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23 [1935
Also, the Minister of Health lias approved a small grant to Midwives, by way
of compensation, where patients (bona fide Islington residents), under independent
private practising Midwives are concurrently attending, on their advice, a Prenatal
Clinic and are subsequently admitted to hospital, for confinement, on the
recommendation of the Medical Officer of the Clinic.
The Minister has laid down other conditions, which must be complied with,
as follows :—
(a) That in such cases the patient will be required to confirm the
ment that she had engaged the midwife to attend her confinement
and had been referred by the midwife to the clinic.
(b) That the Medical Officer of the clinic will certify that he or she advised
the patient to be confined in a hospital or " Home."
(c) That no payment will be made to the midwife where the patient
self has applied to be confined in a hospital or " Home."
Any application for this grant should be made by the Midwife to the Medical
Officer of Health, Public Health Department, Town Hall, giving full particulars.
Special Reports.—During the year 1935 among other special matters reported
on to the appropriate Committees were :—
January 8.—Report by Medical Officer of Health on Maternity Services,
dealing with (i) the pre-natal service, (ii) ensuring that the services of a trained
midwife are available for all confinements, (iii) provision of beds for complicated
cases and for patients where home conditions are unsuitable, (iv) provision
for cases of puerperal sepsis, (v) provision of a Consultant in difficult or
complicated cases of confinement.
April 9.—Report on the three Day Nurseries in the Borough.
May 23.—Report on sites for ,Nursery Schools and Day Nurseries.
(Included in the latter might be mentioned the Scholefield Road site, brought
before the Committee by the Medical Officer of Health on the 9th July, 1935,
on which several reports have been made.)
September 10.—Report on proposed establishment of Municipal Midwifery
Service.
November 5.—Report on the Home Help scheme (scheme since adopted).
December 3.—Report on Salaried Service of Midwives.
DEATHS IN PUBLIC INSTITUTIONS.
Within the Borough.—2,380 persons died in the Public Institutions
located in Islington, of whom 1,486 belonged to this Borough, the remaining 894
having come here for treatment or relief. Of this latter, 496 died in the Archway
Hospital, 206 in the Royal Northern Hospital, 42 in the London Fever Hospital,
94 in the St. Mary, Islington, Hospital and Islington Institution, and 15 in the
Mildmay Memorial Hospital.
Of the 1,486 deaths, 1,075 occurred in the St. Mary, Islington, Hospital, 169
in the Islington Institution, 104 in the Royal Northern Hospital, and 91 in the
Archway Hospital. The proportion whicn the 1,486 deaths in the Public Institutions
bore to the Borough mortality was 43.8 per cent.
During the previous year (1934) the total deaths in Local Institutions numbered
2,350, being 1,536 inhabitants of Islington in Local Institutions, plus 814
non-inhabitants of Islington in Local Institutions, the number in St. Mary, Islington,
Hospital being 1,058, the number in the Royal Northern Hospital 118. The