Canberra Hospitals (Charges) Regulations (ACT)

REGULATIONS 1961. No. 15.*

1. These Regulations may be cited as the Canberra Community Citation.

Hospital (Charges) Regulations.

2. These Regulations shall come into operation on the first day of Commenc*.

January, 1962.

3. The Canberra Community Hospital (Charges) Regulations (comprising Repeal.

the Regulations specified in the First Schedule to these Regulations) are

repealed.

4.—(1.) In these Regulations, unless the contrary intention appears—interpretation.

" in-patient" means a person who occupies a bed in the Hospital

for the purposes of treatment;

2 of these Regulations).

" out-patient" means a person who receives treatment at the

Hospital other than as an in-patient;

" the Ordinance" means the Canberra Community Hospital

Ordinance 1938-1961.

(2.) For the purposes of these Regulations—•

(a) the day of admission to the Hospital and the day of discharge

or death shall be counted together as one day; and

(b) a child under the age of twelve months and the mother of that child, if they are in-patients at the same time, shall be deemed to be one in-patient.

authorized in writing by the Minister for the purposes of this regulation ° war 5. For the purposes of these Regulations, the Minister or a person Classification

may classify the wards of the Hospital as general wards, intermediate wards or private wards, and may, from time to time, vary the classifica- tion of those wards.

* Made under the Canberra Community Hospital Ordinance 1938-1961 on 4th December, 1961; notified
in the Commonwealth Gazette on 21st December, 1961, and commenced on 1st January, 1962 (see regulation

762   CANBERRA COMMUNITY HOSPITAL ORDINANCE—

charges for 6.—(1.) Subject to regulation 11 of these Regulations, the charge for treatment provided by the Board for an in-patient is at the rate of—

in-patients. . . . , . _ . • . . . . . .. _

(a) Two pounds four shillings per day in respect of an in-patient

in a general ward;

(6) Three pounds eleven shillings per day in respect of an in-patient in an intermediate ward; and
(c) Four pounds fifteen shillings per day in respect of an in-patient

in a private ward.

(2.) In this regulation, " treatment" does not include the provision of radiological services or of ambulance facilities.

Chargesfor	7. The charge for a radiological service, being a radiological service specified in the second column of the Second Schedule to the National Health Act 1953-1961 (including a report on that service), provided at the Hospital is an amount equal to three times the amount specified in the third column of that Schedule opposite to that radiological service.
«ervicesfca
Chargesfor	8. Where, as part of the treatment of an in-patient or an out-patient,

appliances. the Board provides a surgical appliance for use by the patient and—

(a) the surgical appliance has been specially made for use by the

patient; or

(fe) the Board considers that it is unlikely that the surgical appliance will be used by more than the one patient,

the charge for the provision of the surgical appliance is the actual amount
expended by the Board in obtaining the appliance.

Chargesfor ' • T n e charge for a dental service provided for an ou:-patient or a dental services, person to whom regulation 11 of these Regulations applies, being a service

specified in column 2 of the Second Schedule to these Regulations, is the

amount specified in column 3 of that Schedule opposite to that service.

Chargesfor 10. —(1.) The charge for a course of treatment by physiotherapy is— (a) in the case of a course of treatment provided for an out-patient

at the Obstetric Instruction Clinic, the Posture Clinic or the Breathing Clinic—Five shillings for the first visit and Two

shillings and sixpence for each subsequent visit; or

(b) in the case of a course of treatment provided for a person to whom the next succeeding regulation applies or an out-patient (other than an out-patient referred to in the last preceding paragraph)—Ten shillings for the first visit and Five shillings for each subsequent visit,

during each period for which he receives that course of treatment.

(2.) The charge for a course of treatment by superficial skin therapy provided for an out-patient or a person to whom the next succeeding regulation applies is Ten shillings for each visit.

(3.) The charge for a casualty service provided for an out-patient other than a person to whom the next succeeding regulation applies is Ten shillings.

(4.) 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.

Canberra Community Hospital (Charges) Regulations. 763

(5.) The charge for a drug or medicinal preparation, being a drug or medicinal preparation to which Part VII. of the National Health Act 1953-1961 applies, supplied to an out-patient is, subject to the next succeed- ing sub-regulation—

(a) Five shillings; or
(b) if the Commonwealth price of the drug or medicinal preparation

as determined under section 99 of the National Health Act 1953-1961 is less than Five shillings—the amount of the Commonwealth price as so determined.

(6.) A charge is not payable under the last preceding sub-regulation for a drug or medicinal preparation administered to an out-patient as part of the treatment received by the out-patient at the Hospital.

