H.—l3

SESS. 11.—1884. NEW ZEALAND.

HOSPITAL AND CHARITABLE-AID EXPENDITURE, 1883-84 (MEMORANDUM ON).

Presented to both Houses of the General Assembly by Command of His Excellency.

MEMORANDUM ON HOSPITAL AND CHARITABLE-AID EXPENDITURE, 1883-84. The expenditure for the financial year ended the 31st March, 1884, was as follows :— > Hospitals. _ £ s. d. (Table 1.) Wholly maintained by Government ... ... 43,639 3 0 (Table 2.) Subsidised by Government in proportion to public contributions ... ... ... ... ... 10,531 15 11 54,170 18 11 (Table 3.) Less revenue from various sources ... ... ... 3,576 17 1 Net expenditure ... ... ... ... £50,594 1 10 Chaeitable Aid. (Table 4.) Paid direct by Government ... ... ... 14,776 7 1 Subsidised by Government ... ... ... 19,872 10 11 £34,648 18 0 Total—Hospitals ... ... ... ... ... ... 50,591 1 10 Charitable aid ... ... ... ... ... 34,648 18 0 £85,242 19 10 The hospitals wholly maintained by Government are, speaking generally, those at the chief centres of population (though in Canterbury District all the hospitals are so maintained); whilst those in country districts are maintained on the system of subsidies of £1 for every £1 subscribed by the general public or by local bodies for the support of the hospital. These subsidies are paid to Committees of Management elected by the subscribers. There are a few exceptions to the pound-for-pound rule. The Tuapeka Hospital has had £3 for £1, and the Waipawa County and Coromandel Hospitals have had £2 for £1, whilst at P..tea half the actual cost is refunded by Government to the local bodies who manage the hospital. The revenue derived from the hospitals maintained wholly by the Government which consists of payments by patients, public subscriptions, and miscellaneous items (such as sale of pigs, &c), amounts to about one-fifteenth of the expenditure. The hospitals, except in Wellington, are managed by Committees variously chosen. Of those maintained by Government, that at Auckland is managed by a Committee, half of whom are elected by those who subscribe £306 against an expenditure of £6,575, and the other half are nominated by Government. At the Thames there is a larger "Committee elected by subscribers of an almost nominal sum, and by the Borough and' County Council, which contribute nothing, whilst none are nominated by Government. The New Plymouth Hospital is managed by a Committee appointed by Government.

H.—l3

2

At Napier the Committee is elected by subscribers, whose subscriptions, whilst entitling the donors or their nominees to gratuitous treatment in case of illness, are expended by the Committee, who render no accounts, and who throw the whole cost of management and maintenance on the Government. The Government are unrepresented on the Committee. The Nelson Hospital is managed by a Committee of the City Council. The Christchurch and Akaroa Hospitals by a Board of Management appointed by the Government. The Ashburton Hospital has hitherto been managed by the Borough Council on the pound-for-pound principle, but that body has recently thrown it on the hands of the Government. The Waimate Hospital is managed by the County Council. The Timaru and Dunedin Hospitals by Committees appointed by Government. The Hokitika and Westport Hospitals by Committees elected by subscribers. At Hokitika two members are appointed by the Government. All the other hospitals in the colony are conducted on the voluntary system, with Government subsidies. Charitable Aid. Charitable aid in Auckland is dispensed by a paid officer of the Government. At the Thames by a Committee of the Borough Council. At Napier by a private gentleman, who acts gratuitously at the request of the Government. At New Plymouth by a paid agent. At Wellington by the Benevolent Institution, who last year received £2,200 grants in aid from Government, besides £277 subscriptions from the public, with pound-for-pound subsidy from Government, making £2,754 in all. Hutt, Wairarapa, and West Coast charities make up the total expenditure of £3,328 15s. Bd. At Nelson the distribution is by a paid agent of the Government. In Canterbury by the Hospital and Charitable Aid Board appointed by the Government, and aided by a paid officer of the Government. In other parts of the colony charity is distributed by local associations, who collect subscriptions from the public and from local bodies, which amounts are subsidised pound for pound by the Government. Orphanages. Payments to orphanages form a very considerable item in the charitable expenditure. Those at the Thames and at Lyttelton are maintained solely at the cost of the vote, — £ s. d. £ s. d. The Thames cost ... ... ... ... 45110 8 Less recoveries from parents ... ... 44 19 5 Net ... 406 11 3 Lyttelton cost ... ... ... ... 2,450 6 2 Less recoveries from parents ... ... 171 2 8 Net ... ... ... 2,279 3 6 St. Mary's, Ponsonby ; St. Joseph's, Wellington; and St. Mary's, Nelson, are Catholic institutions, to which head-money is paid for children sent by Government. St. Stephen's, Parnell, is on the pound-for-pound principle, with head-money in addition ; and Motueka Orphanage receives Bs. per week for children sent by Government. The net payments last year were — £ s. d. Thames 406 11 3 Lyttelton .. ... ... ... 2,279 3 6 St. Mary's, Ponsonby ... ... ... 815 19 8 St. Joseph's. Wellington ... ... ....- ... ... 375 9 0 St. Mary's, Nelson ... ... ... ... ... 2,249 9 0 St. Stephen's, Parnell ... ... ... ... ... 172 1 8 Motueka Orphanage ... ... ... ... ... 571 14 7 £6,870 8 8 Building—Repairs and Additions. No new buildings have been undertaken during last financial year. Votes were taken for £2,000 on the consolidated revenue and £4,000 on loan, but the greater part of the latter sum was not spent, although engagements were made under it for repairs and additions. A fresh vote has been put on the Estimates this year of £6,000, the greater part of which will be required to meet last year's unfulfilled engagements. The Public Works Department have the control of the details. Wellington, October, 1884. G. S. Cooper.

