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32
Dietetic only 26
Massage only 68
Dietetic, U.V.L. and Massage 66
Dietetic and U.V.L. 51
211
More than two thousand (2,106) massage treatments were given and 1,352 Artificial Sunlight
exposures carried out, which bears adequate testimony to the organisation and efficiency of the
workers concerned.
Cases of frank rickets have been fewer in number, which may be due in part to the fact that
public education in the use of anti-rachitic measures is beginning to bear fruit and also to the fact
that the milder cases can be satisfactorily dealt with at the Welfare Centres. The number of
children with deformities requiring treatment has definitely increased and particularly is this so
in the case of Tortcollis or wry-neck.
I do not consider this to be due to any actual increase in the oases but rather to a more rapid
appreciation by those in charge of children of the benefits to be obtained from physio-therapeutic
measures. It is certainly encouraging to find the scope of the centre increasing as a result of the
active co-operation of all health workers in the Borough.
Queen Charlotte's Maternity Hospital.—During the year 1935, 106 infants of mothers resident
in Paddington attended the Infant Consultation Centre. The average number of attendances per
infant was 10.
During 1935 there were received into the Hospital for confinement 172 women from Paddihgton,
and 272 Paddington women were delivered in their own homes by midwives from the Hospital. The
average attendance of these patients at the Ante-natal Clinic was approximately 8.
St. Mary's Hospital.—There is no Infant Consultation Centre at this Hospital but in addition
to the ordinary ante-natal consultations one is specially held each week for women who have booked
beds in the Borough Council's Maternity Wards at the Hospital. The number of attendances at than
Clinic during the year was 1,290 by 239 women. No definite figures are available as to the number
of Paddington women who attended the ordinary ante-natal consultations but the number of confinements
attended by the Hospital extern staf in the Borough was 97 and presumably all of these
received examination and advice there.
Maternity Nursing.—The arrangement whereby the Paddington and St. Marylebone District
Nursing Association provides the services of trained maternity nurses in connection with lying-in
cases attended by the students and the Medical Officer of the Extern Midwifery Department of
St. Mary's Hospital, continued in operation throughout the year. The results of this arrangement
are excellent although it is not possible to adduce any figures in support of this statement.
During the year 1935, 97 confinements were attended by the nursing staff, the number of visits
being 2,024. These figures compare with similar ones of 109 and 1,863 in the year 1934. The annual
grant in aid of this work is now £175.
Maternity Wards.—Under an agreement made with the Board of Management of St. Mary's
Hospital, a suite of wards containing 14 beds became available in the Hospital on the 1st April, 1933,
for patients accepted for admission by the Borough Council. The agreement is for a period of five years
and provides for payment to be made to the Board at the rate of 9s. per day for each bed, whether
occupied or not, the annual amount being approximately £2,300.
The following scale has been adopted by the Council for the assessment of cases for admission to
the maternity wards, subject to such variation as the Maternity and Child Welfare Committee deem
necessary or desirable, having regard to the financial position of the family. The charges specified
are based on the assumption that the applicant will receive one maternity benefit only, and that the
family consists of not more than one child:—
Where the amount of
family income (after deducting
rent and insurance)
is under £2 Os. Od. the charge to be fixed by the Committee.
,, ,, is between £2 0s. Od. and £2 10s. Od. the minimum charge per case to be £3 Os. Od.
,, ,, ,, £2 10s. Od. and £3 0s. Od. ,, ,, ,, £4 0s.0d.
,, ,, ,, £3 0s. Od. and £3 10s. Od. ,, ,, ,, £5 Os. Od
,, ,, ,, £3 10s. Od. and £4 0s. Od. „ ,, ,, £6 0s.0d.
Where there are two maternity benefits and the father is in regular employment, an endeavour will be
made to recover a maximum fee of £8 8s. Od. per case. A booking fee of 10s. will be charged in each case
which will be taken in part payment of the scale fee.