11.—(1.) This regulation applies to a person who has, or may, in Charges where

for the recovery, by way of compensation or damages, from anotheror dama«es-	the opinion of the Medical Superintendent, have an enforceable claim to compensation
person of the cost of treatment provided by the Board for that first- mentioned person.
(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) a charge at the rate of—

(i) Four pounds per day in respect of each day on which

the person is an in-patient in a general ward;

(ii) Four pounds per day in respect of each day on which the person is an in-patient in an intermediate ward; and

(iii) Four pounds fifteen shillings per day in respect of each day on which the person is an in-patient in a private ward;

(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 treatment; and
(c) where the treatment provided for that person is a service

in paragraph (b) of sub-regulation (1.) or in sub-regulation specified in regulation 7 or 9, a course of treatment specified

(2.) of regulation 10 or the examination specified in sub-
regulation (4.) of regulation 10 of these Regulations—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 Regulations, 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

764   CANBERRA COMMUNITY HOSPITAL ORDINANCE—

(&) 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.

(5.) Subject to the next two succeeding sub-regulations, the charge for the provision of an ambulance vehicle in respect of a person to whom this regulation applies is—

(a) Two pounds; or
(&) where the distance necessarily travelled by the ambulance

vehicle from its station for that purpose and in returning to its station exceeds six miles—Two pounds plus an amount calculated at the rate of Two shillings for each mile neces- sarily travelled by the ambulance vehicle in excess of six miles.

(6.) Where two persons to whom this regulation applies are carried in an ambulance vehicle on any one journey, the charge payable by each of those persons for the provision of the ambulance vehicle is—

(a) One pound ten shillings; or
(b) where the distance necessarily travelled by the ambulance

vehicle from its station for that purpose and in returning to its station exceeds six miles—One pound ten shillings plus an amount calculated at the rate of One shilling and sixpence for each mile necessarily travelled by the ambulance vehicle in excess of six miles.

(7.) Where three or more persons to whom this regulation applies are carried in an ambulance vehicle on any one journey, the charge payable by each of those persons for the provision of the ambulance vehicle is an amount ascertained by dividing—•

(a) Four pounds; or
(b) where the distance necessarily travelled by the ambulance

vehicle from its station for that purpose and in returning to its station exceeds six miles-—Four pounds plus an amount calculated at the rate of Four shillings for each mile neces- sarily travelled by the ambulance vehicle in excess of six miles,

by the number of those persons carried in the ambulance vehicle.

Ambulance	12.—(1.) Subject to sub-regulations (5.), (6.) and (7.) of regulation 11
charges for

persons other	of these Regulations and to this regulation, the charge for the provision of
than persons
to whom	an ambulance vehicle is One pound.
regulation 11
applies.	(2.) Subject to sub-regulations (5.), (6.) and (7.) of regulation 11 of these Regulations, the charge for the provision of an ambulance vehicle which is required to travel outside the City Area for the purpose for which it is provided, but not outside the Territory, is Two pounds.
(3.) Subject to sub-regulations (5.), (6.) and (7.) of regulation 11 of these Regulations, the charge for the provision of an ambulance vehicle which is required to travel outside the Territory for the purpose for which it is provided is—

(a) Two pounds; or
(b) where the distance necessarily travelled by the ambulance vehicle

from its station for that purpose and in returning to its station exceeds twenty miles—an amount calculated at the rate of Two shillings for each mile necessarily travelled by the ambulance vehicle.

Canberra Community Hospital (Charges) Regulations. 765

(4.) Where, at the request of a person or organization conducting a sporting event or other public function, an ambulance vehicle is made avail- able on any day at the event or function, the charge for making the vehicle available is—

(a) if the period for which the ambulance vehicle is made available on the day does not exceed four hours—an amount of Five pounds five shillings; or

(b) if the period for which the ambulance vehicle is made available on the day exceeds four hours—an amount of Ten pounds ten shillings.

(5.) In this regulation, " the City Area " has the same meaning as in the City Area Leases Ordinance 1936-1959.

number of miles and a fraction of a mile that is, or exceeds, one-half of a mile- 13. Where the distance necessarily travelled by an ambulance vehicle is a Fraction! of»

mile, the fraction of a mile shall, for the purposes of the last two preceding

regulations, be deemed to be one mile.

THE SCHEDULES.

FIRST SCHEDULE.

Regulation 3.

REGULATIONS REPEALED.

Regulations 1952,	No.	12.
Regulations 1953,	No.	16.
Regulations 1954,	No.	13.
Regulations 1955,	No.	6.
Regulations 1956,	No.	8.
Regulations 1958,	Nos	. 4, 13 and 14
Regulations 1959,	No.	12.
Regulations 1960,	No.	4.
Regulations 1961,	No.	2.

SECOND SCHEDULE.

Regulation 9.

CHARGES FOR DENTAL TREATMENT.

Column 1.	Column 2.	Column 3.
Item No.	Dental Service provided.	Charge.
£ J. d.

