DIOCESE of PRETORIA- ft 'S$

REPORTof the

Jane Furse Memorial Hospital

and of the

Sekhukhtmiland Missionfor the period

1 April, 1956 to 31 March, 1957W .P .—27135—6/8/57

A patient in Johannesburg alter being fitted with artificial legs (reproduced by kind permission of " The Rand Daily Mail").

Jane Furse Memorial HospitalTHE GOVERNING BODY

Ex-Officio MembeTs :The Right Reverend the Lord Bishop o f Pretoria. The Medical Superintendent.The Bursar of the Diocese.The Archdeacon of Pretoria.The Priest-in-Charge, Sekhukhuniland Mission.The Native Commissioner, Nebo.

Elected b y Synod :Mr. J. N. Cowin. Mrs. Masemola.

Nom inated by the Bishop and approved by Synod :The Rev. Fr. Sidebotham, C.R.Dr. H. O. Eksteen.The Rev. Mother Provincial, C.S.M.V.Mrs. H. J. E. Schultz.Mrs. H. Laver.Mr. P. J. Ridsdale.

THE STAFF AT 1st A P R IL , 1957Dr. W. J. L. DOWNING, M.R.C.S. (England), L.R.C.P. (London). Medical

Superintendent.Dr. H. O. EKSTEEN, M.R.C.S. (England), L.R.C.P. (London), H onorary

Consultant. •Dr. B. B. BAXTER, M.R.C.S. (England), L.R.C.P. (London).Dr. A. H. DAVIES, M.B., Ch.B. (St. Andrews).Dr. S. M. RIBANE, M.B., B.Ch. (Rand).Dr. E. YENSON, M.B., B.Ch. (Rand).The Rev. Fr. BLAKE, C.R., B.Sc (London), Chaplain.Miss E. D. LUGSDEN, S.R.N., S.C.M. (England), D.N. (Rand), Matron. Sister M. R. COULDRIDGE, S.R.N., S.C.M.Sister M. T. DAUNTON, S.R.N., S.C.M.Sister E. M. GRAY, S.R.N., S.C.M.Sister M. KNIGHTS, S.R.N., S.C.M., Ophth. Cert. (London).Sister D. M. SLATER, R.M.S.N., R.M., D.N. (Rand).Sister M. THEMBE, R.M.S.N., R.M.Sister B. E. THORBURN, S.R.N., S.C.M.Sister D. C. W ITHERS, S.R.N., S.C.M., O.N.C. at Monsterlus Clinic.Miss A. M. BANFIELD, M.C.S.P (England).Miss E. M. STEVENS, A.H.Miss J. M. H. W ESTERN, M.S.R. (England).Miss H. B. EASTLAND, R.M.S.N., R.M. (S .A .) S.C.M. (England), Nurses’

Home Warden.Miss M. MIGHELL, Linen and Laundry Supervisor.Mrs. M. NORTON, Sisters’ House.Mr. G. J. STONE, Engineer.Mr. J. J. JACOBS, Builder.Miss V. F. K. GARDINER, A.M .I.A., Secretary.Miss D. M. PALM ER, Assistant Secretary.Miss D. W. W ILSON, Assistant Secretary.

Staff N u r s e s ... 3Staff Midwives .................................................................................................... 2Nursing Council student nurses ...................... ...... 64Provincial M idwifery student nurses ............................. . 6Orderlies, clerks .................................................. .. 11Porters, laundry workers, domestics, cooks ....... 50Drivers, engineering staff, watchmen ................................... .... 26Building staff, construction and maintenance 42Farm and grounds staff .................................................... — ...................... 15Monsterlus c l in ic .................................................................... — ................... - 3

Poslal Address :Jane Furse Memorial Hospital, via Middelburg, Transvaal.

Rail Address :R.M.S. Jane Furse Hospital, via Stoffberg Station, Transvaal.

Donations for the hospital and clinics :T o the Secretary at “ Jane” or in England to Miss M. Wheeler,

Transvaal and Southern Rhodesia Missions, 14 Gt. Peter Street, London, S.W .l.

Donations for St. Francis' Mission :T o the Rev. Fr. Blake, C.R., P.O. Jane Furse Hospital, via Middelburg,

Transvaal, or to Miss Wheeler in England.Donations to the hospital in South A frica are exempted from the Dona­

tions Tax, Department of Inland Revenue Reference No. R.18/333/163.

THE HOSPITAL WARDS

St. Anne’s (M aternity) department, ante-natal and baby clinics, labour wards, prem. nursery, etc. 22 beds and 19 cots.

Darras (m en’s medical and surgical) ward, 28 beds.M acaulay (ophthalmological, men, women and children) wards, 15 beds

and 2 cots.Manche (children’s) ward, 6 beds and 13 cots.St. M argaret’s (wom en’s medical and surgical) wards, 38 beds and 6 cots. Frere (m en’s, wom en’s and children’s T.B.) wards, 52 beds.Isolation cubicles, 9 beds and 20 cots.European ward, 2 beds.Total beds and cots, 232.

Foreword by the BishopThe many friends o f “ Jane Furse’’ who read this report, will

find much for which they will be profoundly thankful. It would be misleading to give the impression that the year covered by this report has been an easy time. There have been difficulties, as there will always be difficulties wherever men and women seek to give a practical expression to the love o f God. But in this report you will find little indication o f those difficulties. For those who are engaged in this work o f ours are much too conscious o f what, in spite o f the difficulties, God has achieved through their labour. The Priest-in-charge writes of the building and dedication of two new churches, in which new congregations are being won to the love and service of God; the Medical Superintendent refers to the spectacular increase in the number of patients cared for by the Hospital and its Clinics — an increase which is due to a growtii in confidence o f the community, and not, I am sure, disease; and the Matron in her report is able to give the quite remarkable results o f the nursing examinations. The M atron’s report contains what is perhaps the most exciting item in the whole report. For she is able to tell us that the South African Nursing Council has recog­nised Jane Furse Hospital as a Class I Training School. There are very few, if any, other Mission Hospitals in this category. The fact that our Nursing School has received this recognition is undoubtedly largely due to the devoted work of the Matron and her staff. Yes, indeed, as you read this report you will find there is much for which to thank God.

