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

View report page

Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Bethnal Green 1914

Report on the sanitary condition and vital statistics during the year 1914 together with the report of the Chief Sanitary Inspector

This page requires JavaScript

Table: MUNICIPAL TUBERCULOSIS DISPENSARIES AND MATERNITY AND INFANT WELFARE ORGANISATIONS._

MUNICIPAL TUBERCULOSIS DISPENSARIES AND MATERNITY AND INFANT WELFARE ORGANISATIONS._

PopulationADiMINISTRATION, ESTABLISHMENT, &c.Battersea. 167,338Bermondsey. 124,213Camberwell. 264,176Chelsea. 67,400Deptford. 109,182Finsbury. 84,000Fulham. 156,000Greenwich. 96,015Hackney. 223,716Hammersmith. 124,750Hampstead. 86,731Holborn. 49,357Islington. 324,764Kensington. 172,317Lambeth. 296,724Lewisham. 172,433London, City of. 17,129Paddington. 141,946.Poplar. 160,222St. Marylebone. 118,211St. Pancras. 218,387Shoreditch 111,390Southwark. 186,941Stepney. 279,804Store Newington. 50,511Wandsworth 333,154Westminster. 152,346/Woolwich 128,556
1. Is there, inyourBorough, aDispensary establishedinaccordancewiththe NationalInsuranceActandtheOrders andMemorandaoftheLocalGovern-mentBoard ? if so,There is a Volun tary Tuberculosis Dispensary in the Borough tempor-arily approved by the Local Gov-ernment Board, but no scheme has yet been arranged with the Local Govern-ment Board, and the matter is still under considera-tion.Yes.Yes.A scheme will shortly be adopted for a Tuberculosis Dispensary for Chelsea in connection with the Brompton Hospital for Consumption. One of the junior visiting staff of Physicians will be appointed by the Hospital as Tuberculosis Officer, and he will be paid £150 per annum by the Borough Council. Cases will be recommended as Dispensary patients by the Medical Officer of Health, and insured persons will be examined and treated at the Dispensary after sanction is given by the Insurance Committee for London. The estimate of the cost of working the Dispensary is about £400 per annum, and grants in aid will be received from the Local Government Board, the London County Council, and the Insurance Committee.Yes.Schemeap-proved. Notesbelow relatetoin-tendedor-ganisation.Yes.Yes.Yes.No,butscheme submittedto L.G.B. and L.C.C.Yes.Yes, atUniversityCol. Hospital.Schemeformulatedandapproved bytheCouncil. 2 Dispensaries.No. Scheme approved by L.G.B. and L.C.C. for Dispensary treatment at (1) Kensington Tub.Dis-pensary (vol.) (2) Brompton Hospital.Yes.Scheme under consideration.Yes.A scheme has been passed by the Borough Council under which it is proposed to enter into agreements with two existing institutions, viz., theYes.It is proposed to use Middlesex Hospital, St. Marylebone Anti-Tuberculosis Dispensary, and Margaret Street Dispensary, and arrangementshave been made with Governing Bodies.Yes.Yes.Yes.Yes.Yes, inconjunctionwith Hackney (see ante).Yes—two. ; Schemeis underconsid-erationof L.G.B.Yes.
2. (a) WastheDispensaryinstitutedasa neworganisationbyyourCouncil ? or,No.No.Yes.Yes.No.Yes.Yes..King Edward VII. Memr'l Building, purchased and adapted by volun. subs. Equipped and maintained by Council.No.Yes.Hospital the Council would make a payment on account of salary of Tuberculosis Officer, whose duties will be prescribed,- Yes.Yes.Dispensary and the St. Mary's Hospital. The details of the agreement are still "under consideration.No.Scheme not yet settled. Institutions will provide all staff necessary, ex-cept one woman at present a member of Council's staff, to whom a salary of £200 per annum will be paid.No.Yes.Yes—two.No. --—rlNO.
(b) WastheDispensarytakenoverasa goingconcernbytheCouncilfrom another body ?No.Negotiations pending.No.No.No.No.No.No.No.will not exercise any other control except that a breach of contract might be--No.No.—No.-No. 1roposed Dispen- j saries to be at Char- j ing Cross and St. ( Giles' Hospitals.No.
