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up to 5 years of age suffering from measles, whooping cough, bronchitis,
influenza, pneumonia, and for any ailment of childhood. The provision is
made through the Maternity and Child Welfare Centres. A fee of 1s. 6d.
is paid by the Council for each nursing visit. 2,612 visits were paid during
1930. Further details will be found later in this report.
The Council also provides through the nursing associations for the
nursing of cases of puerperal fever and puerperal pyrexia and for any
illness occurring in connection with pregnancy, confinement or the
puerperium.
3. Midwives.—The number of midwives residing and practising in the
City is 6, but in addition 24 who live in other districts practise in
Westminster.
The City Council ceased to employ a whole-time midwife on its staff
from 30th September, 1930, but has since entered into an agreement with
Westminster Hospital whereby the Hospital employs midwives for
district cases in connection with the Council's Maternity and Child Welfare
Scheme. This district midwifery service is in operation throughout
the whole City, with the exception of the area of the Westminster
Health Society which employs its own whole-time midwife.
There are also district midwifery services supplied by Middlesex Hospital,
Charing Cross Hospital (by arrangement with the Metropolitan
Nursing Association) and the General Lying-in Hospital. The Ormond
Home in Chelsea also undertakes district cases mostly in the area adjoining
Chelsea.
4. National Health Insurance.—The estimated insured population of
the City is 49,430 under the care of 90 insurance medical practitioners.
There are no points of contact between the administration of National
Health Insurance and the Health Services of the City Council except as
regards the treatment of those insured persons who are in attendance at
the Tuberculosis Dispensary. This takes the form of consultations
between the Tuberculosis Officer and the patient's insurance doctor,
referred to in the report of the former and interchange of reports
between the Tuberculosis Officer and the Regional Medical Officer of the
National Health Insurance Section of the Ministry of Health. The
advantages of Maternity Benefit are also brought to notice among the
cases applying for midwifery services.
5. Poor Law Medical Out-Relief.—This is now the concern of the
London County Council but it should be noted that this service
has been, and is, very efficient in the City and that there is constant
co-operation between it and the Tuberculosis and Maternity and Child
Welfare Service of the City Council.
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