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Surgeons in charge of Hospitals: where with a little more personal service on the part of the Superior Officer supplemented with clerical aid, a Medical Officer might be dispensed with

The same system of consolidation of services may be adopted with beneficial results, in connection with the employment of Hospital attendants,  According to the number of sick reported in some of the Hospitals, a larger number of persons are employed in various capacities than is believed to be required

There also may be instances where the services of a physician resident in the place may be obtained at a less rate and prove as efficient as when an acting Asst Surgeon in sent there.

In his inspections the Surgeon in Chief will particularly observe and report upon the sanitary condition of, and the system of routine service at the various Hospitals, Homes, Colonies or Asylums, and give such instructions, as he may find necessary for the correction of abuse, or the improvement of the condition of such Hospitals &c

Should controlling circumstances prevent the performance of this duty by the Surgeon in Chief, a suitable Medical Officer will be detailed in his place