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

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Chelsea 1921

Annual report for 1921 of the Medical Officer of Health

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Half this amount, namely £606, is recovered as a grant from the
Ministry of Health.
Maternity Nurse.
The number of necessitous women provided with a maternity nurse
under the Council's scheme during 1921 was 22, as against 44 in 1920,
and 60 in 1919. Fifteen of the cases were attended by the Ormond
Home for Midwives, 5 by Nurse Andrews, and 2 by Nurse McAuliffe.
The amount paid to the Maternity Nurse was £28 5s., and £7 11s. was
received as contributions from the patients, leaving a balance of £20 14s.,
half of which is recovered as a grant from the Ministry of Health.
Midwife.
The number of necessitous women provided with a midwife under
the Council's scheme during 1921 was 57, as against 25 in 1920. Thirtythree
of the cases were attended by the Ormond Home for Midwives,
17 by Midwife Andrews, and 7 by Midwife McAuliffe. The amount paid
to Midwives was £58 15s., and £16 11s. was received as contributions
from the patients, leaving a balance of £42 4s., half of which is recovered
as a grant from the Ministry of Health. The net cost to the Borough
in 1921 for Maternity Nurse and Midwife was £31 9s., as against a net
cost in 1920 of £21 9s. In 1921 there were 22 fewer Maternity Nurse
cases, but there were 32 more Midwifery cases than in 1920.
During 1921, 5 notifications were received from midwives under the
Midwives Acts, 1902 and 1918, of the substitution of artificial feeding
for breast feeding for various reasons.
Home-Help.
During 1921, Home-helps under the Council's scheme were provided
for 23 necessitous cases. The total amount paid to Home-helps for their
services during the year was £112 15s. 11d., and the contributions
received from the assisted families amounted to £28, leaving a balance
of £84 15s. 11d., half of which is recovered as a grant from the Ministry
of Health. The net cost to the Borough of Maternity Nurses, Midwives,
and Home-helps for 1921 was £73 17s.
In July, 1921, the appointment of a whole-time Home-help was
terminated, and a panel scheme was adopted by which suitable women
willing to give their services, were placed upon a list, each woman being
called upon in rotation as found convenient. The remuneration adopted
was 30s. per week for full-time cases, and 20s. per week for half-time
cases, but this was altered on the 9th November to 40s. per week for
full-time cases, the part-time cases remaining at 20s.
Convalescent Homes.
Twenty-five nursing mothers, with their infants, were sent away to
country convalescent homes in the course of the year. The payments
made by the Borough Council amounted to £38 9s. 8d., and the amount
received as contributions from patients was £4 6s.