AUSTRALIAN CAPITAL TERRITORY.
Regulations 1953. No. 16.
Regulations under the Canberra Community Hospital
Ordinance 1938-1952.*
| 1 | EARLE PAGE, Minister of State for Health, in pursuance of the 1938-1952, hereby make the following Regulations. | powers conferred by the Canberra Community Hospital Ordinance |
Dated this ninth day of November, 1953.
EARLE PAGE
Minister of State for Health.
AMENDMENTS OF THE CANBERRA COMMUNITY
HOSPITAL (CHARGES) REGULATIONS.
1. Regulation 5 of the Canberra Community Hospital (Charges) charge for
Regulations is amended by omitting the words " The charge" and in-patient».
inserting in their stead the words " Subject to regulation 9 of these
Regulations, the charge ".
2. Regulation 6 of the Canberra Community Hospital (Charges) charges for
| * | Regulations is amended by inserting after the word " out-patient" in Jerv°c°s.lcal sub-regulation (1.) the words " or a person to whom regulation 9 of these Regulations applies ". |
3. Regulation 7 of the Canberra Community Hospital (Charges) charges for
| Regulations is amended by inserting after the word " out-patient" the | fS^, |
| * | words " or a person to whom regulation 9 of these Regulations applies ". |
| 4. Regulation 8 of the Canberra Community Hospital (Charges) Regulations is repealed and the following regulations inserted in its stead:— |
| provided for an out-patient or a person to whom the next succeeding otllCT Bervlcel | "8.—(1.) The charge for a course of treatment by physiotherapy charges for | |
| regulation applies is Five shillings for the first visit and Two shillings and sixpence for each subsequent visit during each period for which he receives that course of treatment. |
* Notified In the Commonwealth Gazette on 27th November, 1953.
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" (2.) The charge for a casualty service provided for an out-patient other than a person to whom the next succeeding regulation applies is Five shillings.
" (3.) The charge for an electrocardiograph examination of an out- patient or a person to whom the next succeeding regulation applies is Two pounds two shillings.
| charges where | " 9 . — (1.) This regulation applies to a person who has, or may, in |
tooompenHation the opinion of the Medical Superintendent, have an enforceahle claim
| or damages. | for ^he r e Covery, by way of compensation or damages, from another person of the cost of treatment provided by the Board for that first- , |
| |
| " (2.) Where a person to whom this regulation applies is an in-patient, the charge for the treatment provided for that person is the sum of— | < | |
(a) the charge at whichever of the rates specified in regulation
5 of these Eegulations is applicable;
(b) where the treatment provided for that person includes an attendance, a service or a medical treatment specified in the Third Schedule to these Regulations—the charge specified in that Schedule in relation to that attendance,, service or medical t reatment; and
(c) where the treatment provided for that person is a service specified in regulation 6 or 7, the course of treatment specified in sub-regulation (1.) of regulation 8, or the examination specified in sub-regulation (3.) of regulation 8 of these Eegulations—the charge specified for that service, course of treatment or examination.
" (3.) Where a person to whom this regulation applies is an out- patient and receives an attendance, a service or a medical treatment
specified in the Third Schedule to these Eegulations, the charge for that-
| attendance, service or treatment is the charge specified in that Schedule | * |
| in relation to that attendance, service or medical treatment. |
| " (4.) The charge for a course of treatment being a treatment for which a charge is not otherwise specified in this regulation provided by the Board for a person to whom this regulation applies who is an out- patient is— |
(a) where the course of treatment lasts less than three weeks— Fifteen shillings for the first visit and Ten shillings and sixpence for each subsequent visit; or
(b) where the course of treatment lasts more than three weeks— Two pounds seventeen shillings for the first week, Two pounds two shillings for the second week and One pound eleven shillings and sixpence for each subsequent week.".
| First Schedule. | 5. The heading to the Firs t Schedule to the Canberra Community Hospital (Charges) Regulations is amended by omitting the words |
| " | TifoviDED | F O B | O U T - P A T I E N T S | " . | |
6. The Canberra Community Hospital (Charges) Regulations are Third schedule,
amended by adding at the end thereof the following Schedule:—
THIRD SCHEDULE.
Regulation 9.
