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

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Islington 1971

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

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From the basic records the following scheduled information is produced by the computer:Weekly
(a) A print giving details of child and mother, including handicap factors and congenital malformations.
(b) Up-dated print-outs of records amended during the previous week.
(c) Lists for Registrars of births notified for their areas.
(d) Details of children born with congenital malformations observed at birth ready for typing on
the montly return forms to the Registrar General.
Monthly
(a) Memoranda to health visitors calling for reports on children on the Handicap Register at
intervals of six months from the date of birth.
(b) Memoranda to health visitors to follow-up children who are not vaccinated or immunised
commensurate with age.
Quarterly
(a) Statement of adjusted births fully analysed in child health centre districts.
(b) Memoranda to general practitioners giving details of vaccination and immunisation carried out
at local authority clinics on their child patients.
Annually
(a) Statement of adjusted births fully analysed as above.
(b) Statement of births according to the Department of Health Form LHS27, Part A, but showing
actual births transferred in and transferred out.
(c) Analysis of premature births according to Form LHS27, Part B.
(d) Table for form LHS27, Part D, but excluding number of cases delivered in hospitals and other
institutions, but discharged and attended by domiciliary midwives before the tenth day.
STUDENT VISITS
Arrangements continue to be made for students, medical, nursing, social workers and others to visit
various branches of the department. It is considered worthwhile to continue to arrange these visits as a
means of providing a knowledge of the work of a local authority health department to students from a variety
of disciplines, in the hope of laying a foundation for co-operation with workers in other fields in the future.
There is a tendency for medical students and student nurses who see the work of the department to spend
a longer time in the public health field. This is particularly true of student nurses from the Royal Northern
Hospital who take the three month community nursing option of the recently revised syllabus of the General
Nursing Council and spend this period of their general nursing training in Isington.
A new venture was that, in conjunction with the Royal Free Hospital, their student nurses now spend
a day with a community nurse during the first few days of their training. So far, 40 student nurses have spent
a day in Islington. This is another method of initiating the new syllabus which encourages student nurses to
consider the patient in his total environment. Initially a talk is given by members of the nursing staff,
explaining the work of the community nurse, and after the day spent in Islington, a return visit is made
when the student nurses discuss what they have seen and any further information is given as needed.
EMERGENCY TELEPHONE ARRANGEMENTS
The Council continued to use the Admissions and Doctors' Inquiry Service situated in the Whittington
Hospital. The service deals with calls for health services after office hours, at week-ends and during bank
holidays. This service is shared with the London Boroughs of Camden and Haringey. Details of the calls
dealt with are given on the following page.
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