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tie is in professional attendance is suffering from puerperal pyrexia,
shail forthwith make and sign a notification of the case in the form
contained in the Second Schedule to these Regulations, and shall transmit
the notification to the medical officer of health of the district within
which the place of residence of the patient is situate at the date of
notification.
11. A notification to be transmitted to the medical officer of health
in pursuance of this Part of these Regulations shall be addressed to
that officer and may be transmitted by being delivered to him or by
being delivered at his office or residence, or may be sent by prepaid
letter post addressed to him at his office or at his residence. The
notification shall either be enclosed in a sealed envelope or shall be
folded in such manner that during its transmission the particulars of
the notification cannot be observed.
12.—(1) The local authority shall pay to every medical practitioner
a fee of two shillings and sixpence for each notification duly made,
signed and transmitted by him under this Part of these Regulations
if the case occurs in his private practice, and of one shilling if the case
occurs in his practice as medical officer of any public body or of any
institution.
(2) Every fee shall be paid as soon as practicable after the end of
the quarter during which the notification was sent, and the local
authority shall not require before payment an account of fees claimed
under these Regulations.
(3) The said fees shall in each case be deemed to cover all expenses,
including the cost of transmission.
13. The provisions of Sub-section (4) of Section 55 of the Public
Health (London) Act, 1891, shall apply to any notification received
by a medical officer of health of any local authority in the Administrative
County of London, in pursuance of this Part of these Regulations,
in like manner as the provisions of the sub-section apply to a certificate
received by a medical officer of health under the said section.
I submitted a report to the Maternity and Child Welfare
Committee on the recommendations of the Ministry, in regard
to the facilities for treatment, pointing out that—
Skilled Nursing is already provided under an agreement
with the Hammersmith District Nursing Association.
Institutional Treatment for cases of Puerperal Fever is
provided by the Metropolitan Asylums Board at the North
Western Hospital, Hampstead, and the South Western
Hospital, Stockwell. I understand that the Metropolitan
Asylums Board will arrange for the admission of cases of
Puerperal Pyrexia in the same manner.
Obstetric Specialist.—It will be necessary for the Council
to make arrangements for the services of an Obstetric
Specialist, and I recommend accordingly.
The Maternity and Child Welfare Committee decided, subject
to the approval of the Ministry of Health, to appoint a
Rota of Consulting Obstetricians whose services will be at the
disposal of general practitioners in cases of difficulty or
abnormality, upon the following terms:—
(1) The patient must be a resident of Hammersmith.
(2) The medical practitioners immediately notify the
Medical Officer of Health that they have called in the