CHARGES FOR AN ATTENDANCE, A SERVICE OR A MEDICAL TREATMENT
PROVIDED FOR A PERSON TO WHOM REGULATION 9 APPLIES.
| Column 1. | Column -. | Column | :s. |
| Item No. | Attendance, Service or Medical Treatment. | Chargt |
| |
| P A R T | I . — A D M I N I S T R A T I O N | O F | A N A E S T H E T I C S . |
>
| J | Adminis t ra t ion of anaesthet ics , whether by one or mor t | t h | m |
one medical practi t ioner, namely—•
| (1) General anaesthet ic (not covered by any other sub-ite | m |
of this item) for—
| (a) Major operation | 4 | 4 | 0 |
| (/)) Minor operat ion— |
| (i) lasting half an hour or longer | 2 | 16 | 0 |
| (ii) lasting less than half an hour | 1 | 8 | 0 |
| (2) In t ravenous anaesthet ic , | for |
| (a) Major operation | 4 | I | 0 |
| (b) Minor operation | 2 | u; | 0 |
| (3) Spinal anaesthet ic | 4 | 4 | o |
| (4) Nitrous oxide | 4 | 4 | 0 |
| (5) Cyclopropane | 4 | 4 | 0 |
| (6) Local anaesthet ic (not including freezing by | etl | yi |
chloride) for—
n;
| (b) Minor operation | 0 | 14 | 0 |
| PART | 2 . — T R E A T M E N T | OF | F R A C T U R E S . |
| Division 1.—Treatment of Simple and Uncomplicated | Fractun | *> |
| not being Chip Fractures and not requiring Open Ope | rati | m |
| and, except where specified, not involving Treatment of a | Joi | nt |
| or Joints. |
| •> | Trea tmen t of fracture of— |
| (2) One or more metacarpals not involving base of | fir | st |
| carpo-metacarpal joint | 5 | \-l | 0 |
| (3) One or more metacarpals including the base of the fir | St |
| metacarpa l and involving the first carpo-metacarp | al |
| joint | (Bennet t ' s | f r ac tu re ) . . | 9 | 16 | 0 |
| (4) One or more meta tarsa ls | 0 | Ii | 0 |
| (5) Terminal phalanx of finger or t h u m b | 2 | 16 | 0 |
| (6) Proximal phalanx of finger or t h u m b . . | 7 | 0 | 0 |
| (7) Middle pha lanx of finger | 4 | 4 | 0 |
| (8) Terminal phalanx of toe | 2 | 16 | 0 |
| (9) Proximal phalanx of great toe | 5 | 12 | 0 |
| (10) Proximal phalanx of toe other than great t o e . . | 4 | 4 | 0 |
| (11) Carpal bone (excluding the navicular) | 4 | 14 | Ii |
| (12) Navicular | 11 | 4 | 0 |
| (13) Tarsal bone (excepting os calcis or os talus) | . . | 7 | 0 | 0 |
| (14) Os calcis | 14 | 0 | 0 |
| (15) Os ta lus | 14 | 0 | 0 |
| (16) Wris t (Colles's fracture) | 9 | lti | 0 |
| (17) Radius | 8 | 8 | 0 |
| (18) Ulna | 7 | 0 | 0 |
| (19) Both shafts of forearm | 45 | 8 | 0 |
| (20) Tibia | 12 | 12 | II |
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THTKD ScnEDTJLE—continued.
| Column 1. | Column 2. | Column 3. |
| Item No. | Attendance, Service or Medical Treatment. | Charge. |
| |
| T rea tmen t of fracture | of—continued. |
| (21) F ibu la (22) Bo th shafts of leg | 7 | 0 | 0 |
| 19 | 12 | 0 |
| (23) Ankle wi th dislocation of ankle jo in t | 19 | 12 | 0 |
| (24) | F e m u r | 28 | 0 | 0 |
| (25) | H u m e r u s | 16 | 16 | 0 |
| (26) Clavicle . . | 7 | 0 | 0 |
| (27) Scapula . . | 7 | 0 | 0 |
| (29) Mandible | 16 | 16 | 0 |
| (30) Maxilla . . | 14 | 0 | 0 |
| (31) Zygoma . . | 7 | 0 | 0 |
| (33) One or more ribs | 4 | 18 0 |
| (34) Symphysis pubis | 11 | |
| Division 2.—Treatment of tSitnple and | Uncomplicated | Fractures | requiring | Open |
Operation.
