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Details of the work done by the Association during the year on behalf of
the Borough Council will be found on page 65.
Three members of the Public Health Committee of the Borough Council
are members of the Council of the Association.
With the approval of the Ministry of Health, the Borough Council
made a financial grant of £50 to the Association for the year commencing
Ist April, 1927. The total fees paid by the Council for nurses' visits
during the year amounted to £115 15s. 6d.
(b) Midwives. Provision has been made by the Borough Council
whereby necessitous women may obtain the services of a Maternity
Nurse or Midwife at a reduced rate, the balance of the fee being paid
by the Council.
The fees charged vary from £2 to £2 2s. Od. for Primipara cases, and
from £1 ss. 0d. to £1 10s. Od. for Multipara cases.
Arrangements on this basis have been made with the Ormond Home
for Midwives (Blantyre Street, Chelsea), St. Mary's Nursing Home
(Fulham), and with Midwives Andrews and Cooke, who are practising
midwives in the Borough. All cases must in the first instance be approved
by the Milk and Welfare Sub-committee. The Sub-committee meets
weekly to consider applications and assess cases according to the income
of the family. Contributions by patients towards the cost of midwifery
assistance are collected by the Maternity Nurse or Midwife who undertakes
the case.
The cases dealt with by the Sub-committee during the past two years
are summarized in Table No. 43 (page 64).
The London County Council is the Authority responsible for the
supervision of midwives in the Borough. Through the courtesy of
Dr. F. N. Kay Menzies, the County Medical Officer of Health, I have
been able to ascertain that 11 midwives gave notice during the year of
their intention to practise as midwives in Chelsea.
LABORATORY WORK.
Analysis of Food and Drugs. The Public Analyst is Mr. B. H. Gerrans,
F.I.C., and the investigations in connection with food and drugs sold in
the Borough are carried out in his laboratories. The detailed results of
analyses made during the year will be found appended to this report.
Bacteriological Examinations. Routine bacteriological examinations
are carried out at the Lister Institute of Preventive Medicine. Special
investigations for the Ante-natal Clinic are carried out at the London
Hospital and the Hospital for Diseases of the Skin (Blackfriars Road,
S.E.). Arrangements have also been made with the Clinical Research
Association for the bacteriological examination of samples of milk under
the Milk (Special Designations) Order, 1923. No occasion has yet
arisen for such investigation.