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increased without any alteration in the denominator, namely the
number of notified live births.
TREATMENT.
The treatment services include the following: Dental treatment,
ultra-violet therapy, correction of visual defects and orthopaedic
treatment. In addition arrangements are made for the
admission of suitable cases to convalescent homes, and for home
nursing.
Most of the treatment services were provided by the Council
of Child Welfare at "Tyneholme," and the District Council made a
grant in respect of those treated who fell within the scope of the
maternity and child welfare services. In the early part of the year
an agreement was entered into which came into operation as from
1st April, by which the District Council would pay the Council of
Child Welfare a per capita grant, being a different amount for
each of the various forms of treatment, in respect of these cases
which the Local Authority referred to "Tyneholme" for treatment.
The following are the agreed charges for cases treated:
Ante-natal: First 600 attendances in any year, 7s. 6d. per
attendance. Any attendances in excess of 600, 6s. per
attendance.
Sunlight Treatment: First 800 attendances in any year,
2s. 6d. per attendance. Excess over 800 attendances per
year 2s. per attendance.
Dental: 4s. 6d. per attendance.
Massage : 2s. 6d. per attendance.
Treatment services for the expectant mother are not limited
to those who attend the ante-natal clinic but are available, subject
to the financial assessment, to all those who are receiving adequate
ante-natal supervision.
A scale of assistance was adopted to determine what, if any,
contribution should be demanded on behalf of the patient for the
different forms of treatment, the amount bearing relation to the
cost of the treatment and to the net income per head of family
after the deduction of rent and compulsory insurance from the
gross income. In the case of dental treatment a single payment is
asked for, irrespective of the number of attendances the patient
has to make to complete her treatment (excluding, of course, those
cases who are provided with dentures). In the case of ultra-violet
light treatment or massage, on the other hand, a contribution
is expected in respect of each attendance. The following is a
tabular statement of the contributions to be made by applicants
for various forms of assistance under the maternal and child welfare
scheme:
F