Health care p.3

FO 371/156819 1961
RECEIVED IN
ARCHIV
16 JAN 1961

B4179.4
H.M. CONSULATE-GENERAL,

CONFIDENTIAL

DETROIT.
January 10, 1968.

decu Bullock

I have just received your letter BA 1791/12 of December 29
about air conditioning at Muscat.

2. As an inspector my prime concern is of course with the
Foreign Office establishments overseas for which one naturally
has certain standards and can make reasonable comparisons.
Nowhere in the Gulf do we supply air conditioning for expatriate
staff other than U.K. based ones. I have no doubt it will come,
but I think at present we are not out of line with other
employers although if I remember correctly one or two oil
companies provide senior Indian and Pakistani staff with air
conditioned quarters, but this is by no means universal and our
behaviour has not I think yet reached the point where fingers
can be pointed at us for not providing air conditioning
for Indians and Pakistanis. Regrettable as it may be, this
is inevitably the Treasury criterion.

3. Muscat is a filthy climate and I remember being hot enough
even in October without air conditioning. I have recommended
air conditioning for the offices, so that our own expatriate
staff will at any rate derive some benefit from this measure
and will regard it as a step in the right direction which
it undoubtedly is. No doubt in five or ten years' time air
conditioning for all people will become universal, when we shall
presumably have to fall into line. There is no doubt, however,
that Indians and Pakistanis feel the heat far less than Europeans
and can support it better.

4. Dr. Sen is in quite a different category. Expenditure on
him and his hospital is, so to speak, in theory if not in fact
out of an operational budget rather than an establishment
one. I would regard expenditure on him as being in line with
expenditure on the Subsidy or on the Trucial States Development
Scheme. That is to say, it is an operational expense and not
an establishment one. It is therefore all the harder to judge
in a budget of many thousands of pounds which matters come first,
i.e. whether it is not more important to provide extra
facilities at the hospital in the way of equipment or
medicines for the patients rather than air conditioning for the
doctor. I would think, for example, that if the choice had to
be made between Dr. Sen's quarters and an air conditioned room
for the treatment of heat stroke, that the latter would take
priority: it all depends how much money we have to spend,
and what are the more urgent priorities. Certainly if Dr. Sen
has been incapacitated through an excema rash for part of last
summer he would have a strong case for some relief. He is an
admirable man and obviously if the doctor is to be laid up
the work of the hospital such as it is comes to a standstill.

/5.

E.A.W. Bullock Esq.,
Foreign Office,

London, S.w.l.

CONFIDENTIAL