voluntary hospitals commission: extended inquiry

1
1182 darkness and inactivity, Malvern escaped unscathed. Indeed, the rain did not deter some of the more active of the inspecting party from climbing to the Herefordshire Beacon, round the top of which the ancient British camp extends its triple line of - entrenchments, and on Monday morning, when the sun shone again, a drive over the rapidly drying roads of the Heights, through a fresh and stimulating air, offered a panorama on the one side of " county upon county of rich sylvan England, mansioned, abbeyed, towered, spired, castled." and to the west- ward the mountains of Wales rose in the distance. Apart from its bracing air and large measure of sunshine, Malvern affords good hydro- and electro- therapeutic facilities. The following baths, among other kinds, may be obtained: Shower, spray, sitz, brine, soda, sulphur, pine extract, Nauheim, spinal wave and ascending douches : Russian vapour, radiant heat, electric light. Plombieres lavage, massage and electrical treatment of various kinds may be had at the several special establishments. Malvern Hydropathic was the first institution for hydrotherapy to be built in England, and has kept well abreast with modern developments. The town has at present a scheme in hand for the provision of a swimming-bath and hot baths supplied with Malvern hill waters. Ample provision is made for I, various sports; the tennis courts at Manor Park are particularly fine, there is a good golf course, and ’, three packs of hounds hunt in the neighbourhood. It is such British health resorts as Malvern that ’, offer to the visitor the charm of restful days in ideal climatic conditions that may be sought in vain among the more populous and the gayer spas, not only of the continent, but also of Britain. , SIR MALCOLM MORRIS MEMORIAL FUND. THE hon. secretary of the committee, Dr. Howard Mummery, reports a very satisfactory response to the appeal published on May 10th in our columns for the above Fund and there is every hope that its objects will be achieved. Subscriptions have already been received from the following :— Lady Alexander. Dr. It. A. Bolam, O.B.E. ; Botolph Printing Works; Mr. Philip Bright ; British Humane Association ; Dame Sidney Browne, G.B.E., R.R.C. ; Miss M. M. Brumhead, Mr. R. Byers, J.P. Sir W. Watson Cheyne, Bart., K.C.M.G., C.B., F.R.S. ; Mr. J. F. Christie ; Miss Clarke ; Mr. Ernest Clarke, M.D., F.R.C.S. ; Dr. Alfred Cox, O.B.E. ; Mrs. Latham Cox ; Sir Anderson Critchett, Bart., K.C.V.O., F.R.C.S. Dr. T. W. A. Daman ; Major Leonard Darwin ; Mr. S. Ernest Dore, M.D., F.R.C.P. ; Sir Arthur Conan Doyle. Prof. John Eyre, M.D., );1.8. "A Friend"; Mrs. Fordham. Mrs. S. A. Gamble ; Mr. S. M. Gluckstein ; Miss VI. O. Gordon ; Mrs. A. E. Gosnell. Miss M. Hardman ; Sir Thomas Horder, Bart., M.D., F.R.C.P. ; Miss V. G. Hort; Miss C. Hosack ; Dr. F. B. Hulke; Mr. W. W. Hutchings. Mr. J. C. Isard. The Very Rev. Dean Kirkpatrick. The Lancet; Prof. F. S. Langmead ; Mr. J. Spedan Lewis. Dr. and Mrs. F. C. Madden ; Mr. Arthur l. Moro; Dr. S. G. Mostyn ; Dr. N. Howard Mummery. Mrs. Olive ; Mrs. C. Owen. Mr. C. F. Pilot, M.R.C.S., L.D.S. ; Dr. Adeline Roberts. Dr. Mary Scharlieb ; Scholastic, Clerical, and Medical Associa- tion ; Dr. and Mrs. Alexander Scott ; the Countess of Shaftes- bury ; Mr. A. Allan Shand ; Mr. W. H. Shrubsole ; Miss F. i ’Smith ; Sir Arthur and Lady Spurgeon ; Dr. Horace Sworder. ’. Major-General Sir Reginald A. J. Talbot, R.C.B.; Miss L. Thevenard; Sir StCtair Thomson, M.D., F.lt.C.S. ; Miss StClair I Thomson ; Mrs. M. R. Torrey ; Mr. E. B. Tm-ner, F.K.C.S. Miss Jane Walker, M.D.; Sir Arthur Whinney, E.B.E. ; ir William 11. Willcox, K.C.I.E., C.B., C.M.G., M.D., F.R.C.P. I Mrs. F. B. M. Williams. .Alr. Thomas Young. The total to date is £252 13s. Further subscriptions ( will be gratefully acknowledged if forwarded to the llon. Treasurers, " Sir Malcolm Morris Memoriat I Fund," at 12, Stratford-place, London, W. 1. Correspondence. VOLUNTARY HOSPITALS COMMISSION: EXTENDED INQUIRY. " Audi alteram partem." l’o the Editor of THE LANCET. SIR,—In the summer of 1922 the Voluntary I Hospitals Commission decided to convene a conference of representatives of local voluntary hospitals com- mittees, which was held in July at the Ministry of Health. The conference was very well attended, and I think representatives from practically every voluntary hospital committee in England and Wales -and many of those in Scotland-were present. The discussions which took place were of great value to the members of the Voluntary Hospitals Com- mission, whose main pre-occupation at that time was the distribution of the Government grant of £500,000 in aid of the delicits on the maintenance accounts of the voluntary hospitals. That task has now been accomplished. Since that date a fresh, and perhaps even more difficult, task has been placed upon the Commission by the present Government. Fresh terms of reference have been given to them which are as follows : " The Voluntary Hospitals Commission are requested to inquire into and report upon the extent of the additional voluntary hospital accommodation required in England and Wales and the best means of providing and maintaining it." To obtain sufficient data on which to base a useful report will require considerable investigation. The Commission have alreadv sent out a questionnaire in regard to matters on which it occurs to them that information should be afforded, but it is felt that it would be of the utmost value if a full discussion could take place with the representatives of the local voluntary hospitals committees as to the best methods by which this investigation could be carried out. A conference will be held at the Ministry of Health on June 18th at 10.30 A.M. It is earnestly hoped that all local hospital committees will be officially represented, but in addition all members of committees will be very welcome if they care to attend. I may add that although the new terms of reference and the best method of giving effect to them will be the most important subject of discussion, some of the committees have put down other matters which they desire to have considered and these will also be discussed. I am, Sir, yours faithfully, ONSLOW, Whitehall, S.W., May 30th, 1924. Chairman. ONSLOW, Chairman. "INDUCTION" OR "CAUSE" OF CANCER. To the Editor of THE LANCET. SIR,—It will be well to realise that factors that induce carcinoma belong to quite a different category from those that cause it. So many writers are confusing the two processes by describing them under the one term, " cause," as if the factors of induction were the same as those of causation. They are not ; for example, the slightest push may induce a ball to roll downhill. The push only induces the ball to roll. The precise nature of the various factors that cause a ball to roll downhill are subjects of acute controversy amongst the profoundest intellects of our time. When discussing carcinoma, if certainty could be arrived at as to the actual factors that induce it, no doubt a great advance would be made in our conception of the disease. If certainty could be arrived at as to the actual cause of carcinoma, the problem " What is Life ? " would be solved. It will be well to recognise that the induction and cause of carcinoma are quite separate processes. I am, Sir, yours faithfully, (J. LENTHAL CUEATLE. Harley-street, W., May 31st, 1924. G. LENTHAL CHEATLE.

