the services

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1184 THE SERVICES.—SCOTLAND THE SERVICES ROYAL NAVAL MEDICAL SERVICE Surg. Rear-Admiral P. Pick to Pembroke for R.N. Hosp., Chatham, and as Medical Officer in Charge. Surg. Rear-Admiral W. W. Keir, C.M.G., has retired at his own request on relinquishing the command of the R.N. Hospital at Haslar. Surg. Rear-Admiral Keir was the senior odicer of his rank on the active list and entered the Navy on Nov. 8th, 1898, and served with distinction in the war. In 1928-30 he was in charge of the naval hospital at Hong-Kong. Consequent on the vacancy thus occurring, Surg. Capt. F. J. Gowans, senior medical officer in the hospital-ship Maine, has been promoted to Surg. Rear-Admiral. He joined the Navy in November, 1903, and served as staff surgeon in the Queen Mary, Challenger, and Albion. From 1928 he was surgical specialist at Haslar Hospital and became Surg. Capt. in December, 1929. Surg. Capt. F. J. Gowans, M.B., to rank of Surg. Rear- Admiral. Surg. Comdrs. W. H. Murray to President for course ; and M. B. Devane to Keith. Surg. Lt.-Comdr. (D) T. E. Breveter to Victory for R.M. Infirmary, Eastney. Surg. Lt.-Comdr. D. C. Drake to Drake for Plymouth Hospital. Surg. Lt. D. G. Yendoll to Pembroke for R.N.B. Surg. Lt. W. S. Davidson, short service engagement terminated. ROYAL NAVAL VOLUNTEER RESERVE Surg. Comdr. W. F. W. Betenson to St. Vincent. Surg. Lt.,H. L. Hoffman promoted to Surg. Lt.-Comdr. Surg. Lts. J. N. Matthews to Nelson; C. Seeley to Curacoa ; and G. H. Sellers to Tiverton. Proby. Surg. Sub.-Lt. P. H. K. Gray to Rodney. ROYAL ARMY MEDICAL CORPS Short Serv. Commissions.-B. d’Epinay Barclay to be Lt. (on prob.). REGULAR ARMY RESERVE OF OFFICERS Lt.-Col. P. Dwyer, M.C., having attained the age limit of liability to recall, ceases to belong to the Res. of Off. TERRITORIAL ARMY Lt. E. F. S. Morrison to be Capt. K. G. W. Saunders (late Offr. Cadet, Univ. of Lond. Contgt. (Med. Unit), Sen. Div., O.T.C.) to be Lt. G. 0. Gauld (late Offr. Cadet, Cambridge Univ. Contgt., Sen. Div., O.T.C.) to be Lt. R. D. Forsyth (late Offr. Cadet, Glasgow Univ. Contgt., Sen. Div., O.T.C.), to be Lt. ROYAL AIR FORCE Flight Lt. J. S. Carslaw is granted a permanent com. mission in this rank. Flight Lt. 0. S. M. Williams to Air Armament School, Eastchurch. INDIAN MEDICAL SERVICE The undermentioned appts. have been made:- A.D.M.S.-Col. R. E. U. Newman, O.B.E., M.C., M.B., Brit. Serv. D.A.D.P.-Capt. A. T. H. Marsden, M.D., R.A.M.C. Majs. to be Lt.-Cols.-A. H. Shaikh, R. M. Kharegat, and J. C. Pyper, O.B.E. The appts. of the undermentioned officers are con. firmed :— Lts. (now Capts.).-B. F. B. Russell, R. L. H. Minchin, W. G. Kingston, J. Edis-Myers, R. de Soldenhoff, C. J. Hassett, R. R. Prosser, E. Parry, W. G. Kennedy, and P. I. Franks. The undermentioned appts. are made:- To be Lts. (Temp. Commns.).-Harbans L. Khosla, Nisar Mohammad Durrani, Suraj Prakash Wanchoo, Sharad Chandra Misra, and Shri Rameshwar. The undermentioned officers have vacated appts.:- A.D.M.S.-Col. G. A. D. Harvey, C.M.G., V.H.S., Brit. Serv. D.A.D.P.-Maj. A. D. Loganadan, I.M.S. COLONIAL MEDICAL SERVICE Dr. N. J. Dias has been appointed Government medical officer, British Guiana, and Dr. T. A. Redhead and Dr. J. E. Ross medical officers, Grenada. Dr. J. R. Forde becomes senior medical officer, Gold Coast; Dr. J. H. Pottinger senior medical officer, Palestine ; Dr. A. M. W. Rae senior medical officer, Gambia ; Dr. C. F. Deutrom superintendent and quarantine medical officer, Mandapam, Ceylon ; and Dr. S. T. Gunasekera deputy director of medical and sanitary services, Ceylon. SCOTLAND (FROM OUR OWN CORRESPONDENT) VOLUNTARY HOSPITALS Prof. J. M. Munro Kerr, president of the Royal Faculty of Physicians and Surgeons of Glasgow, in an address on hospital development delivered last week, said that sooner or later voluntary hospitals would be faced with the problem of paying their surgical and medical staffs. Medical men as well as many members of the general public felt that it would be very unfortunate if the voluntary hospitals ceased to exist as entities. Hospital development was in a state of evolution, and it was difficult to foretell how the position of the voluntary hospitals and those under the control of local authorities would be affected. It appeared to many people that the only way by which the identity of the voluntary hospitals can be preserved is an expansion of the paying block system. The Victoria Infirmary was an example of successful development along these lines, and the Glasgow Royal Infirmary was embark- ing on a similar scheme. This would have the effect of removing the less efficient nursing-homes of which there are a great number. It was now difficult for young men to specialise because hospital appoint- ments are unpaid, and Prof. Kerr had heard recently of promising young specialists who had been obliged to give up on account of this difficulty. In some hospitals two-thirds of the running costs were paid by the paying block, and he believed that the large voluntary hospitals could in this way be made almost self-supporting, while the physicians and surgeons would be satisfied with the arrangement. For the past 10 or 15 years many medical men had been trying to impress upon directors of voluntary hos- pitals that this would be their salvation. If the developments they advised were carried out, he thought that the voluntary hospitals would be in such a strong position that there would be no danger of the local health authorities taking control of them. HOURS OF ASYLUM STAFF The Fife Joint Asylum committee last week decided to recommend that the hours of duty of the staff at Springfield Asylum should be reduced to 48 per week. The application for a reduction in hours was made by the Mental Hospital and Institutional Workers’ Union, and the report submitted showed that the staff at present have a 12-hour day and a 60-hour week. The proposed alteration was sup- ported by the medical superintendent. The recom- mendation will entail an additional cost of nearly 3500 per annum, and the nurses’ home will have to be extended. The 65,000 hospital extension scheme at the asylum has been agreed to, and at a meeting of the committee on May 8th it was decided to obtain competitive plans for the work.

