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22
The takings of the Charity for the year ended December 31st,
1930, in respect of 219 cases, amounted to £224 9s., leaving a balance
due to the Charity from the Council of £75 11s.
According to information obtained from ihe County Medical
Officer, at the end of 1930 there were eight midwives practising in
the District, three of which were employed by you at your Maternity
Ward at Upney Lane, two under the Plaistow Maternity Charity,
and three practising privately.
During 1930 there were 811 maternity cases. 205 of these
were conducted by the Plaistow Maternity Charity, 172 of them
were conducted by your own midwives at Upney Hospital,
leaving 434, which were dealt with by medical practitioners,
private midwives or otherwise.
It will be seen, therefore, that roughly one half of the midwifery
is already under your supervision, because not only is your Medical
Officer of Health, Medical Superintendent of the maternity ward at
Upney, but he is also on the Committee of Management of the
Plaistow Maternity Charity.
It is this circumstance which makes it very curious indeed
that the Ministry have not been willing for you to become the
authority for the supervision of midwives.
I advise that you make further representations to the Ministry,
asking them that the authority for the supervision of midwives shall
be delegated to you.
12. NATIONAL HEALTH INSURANCE.
The fact that general medical practitioners are called in by
the midwives at Upney, who practise as midwives under the rules
of the Central Midwives' Board, and the fact that your Medical
Officer of Health, as Tuberculosis Officer, is in constant touch with
the general medical practitioners practising in the area, and the
further fact that your Medical Officer is similarly in touch with
these general medical practitioners in consultation over cases of