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Page 1: VOLUNTARY HOSPITALS COMMISSION: EXTENDED INQUIRY

1182

darkness and inactivity, Malvern escaped unscathed.Indeed, the rain did not deter some of the moreactive of the inspecting party from climbing to theHerefordshire Beacon, round the top of which theancient British camp extends its triple line of- entrenchments, and on Monday morning, when thesun shone again, a drive over the rapidly dryingroads of the Heights, through a fresh and stimulatingair, offered a panorama on the one side of " countyupon county of rich sylvan England, mansioned,abbeyed, towered, spired, castled." and to the west-ward the mountains of Wales rose in the distance.

Apart from its bracing air and large measure ofsunshine, Malvern affords good hydro- and electro-therapeutic facilities. The following baths, amongother kinds, may be obtained: Shower, spray, sitz,brine, soda, sulphur, pine extract, Nauheim, spinalwave and ascending douches : Russian vapour,radiant heat, electric light. Plombieres lavage,massage and electrical treatment of various kindsmay be had at the several special establishments.Malvern Hydropathic was the first institution for

hydrotherapy to be built in England, and has keptwell abreast with modern developments. The townhas at present a scheme in hand for the provision ofa swimming-bath and hot baths supplied with Malvern hill waters. Ample provision is made for I,various sports; the tennis courts at Manor Park areparticularly fine, there is a good golf course, and ’,three packs of hounds hunt in the neighbourhood. ’

It is such British health resorts as Malvern that ’,offer to the visitor the charm of restful days in idealclimatic conditions that may be sought in vain amongthe more populous and the gayer spas, not only ofthe continent, but also of Britain.

,

SIR MALCOLM MORRIS MEMORIALFUND.

THE hon. secretary of the committee, Dr. HowardMummery, reports a very satisfactory response tothe appeal published on May 10th in our columnsfor the above Fund and there is every hope that itsobjects will be achieved. Subscriptions have alreadybeen received from the following :—

Lady Alexander.Dr. It. A. Bolam, O.B.E. ; Botolph Printing Works; Mr.

Philip Bright ; British Humane Association ; Dame SidneyBrowne, G.B.E., R.R.C. ; Miss M. M. Brumhead, Mr. R.Byers, J.P.

Sir W. Watson Cheyne, Bart., K.C.M.G., C.B., F.R.S. ;Mr. J. F. Christie ; Miss Clarke ; Mr. Ernest Clarke, M.D.,F.R.C.S. ; Dr. Alfred Cox, O.B.E. ; Mrs. Latham Cox ; SirAnderson Critchett, Bart., K.C.V.O., F.R.C.S.

Dr. T. W. A. Daman ; Major Leonard Darwin ; Mr. S. ErnestDore, M.D., F.R.C.P. ; Sir Arthur Conan Doyle.

