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

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Hampstead 1938

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

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153
is not borne by the Borough Council, but the material is supplied free
to the Medical Practitioner. It is also available entirely free of cost
under the Borough Council's Scheme:—
(c) by the family doctor for children under 14 years of age.
In these cases the residents are advised that they should
approach their own doctor and inform him that they wish
to avail themselves of the Borough Council's Scheme. The
practitioner agrees to give the child the injections and
to enter the necessary particulars on a record sheet, which
sheet acts as the account for his fee, which is paid
quarterly. The responsibility for the administration of the
injection is placed on the practitioner; he is also responsible
for any subsequent medical attention necessary, etc.
(b) at the Borough Council's Clinics especially devoted to this
purpose, upon application to the Public Health Department,
Town Hall, Haverstock Hill, N.W.3. This service, for
children under 14 years of age, is provided free.
Arrangements for the final Schick test are made by the Borough
Council, and special clinics are held for this purpose.
On 24th January, 1935, the Council agreed to augment the scheme
then in operation for diphtheria immunisation under which the Council
provided the necessary immunising material free of charge, by agreeing
as and from the 1st April, 1935, to pay to general practitioners a
fee of 7s. 6d. for each child completely immunised against diphtheria.
It was found that in the majority of cases this scheme worked satisfactorily,
but that certain difficulties occasionally arose, as it is sometimes
necessary for a patient to receive four injections before he is
completely immunised, and in certain other cases the patient is not
prepared to receive the full course of three injections. At its meeting
on 24th November, 1938, the Council resolved that the scheme should
be amended, and that the general practitioners should be paid a sum
of 2s. 6d. in respect of each injection given. Such an arrangement,
it was felt, would overcome the difficulty associated with the cases
referred to, and is in addition, in accordance with that approved by the
British Medical Association.


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