London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
East Ham 1937
[Report of the Medical Officer of Health for East Ham]
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A telephone will be installed and maintained at the residence
of each Midwife at the expense of the Authority.
Each Midwife will be granted one whole day off duty per
week and three weeks' annual leave.
Fees.
The fee for the provision of domiciliary midwifery or maternity
nursing service shall be 40/-. In any case where a patient is
unable, owing to financial circumstances, to pay this fee, the
amount chargeable shall be assessed in accordance with the
Authority's income scale in force for the time being after ascertainment
of the financial circumstances of the patient and the
amount of the Maternity Benefit receivable.
The income scale at present is as follows:—
| With single Maternity benefit | With double Maternity benefit | No maternity benefit— insufficent contributions | |
|---|---|---|---|
| Not exceeding 3/3 per unit | 10/- | 20/- | 7/6 |
| From 3/4 to 4/3 ,, ,, | 17/6 | 27/6 | 13/- |
| From 4/4 to 5/3 ,, ,, | 23/- | 33/- | 17/6 |
| From 5/4 to 6/3 ,, ,, | 28/6 | 38/6 | 21/6 |
| From 6/4 to 7/3 ,, ,, | 34/- | 40/- | 25/6 |
| 7/4 and upwards | 40/- | 40/- | 30/- |
Maternity Nursing Service:—
Where Doctor engaged by patient, 75% of above scale.
A booking fee for the services provided under this Scheme
shall be charged at the time of the application. Where application
is made before the expiration of the 28th week of pregnancy,
the booking fee shall be 5/-, but if application is deferred until
after that period the booking fee shall be 7/6. This booking fee
will form part of the total charge, and will be forfeited in the
event of the applicant not utilising the services of the Midwife or
Maternity Nurse.
Fees shall be payable in the undermentioned cases as
follows :—
Where child born before arrival of Midwife Full scale fee
Abortion, i.e. before 28th week of pregnancy Half scale fee
Miscarriage, i.e. after 28th week of pregnancy Full scale fee