rThu B- OCT. 5, 1901.] REORGANISATION OF THE ARMY MEDICAL SERVICES. LMUDIOAL JOIU.AX. 1025 tReorganisation of tfie Ilrmy tedicat&ervices;O 4 REPORT OF THE COMMITTEE. WE have received from the War Office for publication the tion of the term of his appointment, but subject to the proviso report of the Committee appointed by the Secretary of State that he shall vacate his seat on the Board upon attaining the for War to consider the reorganisation of the Army Medical age of 6o years. He shall receive an honorarium of f200 per Services. The Committee was constituted as follows:-Right annum in addition to his out-of-pocket expenses for duties Hon. St. John Brodrick, Secretary of State for War, Chair- performed beyond a radius of 4 miles from Charing Cross. man; Colonel Sir Edward Ward, K.C.B., Permanent Under- Meetings. Secretary, Vice-Chairman. Members: Major-General Sir G. , 4. The Advisory Board shall usually meet at fortnightly de C. Morton, K.C.I.E., C.B.; Colonel Sir James Willcocks, intervals, and the necessary quorum for the transaction of K.C.M.G., D.S.O.; Sir Frederick Treves, C.B., K.C.V.O.; business shall be the Chairman (or in his absence the Vice- Sir William Thomson, C.B.; Surgeon-General Hooper, C.S.I., of Mr. G. H. Chairman) and two other members of the Board, whom I.M.S.; Lieut.-Colonel A. Keogh, C.B., R.A.M.C.; one must be a civilian. The Chairman (or in his absence the Makins, C.B.; Mr. A. D. Fripp, C.B., C.V.O.; Dr. H. Tooth, Vice-Chairman) shall have the right to vote, and, in case of an C.M.G.; Professor A. Ogston; Dr. E. C. Perry, F.R C.P. a vote. Secretary; Major H. E. R. James, R.A.M.C. The following equality of votes, shall have casting is the text of the Report: Duties. 5. The Advisory Board shall report to the Secretary of SCHIEME FOR THE REORGANISATION OF THE State upon all matters concerned with medicine, surgery, ARMY MEDICAL SERVICES. sanitation, and epidemic diseases as they affect the military services. Advisory Board. 6. The Board shall advise the Secretary of State upon the x. The Royal Army Medical Corps shall be under the adequate provision of hospitals and upon the equipment of supervision of a Board, to be termed the Advisory Board for the same in full detail; upon the supply of drugs, appliances, Army Medical Services, and constituted as follows: diets, and medical comforts to the patients; and generally Constitution. upon whatever concerns the well-being of the sick an: The Director-General, A.M.S., Chairman. wo-anded. The Deputy Director-General, A.M.S., Vice-Chairman. 7. The Board shall prepare and submit to the Secretary of I Officer, Royal Army Medical Corps, with special State a scheme for the expansion of the Service to meet the knowledge of Sanitation. needs of war or serious epidemics, such scheme dealing with i Officer, Royal Army Medical Corps, with special questions of ambulance and transport, the equipment of all knowledge of Tropical Diseases. medical units at the base and front and on the lines of com- munication, the supply of drugs and medical comforts, the 2 Civilian Physicians Appointed by the Crown on the recommendation of the Secre- employment in the Service of civilian surgeons, nurses, and 2Civilian2CiiliaSureonsSurgeos [ tary of State. orderlies, and the utilisation of all voluntary effort for the the sick and wounded. I Representative of the War Office appointed by the relief of Secretary of State. 8. The Board shall have submitted to it, and shall report all for new and I Representative of the India Office appointed by the to the Secretary of State upon, plans hospitals of State for India. upon standard plans for barracks and standing camps. Secretary a list of civil The Matron-in-Chief, Queen Alexandra's Imperial 9. It shall be the duty of the Board to draw up Military Nursing Service (for Nursing Service hospitals recognised as places of study for members of the only). Royal Army Medical Corps. io. The Board shall also draw up a list of hospitals and Appointment of Civil Members. nurse-training schools recognised for the purposes of the 2. To be eligible for appointment upon the Advisory Board Queen Alexandra's Imperial Military Nursing Service. a Civilian Physician or Surgeon shall be required to hold or iI. The Board shall arrange, so far as practicable, for the to have recently held a post on the acting staff of a leading annual inspection of each of the military hospitals by a Sub- Civil Hospital in England, Wales, Scotland, or Ireland, and committee consisting of at least one military and one civilian to be not more than 55 years of age upon first appointment. member of the Board, such inspection to be usually made 3. A Civilian Physician or Surgeon upon the Advisory Board without notice. shall hold office for a period of 3 years, renewable upon expira- 12. This Subcommittee shall ascertain and report to the 1025 MUDIaAL JOURNAL] REPORT OF THE COMMITTEE. [OCT. 5, 190I. Board whether the treatment of patients and the equipment shall be granted to candidates who have performed medical of hospitals inspected be in accordance with modern medical duties with troops on active service. and surgical requirements. 