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7. St. John's and the Congregational Church in Lewisham High
Road enjoy the services of a nurse who resides in Upper Brockley
Road. No midwifery is undertaken.
8. The Deptford Mission has a nurse whose sphere of work is
mainly east of High Street.
9. Two nurses are attached to'St. James' Church, their headquarters
being in Pagnell Street.
10. Eight or nine years ago a Nursing Association, on the Provident
principle, was established for Brockley and Crofton Park. The Association
covers a wide area and is connected with Ranyard House. One
of the nurses is resident and there is a visiting sister who attends the
monthly Committee meetings. Excellent work is accomplished.
11. The Borough Council pays for the services of a Ranyard Nurse
or a St. John's Nurse in certain cases approved by the Medical Officer,
such as pneumonia in children under five years. The fee paid is
Is. 3d. per visit.
(b) Infectious Diseases, Measles, etc.
Practically all cases of the major forms of infectious disease are
sent into hospital. Of the so-called minor diseases, such as measles
and whooping cough, a number are sent to the M.A.B. hospitals. The
Council provides a whole-time nurse during an epidemic of measlss,
and the Health Visitors also visit cases. The general rule is that if
the home surroundings are insanitary, overcrowded, etc., or if complications
are threatened, and provided the family doctor is willing (many
can only pay for one visit by a doctor), the patient is sent into hospital.
Circumstances decide the action necessary, thus the services of a
Ranyard Nurse may be requisitioned. Measles became notifiable in
Deptford in September, 1922, so that little time is lost in ascertaining
cases. Information concerning whooping cough is derived mainly from
head teachers. The Health Visitors visit such cases as their already
extensive duties permit. In all cases where any sanitary defect is
found, information is promptly conveyed to the department for necessary
action.
(c) Midwivcs. These are under the supervision of the London
County Council. There are some nineteen in the Borough, of whom
five are at the Municipal Maternity Home. No subsidy is paid to
midwives locally.