3. (a) Is theDispensarycarriedonina buildingerectedforthepurposebythe Council ? or,No.No.No.No.Buildingto beerected.No.j King Edward VII. Memr'l Building is termed Health Inst., and is governed by scheme approved by Charity Com. Dispensary onNo.No.met by a cessa-' tion of payment.No.No.Council pays Margaret Street Dispensary and St. Marylebone Anti-Tuberculosis Dispensary each £100 per an.No.No.No.No.JNo.
(b) Inadaptedpremises ? or,-No.Yes.Yes.Yes.Yes.Yes.No.——No.No.—Yes.—No.———No.—Yes.—Yes.No.Yes.
(c) InanexistingInstitution (Hospitalor Dispensary), byarrangementwiththe GoverningBodythereof ?Yes.No.No.No.MetropolitanHos-pital. Victoria Park Hospital.—No.Yes.Yes.———St. Bartholomew's Hospital.—Yes.Yes.Yes.No.Yes, but have not entered into a working agreement with Committee.—Yes.Yes.
4. (a) Is theStaffwhollyappointedand controlledbytheCouncil ? or,No.No.Yes.Yes.No.Yes.No.—Yes.No.- No.—Yes.—No.—No.—No.No.Yes.No.Yes.No.No.
(b)IftheDispensaryiscarried on atan InstitutiononbehalfoftheCouncil, whatmeasureofcontrolhastheCouncil overtheconductoftheworkofthe Dispensary ? or,Councilhas 5 representatives onDispensary Committee.Wholecon-trol.Councilappointthree members on Committee.By provisions of agreements entered into between Council and Hospital Authorities.Joint Committee representing Hospital, Boroughs of Holborn and St. Pancras, Med. Practitioners of Holborn and St. Pancras.JointCommitteerepresenting Hospital. BoroughCouncil. BoroughPanelCommittee.M.O.H. tohave accesstoDispensaryatalltimes.Borough Council is represented on Dispensary Committee, including M.O.H.Council representedon Dispensary Committee.Council representedon Dispensary Committee.No.---L■:ontrolthrough IV he M.O.H. & Asst. M.O.H-, J ivhoisthe Tuberculosisj Officer- .—__i—I.O.ri. an" wo Boro Councillors neinberso Dispensary Zornm'fee.
(c) IstheStaff, or anyportionthereof, voluntary ?-Yes.Yes.No.—Secretary.No.——No...... No.——No.Secretary only.—Consulting Phv. onlv.No.No.Yes.No.No. --JNO*
5. WhatStaffisemployed (wholetime, part time, &c.), andwhatarethesalaries paid? 1. 2. 3. 4. 5. 6.1 Chief M.O. £500p.a. whole time. Asst. M.O. £250 p.a. whole time. Nurse £110 p.a. whole time. Nurse £100 p.a. whole time Secretary £100 p.a. whole time Clk.-Disp. £100 p.a. whole time Porter and help 30/- per weekTuber. Officer £500 per ann. Dispenser £70 £90 per. ann. Nurse (Ranyard Assoc.), £30 p. a. Caretaker & Wife £78 and apartments, &c. 3 Health Visitors visiting in con-n e c 110 n with other routine work, £ioo-£i30 per annum.Tuberculosis Officer £500 est. 1 Nurse £120 Caretaker £60Medical Officer £5CO Asst. M.O. £250 Nurse £go Nurse £90 Dispenser £90 Clerk £90 Porter and Wife £75Tuberculosis Officer £400 Dispenser & Caretaker £80, with rooms, gas and coal. Nurse (Ranyard Assoc.), Nurse do. i r £16 6s.Medical services included in ^payment by Council of 2/- for each attendance. Nurse £8o-£ioo. Nurse £8o-£ioo.! Medical Officer j (part time) £250. (Physician on Visiting Staff and Mt. Vernon Hospital). Nurse £85.(1) TuberculosisOfficer andHospital Staff. (2) Visiting Nurse £100 perannum._A_ i Northern Dispensary. Southern Dispensary. 2 Physicians at £105 2 Physicians at £100 each. each. 1 Tuber. Officer £300 1 Tuber. Officer £400 2 Nurses £100 each. 2 Nurses £110 each. Dispensing and Cleri- Secretarial work £150 cal work £300. Porter, £50.Med. Officer £350 Nurse £80-£90 Caretaker £52 OfficeBoy 10/-to 20/-Corporationto paynotlessthan £500 normore than £700 per an. forallservices, treatment, staff, etc.Tuberculosis Officer, £500 Asct. do. £300 Dispenser, £120 Nurse Assistant (part time), £150 Clerk, £96 Caretaker and Wife, £70 (Rooms, coal, &c.)Resident Med. Officer, £300 Dispenser (part time), £50 Nurse, £80 Caretaker (part time), £30 Clerical Assistance, £20Tuberculosis Officer, £42 Dispensary Sister, £10 Secretary, £50 2 Consulting Phy sicians, £100 ea Dispenser, £36 Porter, £30| Tuberculosis Officer, £500 Secretary and Dispenser, £100 ; 2 Nurses, ! £80 each Caretaker, £50 and quarters, etc.Tuberculosis Officer, £500 ^urse, £120 ^'spenser. Clerk. Caretaker.ruberculosis Officer, £500 health Visitor, £110 ^urse, £80 Dispenser & Clerk, £78 (Rooms, fire andlight).Tuberculosis Officer, £5°° Visitors (2). £125 each.| Bacteriologist- j £50ie, Executi«
6. (a) Is theMedicalOfficerofHealththe AdministrativeTuberculosisOfficer ? or, ifnotYes.Yes.Yes.Yes.Yes.Yes.Insuggested scheme— Yes.Yes.Yes.Yes.A Tuberculosis Officer will be-appointed by each Dispensary from the membersYes.—Yes.—No.Yes.Yes, inproposed scheme.Not so designated but perform practically al functions of oneYes. J---—Yes.Yes. | a 0id organ*"* flicer.