23. A candidate, having fulfilled the above requirements, 13. The Board may, with the permission of the Secretary of shall be directed to appear before the Advisory Board, who State, detail specially qualified Officers of the Royal Army will decide whether he may be allowed to compete for a com- Medical Corps or others to visit and report upon the army mission in His Majesty's Army. medical services of foreign countries. 14; The promotion of Officers or their retention in the Candidate: Entrance Examination. Service will be referred to the Board for consideration before 24. After having been medically examined the candidater submission by the Director-General to the Commander-in- shall be submitted to a clinical and practical examination in Chief. medicine and surgery, the scope of which shall be defined by I5. The Board shall supervise the admission of candidates the Advisory Board. to the Royal Army Medical Corps, and shall arrange for the on Probation. examination of Officers for promotion, appointing examiners Lieutenant 25. gained a in this and recommending to the Secretary of State the amount of Having place Entrance Examination the successful candidate shall be appointed Lieutenant on proba- their remuneration, regard biing had as heretofore to the and shall English, Welsh, Scotch, and Irish medical schools. Except tion, proceed to Netley (until other arrangements have been made) for a 2 months' course of instruction in as specified in paragraph 25 every examinations shall be held hygiene and bacteriology, after which he shall be examined in 6 months at dates to be fixed by the Advisory Board. these Examiners shall be appointed annually by the Advisory subjects. He will then proceed to Aldershot, where he will undergo a 3 months' course of instruction on the follow- Board, but no examiner shall serve continuously for a longer ing subjects: period than 4 years. A member of the Advisory Board shall Stretcher and ambulance drill. not be appointed examiner. Interior economy. I6. The Board shall exercise a general control over the Military law and hospital management. nursing service, and, in consultation with the Nursing Board, On the completion of the course he shall be examined shall submit to the Secretary of State a scheme to in develop these subjects. The marks gained at both these examinations the training of orderlies as attendants upon the sick and wounded. (provided they are not less than the 50 per cent. requisite to Director-General: Appointment. qualify), added to those at the entrance examination, shall decide his on the 17. The Director-General shal be appointed by the Secretary position seniority list of the corps, and he will thereupon be confirmed in his appointment as of, State on the Lieutenant. recommendation of the Commander-in-Chief, The mark ratio of each of these acting with the advice of the Advisory Board, and shall hold minor examinations to the entrance examination shall be as I to 8. office for 5 years. 26. A Lieutenant on probation who fails to obtain the Duties. qualifying percentage of marks in either of these minor I8. The Director-General shall be responsible for the administration of the Army Medical examinations shall be allowed a second trial at the termina- Service, the Militia tion of 6 months from entrance to the Service, and should he Medical Staff Corps, the Militia Reserve trained in medical qualify will be placed at the bottom of the list. If, however, duties, and Corps. the Volunteer Medical Staff He shall be he should again fail in either examination his appointment responsible for the distribution, promotion, discipline, and will not be and he will the general organisation of these services. confirmed, leave Service. 19. After reference to the Advisory Board as defined in Candidate: Re Resident Post in Civil -Hospital. paragraph 14, the Director-General shall bring forward to the 27. Should a candidate pass the entrance examination to Commander-in-Chief the names of may officers whom he the Royal Medical a judge worthy of promotion. Army Corps whilst holding resident appointment in a recognised civil hospital, or be appointed 20. The Director-General, in concert with the Advisory thereto at such a date as will permit him to take up his Board, shall draw up a scheme for the due provision of duties immediately after he has passed the entrance examina- medical aid for the Auxiliary Forces, Militia, Yeomanry, and Volunteers.