Soon after Dr. Downing wrote his section of the report he was taken seriously ill and he had to go to Johannesburg for examination. He underwent a serious operation, and for a time it was feared that he might have to have a further operation. But we are all relieved that this now seems unnecessary. I hope that after a period of convalescence he will soon be back again at the work to which he has given himself so fully.

I should like to add my thanks to those expressed in the report to all those who in any w ay labour or pray for the work we are doing together at “ Jane” . May God give you the strength to per­severe in this good work.

THE SEKHUKHUNILAND MISSIONThe Mission work has made steady progress in spite of in­

creasing uncertainties and the general feelings of tension in the Reserve. Those o f us who are privileged to work amongst the Bapedi people in this district, whether in direct evangelisation or in the work o f healing, would all say how conscious we are of the presence o f G od and o f His protecting care in the face of so many dangers and troubles; and we are only too anxious to be allowed to continue our work o f building up the Church here.

On the Mission side, this year has seen the dedication of two district churches — St. Andrew ’s Church at Schoonoord, and the Church of the H oly Spirit at Phasha, next to M ohlaletse: it is hoped that these will both become the centres of thriving and growing congregations.

A Revival W eek , conducted by the Rev. I. A . Semenya, of W itbank, was held at Jane Furse in February. This was very well- supported and much keenness and enthusiasm was shown, both on the part of the local Church people and by members of the Hospital staff. W e pray that the zeal and enthusiasm shown during the Revival W eek will not quickly evaporate but will last, and that the fruits o f the Revival will be seen in the months to come.

Fr. Northcott was recalled to England last year, and Fr. Carter has taken his place here. Fr. Carter has a record of forty years unbroken work in Johannesburg and on the Reef, and he has great experience of the African People, and is known by so many of them. W e trust that he will be able to continue his work amongst them here for many years to come.

A fter Mass at the Church o f the H oly Spirit, Phasha.

:K.

St. Andrew's Church, Schoonoord.

W e are still awaiting the proposed removal of some o f the local people to another part of the Reserve, and we hear that further removals from other areas also are to be carried out soon. W h en such removals take place we shall do our best to see that the Church goes with the people and that the work of evangelisation is main­tained.

Once again we wish to thank all those who so generously support and help our work by their prayers and alms. W e are very grateful to them.

F. R. BLAKE, C.R.

STATISTICS

1956/57

635,968

20,909i V i c i i i g , a i i V / H g ........................................................................................ 1 , I u O

Mohlaletse ..................... ........................... 6,553Maphopa ....... . ...................................... 1,742Schoonoord ............................................... 1,715Phaahla ..................................................... 911Phokwani ............................ ................. 861Monsterlus (doctor’s clinic) .......... 2,132Magalies .................................................... 3,995Proberon ... .... ............................... .... 1,247

District Work from hospital :M aternity cases delivered at home Number of new cases treated at clinics Number of attendances ................

1955/56

705,195

17,694

M onsieilus Clinic (Resident Sister) :Ante-natal Clinics :

New cases ............................................................ 128Attendances .............................. ....................... 356

Ante-natal visits ............................................................................................ 38Deliveries ........ . .............................................................................................. 11Post-natal visits ............................................................................................. 12Infant W elfare :

New cases .......... ................................................ 323Attendances ..................................... ................ 1,107

General nursing cases visited ...................... ......................................... 31Clinics :

New cases ............................................................ 1,500Attendances .............................. ...... .................... 5,040

H ospital W ork : 1955/56 1956/57Number o f attendances at Out-Patient Department 17,308 17,896Ante-natal attendances (included in above total) ... 1,512 1,560Baby clinic attendances (included in O.P. total) ... 629 222Number o f Europeans admitted ..................................... 8 11Number o f Non-Europeans admitted ......................... 4,204 4,814Daily average o f in-patients ................................... ........ 212 265Total number o f in-patient days .................................... 77,728 96,820Total number o f in-patient days for infectious dis­

eases (included in above total) .............................. 16,392 30,604Average days stay per patient ...................................... 18 20General anaesthetics .... ....................................................... 288 290Local anaesthetics .................................................................. 412 522Basal anaesthetics ...................................................... ......... 92 146M ajor operations ...................... ............................................. 173 159Minor operations ...................................................................... 493 674Eye operations ............................... ........................................... 284 168Dental extractions .................................................................. 99 81Number o f patients X-rayed .................................. ......... 1,747 2,226

Chests ...................................................................... 1,600Bones ...................................................................... 478Others ..................................................................... 60Screening .......................................... .................... 15W ith portable apparatus ................................. 73

Total number o f X-rays .............. ..................... ............... 1,817 3,712M aternity deliveries at hospital ..................................... 500 612

Caesarian births ................................................. 19Twins ....................................................................... 19

Stillbirths .... .... .............. ....................................... 37

Physiotherapy (April-Dee., 1956) :Massage ................ ...... ............ 1,081Remedial exercises ............... 610Electrical treatments .......... 437Actinotherapy ........................ 631S W . D ia th erm y ..................... 408

(Jan.-March, 1957) :New patients .......__ .......... 51Attendances .................. ... 715

THE MEDICAL SUPERINTENDENT'S REPORTSome time must needs elapse between the end of the year