J	Extractions, for each tooth	0 2 0
2	Extractions under general anaesthetic, the charge payable under

item 1, plus 1 0 0

3	Amalgam, porcelain, cement or synthetic fillings, for each filling	0 5 0
4	Root treatment, per tooth	0 5 0
5	Prophylactic treatment, including scaling and cleaning	0 5 0
6	Full upper or lower denture	2 10 0
7	Full upper and lower denture	5 0 0
8	Partial dentures, consisting of not more than four teeth	1 5 0
9	Partial dentures, consisting of more than four teeth	2 10 0
10	Repairing fractured denture or replacing one tooth	0 5 0
11	Replacing each additional tooth after first tooth	0 2 6

CANBERRA COMMUNITY HOSPITAL ORDINANCE-

THIRD SCHEDULE.

Regulation 11.

CHARGES FOR AN ATTENDANCE, A SERVICE OR A MEDICAL TREATMENT

PROVIDED FOR A PERSON TO WHOM REGULATION 11 APPLIES.

Column 1. Column 2. Column .

Item No.	Attendance, Service or Medical Treatment.	Charge.
£ s. d.

PART I.—ADMINISTRATION OF ANAESTHETICS.

1 Administration of anaesthetics, whether by one or more than on

medical practitioner, namely—

(1) General anaesthetic (not covered by any other sub-iten I

of this item) for—

(a) Major operation	4 4	0
(6) Minor operation—

(i) lasting half an hour or longer .	2 16	0
(ii) lasting less than half an hour	1 8	0

(2) Intravenous anaesthetic, for—

(a) Major operation	4 4	0
(b) Minor operation	2 16	0

(3) Spinal anaesthetic	4 4	0
(4) Nitrous oxide	4 4	0
(5) Cyclopropane	4 4	0
(6) Local anaesthetic (not including freezing by ethyl chloride	for	)

(a) Major operation	2 16	0
(b) Minor operation	0 14	0

PART 2.—TREATMENT OF FRACTURES.

Division 1.—Treatment of Simple and Uncomplicated Fractures, no	t
being Chip Fractures and not requiring Open Operation ana	t
except where specified, not involving Treatment of a Joint o	r
Joints.

2          Treatment of fracture of—

(1) Nasal bones 7 0 0

(2) One or more metacarpals not involving base of firs t

carpo-metacarpal joint 5 12 0

(3) One or more metacarpals including the base of the firs t

metacarpal and involving the first carpo-metacarpE 1

joint (Bennett's fracture) . . 9 16 0

(4) One or more metatarsals	6 6	0
(5) Terminal phalanx of finger or thumb	2 16	0
(6) Proximal phalanx of finger or thumb	7 0	0
(7) Middle phalanx 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 toe .	4 4	0
(11) Carpal bone (excluding the navicular)	4 14	6
(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 talus . . 14 0 0

(16) Wrist (Colles's fracture)	9 16	0
(17) Radius	8 8	0
(18) Ulna	7 0	0
(19) Both shafts of forearm	15 8	0
(20) Tibia	12 12	0
(21) Fibula	7 0	0
(22) Both shafts of leg . .	19 12	0
(23) Ankle with dislocation of ankle joint . .	19 12	0
(24) Femur	28 0	0

Canberra Community Hospital {Charges) Regulations. 767

THIRD SCHEDULE—continued.

Column 1. Column 2. Column 3.

Item No.	Attendance, Service or	Medical Treatment.	Charge.
£ s. d.

P A R T 2 .—TREATMENT OF FRACTURES—continued.

Division 1.—continued.

Treatment of fracture of— -continued.

(25) Humerus . . 16 16 0

(26) Clavicle	. .	7	0	0
(27) Scapula	. .	7	0	0
(28) Patella	. .	7	0	0
(29) Mandible	16 16	0
(30) Maxilla	. .	14	0	0
(31) Zygoma	. .	7	0	0
(32) Pelvis	16 16	0

(33) One or more ribs	4	18	0
(34) Symphysis pubis	11	4	0

Division 2.- -Treatment of Simple and Uncomplicated Fractures requiring Open

Operation.

Treatment of a simple and uncomplicated fracture of a part referred to in item 2 of this Schedule, other than a part referred to in item 4 of this Schedule, requiring an open operation—the amount specified for the treatment of that part in item 2, plus one-third of that amount

Treatment of a simple and uncomplicated fracture of—

(a) patella requiring an open operation—Twenty-one pounds; or

(ft) coccyx, requiring excision—Fourteen pounds

Division 3.—Treatment of Simple Fractures requiring 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

(A) 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

Division 6.—Treatment of Fractures of more than one Phalanx of same Finger,

Thumb or Toe.

