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

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Chelsea 1923

Annual report for 1923 of the Medical Officer of Health

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Maternity Nurse.
Thirteen applications were received during the year 1923 from
necessitous women to be provided with a Maternity Nurse at their approaching
confinements at less than cost price. Ten of the applications
were granted, and three cases were refused on account of unsuitable
conditions for confinement at home. Of the 10 cases granted. 6 were
provided with a Maternity Nurse; in one case the mother was sent into
hospital for confinement, and 3 cases were still awaiting confinement at
the end of the year. The total number of necessitous women provided
with a Maternity Nurse under the Council's scheme in 1923 was 11.
Eight of the cases were attended by The Ormond Home for Midwives,
and 3 cases by Nurse Andrews. The amount paid by the Council to
the Maternity Nurses for these 11 cases was £7 16ds. 8d., £6 18s. 4d. being
the amount of assessment paid, or to he paid by the applicants as contributions
to the Maternity Nurse. The net cost to the Borough was
£7 16s. 8d., half of which is recovered as a grant from the Ministry of
Health.
Midwife.
Forty-three applications were received during the year 1923 from
necessitous women for the services of a midwife at less than cost price:
36 were granted, 5 were referred to the Guardians, one refused (application
too late), and one refused as not suitable under the scheme. Of
the 30 applications granted, 26 were supplied with a midwife, 3 applications
were withdrawn, and 7 cases were awaiting confinement at the
end of the year. The total number of necessitous women provided with
a midwife under the Council's scheme during 1928 was 34, of which
number 16 were attended by the Ormond Home for Midwives, 16 by
Nurse Andrews, one by Midwife Cooke, and one by St. Mary's Nursing
Home. The amount paid by the Council to the Midwives was £31 12s.,
£18 13s. being the amount of assessment paid, or to be paid by the applicants
as contributions to the midwife. The net cost to the Borough
was £81 125., half of which is recovered as a grant from the Ministry of
Health.
Home Help.
Nine applications were received in 1923 from necessitous women
for the services of a Home-help during their confinements, and all were
granted. Of this number 6 were supplied with the services of a Homehelp,
2 were withdrawn by the applicants, and 1 case was still awaiting
confinement at the end of the year. The total number of cases receiving
the services of a Home-help under the Council's scheme in 1922 was 8.
The total amount paid by the Council to Home-helps for their services
was £30, and the amount of contributions assessed to patients was
£9 2s. 6d., leaving a balance of £20 17s. 6d. as the net cost to the Borough,
half of which is recovered as a grant from the Ministry of Health.
Convalescent Homes.
Twelve applications were received for convalescence of mothers
with their infants under the Council's scheme in 1923. All the applications
were granted, but only 7 of the mothers were sent away, 4 were
withdrawn, and one still remains on the books. The payments to Homes
made by the Council amounted to £12 18s., and the contributions of