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

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Greenwich 1967

[Report of the Medical Officer of Health for Greenwich Borough]

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105
Increased visiting was due to the fact that more patients are
now needing two nurses at each visit; more are on twice daily care
and some require even three and four visits daily. Many of the
visits could be undertaken by less highly qualified staff although
the greatest possible use is made of the services of S.E.N.s and bath
attendants.
Each of the 40 districts into which the Borough is divided for
nursing purposes, carries an average case load of 30 and monthly
visits remain at 350-380. Recruitment of suitable home nurses
was slow initially but improved later until at December, 1967,
there were 67 District Nurses on the establishment (full-time
equivalent 55). An analysis of the 3,469 new cases who received
attention during the year is given hereunder:—

Sources from which New Cases were Referred

General Practitioners2, 119
Hospitals790
Clinics (Chest, Ante Natal and Diabetic)48
Geriatric Visitors104
District Nursing Service408
3,469
Classification of New CasesNo. Cases%
Medical2,94584.9
Surgical38511.1
Maternal Complications982.8
Early Maternity Discharges110.3
Tuberculosis250.7
Mental Ill-health50.2
Total 3,469100.0

Classification of New Cases
No. Cases
%
Medical
2,945
84.9
Surgical
385
11.1
Maternal Complications
98
2.8
Early Maternity Discharges
11
0.3
Tuberculosis
25
0.7
Mental Ill-health
5
0.2
Total 3,469
100.0

Type of Treatment and where effected

TreatmentAt Patients' HomesElsewhere (e.g. Nurses' Homes)Total%
Injections only41,26545141,71623
Injections plus other treatment8,964118,9754
Other Treatment only134,451128134,57973
TOTALS184,680590185,270100