(which for us is March 31st) and the time when statistics, accounts, etc., are available. A t the time of writing I have all the facts and figures before me, including the balance sheet in the rough. I expected to find some increase in the numbers of patients treated and possibly some increase in expenditure, but to be faced by an increase of nearly 20,000 in-patient days has been quite a shock. The daily average has gone up from 212 to 265 and although there has naturally been a rise in expenditure, the cost per patient per day has worked out at the low figure of 14/1 d-

At the district clinics the people pay fees (except in T.B. cases) and the sum of over £1,200 has been collected which does show an appreciation of the services rendered. The hospital has indeed had a very busy year and it would appear that the high tide of increasing work has not yet been reached. Although one is pleased with progress, it is with some concern that one notes the rising numbers, for a hospital such as ours cannot expand indefin­itely. A number o f cases admitted to hospital could be safely treated at a clinic if seen daily by a trained nurse, so it is hoped that such trained clinic nurses will soon be found.

In thinking o f our clinic work we think o f work done under most primitive and difficult conditions for at present at only two places have we adequate buildings and it is sad to think that in some districts where we have worked for over 20 years patients still have to be attended to in mud huts or under the trees. W e plan for simple but adequate buildings in each of the nine districts visited; there are still difficulties to be overcome before our plans can be fully realised but I have no doubt that progress will be made and that in the near future doctors and nurses will be able to work under better conditions and we shall be able to help those who live miles from the hospital much better than we do at present. The patients turn up each week in hundreds to see the doctor and nurse; many receive treatment on the spot or receive medicine to take home, whilst those in need of hospitalisation are carried to hospital on lorry or ambulance. During the year there have been 20.909 attend­ances made as compared with 17,694 in 1955. At Monsterlus Clinic, Sister W ithers’ work, especially ante-natal and infant wel­fare, grows steadily and as it is proposed by the Native Affairs Department to establish a village next door to our clinic, I have no doubt Sister’s services will be in even greater demand.

The staff position has been much easier this year. Dr. Yenson was able to come before we lost the help of Dr. Pratt-Johnson and Dr. W essels, both of whom gave such splendid help, especially in the eye work. Dr. Pratt-Johnson is now studying in America and Dr. W essels has settled in the specialist job which was awaiting him. W e shall always feel grateful to Dr. Baxter, who in spite of urgent family matters requiring her presence in England, was able to stay on until Dr. Horsfall arrived to replace her. Dr. Davies arrived in January and is rapidly developing the work o f the labora­tory. Matron will no doubt be reporting in the nursing staff position. Sufficient for me to say that both student nurses and

senior nursing staff maintained at a high level, the efficient working o f the hospital and that their devotion to their work has been obvious to all. Changes may come but we shall always be both proud and thankful that the training of nurses for the highest of qualifications has been carried on here for so long.

The rebuilding and alterations within the hospital have pro­gressed steadily. The new theatre block is now in use and the X -ray department which has lived for nearly five years on a verandah will shortly occupy its planned position. The dispensary alterations will soon also be on the way. African staff cottages have been completed and we hope that the quarters for other single workers will soon be started. The long awaited laundry is now in operation and is increasing its output of clean linen every day.

W e cannot be too grateful for all the help and co-operation of the Provincial Government, the Union Health Department, and the Native Affairs Department. They have in a big way provided the tools and we are proud to do the work. The gifts in kind and money received from firms, private subscribers and from congrega­tions in the church have increased and we are thankful for all that has been so generously given.

In conclusion may I ask for the continued prayers and help of all who read this report that we who work here ‘may continue as workers together with God to bring healing to those broken in body and in spirit.

W . J. L. D O W N IN G

O ne o f the new theatres.

THE MATRON'S REPORTOur vocation is not to go forth and reap in our Father's fields,

Jesus does not say to us, “ Look down and reap the harvest,” “ Ask M e for labourers and they shall be sent.” It is for us to train the labourers who will spread the glad tidings of the Gospel through their ministry of healing the sick and such is the vocation o f the Jane Furse Hospital. W h y fear to offer yourselves to share in such a privileged vocation of training African nurses who are being called today to take posts o f responsibility in the nursing field?

During my furlough it was my hope that sufficient funds would be found to begin the building o f the new Nurses’ Training College. This hope is still a dream and longing of the 66 student nurses at “ Jane” .

It gives great pleasure to quote from a letter received from the South African Nursing Council. “ I have pleasure in informing you that it has been decided to re-classify the Training School as a Class I Training School with affect from the 1st January, 1957.”

The examination results for the year 1956 are as follow s:

Red Cross First Aid Hospital Preliminary .... S .A .N .C . PreliminaryHospital F in a l..............S .A .N .C . Final ........Hospital M idwifery ...Provincial M idwifery

Entries Passes15 1524 1920 19 (9 87 73 33 3

7 He

Staff Nurse Margaret Thembe, a former trainee at Jane, having completed her midwifery training, has been promoted to the position o f Sister. I am sure that the news that Jane Furse Hospital Train­ing School badge is now available to nurses who have completed their training will be received with joy by the student nurses at “ Jane” .

The new theatres have been well used since the day o f opening on 22nd February. The student nurses look forward to their turn to do their theatre training. Structural alterations are taking place in the old theatre which will be used as an X -ray department.

Miss MighelL the Sewing Room Supervisor, with her diversity of gifts set the wheels of the laundry turning. There have been many creaks and groans but owing to her untiring efforts and will­ingness to accept the best from “ trial and error methods' , "Jane” has another asset in the hospital laundry and the linen without doubt is cleaner than it has ever been before.

Miss Frere, after ten years service to the hospital as Physio­therapist, left for England in January. Her selfless devoted service leaves behind in Sekhukhuniland many confident patients in that branch o f medicine. Her selflessness has been and will remain an inspiration to all who know and worked with her.

