London's Pulse: Medical Officer of Health reports 1848-1972

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Greenwich 1970

[Report of the Medical Officer of Health for Greenwich Borough]

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115
influenza epidemic; admission of some cases to long stay hospitals;
the death of several long-term chronically sick and disabled
patients, some of whom had been nursed at home for many years
and had been in receipt of two or more visits daily. Three
patients were visited twice daily by two nurses. Patients admitted
to hospital from the district nursing service increased by 115.
During the year 5 more general practitioner/district nursing
schemes were commenced and at 31st December, 1970, there were
48 general practitioners and 20 district nursing staff involved in
liaison arrangements. Of the 3,101 new cases referred by general
practitioners, 74% or 2,292 (58% or 1,672 in 1969) were from the
48 doctors forming part of this scheme.
Districts were increased by 6 to 50 with 3 of the larger grouppractice
areas requiring 2 district nurses. Case loads remained
fairly constant, somewhat higher in the regions covered by the
"scheme" than in the geographical areas. Visits per full-time staff
averaged 3,066.

Sources from which New Cases were Referred,

General Practitioners3,101
Hospitals837
Clinics: Chest, Ante Natal and Diabetic23
Geriatric Visitors88
District Nursing Service183
4,232
Classification of New CasesNo. Cases%
Medical3,45781.7
Surgical61614.5
Maternal Complications1273.0
Early Maternity Discharges40.1
Tuberculosis190.5
Mental Ill-health90.2
Total4,232100.0
Patients and Visits
Total number of Patient5,507
Total number of Visits209,014
Average number of Visits to each Patient38
Long-term Cases
Patients Nursed for 3 months or more (equivalent to 3% of all cases nursed)152