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1184 THE SERVICES.—SCOTLAND

THE SERVICES

ROYAL NAVAL MEDICAL SERVICE

Surg. Rear-Admiral P. Pick to Pembroke for R.N.Hosp., Chatham, and as Medical Officer in Charge.

Surg. Rear-Admiral W. W. Keir, C.M.G., has retiredat his own request on relinquishing the command of theR.N. Hospital at Haslar.

Surg. Rear-Admiral Keir was the senior odicer of his rankon the active list and entered the Navy on Nov. 8th, 1898, andserved with distinction in the war. In 1928-30 he was incharge of the naval hospital at Hong-Kong. Consequent onthe vacancy thus occurring, Surg. Capt. F. J. Gowans, seniormedical officer in the hospital-ship Maine, has been promotedto Surg. Rear-Admiral. He joined the Navy in November,1903, and served as staff surgeon in the Queen Mary, Challenger,and Albion. From 1928 he was surgical specialist at HaslarHospital and became Surg. Capt. in December, 1929.

Surg. Capt. F. J. Gowans, M.B., to rank of Surg. Rear-Admiral.

Surg. Comdrs. W. H. Murray to President for course ;and M. B. Devane to Keith.

Surg. Lt.-Comdr. (D) T. E. Breveter to Victory forR.M. Infirmary, Eastney.

Surg. Lt.-Comdr. D. C. Drake to Drake for PlymouthHospital.

Surg. Lt. D. G. Yendoll to Pembroke for R.N.B.Surg. Lt. W. S. Davidson, short service engagement

terminated.

ROYAL NAVAL VOLUNTEER RESERVE

Surg. Comdr. W. F. W. Betenson to St. Vincent.Surg. Lt.,H. L. Hoffman promoted to Surg. Lt.-Comdr.Surg. Lts. J. N. Matthews to Nelson; C. Seeley to

Curacoa ; and G. H. Sellers to Tiverton.Proby. Surg. Sub.-Lt. P. H. K. Gray to Rodney.

ROYAL ARMY MEDICAL CORPS

Short Serv. Commissions.-B. d’Epinay Barclay to beLt. (on prob.).

REGULAR ARMY RESERVE OF OFFICERS

Lt.-Col. P. Dwyer, M.C., having attained the age limitof liability to recall, ceases to belong to the Res. of Off.

TERRITORIAL ARMY

Lt. E. F. S. Morrison to be Capt.K. G. W. Saunders (late Offr. Cadet, Univ. of Lond.