(b)WhatisthepositionoftheMedical Officer ofHealthinrelationtothe Dispensary ?--of its staff. M.O.H. will be quite independent of both Dispensaries, but it————M. O. H. on Executive Committee.__—-
7. Whatisthe average numberofpersons whoattendtheDispensary, exclusiveof contacts ? (a) Insured persons. (b)Others.—(a) 203 (b) 925(a) 223 (b) 2072-(a) 190 (b) 807—(a) 286. (b) 1268.(a) 78 (b) 217(a) 537, estd. (b) 713, estd.—11 months. (a) 115. (W 340. I (165 were treated, 58 (a) and 107 (&)).Dispensary onlyrecently opened.No statisticsyet.him to secure due fulfilment of agreements between Council and Dispensaries. M.O.H. is on Exc. of Vol. Dispy. in N. Kensington.(a) 413 (b) 2815Nostatisticsyet.Statistics incomplete.Schemenot yetfully working.(a) 1332 (b) 2520' Statistics incomplete ; dispensary has not been in , existence a year.(a) 183) 9 (b) 753 j mths.Schemenot yet operate-(a) II3 jf)_535— 35
8. What istheaveragenumberofattendances perpatientperannum, exclusiveof contacts ?101158Insured 17. Non-In. 15.16 estd.165 patients hadaverage of 17.■ ----Do.—4 to 6———69—12j
FINANCE. 9. HastheCouncilincurredanycapital chargeintheestablishmentoftheir Dispensary, andif so, theamount ?—No.No.-£125 (furnishing)£300 est.No.Notyet.No.—£165No.No.No.£328——No.No.No. —-—-No.£700 J........ -1—--- £181 15s.No.
10. Hasanyofthecapitalchargebeen re-fundedbyCentralAuthoritiesorother Bodies, ifso, whichAuthorities or Bodies, andtowhatextentineach case? 1. 2. 3. 4.No.L.G.B. £111L.G.B.£160No.L.G.B. has made capital grant of £278 through the Borough Council to the St. Pancras Dispensary.No.No.L.G.B. £130„cil Wffp0
11. Whatistheannualexpenditure ? (a) Loan charges, (ib) Other.(b) £200 grant toDispensary.(a) None. (b) £607(a) — (b) £985 est. maximum.(a) - (b) £750-1914(a) Nil. (b) £989(a) — (&)£2300 est.Approx. £750(a) - (b) £300Northern. Southern. (a) - (b) £1,135 £2,000(a) — (&) £1327—(a) (b) £500—£700(a) — (b) £1200(a) —(b) £400(a) - (b) £564 est.(a) — (b) £700— £800(a)Nil. (ib) £1100(a) — b) £1,107j c [b) £1,305 est.iai year- r
12. Whatproportionofannualexpenditureisre-coveredfromotherAuthorities or Bodies, ifso, whichAuthorities or Bodies, and to whatextentineach case ? 1. 2. 3. 4.1. L.G.B. 50% 2. L.C.C. 25%1. Ins. Com. £140 2. L.G.B. £264 (Variablel1. L.G.B. £375 2. L.C.C. £187 10s.1. Ins. v. ^n. £200 estd. 2. L.G.B. £395 estd. 3. L.C.C. £197 10s. est.1. Ins. Com. £460 estd. 2. L.G.B. £920 estd. 3. L.C.C. £460 estd.L.G.B.:— '12-13, £51 '13-14, £305 '14-15, £235 ona/c. L.C.C.