Once again I would extend my sincere gratitude and apprecia­tion to the staff and all friends of the hospital, and I would like them to know how much our strength and support depends on their continued prayers. It is only in that strength that the future can be faced, bringing its undoubted problems and burdens, and con­fronted as we are with the great needs of the mission field which requires the utmost generosity in spirit and kind.

E. D. LUGSDEN

O ne o f the student nurses with a patient.

GIFT LIST, APRIL, 1956 — MARCH, 1957Allen & Hanburys Adams, Miss Bennett, M is.B.P.D. (S A .)Bridgman Hospital Burnham, Mr. S. F. A. Church o f the Intercession,

Wisconsin, U.S.A. Colbourne, Miss Collender, Miss E. M. Crispette & Candy Cowin, Mrs. J.Dalby, Miss Delman, Mrs.

Orange juice. Swabs.Wool.Drugs.Drugs.W oolly coats.

D octors’ samples. Clothing. Mosquito nets. Sweets.Sweets.Vests.Vests.

Denniston, Mr.Diocesan School for Girls Elliott, Mrs.Fraser, Mrs. H. D.Gaylard, per Mrs.Heath, Miss M. L.Hoare, Miss Holt, Miss J.Holy Cross Homes H oly Rood, Findon Jhburg. Girl Guides, 27th Coy. Jones, Miss E. F.Jourdan, Mrs.J. L. Kier Kisch, Miss Lamb, Mrs.Leach, Mrs.Lee, Mrs. O. M.Lipworth, Alex Maasch, Mrs. and friends Macdonald, Mrs, O.M agidson’s Radio Co.

Manning, Mrs.Masemola, Mrs.Modderfontein Hospital Musters Rd. Inf. School, W est

Bridgford Pels, Mrs. J. M.Pfizer Laboratories Potgietersrust, St. Paul’s S.S. Quinhampton. Mrs.Ridsdale, Mr. F.Sanders, James & Co. Saunderson, Mrs, W.Slade, Master Adrian Small, Miss D., per Strawson, Mrs.Sunnyside St. Michael and All

Angels S.S.Thompson, Master R oy Toms, Mrs.Tribe. Dr.Tvl. Coal Owners Assoc. Vizard, Mrs.W alton, Mrs.W ayfarers (Tvl.)Weeks, H. L,Wright, Miss P.

Fruit.Scrap books, woollies.Altar frontals.Toys, books, clothing.Toys.Scrap books.Vests.Jerseys, scrap books.Scrap books, sweets.Blanket, clothing.Christmas stockings, toys & clothes. Babies’ woollies.Nurses’ cape.Wool, sweets, sugar.M osquito net.Books, clothing.Materials for occupational therapy. Clothing.Drugs.Toys and books.Materials for occupational therapy. Turntable and pick-up for N. Home

radiogram.Vests.Meat.Catgut.

Knitted shawls.Materials for occupational therapy. Drugs.Toys.Materials for occupational therapy. Table tennis table and set. Gramophone and records.Magazines.Scrap books, S.S. stamps, etc. Children’s vests.Clothes and books.

Sweets.Scrap books, w oolly balls.Clothing.China, cutlery, etc.Coal (1,004 tons).Vests.Clothing.Children's clothes.Rug making machine and wool. Materials for occupational therapy.

Our grateful thanks to all donors of bottles, cream jars and Christmas cards and to firm s allowing generous discounts.

DIOCESE OF PRETORIAMrs. G. G. Glynn; St. M ichael’s Church, Nelspruit; Diocesan S.S.

Grace Dieu; W ayfarers per Miss Brown; Miss Brown; Christ Church W om en’s Guild, Arcadia; Miss F. H. Fox; Miss P. M. J. Barrett; Sarum Hall Parish Council; St. M ark’s S.S., Louis Trichardt; Rustenburg Church S.S.; St. M argaret’s Church, W itbank; Mr. H lanogolo Seate; St. Saviours Church S.S., Pretoria W .; W aterkloof Church S.S.; Christ Church W om en’s Guild, Pietersburg; Tzaneen Parish; Mr. Ham ilton; Miss E. J. van

Bergen; Sr. Christian, O.H.P.; Miss Merle Frean; All Saint’s Church Guild, Barberton; Mr. T. B. Herold; Mr. Hassim; St. Hilda’s M.U.; Springfield Collieries Recreation Club; Mrs. L. E. Hintze; Miss G. A. Hahn; Springbok Colliery Ladies’ Social Club; Mr. N. C. Darras; Miss Becklake; St. Saviours C.W.S., Pretoria W est; Miss E van Heerden; Miss Samson.

NAMED BEDSChrist Church S.S., Arcadia; Middelburg C.W.S.; Cullinan Girl Guides

and Brownies; St. W ilfred ’s S.S., Hillcrest; St. Martin’s S S Irene- Agnea Evans Cot; St. Alban’s Cathedral S.S.; Charlotte Parker (M others’ Union, Pretoria D iocese); Christ Church S.S., Pietersburg; Vi Schwabe.

DIOCESE OF JOHANNESBURGParktown Parish Council; St. James’ Anglican Mission, Germiston;

Mrs. C. E. Huggins; St. Michael’s Church children, Bryanston; Mrs. Crockett; The Rev. N. Jarvis Palmer; Mrs. M. M artyn; Dr. J. R. van der M erwe; Natal Building Society; Messrs. Frank Benjamin & Ridsdale- Johannesburg High School for Girls (P refects ); C.W.S. N igel; Miss E W. Petersen; Dr. S. Biesheuvel; Dr. J. Griffiths.

NAMED BEDS"H ope” , Julian and Marion W alton; “ Courage” and “ Patience” , St.

M'artin’s-in-the-Veld Church children; Furse House, St. M ary’s School Waverley.

