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Contains reports outlining the transition of Tullamore Workhouse into a county home. Also contains reports from sub-committees representing the other poor law unions (Edenderry and Birr) concerning the winding up of operations in those workhouses and the transfer of functions to Tullamore.

Significant redeployment of personnel is recorded such as hospital staff from the newly closed County Infirmary, and compensation claims from employees whose posts were defunct such as Clerk of the Union were also dealt with by the committee. Records decisions in relation to medical personnel based at various dispensaries throughout the county, and proposals relating to the treatment of TB patients. Also contains reports of new tenders granted for the supply of goods to the county home and some letters of protest about contracts being awarded to new suppliers in ' a ringing of the changes in certain interests.' (see p55, letter to the committee re Contract for the Supply of Bread, 28 October 1921.'

Includes regular matron's reports from the county home and hospital with medical details of patients. Also includes a report by the Visiting Committee (James O'Connor, Teresa Wyer and Mary K. Dunne) on the state of the county home following Amalgamation (p16, 23 July 1922).

Contains details of 'boarded-out' children such as their names and ages, and the names and addresses of their foster parents.

Register recording deaths in the workhouse (1913-1921) and the county home and hospital (1922-1947) in one continuous volume of entries. On the closure of the workhouse in 1921, the register template was amended from 'Workhouse' to 'Offaly County Hospital and Central Home' to finally 'Offaly County Hospital and Home'. Details recorded include:

Number in register

Date and Place of death

Name and Surname

Sex

Condition (Married, bachelor, widow, etc)

Age last birthday

Rank, profession or occupation

When [death] registered

Sequentially recorded cases from 1 to 487, with alphabetical surname index at front of volume. Case profiles record name and address of patient; name of medical attendant; approved insurance society; recommendation of the T.B. officer as to whether domiciliary, dispensary or sanatorium treatment is required; the nature of the treatment decided by the insurance committee; date of treatment, admission and discharge; and payments to medical doctors. Cases profiles are annotated if patient has died.