—nil.1. Ins. Com. £45 estd. 2. L.G.B. £127 10s. est. 3. L.C.C. £63 15s. est.1. L.G.B. 50% estd. 2. L.C.C. 25% estd.1. Ins. Com. 2. L.G.B. 2. L.C.C. £11281. Ins. Com. £80 2. L.G.B. £560 3. L.C.C. £2801. L.G.B. £200 2. L.C.C. £1001. L.G.B. £282 est. 2. L.C.C. £141 est.1. L.G.B. 50%1. Ins. Com. £250 2. L.G.B. £425 3. L.C.C.' £212 10s.1. L.G.B. 50% ! net exp. 2. L.C.C. 25% netexp. 3. Ins. Com. £1001. L.G.B. £550 est. 2. L.C.C. £275 est.I. L.G.B. £200
13. Is thecostoftreatingInsuredpersons includedabove, andifnot,-No.——Yes.—Yes.Yes.Yes.—Yes.Yes.- | NotyetYes.Yes.Yes.—No.No.Yes.—Yes.——
14. (a) What istheamountwhichthe InsuranceCommittee agrees topayper annuminrespectofthetreatmentof insured persons ?No definite amount. Lump sum paid by Insur. Committee to Central Fund Committee, who divide this amongst their Dispensaries on basis of work done at each Dispensary.£140 asabove (12-1)Notsettled. Insurance Committee havepaid £163 in respectof 1913.Insurance Committee pay lump sum as contribution to cost based upon comparison of attendances of insured persons as against those of others.Estimated at about one fifthof total.; A sum based upon comparison of attendances of insured persons as against those of others, together with an agreed 1 sum in respect of | certain services rendered to Ins. Com. So far £50 has been received from the In. Com. for the half-year to nth Jan., 1914.See answer toQ. 12-1.J determined.In accordance with their memorial or memorandum of agreement (see answer from rfampstead).Notyetsettled.(See answer from Hampstead.)Notdecided.(Seebelow).Ins. Com. so fa have agreec nothing. Sun of £50 receivec from Com. fo 1914, and simila amount to be re ceived in 1915.Amountnot definitely settled.No agreed figure.Notsettled.
(b) Is thefigurebaseduponnumberof insuredpersonstreated or uponthe numberofattendancesmade, or upon thenumberofinsuredpersonslivingin the area served by theDispensary, and ifso, howmanyineithercase :— (1) Personstreated. (2) Attendancesmade. [in area. (3) NumberofinsuredpersonslivingInfuturethe grantwill beonthe basisof numberof attend-ancesmadeNotyet settled.Onattend-1 ancesmade.OnNos. of attendances.Underconsideration.-On proportionof attendances ofinsuredto attendances ofnon-insuredpersons.No.Onproportionofattendances ofinsured toattendancesof non-insurec persons.Notknown.
