Consists of a list of managers, report of the Board (Augustus C. Scovell, T. Duncombe Mann), report of the General Purposes Committee (R. Strong), report of the Finance Committee (Augustus C. Scovell), report of the Works Committee (J.T. Helby), report of the Contract Committee (Edward White), report of the Children's Committee (Will B. Cochran), report for the training ship, "Exmouth" (Geoffrey Drage, Reginal B. Colmore), report of the Asylums Committee (Herbert H. Swift), reports of the Commissioners in Lunacy (F. Needham, G. Harold Urmson, Sidney Coupland, H.F. Gifford, E. Marriott Cooke, F.A. Inderwick), report of the Ambulance Committee (Doneraile), report of the Hospitals Committee (J.R.Hill), report of the Statistical Committee (W.R. Smith)

reports of the medical superintendents of the Eastern Hospital, Homerton (E.W. Goodall), the North-Eastern Hospital, South Tottenham (H.E. Cuff), the North-Western Hospital, Haverstock Hill (Wm. Gayton), The Western Hospital, Fulham (R.M. Bruce), the South-Western Hospital, Stockwell (F. Foord Caiger), the Fountain Hospital, Tooting (C.E. Matthews), the Grove Hospital, Tooting (J.E. Beggs), the South Eastern Hospital, New Cross (F.M. Turner), the Park Hospital, Hither Green (R.A. Birdwood), the Brook Hospital, Shooter's Hill (John MacCombie), the Northern Hospital, Winchmore Hill (F.N. Hume), fever and smallpox statistics, the report of the river ambulance service (Frederic Thomson), report of smallpox hospital at the Joyce Green Hospital, Dartford (T.F.Ricketts)

reports of the medical superintendents of Tooting Bec Asylum (Edwyn H. Beresford), Leavesden Asylum, King's Langley (Frank Ashby Elkins), Caterham Asylum (P.E. Campbell), Darenth Asylum, near Dartford (F.R.P. Taylor), Rochester House Asylum, Ealing (G.E. Shuttleworth, M. Hargreaves), statistical tables for the asylums, medical supplement to the report of the statistical committee (edited by F.M. Turner, J.E. Beggs) including statistics about infectious diseases, post-scarlatinal diphtheria, the use of antitoxin serum treatment, tracheotomy, laparotomy, intubation and short articles, 2 folded maps of London showing the locations of the hospitals etc. and the sanitary districts and incidence of typhus fever & smallpox during 1903.

"On December 28th, the Joyce Green Hospital was opened ... and the Long Reach Hospital was closed" Additionally the smallpox ships, Castalia, Atlas and Endymion were also closed.

Includes bibliographical references and index.