Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Islington Borough]
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(b) Subject to the discretion of supervisory staff in appropriate cases, to
supply ordinary home help in the following normal order of priority - confinement;
acute or chronic illness; the aged, infirm and blind; households which include a
mentally defective person or comprise a large family of children under compulsory
school age.
(c) In exceptional circumstances, to engage relatives as home helps, if the
provision of official help is not practicable and if the relation accepts engagement
on the normal conditions for the period of duty (which shall not exceed the number
of hours service that would have otherwise been officially provided.)
10. Mental health
(a) To regulate admissions to training centres for the subnormal from Islington
and other Boroughs, to arrange for the supply and routing of transport for junior
pupils and women, for the provision of guides and for holiday schemes at centres and
camps.
(b) To arrange for the services of mental welfare officers to be available to
perform the duties and functions under the Mental Health Act 1959, and for a twentyfour
hour service for evening, night and week-end emergency rota, including a general
index of patients.
(c) In regard to persons who on 31st March 1965 are boarded out or otherwise
maintained in homes by the L.C.C., or are in the guardianship of the L. C. C. to receive
the allocation made by the County Medical Officer of Health and to undertake responsibility
when the last known addresses of the patients or their parents were in the
area of the London Borough of Islington, andto negotiate with other local health
authorities when any question of settlement is in doubt, and to make new placings on
the same principles.
(d) To arrange for the approval, under the Mental Health Act 1959, of doctors whose
surgeries are in Islington, to give recommendations for the compulsory removal of
mentally disordered persons to hospital or reception into guardianship, and to inform
neighbouring Boroughs of names on the approved list.
(e) To arrange for the home teaching of mentally subnormal children and adults
unsuitable for attendance at training centres because of an additional physical
handicap, including the use of teachers employed by other Boroughs.
(f) To engage escorts to take mentally disordered persons to and from hospital.
(g) To pay such allowances (e.g. pocket money, clothing and incidental expenses)
for persons placed in residential accommodation, as may from time to time be prescribed.
(h) To make an additional allowance for extra fare at Christmas for persons maintained
by the Council at hostels or under guardianship.
11. Specialist services
Tor co-operate as necessary with the Inner London Education Authority in psychiatric
services for (i) the special education of maladjusted children (ii) child guidance
units and in specialist medical services for (i) the ascertainment of educationally
subnormal children and of children who may be unsuitable for education at school
(ii) mental subnormality (iii) applications for beds in psychiatric hospitals for long
and short term care of the mentally subnormal.
12. Medical and nursing services for the Children's and Welfare Services
(a) To provide medical services at residential establishments of the Children's
Department (including the review of medical arrangements and advising on medical
aspects of child welfare, hygiene and prevention of infection) and similarly at residential
establishments of the Welfare Department.
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