SCHOOL FOR MOTHERS. 1. HaveyouinitiatedaSchoolforMothers ? 2. Whatarrangementshavebeenmade as to: (a) Staffandsalariesthereof. (b)Premises. (c) Generally.No. Battersea Volun. Health Society carries out cer tain amount of work under this head. Council also has established an Infants' Milk Depot.Matterunder consideration.No.No. A Voluntary Association carries out this work and receives grant from Board of Education, but none from the Borough Council.Yes. 2 (a) 3 Municipal Health Visitors work 3 Centres, j (6) 1. Town Hall, M.O.H. attends; 2. Cornbury Rd. Miss., Dr. Swan-son voluntary; 3. Albany Institute, Dr. Crabbe £50 i per annum. One class a week at each Centre.Yes. 3 Municipal j weighing Centres (2 (a) 2 Health Visitors £100- £120(b) Rented at 10/6, 5/- & 5/- weekly.Yes. Vol. Contributions and grant of £195 from Brd. of Education for year 1914-15. 2. (a) 3 Medical Officers £50 each one half-day per week ; 1 Superintendent £110; 1 Asst. Superintendent £80. (b) N. Branch £70. S. Branch £50.No.A schoolhas recently beenestab-lishedby voluntary subscrip-tions.No.i 3 Weighing Cen-: tres exist. Lady Sanitary Inspector attends and is helped by members of the Hampstead j Health Society. ! Inspector's sal-1 ary, £105. A school for ! Mothers is also held at the Health ' Institute apart l from above.Yes. 2 (a) Med. Officer | io/6 for each at tendance. 1 (b) Superintendent £S7 ios. per an. for i£ days per 1 week. Passmore Edwards' Settle-1 ment premises.No. Matterunderconsideration.No. There are 4 | schools provided ! by philanthropic j effort. j Three Municipal j Health Visitors attend 3 of the schools twice a i week.No. Voluntary schemes only working.No. Voluntary schemes only working.Not as aseparate iorganisation. A mothers' classis heldinconnec-: tionwiththe Maternityand InfantWelfare Centre.No. Voluntary organisationonly.No.Schemes still under dis-discussion providing for organisations which will make use of and link up with following existing institutions in Borough : — 2 Schools for Mothers; 2 Infant Consultation Centres; 1 2 Maternity Hospitals through M.O.H., and staff of 3 women inspectors and health visitors.Nowholly Municipal Centres, - but numerous Voluntary Centres.—No.i Matter postponec pending the com j pletion of working arrangements be I tween L.G.B. anc I Board of EducationIncontemplation —No.Yes. 2 (a) Health Visitor, £135 perannum. (b) Rent, £40 perannum.Municipal Infan Consultation held weekly. 2 (a) The M.O.H and woman Health Visitor. (6) Town Hall.
MATERNITY AND CHILD WELFARE CENTRE. 1. HaveyouinitiatedaMaternityandChild WelfareCentre ? 2. Whatarrangementshavebeenmade as to : (a) Staffandsalariesthereof. (b) Premises. (c) Generally. 3. IstheCentrecarriedonincombination withthe School forMothers ? Ifso, aretherequirementsofthe Board of Educationand/ortheLocalGovernment Board suchastorenderit necessary to clearlydifferentiatetheactivitiesofthe twoorganisations ?No, buta schemeis beingconsidered.Do.No.No.Yes, but antenatal work riot yet developed. Samestaff as above. Do. Yes. It is not necessary to differentiate, and we have applied to L.G.B. for a grant.No.Nowbeing startedin combinationwith above. Application willbemade inrespectof treatmentto L.G.B.Infant consultation centre. Health Visitor and Female Sanitary Inspector. Salary as Public Health servants. Doctor's honorarium £25. Room at Women's Intant Health Association. Medicine, third paid by mothers, remainder of medicine and also honorarium made up from voluntary sourcesNo.No. _Arrangements also exist whereby children of 1 persons joining J either of two local i Provident Dispensaries are medically ex amined yearly up 5 years of age on lines of school medical inspec-1 tion. j Two-thirds cost is paid by the Council of Social Welfare, and one-third by parents. The C.O.S.W. also pay for operations that | may be necessary.In co-operation with Mat. Depts. j of 3 Hospitals. 2 (a) Provid-edbyHos-pitals. (b)Hospitals In co-opera-tion (not combination withthe schoolfor mothers.No. Matterunderconsideration.No. Four schools for Mothers and a Baby Clinic ; provide by vol-| untary effort in ! N. Kensington I for Maternity and | Child Welfare. _No. Voluntary schemes only working. (Thereisa Municipal MilkDepotNo. Voluntary schemes only working.Yes. 2 (a) Woman SanitaryInsp. (b) The City ShelterNo. Voluntary organisationonly.Arrangements made for special i visitation, etc ! scheme with Pop- j lar Infant Care j Association, St ! Katharine's Col lege, and Schoo ; Care Committees j working in co-1 operation with Public Health Department.Decided to esta lish a scheme far as possible 0 lines suggeste by L. G. B. house is to 1 taken for the pu pose, and a rangements w be made for tl establishment a feeding cent for expectant ar nursing mother with help of t] Women's Leag of Service. 3. Not yet settle -Yes. 2 (a) Health Visitor and Sanitary Inspector, £145 per annum. ; I 3 voluntary workers. ' (b) Medical man attends Infant Clinic every | Thursday.No.Yes. 2 (a) Two Physicians £52 ios. p. an. each ; 2 Superintendents and Health Visitors, £150 and £100 ; 2 Assistant do., £90 and £60. The School and Centre are run in conjunction with the Westminster Health Society. Yes. There is no occasion to attempt to discriminate between the respective spheres of influence. This can be leit to the Central bodies to do.Undercon sideration