ABSTRACT

A brief outline has been given of the work in the wards and the need for a methodical approach there, in diagnosing and treating the patients, but the number of patients that can be dealt with in the wards is very small in comparison with the number of elderly people in the area who may have indifferent health. Throughout the country out-patient attendances by the chronic sick and geriatric patients are counted in thousands, whereas the attendances for general surgery, to take an example, are counted in millions. Brief statistics indicating this are as follows (Report of Ministry of Health 1 ):

In-patients department Medicine Chronic sick General surgery
Staffed beds allocated 33 669 57 641 34 059
Average daily bed occupation 32 842 56 254 33 198
Discharges and deaths 519 448 118 457 807 863
Average duration of stay 20·8 164·4 13·2
Waiting list at 31 December 8 553 10 626 131 215
Out-patients
Annual number of clinical sessions 127 456 3881 115 681
New out-patients 633 212 7676 885 146
Total attendances 2 683 822 39 200 2 901 347
More recently on December 31 1969 the beds available were 31 299 47 637 31 171
In 1973 (Ref. Health and Personal Social Service Statistics 1974, page 2), the total Out-patient attendances in thousands were:
Medical 10 961
Geriatric 187
Surgical 20 714