A vote of thanks to Mr Laws for presiding was proposed by Mr Mainland, seconded by Mr Lock, and carried with acclamation. The Chairman, in acknowledging the vote, said that in the working of a little hospital like their's it followed on the lines of the bigger ones if it kept up to date. The appliances for patients were increased very much, and as a consequence the expenditure was increased aud therefore they must all try and meet the new demands on them. Mr Mainland«had pointed out the drugs bills, which had enor. mously increased, the doctors requiring new appliances which were never dreamt of before. They had had operations which wore never an- ticipated when the little hospital was built. As a consequence of all this the expenses of the institution had largely increased, and although their friends in Tenby and neighbourhood had been very good, it was for them to see if they could get them to increase their subscriptions. In the course of a desultory discussion on the subject of ways and means, Mr Mainland remarked that the regular sub- scriptions represented about one-third of what might be called the endowment income of the hospital the remaining 66 per cent. was ob- tained from casual collections. Mr Lock thought that before they separated they should pass a vote of thanks to all those who had contributed an aggregate sum of over j370 this year on behalf of the hospital. This large sum had been realized by the Hospital Saturday Collection, the Royal Strolling Players (B8 11s. 3d.), Mr John Studt (£12 13s. 6d.), Mr Thomas Jones's fishing competition (£2 4s. 10d.), Mr F. B. Mason (auction sale), etc. Mr Mainland said that they could not have done without this assistance. Mr Lock formally proposed a vote of thanks to all who had in any way assisted in contri- buting the different sums mentioned. The Chairman had much pleasure in seconding the vote which was carried unanimously. Mr Mainland said the expenditure of the in- stitution for the half-year had been JB198. Mr Lock enquired whether they seemed to get any new subscribers locally. Mr Mainland replied in the negative, and said that the present number was less on January 1st. He mentioned that every year he sent the report and a pleading circular round with a view of getting addititional sub- scriptions. Tho Chairman "aid thai tho population of Tenby was very small, and that was the diffi- culty about getting extra subscriptions. The people were generous enough, but the popu- lation was so small to collect from. Mr Lock remarked that they did not go very far into the county. The Chairman—Much further than we did and we get more assistance than we did. A vote of thanks to the chairman closed the meeting.






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