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

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Lambeth 1946

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

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10
any preparations for a known period months ahead, but sickness
or accident or some other misfortune suddenly occurs which makes
it impossible for the home to be maintained without help. All the
domestic helps are employed on the basis of 1s. 9¾d. an hour, for
up to a 47-hour week, plus bus or tram fares, increased to 1s. 11d.
an hour from 1st December. Some can only give as little as two
hours a day, but assistance was given to 116 distressed families
during the year.
A visit is paid immediately an application for help is received
to assess the need—how many hours work a week will maintain
the home—and how best it can be relieved—which domestic help
is likely to get on well with the applicant. Payment is made by
the applicant according to the agreed metropolitan scale. One
visit a week is paid regularly for the time sheet of the domestic
help to be certified by the applicant and at least one other surprise
visit during the week to verify that no "ramp is being worked."
Employment by the hour is well liked and well suited to the
needs of both sides. Many women so employed can take a week
off when they wish as there is no binding tie as would be the case
if employed full time. On the other hand, none are sent far from
their homes and if there is no employment for a week in their
neighbourhood there is no obligation for them to go far away from
home which to the woman with a home to maintain of her own
might be a strain greater than she is prepared to bear.
The staff employed for the service consists of a senior woman in
the A.P.T. grade I and two juniors in the general division.
The cost is reimbursed in full by the Ministry of Health.
Dentures for Expectant and Nursing Mothers.
7 (17) applications were received and dentures provided for 6—
cost to Council, £21 0s. 0d. Owing to the increased cost of living
and higher wage rates the scale adopted by the Council in 1942
became out of touch with present conditions. The scale was revised
in March, 1947.
Sterile Maternity Outfits.
Nil (Nil).
Obstetric and Gynaecological Consultants.
Nil (Nil).
Obstetric Unit for Blood Transfusion.
5 calls (Nil). Each call costs 5 guineas which is paid by the
Council to the London County Council who provide the service
from their hospitals.