REST OF SOUTH AFRICADr. Marshall; The Rt. Rev. Bishop and Mrs. Parker; Miss E. Dunn;

St. Peter’s Church, Mowbray, Mission Association; Mr. Gerald Roberts; Miss J. M. Flahay.

NAMED BEDSSt. Barnabas Girl Guides and Brownies, Cape Town; J. Abram M offat,

Mrs. J. S. Morgan.

OVERSEASReceived direct : Miss R. W ebb; St. Anne’s Birmingham Missionary

Com mittee; St. M ary’s Church, From e; Mr. R. C. S. Baxter; Swedish Institute students; Sister Mildred of the Cross, Fleet S.S. per Mrs. E. Hill; Selworthy (Som .) P.C.C.; Mrs. M. Dawbney; St. Peter’s Henleaze M issionary Association; Miss J. B. Macaulay.

Received per S.P.G.: per Miss Sulman, St. George and St. M ary Eastbourne; per Mr. G. H. Bennett, H oly Nativity, Knowle, Bristol; per Miss Clark, Young Wives, Church o f the Ascension, W em bley; per Mr. R. F. M. Souch, St. John Baptist, Stoneleigh; per Mrs. Pool, St

Georges S.S., Catford; per Miss H. M. Coulston, St. M ary-in-the-Fields, M ayfield; per Brig-, C. L. O. Tayleur; per the Rev. R. L. Yaxley, St. Anne’s, Birmingham; per Mrs. Palmer, St. M ary’s S.S., Burpham; Mrs. Redgwick; Mrs. Johnson; Anon; B.B.C. Appeal; per Mr. H. Bunting, Holy Nativity, Knowle; Miss Monk Smith; Mrs. Anne Kathrine W ollaston (legacy).

Received per Transvaal and Southern Rhodesian Missions : Alcombe, Somerset, M others’ Union; Barnet, Queen Elizabeth’s; Bourne End, S.S.; Buntingford Deanery, M others’ Union; Coventry, St. Barnabas S.S.; Epsom, Christ Church and S.S.; Fittleworth S.S.; Hornchurch Branch M.U.; Hartford, St. John Baptist; Hockerill, All Saints’ ; Kingswood Branch M.U.; Minehead, St. John’s Am bulance; Pow erstock M .U .; Rom ford, St. Edward’s; Royston Branch M.U.; St. Albans D.F.B.; St. Albans Diocesan M.U.; St. Albans Readers; St. Albans, St. Saviours- St. M atthews W atchers and W orkers; South A frica Church Institute; Shenley S.S.; Thorfield Branch M.U.; University College Chapel; W ant­age Parish Church Bible Class; W allingford, St. Leonard’s; Weybridge, St. Michael’s; Wokingham, St. Sebastian’s; W ymondham P.C.C.; Burpham Branch M.U.; Christ’s Hospital, Old Girls’ A ssoc.; Gt. Bookham! St. Nicholas; Lambeth St. M ary’s; Minehead and Som. Hospital Nursing Staff.

Anon; Abraham, Miss J.; Allen, Miss D. B.; Archer, Miss P.; Bailey. Miss G.; Baines, Miss S.; Baxter, the Rev. Canon G. F.. Beck. Miss C.; Bell, Mrs. Hugh; Biggar, Miss E.; Biggs, Miss E. E .; Bowton, Miss C. H.; Burchett, Miss R .; Carew-Hunt, Miss; Carlisle, the Rev. Canon G. B .; Carlisle, M rs.; Churcher, M rs.; Conybeare, Miss D .; Downton, Miss H. M.; Dray, Mrs. E.; de Winton, Miss D .; Farrer, Miss; the Hon. B. Gibbs; Godrich, Miss; Gullan, Miss M. A .; Harbottle, Mrs.; Head, Mrs. Bessie (legacy); Hobhouse, Miss D; Hill, Mrs.; Hope-Jones, W .; Howard, Miss B; Howard, Mr. and Mrs. W eston; Hirst’, W. J.; Hunt, Miss M. C .; Kingham, Miss L. and J.; Lepper, Deaconess E.; Lubbock, Mrs.; Mertens, Miss E. L.; Murray-Hill, Miss; Noble, Miss E.; Ouvry, Miss A .; Oblate Sister D orothy; Painton, Miss L. M.; Pearce’, John; Pope. Mrs. Charles; Prichard, Mrs.; Prosser, Miss; Pye, Miss U .; Radcliffe & Co., Messrs.; Rathbone, Mrs. W .; Robins, Mrs.; Robins, Miss Carina; Skinner, Miss E.; Sparshott, Miss; Stubbs, Mrs. W I.; Suart, Mrs.; Smith, Mr. F. E. (legacy); Tower, Miss I; Tregoning, Miss D.; Tregoning, J. S.; Turner, Miss; Wheeler, Miss M.; White, Miss M. L .; Willis, Mrs.; Wood, G. N .; W oodroffe, Mrs.

NAMED BEDSSt. Martin’s S.S. Scarborough; St. Albans; Rachael Prentice, Mrs.

Hill; Atherley School, Southampton.

