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APPENDIX A
Delegation of Authority to the Medical Officer of Health
for Services under the Personal Health Committee
1. Generally
To continue to administer the services transferred from the London County Council
on the same lines (apart from adjustments of a routine nature) as prior to 1st April
1965, subject to the decisions made by the Council or its appropriate Committee from
time to time.
2. Maternity and Child Welfare
(a) To approve lists of proprietary brands of dried milk and nutrients for sale
at appropriate charges (section 17 below), and of drugs and medicaments for issue
free of charge on the recommendation of the clinic doctor.
(b) To arrange admissions to the Violet Melchett Centre, Chelsea, for mothers
and babies with feeding difficulties, on payment by the Council of the approved
maintenance rates and subject to assessed charges on the parent (section 17 below).
(c) To make a payment of 17s. 6d. to the Family Planning Association for each
patient advised at the Association's clinics on referral on medical grounds by the
Council's Medical Officers.
3. Day nurseries, child minders etc.
(a) To arrange admissions to the Council's day nurseries subject to the priorities
and charges (section 17 below) for children under five years from Islington and other
Boroughs.
(b) To receive applications for registration under the Nurseries and Child
Minders' Regulation Act, 1948; to report to the Committee thereon; to sign orders and
take other action necessary to give effect to the Committee's decisions; and to
maintain the register required by the Act.
(c) To register persons considered suitable for voluntary registration as minders
of less than three children and to pay a registration fee of 6s. a week to each such
minder, subject to compliance with the Medical Officer of Health's instructions in
regard to the care of the children.
(d) To arrange admissions to occasional creches for the minding of children,
normally from the ages of two to five years, subject to the appropriate charge (section
17 below).
4. Domiciliary midwifery
(a) To suspend any midwife from practice in accordance with section 17(1)(c) of
the Midwives Act 1951, if such suspension appears necessary to prevent the spread of
infection, and to convey suspension in writing in each case.
(b) To arrange courses of post-certificate lectures and demonstrations for midwives
who have notified their intention to practice in the Borough.
(c) To pay within the limit of the maintenance votes the annual financial
deficit of the Central Midwives' Board apportioned under section 23(2) of the Midwives
Act, 1951.
(d) To meet the cost of electric bells where necessary at residences of domiciliary
midwives.
(e) To arrange for officers concerned with the maternity services to serve on
local maternity liaison committees and to attend clinical meetings at local hospitals.
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