C.S. 166
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projects when the resource situation enables further proposals to go ahead. It should be emphasised however that this division is not intended to be rigid; some switching of projects between "phases" will be possible and the MDAC will be asked to re-examine the proposed order of priorities in the annual reviews of the programme which they will be undertaking.
The Proposals in the draft White Paper
Hospital/clinic services
10
The 1964 White Paper recommended that by 1972 the
standards should be
4. 25 hospital beds per 1,000 population;
one standard urban clinic to 100, 000 urban population;
one standard rural clinic to 50,000 rural population; and one polyclinic for every 500,000 population.
By the end of 1972 (and taking into account 827 substandard and 1, 245 temporary beds) the bed/population ratio was 4. 26 beds per 1,000 population. In terms of clinics, the MDAC found that the existing number (38) fell short of that required to meet the standards set in 1964, and suggested that their uneven geographical distribution contributed to the overcrowding in some general out-patient clinics.
11
In the light of their assessment of likely patient require- ments the MDAC recommended that the standards for 1982 should be set at
5.5 hospital beds per 1,000 population; and the provision of 305 clinic consulting rooms,
but indicated that the achievement of these standards would impose extremely heavy demands on all the resources involved and that the requirement for clinic consulting rooms might be greater than the 305 estimated by them (paragraphs 27 and 34 of the MDAC Report).
12
The broad proposals in this section of the draft White Paper are concerned with the need to make the fullest use of available general hospital beds in Government and Government-assisted hospitals (paragraphs 13-21 below) and with the priorities for the development of new hospitals and clinics (paragraphs 22-31).
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