H.—l3

3

Table 1. Hospitals maintained wholly by Government, showing Localities and Amounts.

Table 2. Hospitals subsidised by Government.

* Nine months.

Name of Hospital. Amount. Auckland ... ' ... Thames Napier New Plymouth Wellington ... Nelson Westport Picton ... Blenheim ... Westland ... Christchurch ... ... ... ... ... Akaroa Timaru Waimate (estimate calculated from three quarters' accounts) Dunedin £ s. d. 6,575 1 5 3,434 14 1 4,072 11 3 1,090 13 3 6,785 19 6 1,894 0 0 1.172 5 10 616 11 5 767 6 7 3.173 1 11 4,789 19 8 341 17 10 2,032 14 3 800 0 0 6,092 6 1 Total ... £43,639 3 0

County. Name of Hospital. Eato of Subsidy. Amount. Coromandel Cook Waipawa ... Wairarapa West „ Bast Coromandel Poverty Bay Waipawa County Greytown Masterton Wanganui Patea ... £2for£l £lfor£l £2for£l £lfor£l £ s. d. 240 16 10 759 0 11 887 13 10 138 13 10 214 5 7 715 0 0 116 18 2* // Wanganui... Patea it • • • Half cost paid by Government £lfor£l Buller Inangahua Grey Westland ... i/ Ashburton Lake Charleston Eeefton... Grey Eiver Kumara Totara ... Ashburton Arrow ... Wakatipu Cromwell Dunstan Mount Ida Oamaru Southland Tuapeka Wallace and Fiord It * • • „ It II It • • • II 87 4 1 562 3 6 921 13 1 408 7 0 423 7 0 436 5 3 360 11 3 211 8 9 367 17 2 ' 455 8 9 213 0 0 489 17 9 1,146 6 3 1,249 0 9 326 19 6 Vincent II • • • Maniototo ... Waitaki Southland ... Tuapeka Wallace .•?<■« II II * • * £3for£l ... £lfo*£l ■ Total £10,531 15 11 j> -•

H.—l3

4

Table 3. Revenues received from Hospitals supported by the Government.

Table 4. Charitable-aid Expenditure.

Authority: George Didsbuby, Government Printer, Wellington.—lBB4.

Name of Hospital. Payments by Patients. Public Subscriptions and Donations. Miscellaneous Eeceipts. Total. *-i £ s. d. 485 18 6 £ s. 306 16 d. 1 £ s. d. 21 10 7 £ s. a 814 5 2 Auckland ?hames Tew Plymouth Wellington ... Japier 'icton Jlenheim Telson Vestport Vestland ihristchurch... L.karoa 'imam )unedin 214 7 11 254 11 9 186 17 9 52~"7 0 2"'8 0 31 1 11 214 7 11 309 6 9 217 19 8 130 18 6 84 7 6 382 16 6 29 12 0 165 6 1 502 9 10 42 "*5 497 10 0 6 116 6 8 173 3 1 698 4 8 382 16 6 29 12 0 165 6 1 571 14 10 69*'5 0 Totals 2,437 6 4 898 18 7 240 12 2 3,576 17 1

Provincial District. Amount paid direct. Subsidies to Local Institutions. Total. .uckland 'aranaki Wellington lawke's Bay ... lelson larlborough ianterbury Vestland )tago ... £ s. a. 2,931 5 10 850 19 2 139 2 10 89 0 0 724 18 7 76 13 8 9,664 18 7 22 16 0 276 12 10 £ s. d. 3,298 17 9 66 19 9 3,189 12 10 1,552 7 10 3,033 1 4 £ s. d. 6,230 3 7 917 18 11 3,328 15 8 1,641 7 10 3,757 19 11 76 13 3 14,282 12 6 794 0 6 3,619 5 10 4,617 13 11 771 4 6 3,342 13 0 Totals 14,776 7 1 19,872 10 11 34,648 18 0