Prof. John Eyre, M.D., );1.8."A Friend"; Mrs. Fordham.Mrs. S. A. Gamble ; Mr. S. M. Gluckstein ; Miss VI. O.

Gordon ; Mrs. A. E. Gosnell.Miss M. Hardman ; Sir Thomas Horder, Bart., M.D., F.R.C.P. ;

Miss V. G. Hort; Miss C. Hosack ; Dr. F. B. Hulke; Mr.W. W. Hutchings.

Mr. J. C. Isard.The Very Rev. Dean Kirkpatrick.The Lancet; Prof. F. S. Langmead ; Mr. J. Spedan Lewis.Dr. and Mrs. F. C. Madden ; Mr. Arthur l. Moro; Dr. S. G.

Mostyn ; Dr. N. Howard Mummery.Mrs. Olive ; Mrs. C. Owen.Mr. C. F. Pilot, M.R.C.S., L.D.S. ; Dr. Adeline Roberts.Dr. Mary Scharlieb ; Scholastic, Clerical, and Medical Associa-

tion ; Dr. and Mrs. Alexander Scott ; the Countess of Shaftes-bury ; Mr. A. Allan Shand ; Mr. W. H. Shrubsole ; Miss F. i’Smith ; Sir Arthur and Lady Spurgeon ; Dr. Horace Sworder. ’.

Major-General Sir Reginald A. J. Talbot, R.C.B.; Miss L. Thevenard; Sir StCtair Thomson, M.D., F.lt.C.S. ; Miss StClair IThomson ; Mrs. M. R. Torrey ; Mr. E. B. Tm-ner, F.K.C.S.

Miss Jane Walker, M.D.; Sir Arthur Whinney, E.B.E. ;ir William 11. Willcox, K.C.I.E., C.B., C.M.G., M.D., F.R.C.P. IMrs. F. B. M. Williams.

.Alr. Thomas Young.

The total to date is £252 13s. Further subscriptions (will be gratefully acknowledged if forwarded to the llon. Treasurers, " Sir Malcolm Morris Memoriat IFund," at 12, Stratford-place, London, W. 1.

Correspondence.

VOLUNTARY HOSPITALS COMMISSION:EXTENDED INQUIRY.

" Audi alteram partem."

l’o the Editor of THE LANCET.SIR,—In the summer of 1922 the VoluntaryI Hospitals Commission decided to convene a conference

of representatives of local voluntary hospitals com-mittees, which was held in July at the Ministry ofHealth. The conference was very well attended,and I think representatives from practically everyvoluntary hospital committee in England and Wales-and many of those in Scotland-were present.The discussions which took place were of great valueto the members of the Voluntary Hospitals Com-mission, whose main pre-occupation at that timewas the distribution of the Government grant of£500,000 in aid of the delicits on the maintenanceaccounts of the voluntary hospitals. That taskhas now been accomplished. Since that date a fresh,and perhaps even more difficult, task has been placedupon the Commission by the present Government.Fresh terms of reference have been given to themwhich are as follows : " The Voluntary HospitalsCommission are requested to inquire into and reportupon the extent of the additional voluntary hospitalaccommodation required in England and Wales andthe best means of providing and maintaining it."To obtain sufficient data on which to base a useful

report will require considerable investigation. TheCommission have alreadv sent out a questionnairein regard to matters on which it occurs to them thatinformation should be afforded, but it is felt that itwould be of the utmost value if a full discussion couldtake place with the representatives of the localvoluntary hospitals committees as to the best methodsby which this investigation could be carried out.A conference will be held at the Ministry of Healthon June 18th at 10.30 A.M. It is earnestly hoped thatall local hospital committees will be officiallyrepresented, but in addition all members of committeeswill be very welcome if they care to attend. I mayadd that although the new terms of reference and thebest method of giving effect to them will be the mostimportant subject of discussion, some of the committeeshave put down other matters which they desire tohave considered and these will also be discussed.

I am, Sir, yours faithfully,ONSLOW,

Whitehall, S.W., May 30th, 1924. Chairman.ONSLOW,

Chairman.

"INDUCTION" OR "CAUSE" OF CANCER.

To the Editor of THE LANCET.

SIR,—It will be well to realise that factors thatinduce carcinoma belong to quite a different categoryfrom those that cause it. So many writers are confusingthe two processes by describing them under the oneterm, " cause," as if the factors of induction werethe same as those of causation. They are not ; forexample, the slightest push may induce a ball toroll downhill. The push only induces the ball toroll. The precise nature of the various factors thatcause a ball to roll downhill are subjects of acutecontroversy amongst the profoundest intellects ofour time. When discussing carcinoma, if certaintycould be arrived at as to the actual factors that induceit, no doubt a great advance would be made in ourconception of the disease. If certainty could be arrivedat as to the actual cause of carcinoma, the problem" What is Life ? " would be solved. It will be well torecognise that the induction and cause of carcinomaare quite separate processes.

I am, Sir, yours faithfully,(J. LENTHAL CUEATLE.

Harley-street, W., May 31st, 1924.G. LENTHAL CHEATLE.