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117
The following procedure has been agreed upon between the Borough Council and the
London County Council regarding the provision of extra nourishment to expectant mothers
attending the ante-natal clinics at the London County Council Hospitals:—
(a) In receipt of relief.— Women in receipt of relief who attend the County Council's
ante natal clinics for examination and advice prior to confinement in the County Council's
Hospitals should normally come under the sole supervision of the County Council during
the ante-natal period, and, except in any particular case in which special arrangements
have been made with the local maternity and child welfare centre, should not be required
to attend the Borough Council's welfare centres for the purpose of obtaining extra nourishment,
as such attendance would involve divided clinical responsibility. It is accordingly
proposed that in these cases any extra nourishment required during the ante-natal period
shall be supplied as relief in kind from the County Council's clinic After confinement the
nursing mothers will be referred to the Borough Council's welfare centres, with a view to
any extra nourishment required being supplied through such centres. Recommendations
from the welfare centres in respect of the supply of extra nourishment to nursing mothers
(whether or not the mother has previously attended one of the County Council's clinics)
will be dealt with in the same way as similar recommendations in respect of expectant
mothers.
(b) Not in receipt of relief.—Expectant mothers attending ante-natal clinics attached
to the London County Council's general hospitals, who are not in receipt of relief, but are
nevertheless in such financial circumstances as to be unable to bear the cost of such
nourishment, are supplied with extra nourishment on the certificates of the County Council's
medical officers, provided that these cases come within the category of the Borough
Council's scheme.
At the end of 1937 there were 232 families actually in receipt of milk under the
Borough Council's scheme. During 1938, 580 new families were added to the list of
recipients. By the end of that year there were 357 families receiving grants.

During the year 1938, 3,728 applications for milk were considered and grants were made
in 3,590 cases. 2,542 of the applications were from unemployed as against 1,563 during the