BU ILDIN G A P P E A LA bbott Laboratories .......... .... ................................................................. £2 2 0African Gate and Pence W orks ........................................................... 2 2 0African Oxygen & A ce ty len e .................................................................. 1 1 0Allen & Hanburys .................................................................................... 2 2 0Butler & Herbert Engineering Co............................................ 10 10 0C.L.D. W holesale ............................................................... '.......................... 3 3 0C .N A . .......................... ............................................................................. 5 5 0Cooke, Troughton & Simms ................................................................... 1 1 0Cowin, de Bruyn & Cook .... ................................................................ 151 8 10Dandy Polish .................................................................................................. 5 5 0Denver Soap W orks .................................................................................... 1 1 0Edblo (Tvl.) Ltd. .......................................................................................... 2 2 0Fisons Chemicals ............................ ........................................................... 3 3 0Henwoods Ltd. ............................................................................................... 2 2 0Hillman Bros. (East Rand) ...................................................................... 5 5 0Hind Bros. ........................ . ......... ................................................................ 5 5 0J.B. Radio P a r ts ............................................................................................ 2 2 0Keatings P h arm acy .................................................................................... 3 3 0F. K irchhoff & Co................................................................................... ..... 1 1 0Lilienfeld Furnishing Co. .................. .................................................. .... 1 1 0Marble Lime & Associated Industries ............................................... 5 5 0Matheson & Bremner .................... . ...... .............. . ................................. 2 2 0M aybaker (S .A .) (P ty .) Ltd. ....................... ........................................... 1 1 0A. A. M organ (Pty.) Ltd. ....................................................................... 5 0 0National Oil Co. ........................................................................................ . 1 1 0Patlansky Bros. & Patley ............................ ......................................... 10 6Phoenix Assurance Co. ............................................................................... 5 5 0Pretoria Portland C em en t........................................................................ 10 10 0Protea Holdings .......................................................................................... . 5 5 0Scherag ............................................................................................................. 2 2 0Shell Co. o f S.A. ........................... .............................................................. 2 2 0Thomson, Savage & C o........... .. ............................................................... .. 2 2 0Transvaal Trading C o.................................................................................. 1 1 0Transvaal Coal Owners Association .................................................. 100 0 0W ire Industries Steel Products ............................................................. 110 12 6Sundry donations ....................... .... ........................................................ 53 11 7

£517 15 5

7th June, 1957.The Superintendent,

Jane Purse Memorial Hospital,D istrict Middelburg, Transvaal.

Dear Sir,

W e attach the Balance Sheet and Relative Accounts to 31st March, 1957.

REVEN UE AND EXPEN DITU RE ACCOUNT

A fter writing o ff all maintenance expenditure an Excess Revenue of £2,516 7s. 5d. is reflected.

Patient D ay Statistics are attached per Schedule D.A s in past years no Stocks on Hand at 31st March, 1957, have been

brought to account.

The figures in the margins for purposes of comparison refer to the 1956 year.

CERTIFICATE

W e have compiled the attached Balance Sheet and Relative Accounts to 31st March, 1957, from the Books, Records, Accounts and Vouchers of the Jane Furse Memorial H ospital and from the inform ation and explan­ations given to us.

Subject to our foregoing remarks and previous reports, we are o f the opinion that the Balance Sheet reflects a true position o f the Hospital at 31st March, 1957, according to the best of our knowledge and the explanations given to us and as shown by the books o f the Hospital.

NEST, M ENTZEL & CO., Chartered Accountants (S .A .),

Registered Accountants and Auditors.

JANE FURSE M E M O R IA L H O SPITA L, FARM VERGELEGENBALANCE SHEET

1956Capital Contributions.......................................... £124,638 1 6

20,000 Governor General’s National War Fund £20,000 0 0 39,222 Donations and Provincial Grants Prior to

1st January 1952 (all details not available) 39,222 II 3 20,180 Transvaal Provincial Administration. . . . 32,295 16 1

T o 31st March 1956. . 20,179 12 10 Add: Grants for new

Equipment an Buil­dings during year.. 12,116 3 3

1,050 Transvaal Coal Owners Association. . . . 1,150 0 0T o 31st March 1956. . 1,050 0 0 Add: Capital Grant

during year............... 100 0 0

20,387 Sundry Donations and Interest on Invest­ments with the Diocese o f Pretoria. . . . 25,569 14 2 T o 31st March 1956. . 20,386 12 11 Add: Capital Grants per

Schedule C attached.. 5,183 0 3

6,400 Public HealthFor T.B. B lock .......................................... 6,400 0 0

593 Sundry Creditors............................................... 575 18 2For Capital Expenditure

3,529 Revenue Appropriation Account.................... 2,428 7 IIAt Credit 1st April 1956........................ 3,529 1 2Less: Funds transferred to Revenue.. 1,100 13 4

111,361 127,642 7 78,401 Current Liabilities............................................... 7,299 19 2

Creditors on Open Account6,095 Replacement, Furlough and Provident Reserve

Accounts ....................................................... 5,471 19 6Invested in Trust with the Diocese o f

Pretoria per Contra and Schedule “ A ” attached

6,637 Appropriation Account...................................... 10,325 19 2

132,494 £150,740 5 5

For and on behalf o f the board:+ RO BERT PRE TO R: Chairman.

V. F. K. Gardiner, Secretary. PIETERSBU RG, 7th June, 1957.

NO. 365, DISTRICT MIDDELBURG, TRANSVAAL. AT 31st MARCH, 1957.

1956Capital Assets....................................................... £127,642 7 7

217 Immovable Property at C ost.................... 2 1 6 1 2 0Portions A, B and D o f the Farm Verge-

Iegen, No. 365, District Middelburg,Transvaal. Held under Deeds o f Transfer Nos. 3152/1921, 5091/1928 and 962/1933 and registered i.f.o.Diocese o f Pretoria. Measuring 104 Morgen 188 Square Roods.