Contgt. (Med. Unit), Sen. Div., O.T.C.) to be Lt.G. 0. Gauld (late Offr. Cadet, Cambridge Univ. Contgt.,

Sen. Div., O.T.C.) to be Lt.R. D. Forsyth (late Offr. Cadet, Glasgow Univ. Contgt.,

Sen. Div., O.T.C.), to be Lt.

ROYAL AIR FORCE

Flight Lt. J. S. Carslaw is granted a permanent com.mission in this rank.

Flight Lt. 0. S. M. Williams to Air Armament School,Eastchurch.

INDIAN MEDICAL SERVICE

The undermentioned appts. have been made:-A.D.M.S.-Col. R. E. U. Newman, O.B.E., M.C., M.B.,

Brit. Serv.D.A.D.P.-Capt. A. T. H. Marsden, M.D., R.A.M.C.Majs. to be Lt.-Cols.-A. H. Shaikh, R. M. Kharegat,

and J. C. Pyper, O.B.E.The appts. of the undermentioned officers are con.

firmed :—

Lts. (now Capts.).-B. F. B. Russell, R. L. H. Minchin,W. G. Kingston, J. Edis-Myers, R. de Soldenhoff, C. J.Hassett, R. R. Prosser, E. Parry, W. G. Kennedy, andP. I. Franks.The undermentioned appts. are made:-To be Lts. (Temp. Commns.).-Harbans L. Khosla,

Nisar Mohammad Durrani, Suraj Prakash Wanchoo,Sharad Chandra Misra, and Shri Rameshwar.The undermentioned officers have vacated appts.:-A.D.M.S.-Col. G. A. D. Harvey, C.M.G., V.H.S., Brit.

Serv.D.A.D.P.-Maj. A. D. Loganadan, I.M.S.

COLONIAL MEDICAL SERVICE

Dr. N. J. Dias has been appointed Government medicalofficer, British Guiana, and Dr. T. A. Redhead and Dr.J. E. Ross medical officers, Grenada. Dr. J. R. Fordebecomes senior medical officer, Gold Coast; Dr. J. H.

Pottinger senior medical officer, Palestine ; Dr. A. M. W.Rae senior medical officer, Gambia ; Dr. C. F. Deutrom

superintendent and quarantine medical officer, Mandapam,Ceylon ; and Dr. S. T. Gunasekera deputy director ofmedical and sanitary services, Ceylon.

SCOTLAND

(FROM OUR OWN CORRESPONDENT)

VOLUNTARY HOSPITALS

Prof. J. M. Munro Kerr, president of the RoyalFaculty of Physicians and Surgeons of Glasgow, inan address on hospital development delivered lastweek, said that sooner or later voluntary hospitalswould be faced with the problem of paying their

surgical and medical staffs. Medical men as well asmany members of the general public felt that itwould be very unfortunate if the voluntary hospitalsceased to exist as entities. Hospital developmentwas in a state of evolution, and it was difficult toforetell how the position of the voluntary hospitalsand those under the control of local authoritieswould be affected. It appeared to many people thatthe only way by which the identity of the voluntaryhospitals can be preserved is an expansion of thepaying block system. The Victoria Infirmary wasan example of successful development along theselines, and the Glasgow Royal Infirmary was embark-ing on a similar scheme. This would have the effectof removing the less efficient nursing-homes of whichthere are a great number. It was now difficult for

young men to specialise because hospital appoint-ments are unpaid, and Prof. Kerr had heard recentlyof promising young specialists who had been obligedto give up on account of this difficulty. In some

hospitals two-thirds of the running costs were paidby the paying block, and he believed that the largevoluntary hospitals could in this way be made almostself-supporting, while the physicians and surgeonswould be satisfied with the arrangement. For the

past 10 or 15 years many medical men had been

trying to impress upon directors of voluntary hos-pitals that this would be their salvation. If thedevelopments they advised were carried out, he thoughtthat the voluntary hospitals would be in such a

strong position that there would be no danger ofthe local health authorities taking control of them.

HOURS OF ASYLUM STAFF

The Fife Joint Asylum committee last week decidedto recommend that the hours of duty of the staff atSpringfield Asylum should be reduced to 48 perweek. The application for a reduction in hours wasmade by the Mental Hospital and InstitutionalWorkers’ Union, and the report submitted showedthat the staff at present have a 12-hour day and a60-hour week. The proposed alteration was sup-ported by the medical superintendent. The recom-mendation will entail an additional cost of nearly3500 per annum, and the nurses’ home will haveto be extended. The 65,000 hospital extensionscheme at the asylum has been agreed to, and at ameeting of the committee on May 8th it was decidedto obtain competitive plans for the work.