Treatment of fractures of more than one phalanx of same finger, thumb or toe—

the sum of—

(a) whichever of the amounts specified in item 2 of this Schedule for the

treatment of those fractures is the greater or greatest amount; and

ib) One pound one shilling for each of the other fractures so treated

CANBERRA COMMUNITY HOSPITAL ORDINANCE—

THIRD SCHEDULE—continued.

Column 1.

Item No.

Division 1 .—Treatment of Fractures of Phalanxes on more than one Finger or

Thumb, or on more than one Toe.

Treatment of fractures of phalanxes on more than one finger or thumb, or on

more than one toe—

(a) where the amount specified in item 2 of this Schedule for the treatment

of those fractures is the same—the sum of—

(i) the amount so specified; and

(ii) an amount ascertained by multiplying one-half the amount

so specified by the number by which the number of

the phalanxes so treated exceeds one; or

(4) where the amounts specified in item 2 of this Schedule for the treat-

ment of those fractures are not the same—the sum of—

(i) the amount which is the greater or greatest of the amounts

so specified; and

(ii) one-half of each of the other amounts so specified

Division 8.—Treatment of Complicated Fracture involving Viscera, Blood

Vessels or Nerves and requiring Open Operation.

10          Treatment of complicated fracture of a part referred to in item 2 of this Schedule involving viscera, blood-vessels or nerves and requiring open operation—the amount specified for the treatment of that part in that item plus three-quarters of that amount

Column 1.	Column 2.	Column 3.
Item No.	Attendance, Service or Medical Treatment.	Charge.
£ s. d.
PART 3.—TREATMENT OF DISLOCATIONS.

Division 1.—Treatment of Dislocations not necessitating

Open Operation.

11 Treatment of dislocation of—

(1) Mandible	2	16 0
(2) Clavicle	8	8 0
(3) Shoulder . .	7	0 0
(4) Elbow	8	8 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 thumb	7	0 0
(9) Hip	16	16 0
(10) Knee	14	0 0
(11) Patella	5	12 0
(12) Ankle	9	16 0
(13) Toe	2	16 0
Division 2.—Treatment of Dislocations necessitating Open Operation.

12         Treatment of a dislocation referred to in item 11 of this Schedule which requires an open operation—the amount specified for the treatment of that dislocation in that item, plus one-half of that amount

Canberra Community Hospital (Charges) Regulations. 769

THIRD SCHEDULE—continued.

Column 1.	Column 2.	Column 3.
Item No.	Attendance, Service or Medical Treatment.	Charge
£ s. d.

PART 4 .—OPERATIONS.

Division 1.—Amputations or Disarticulations of Limbs.

13           Amputation or disarticulation, namely—

(1) Finger or ringers, thumb or thumbs—

(a) one finger or thumb	5	12	0
(b) each additional finger or thumb . .	1	8	0

(2) Through metacarpals	7	0	0
(3) Hand	14	0	0
(4) Forearm	14	0	0
(5) Through arm	14	0	0
(6) Shoulder	28	0	0
(7) Toe or toes—

(a) one toe (or great toe) . . 7 0 0

(b) each additional toe (or great toe) 1 8 0

(8) Foo t 21 0 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.

14	Trephining or resection of skull	28	0	0
15	Laminectomy	28	0	0
16	Hernia—radical operation	16	16	0
17	Hernia—strangulated	25	4	0
18	Hernia—strangulated with resection of the bowel	33	6	8
19	Hernia—double	25	4	0
20	Hernia—by taxis	2	16	0
21	Nephrectomy	33	6	8
22	Splenectomy	33	6	8
23	Hydrocele	14	0	0
24	Haematocele	14	0	0
25	Paracentesis thoracis—by aspiration	2	16	0
26	Laparotomy	28	0	0
27	Laparotomy and repairs to viscera	33	6	8
28	Semilunar cartilage removal	21	0	0
29	Catheterization of urethra	1	8	0

30 Enucleation of the eye 14 0 0

31           Suture of tendons of hand, namely:—

(1) Flexor tendons—

(a) for each primary suture of a tendon	9	16	0
(b) for each secondary suture of a tendon	14	0	0

(2) Extensor tendons—

(a) for each primary suture of a tendon	7	0	0
(b) for each secondary suture of a tendon	9	16	0

32	Suture of Tendo Achilles	14	0	0
33	Blood transfusion	7	0	0
34	Taking blood	4	4	0
35	Typing blood	1	8	0
36	Rh Factor Reaction	1	8	0
37	Wassermann Reaction	1	8	0
38	Intravenous saline, glucose—

(1) When administered without cutting down on the vein	1	8	0
(2) When it is found necessary to cut down on the vein	2	16	0

PART 5 . — M E D I C A L PRACTITIONERS ASSISTING AT OPERATIONS.

39           F o r each medical practitioner, other than an anaesthetist, assisting

at operations—

(1) For first hour 2 16 0

1 (2) For each additional hour or part of hour 1 8 0