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CONDITIONS AND INSTRUCTIONS TO BE OBSERVED IN THE DISTRIBUTION OF THE MEDICAL RELIEF GRANT, APPROVED BY THE SECRETARY FOR SCOTLAND, JUNE 10, 1890.

1. In order to entitle a parish to receive a contribution, it is necessary that the conditions and the Rules of the Board of Supervision as to Medical Relief should have been complied with ; and that the expenditure on Medical Relief afforded to the poor during the year ended 14th May 1889 should at least equal the sum which is mentioned in the Board of Supervision's Circular Letter of 6th April 1848, as the minimum expenditure for your parish on Medical Relief.

2. Each item of expenditure should refer exclusively to "Poor Law Medical Relief" afforded during the year ended 14th May 1890, and be supported by a Voucher, distinct as to its date, the period to which it refers, and the subject of payment.

3. Every voucher, without exception, for a payment of £2 or upwards requires a receipt stamp.

4. Discharged Accounts for Medicines and Medical appliances, should be forwarded for examination along with this Statement.

5. The following payments are inadmissible as Medical Relief charges, viz ., payments to Lunatic Asylums, also payments to Medical Officers for quarterly visits to Lunatics in Private Dwellings, and for Medical Certificates under the Lunacy Acts and Regulations of the Lunacy Board-or for Medical Certificates required in the ordinary administration of relief-or for professional services rendered under the provisions of the Vaccination and Public Health Acts- or for services rendered by Midwives in Midwifery cases. Payments for nutritious diet, cordials , clothing, lodging, sickbed attendance, are also not admissible as " Medical Relief " Expenditure .

6. Payments, or such proportions of payments as properly belong to Medical Relief, on account of pauper patients treated during the year in Licensed Wards of Poorhouses and Infirmaries or Hospitals, will be admitted as Medical Relief ; also Annual Subscriptions to Hospitals for the year ended 14th May 1890. In all such cases, a special statement of the circumstances under which the expenditure is made, and of the benefit derived from it by paupers during the year, should be transmitted, as each case is separately considered before it is admitted .

7. Sums which are not actually and ultimately chargeable to the Parochial Funds of the Parish are not to be included in the account of expenditure on Medical Relief.

8. Neither a Participating Parish nor the Medical Officer of that Parish, is entitled to recover from another Participating Parish the cost of Medical Attendance .

9. All Statements, without exception , to be lodged with the Board of Supervision , on or before 30th June.

Approved by the Secretary for Scotland, 10th June 1890.