3 T r e a t m e n t of a simple and uncomplicated fracture of a pa r t referred t o in
| i tem 2 of th is Schedule, other t h a n a pa r t referred t o in i tem | 4 | ror the | of this |
| Schedule, requiring an | open | opera t ion—the a m o u n t | specified |
| t r e a tmen t | of t h a t | pa r t | in i tem | 2, plus one-third | of t h a t | a m o u n t |
4 T rea tmen t of a simple and uncomplicated fracture of—
| • | (a) patel la requiring an open operat ion—Twenty-one pounds ; or (6) coccyx, requiring excision—Fourteen pounds |
| Division | 3.-—Treatmer t of Simple | Fractures | ream ring Treatment | of a | Joint |
or Joints.
Treatment of a simple fracture of a part referred to in item 2 of this Schedule requiring treatment of a joint or joints—the amount specified for the treatment of that part in that item, plus, where the treatment for which the amount is specified does not include treatment of a joint or joints, one-third of that amount
| Division 4.—Treatment of Compound Fractures. |
Treatment of a compound fracture of a part referred to in item 2 of this
Schedule—
(a) requiring an open operation—the amount specified for the treatment
of that part in that item, plus one-half of that amount; or
(b) not requiring an open operation—the amount specified for the treatment of that part in that item, plus one-quarter of that amount
Division 5.—Treatment of Chip Fractures.
Treatment of a chip fracture of a part referred-to in item 2 of this Schedule requiring little treatment—one-half the amount specified for the treatment of that part in that item
r>
| T H I R D | SCHEDULE—cont inued. |
Division 0.—Treatment of Fractures of more than one Phalanx of same Finger,
Thumb or Toe.
Trea tmen t of fractures of more t h a n one phalanx of same finger, t h u m b or
toe—the sum of—
(a) whichever of the amoun t s specified in i tem 2 of this Schedulo for the
| t r e a tmen t of those fractures is the | greater | or greatest | a m o u n t ; |
| and |
(b) One pound one shilling lor each of tho other fractures so t reated
Division 7.—Treatment of Fractures of Phalanxes on more than on? Finger or
Thumb, or on more than one Toe.
Trea tmen t of fractures of phalanxes on more than one finger or t h u m b , or on
more than one toe—
| (a) | where tho amoun t specified in i tem 2 of this Schedule for the t r ea tmen t |
of those fractures is the same—tho sum of—
(i) the amoun t so specified ; and
(ii) an amoun t ascertained by mult iplying one-half the amoun t
so specified by the number by which the number if
the phalanxes so t rea ted exceeds one ; or
(b) where the amounts specified in i tem 2 of this Schedule for tho t reat-
ment of those fractures are no t the same—the sum of—•
(i) the a m o u n t which is the greater or greatest of the amoun t s
so specified ; and
(ii) one-half of each of the other amoun t s so specified
| Division | 8.—Treatment | of | Complicated | Fracture | involving | Viscera, | Blood |
Vessels or Nerves and requiring Open Operation.