85,233 Buildings at C ost.......................................... 92,492 15 3T o 31st March 1956. . 85,232 14 3 Add: Additions at Cost

during year................ 7,260 1 0

4,467 Plant and Equipment at Valuation........... 6,191 10 11T o 31st March 1956. . 4,467 6 4 Add: Additions at Cost

during year................ 1,724 4 7

1,500 X Ray Plant at Valuation............................. 2,022 5 0T o 31st March 1956.. 1,500 0 0 Add: Additions at Cost

during year................ 522 5 0

5,556 Furniture and Fittings at V aluation .. . . 7,787 12 6 T o 31st March 1956.. 5,556 2 II Add: Additions at Cost

during year................ 2,231 9 7

1,629 Instruments and Appliances at Valuation. . 1,726 14 0 T o 31st March 1956. . 1,629 8 0 Add: Additions at Cost

during year................ 97 6 0

429 Office Furniture and Equipment at C ost. . 428 9 109,769 Investments ................................................... 15,050 0 6

In Trust with Diocese o f Pretoria per Schedule “ A ” attached

2,561 Cash Resources— Donations Account 1,726 7 7 Barclays Bank D.C.O. 1,707 11 1 Cash on H and........... 18 16 6

6,095 Furlough, Provident and ReplacementFunds Investment A ccou nt.................... 5,471 19 6Investment in Trust with the Diocese o f

Pretoria per Schedule “ A ” attached592 Cash ................................................................ 3,306 0 7

Barclays Bank D.C.O.Current Account . . . . 3,189 4 4 On Hand and Deposit. . 116 16 3

111,361 127,642 7 7Current Assets ................................................... 23,097 17 10

4,787 M otor Vehicles............................................... 3,978 0 0At Cost less Depreciation per Schedule

“ B” attached9,659 Debtors ............................................................ 10,341 17 9

Public Health— Infectious DiseasesArrear Grants ........... 10,149 19 9Clinics for Transport 116 18 0 Sundries........................ 75 0 0

£132,494 £150,740 5 5

Signed subject to our attached Report o f even date,NEST, M EN TZEL & CO.

Chartered Accountants (S.A.). Registered Accountants and Auditors.

JANE FURSE M E M O R IA L H O SPITA L, FAR M VERGELEGEN REVENUE AND EXPENDITURE ACCO U N T

19561,329 Administration Expenses.................................

Bank Charges................................................... 73 2 5Insurances ................................................... 714 8 7

Library and Educational............................. 51 9 1 0Printing and Stationery................................. 587 1 10

Telephones and Postages............................. 145 7 7

6,073 Domestic ............................................................Bedding and Linen ...................................... 2,193 2 4Cleaning ....................................................... 413 9 7Fuel and Lighting.......................................... 2,039 6 1Furniture and Fittings................................. 856 0 9Hardware and C rockery............................. 375 19 9L au nd ry ............................................................ 370 18 1Uniforms ........................................................ 926 9 2

5,103 Establishment ...................................................Estate, Grounds and Gardens.................... 210 15 9Repairs, Plant Machinery and Buildings 3,971 4 8

6,245 Miscellaneous ...................................................Audit and Accountancy Fees.................... 250 0 O'Rail Charges................................................... 2,790 17 5Sundries............................................................ 5 0 0Travelling and Transport............................. 3,858 3 1

2,484 Provisions for Replacement Reserve Funds6,896 Provisions ............................................................

Butter, Cheese and Margarine.................... 246 1 11Eggs ................................................................. 282 16 11Fish, Poultry and M eat................................. 1,921 14 9Fruit and Vegetables...................................... 951 3 6Groceries and Bread...................................... 2,930 5 8Ices and Minerals ...................................... 29 13 4Milk ................................................................. 1,805 15 0

26,251 Salaries and W ages..........................................Doctors, Interns and other European Staff 11,403 17 8Nursing— E u ropean ...................................... 3,766 7 9Nursing Non-European ............................. 7,850 4 5Other— N on-European................................. 5,800 16 9

8,424 Surgery and Dispensary......................................Analysis and Bacteriology (Pathological) 500 3 4Bandages and Dressings............................. 1,202 15 1Gloves and Rubber G o o d s ........................ 208 1 2Instruments and Appliances........................ 940 13 7Medicines and Disinfectants.................... 7,738 19 11Occupational Therapy ............................. 70 7 3Orthopaedic Department ........................ 54 7 8Physiotherapy ...............................................Wines and Spirits.......................................... 1 2 1 5 0X Ray ............................................................ 566 6 1

62,805 Total Expenditure for Year . . ................Excess Revenue for year to Appropriation Account

1,571 10 3

7,175 5 9

4,182 0 5

6,904 0 6

8,167 11 1

28,821 6 7

11,296 16 3

68,118 10 10 2,516 7 5

62,805 70,634 18 3

NO. 365 DISTRICT M IDDELBURG, TRAN SVAAL FO R YEAR ENDED 31st M AR C H , 1957.

1956

4851,093

Fees .....................................................................Ambulance Fees— Patients.........................-Clinics ............................................................

Manganeng ............... 94 2 6Mohlaletse 395 10 11Monsterlus ................ 103 8 0Magalies .................... 277 14 8M aphopa .................... 106 12 6Phokwani .................... 37 11 9Schoonoord ........... 98 15 2Sale o f Bottles........... 37 13 1Proberon .................... 64 8 9Phaalha ......................... 45 1 1 5

69647

1511854

European and Specialistic Department Fees Native Affairs Department Ambulance Fees Out-Patients— Registration Fees and

Bottle Charges ......................................S.A. Police — Transport, Drugs etc........W orkm en’s Compensation Commissioner

Grants .................................................................45,358 Transvaal Provincial Administration. . . .

Maintenance G rant. . . . 42,706 0 0 Training Native Nurses 1,690 0 0

13,736 Public Health...................................................Infectious Diseases . . 21,599 0 6Clinics ......................... 650 0 0

1 Cancer Research............. 1 17 6

Board o f Control Deferred Pay Interest Fund ............................................................

Examination Fees (Nurses).............................84 Rents Receivable...............................................

