H.—22a

9

2—H. 22a.

cessive quantity of stimulants to be used in the said Hospital, and out of all reasonable proportion to the requirements of the cases. 81. That the said James Clive Collins is required by Rule 53 of the said regulations to make an official visit to the wards of the said Hospital at 9 a.m. and 6 p.m., and that he has throughout constantly failed to comply with this rule, whereby the efficient administration and government of the said Hospital has been hampered. 32. That in point of fact the said James Clive Collins has in many instances never visited some of the wards in the said Hospital for several days at a time. 33. That the said James Clive Collins, during the time that he has been Medical Superintendent of the said Hospital, has failed to be present at the Hospital for the discharge of his duties until 10 o'clock in the morning, or thereabouts, and that during such time he has also left the Hospital for the day at 4 o'clock in the afternoon, or thereabouts. 34. That the said James Clive Collins was required by Rule 68 of the said regulations to make a daily inspection, accompanied by the head of each department, of food, kitchens, offices, and wards, and to sco that all food was properly cooked and served; that he constantly failed to comply with this rule; in consequence thereof the food supplied to the patients was of an unsuitable nature and badly cooked. 35. That the said James Clive Collins was required by Rule 71 of the said regulations to superintend the training of all nurses, and that he has constantly failed to do so. 36. That during the time that the said James Clive Collins has been Senior Medical Officer of the said Hospital he has performed postmortem examinations, and within a short time thereafter has also performed major abdominal operations, in violation of the accepted practice of surgery. 37. That the said James Clive Collins during the time that he was the Senior Medical Officer of the said Hospital permitted and allowed a mental case—namely, that of Mrs. Grey—to be treated in the typhoidfever ward of the said Hospital; that the said mental case was a very noisy one; and that the action of the Medical Officer in this respect was calculated to retard the comfort and the recovery of the typhoid patients. 38. That the said James Clive Collins permitted a delirium-tremens case—namely, one Russell--to be treated in the male typhoid ward at the same time that patients suffering from typhoid fever were being treated therein, and that the said delirium-tremens case was a very noisy one, and the disturbance he created was calculated to retard the comfort and recovery of the typhoid-fever patients. 39. That the said James Clive Collins during the time that he was Senior Medical Officer of the said Hospital was engaged for long periods of time in the bacteriological laboratory, and that the said work was entirely unnecessary, and it interfered with and encroached upon his duties in relation to the government and administration of the said Hospital. 40. That the work so carried on by the said James Clive Collins in the bacteriological laboratory seriously impeded the honorary bacteriologist, Dr. Frost, in the performance of her work in that department. 41. That the said James Clive Collins encroached upon the functions of the honorary bacteriologist, Dr. Frost, by making a bacteriological examination in the clinical specimen of a patient named Miss Guthrie, and by causing it to be reported to the Health Department in Auckland that he had discovered the bacillus of tuberculosis in the said specimen, and a recommendation to be made that the patient should be sent to the sanatorium at Cambridge for the treatment of consumptives; the honorary bacteriologist having previously examined on several occasions similar clinical specimens from the said patient, and having obtained negative results. 42. That the said James Clive Collins,- whilst exercising medical and surgical supervision over the said Hospital, was engaged in making anthrax-cultures and inoculating guinea-pigs therewith, such conduct being a menace to the safety of the patients in the said Hospital. 43. That the said James Clive Collins during the time that he was Senior Medical Officer of the said Hospital frequently neglected the duties of such position by failing to examine regularly the serious cases in the various wards in the said Hospital. 44. That the said James Clive Collins neglected the medical side of the said Hospital by devoting more time and attention than was necessary to surgical work. 45. That the said James Clive Collins frequently called for a number of consultations in trifling cases, where consultations were really unnecessary, with the result that the honorary staff became dissatisfied, and their attention became diverted from those serious cases in which prolonged consultations were necessary. The following supplementary list of charges made by Dr. Neil against Dr. Collins was also put in: — 1. That one John Donald McLeod was admitted as a patient to the Auckland Hospital on or about the 20th February, 1904, suffering from a fractured thigh, and that James Clive Collins, Senior Medical Officer of the Hospital, did not see that he was attended to on admission, the fact being that the said John Donald McLeod was not seen by any doctor until about forty hours after his admission to the said Hospital. 2. That the said James Olive Collins failed to personally examine the said John Donald McLeod until about a fortnight after he was admitted to the said Hospital. 3. That the said James Clive Collins so negligently and unskilfully removed the sticking-plaster from the leg of the said John Donald McLeod that a large portion of the skin of the patient's leg was torn away in the process.