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70
5. That it be understood that their staff are to be subject to
instructions from the Council.
The fees charged the patient have been carefully considered in
reference to the midwives' fees prevailing in the district and have been
graduated so as not to undercut the practising midwives. The number
of cases attended by the Midwives of the Associations during 1920
was :—
100 by the Kilburn and "West Hampstead i District Nursing
Association;
12 by tha Hampstead District Nursing Association.
POST-NATAL.
Treatment in a Hospital of complications arising- after
Parturition, whether in the mother or in the infant.
The Borough Council has already endowed two beds in the
Hampstead General Hospital, which can be utilised for the purpose
of providing hospital accommodation for the mother.
As regards beds for infants, there are two classes of cases that
may require treatment in a hospital:—
(«) Children who are ill and have an ascertained definite disease.
(b) Children who although not actually suffering from any
nameable disease, yet are failing to thrive, and need to be
placed somewhere where skilled and trained supervision can
be exercised.
These latter beds have been designated by the name of " observation
cots," to distinguish them from the beds for cases of well-defined
illness.
The Borough Council has made arrangements with " Northcourt
Hospital," College Crescent, whereby suitable cases may be admitted.
This Institution, lately the Northcourt Home for Incurables, has
now become a General Childrens' Hospital, and the chief reason for the
Borough's arrangement with Northcourt Hospital was for the purpose
of providing observation cots and to put under regular trained
observation those cases of infants who will not thrive although
attending Welfare Centres. Some of these certainly are suffering from
congenital disease, but some simply iroin bad feeding, either too much
or too little food or food of an improper nature. A short time ought