Post Office

6591,261

2 9 8 9

36 3 0 704 9 0

115 5 10 127 14 3 229 5 2

44,396 0 0

22,250 18 0

750 0 0

3,133 8 9

67,396 18 0

20 I I 6 84 0 0

1,109 Excess Expenditure for year to Appropriation Account ............................................................

£62,805 70,634 18 3

JANE FURSE M E M O R IA L H O SPITA L, FAR M VERGELEGEN

A PPR O PR IA TIO N ACCO U N T

Balance to Balance Sheet.............................................................................. 9,225 5 10

NO. 365, DISTRICT M IDDELBU RG, TRAN SVAAL

AT 31st M AR C H , 1957

Balance at Credit 1st April 1956................................................................. 6,637 11 0Excess Revenue for Y ear.............................................................................. 2,516 7 5

Public H ea lth ........................................................................................... 56 0 10Increased Rates for Infectious Diseases for 1955

Provision for Replacement Reserve Funds and Adjustments toFurlough Leave A ccou nt..................................................................... 15 6 7

SCH EDULE A

JANE FURSE M E M O R IA L H O SPITA L, D ISTR ICT M IDDELBURG, TRAN SVAAL

IN VESTM EN T IN TRU ST W ITH THE DIOCESE OF PRE TO RIA, AT 31st M A R C H , 1957.

Capital Current

Building Fund ....................................................... 3,363 12 0Stanford M em oria l...................................................J. L. H in to n ................................................................Miss E. A itken............................................................Dr. A . W. Sanders ...................................................Miss A . L. Bailey........................................................Guy Boyd ................................................................Replacement Funds:

Vehicles ................................................................ 1,044 8 5Water Supply ........................................................ 212 15 2Electric Light ........................................................ 840 8 10Boiler ..................................................................... 346 12 8X Ray ..................................................................... 315 0 0

Furlough Fund............................................................ 2,450 7 7Provident Funds ................................................... 262 6 10

131 0 84,221 17 3

250 3 11250 0 0200 0 0500 0 0

8,916 13 10 5,471 19 6 A dd: Invested from Donations ................ 6,133 6 8

Per Balance Sheet £15,050 0 6 £5,471 19 6

SCHEDULE B

JANE FURSE M E M O R IA L H O SPITA L, DISTRICT M IDDELBU RG, TRAN SVAAL.

M O T O R VEHICLE A C C O U N T AND DEPRE CIATIO N SCHEDULE FO R YEAR ENDED 31st M A R C H , 1957.

Balancc Purchased Sales Depreciation Balance1./4/56 During year. 20% 31/3/57

0 £ 0 0 0 0

00

£4,787 0 0 £763 2 6 £360 1 10 £1,212 0 8 £3,978 0 0

Chev. 5 Ton Truck T C A 1266 .......................................... £807Willys Jeep T C A 269................................................................. 96Chev. Ambulance T C A 320 ............................................... 474Chev. 5 Ton Truck T C A 2610 .......................................... 1,240Land Rover Ambulance T C A 1522 ................................. 970Cominer Truck T C A 1654 ................................................... 640Commer Truck TC A 1388 ................................................... 560Commer Truck T C A 723 ...................................................

0 0 £161 0 0 £646 00 0 19 0 0 77 00 0 95 0 0 379 00 0 248 0 0 992 00 0 194 0 0 776 00 0 360 1 10 279 18 2 — .

0 0 112 0 0 448 0763 2 6 103 2 6 660 0

SCHEDULE C

JANE FUKSE M E M O R IA L H O SPITA L, D ISTRICT M IDDELBURG,TRAN SVAAL

DETAILS OF D O N A TIO N S, INTEREST ON IN VESTM EN TS W ITH DIOCESE OF PR E TO R IA AND E X TR A -M U R A L ACTIVITIES EXPENDED FR O M

D O N A TIO N S RECEIVED FO R YEAR ENDED 31st M A R C H , 1957.

Donations Received:Pretoria Diocese ....................................................................................... £257 5 8Johannesburg D iocese.............................................................................. 190 13 10Rest o f South Africa .............................................................................. 46 16 0Overseas .................................................................................................... 2,722 9 11Hospital Staff ........................................................................................... 957 1 5Interest on Investments with Diocese o f Pretoria ........................ 569 19 7Building Appeal ...................................................................................... 517 15 5Bequest — Horace William Graham ............................................... 250 0 0Bequest — Mrs. Mary Soar ................................................................ 500 0 0Sundry Donations .............................................................................. 391 12 3Board o f Control Deferred Pay Interest Fund for equipment 400 0 0

Hospital Sports Club — balance in hand .......................................... 7 7 9

6,811 1 10Less: Expenditure on Extra-Mural Activities including clinics, «•

farm and mission work ......................................................................... 1,628 1 7

5,183 0 3A dd: Balance 1st April 1956..................................................................... 20,386 13 II

Per Balance Sheet .............................................................................. 25,569 14 2

SCHEDULE D

JANE FURSE M E M O R IA L H OSPITAL, DISTRICT M IDDELBURG,TRAN SVAAL

PATIENT D A Y STATISTICS FO R YEAR ENDED 31st M ARCH , 1957.

31st March, 31st March, 31st March,1955 1956 1957

Total Patient Days ......................... 72,897 77.728 96.820Number o f Patients ......................... 3,528 4,224 4,825Daily Average in Hospital ........... 199 212 265Average Days Stay in Hospital . . 20.66 18.4 20Inclusive Cost per Patient Day . . . . 15/9.3d. 16/1.9d. 14/0.8d.

Collection Number: AD1715

SOUTH AFRICAN INSTITUTE OF RACE RELATIONS (SAIRR), 1892-1974

PUBLISHER: Collection Funder:- Atlantic Philanthropies Foundation

Publisher:- Historical Papers Research Archive

Location:- Johannesburg

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