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cases in which the provision for medical relief is now inadequate, the sum received from the Grant might be substituted for an equal sum now expended from the parochial funds and that no improvement in the supply of medical relief to the poor would be effected. It is, therefore, proposed that no parish shall participate in the Government Grant which shall not have expended on medical relief in the past year, out of the poor funds, a sum at least equal to double the amount of the share apportioned to it from the Grant; and that every parish which shall have so expended such a sum, shall , at the end of the year, be reimbursed in a sum at least equal to its share of the Grant (Tables III. , IV. , V. ) . But, while fixing at this rate the minimum amount of contribution from its own funds, which would entitle a parish to participate in the Grant, it must be clearly understood that this arrangement would not in any way limit the statutory obligations of parishes, and that Parochial Boards are bound to provide whatever further sum may be necessary, to afford adequate medical relief to the poor.

It is proposed that all parishes, as a condition of participation in the Grant, shall name legally qualified Medical Officers, at fixed salaries, to attend the poor ; that these officers shall be bound to obey all the rules and regulations which the Board of Supervision may, from time to time, make for their guidance, and which shall have been approved by one of Her Majesty's Secretaries of State ; and that, if any Medical Officer so appointed to attend the poor shall fail, or neglect, or refuse to perform the duties of his office, or shall be found unfit or incompetent to discharge them, the Board of Supervision, by a minute or order, shall have power to dismiss him .

Approved by the Right Hon . Sir George Grey, Bart., one of Her Majesty's Principal Secretaries of State, March 30 , 1848 .

Approved by the Right Hon. Lord Viscount Palmerston, one of Her Majesty's Principal Secretaries of State, April 29, 1854.

SCHEME OF DISTRIBUTION OF THE INCREASED MEDICAL RELIEF GRANT, APPROVED BY THE SECRETARY OF STATE, AUGUST .7 , 1882.

'The Board are informed that, in consequence of the undertaking by the Chancellor of the Exchequer in his financial statement on the 24th April, the Lords Commissioners of Her Majesty's Treasury have caused a sum of £ 10,000 to be inserted in the supplementary Estimates which are about to be laid before Parliament, as an addition to the Grant of £ 10,000 in aid of Medical Relief already inserted in the estimates for the current year.

'The Board have now considered the subject, and they beg to submit the following scheme for the approval of the Home Secretary with reference to the distribution of the Grant, as now increased.