Trea tmen t of complicated fracture of a pa r t referred to in i tem 2 of this
Schedule involving viscera, blood-vessels or nerves and requiring open
operat ion—tho amoun t specified for the t r e a tmen t of t h a t p a r t in t h a t i tem,
| plus three-quar ters of t h a t | amoun t |
| Attendance, Service or Medical Treatment. | Charge. |
| £ s. d. |
| P A R T | 3 . — T R E A T M E N T | O F | DISLOCATIONS. |
Division 1.—Treatment of Dislocations not necessitating
| T r e a t m e n t | of | dislocation | of— |
| (1) Mandible | 2 16 0 |
| (2) Clavicle | 8 8 0 |
| (3) Shoulder | 7 0 0 |
| (5) Carpus on radius and ulna | 12 12 0 |
| (6) Carpal bone | 5 12 0 |
| (7) Finger | 2 16 0 |
| (8) Metacarpo-phalangeal joint of t h u m b | 7 0 0 |
| (12) Ankle | 9 16 0 |
| (13) Toe | 2 16 0 |
| Division | 2.—Treatment of Dislocations | necessitating | Open | Operation. |
T r e a t m e n t of a dislocation referred to in i tem 11 of this Schedule which
| requires | an | open | opera t ion—the a m o u n t | specified | for | the t r e a t m e n t | of |
| t h a t | dislocation | in | t h a t | i tem, plus one-half of t h a t | a m o u n t |
| T n m i ) | S C H E D U L E — c o n t i n u e d . |
| Attendance, Service or Medical Treatment. | Charge. |
| £ s. d. |
| P A R T | 4 . — O P E R A T I O N S . |
| Division | 1.— Amputations | or Disarticulations | of | Limbs. |
| Amputa t ion | or disart iculat ion, namely— |
| (1) Finger or | fingers, | t h u m b or t h u m b s — |
| (a) one finger or t h u m b | . . | 5 | 12 | 0 |
| {b) each addit ional finger or t h u m b | 1 8 | 0 |
| (2) Through metacarpals | 7 | 0 | 0 |
| (4) Forearm | 14 | 0 | 0 |
| (5) Through a rm | 14 | 0 | 0 |
| (6) Shoulder | 28 | 0 | 0 |
| (7) Toe or toes— |
| (a) one toe (or great toe) | 7 | 0 | 0 |
| (b) each addit ional toe (or great toe) | 1 8 | 0 |
| (9) Through leg | 21 | 0 | 0 |
| (10) At knee | 21 | 0 | 0 |
| (11) Through thigh | 28 | 0 | 0 |
| (12) At hip | 33 | 6 | 8 |
| Division | 2.—Special operations and | procedures. |
| Trephining or resection of skull | 28 | 0 | 0 |
| Laminec tomy | 28 | 0 | 0 |
| Hernia—radical | operat ion | 1 6 1 6 | 0 |
| Hernia—strangula ted | 25 | 4 | 0 |
| Hernia—strangula ted with resection of the bowel | 33 | 6 | 8 |
| Hernia—double | 25 | 4 | 0 |
| Hern ia—by | taxis | 2 16 0 |
| Nephrec tomy | 33 6 8 |
| Splenectomy | 33 (i 8 |
| Hydrocele | 14 0 0 |
| Haematocele | 14 0 0 |
| Paracentesis thoracis—by aspirat ion | 2 16 0 |
| Lapa ro tomy and repairs t o viscera | 33 | 6 | 8 |
| Semilunar cartilage removal | 21 | 0 | 0 |
| Catheterizat ion of ure thra | 1 | 8 | 0 |
| Enucleat ion of the eye | 14 | 0 | 0 |
| Suture of tendons of hand , namely :— |
(1) Flexor t endons—
| (a) for each pr imary suture of a tendon | 9 16 n |
| (b) for each secondary suture of a tendon | 14 0 0 |
(2) Extensor t endons—
| (a) for each pr imary suture of a tendon | 7 0 0 |
| (6) for each secondary suture of a tendon | 9 16 0 |
| Suture of Tendo Archilles | 14 0 0 |
| Blood transfusion | 0 | 0 |
| Taking blood Typing blood |
| R h Fac to r | React ion |
| Wassermann | React ion |
In t ravenous saline, glucose—
| (1) W h e n adminis tered wi thout cut t ing down on the | vein | 1 | 8 | 0 |
| (2) When it is found necessary to cut down on the vein | 2 16 0 |
| Tiniiu | SCIIEDULK— con I iii ued. |
| Column 1. | Column 2. | Column 3. |
| Item No. | Attendance, Service or Medical Treatment. | Charge. |
| £ *. d. |
| P A B T | 5 . — M E D I C A L | P R A C T I T I O N E R S | ASSISTINC | AT | O P E R A T I O N S . |
39 For each medical pract i t ioner , other than an anaesthet is t ,
assisting a t operat ions—
| (1) l o r first hour | 2 16 0 |
| (2) For each addit ional hour or pa r t of hour | 1 8 » |
^
| By Authority: L. F. JOHNSTON, Commonwealth Government Printer, Canberra. |