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Sir Thomas Horder, speaking at the conference of the British Hospitals Association at Southport, said that one of the most urgent of our problems today was the provision of adequate medical and surgical treatment for middle-class patients. We in London had no alternative between the general wards of the large hospital and the private nursing home, where, often enough, the cost to the patient was absolutely prohibitive. In the large centers the state of affairs was much the same. Reform of the poor law and coordination of services went naturally hand in hand. No individual could say the degree of coordination that was necessary, but that a large number of beds in the poor law infirmaries should be more efficiently utilized and should receive more definite and more systematic medical supervision was clearly desirable. The revision of poor law wards might lead to the utilization of some of
LONDON. JAMA. 1928;91(6):408-409. doi:10.1001/jama.1928.02700060042020