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 Westminster, City of]
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is available and that arrangements have been made for the reception of
the patient in a hospital;
(iv) Parturient women, if the case is one of urgency, whether from the home,
place of business or elsewhere, on the application of a qualified medical
practitioner or certified midwife, provided that either a doctor or midwife
accompanies the case; and
(v) Non-urgent cases of parturition, between the hours of 11 p.m. and 8 a.m.,
if letters of admission to maternity hospitals are produced, it being
sufficient in such cases for a female friend to accompany the patient.
II.—Ambulances Supplied on Payment.
Ambulances and ambulance omnibuses are also provided by the Council on payment
of prescribed charges for the conveyance of infectious and non-infectious cases
between private houses, hospitals (other than the Council's hospitals, etc.), nursing
homes and country and seaside resorts, and for examinations, consultations and
treatment by specialists or at special establishments. Particulars are as follows:—
D.—Infectious cases:—
Arrangements for the reception of the patient must be made by or on behalf of
the patient before application for an ambulance is sent to the Council, and a medical
certificate as to the nature of the disease must be handed to the ambulance driver
before the patient is removed.
The charges are as follow:—
(а) Within the Administrative County of London (private cases), 10s. for the removal
of one patient from one place to another within the administrative county of London.
This charge includes, if necessary, the services of a male attendant, and one friend
is allowed to accompany the patient.
Additional charges are made as follows:—
(i) 5s. if two patients are conveyed in one ambulance;
(ii) 2s. 6d. if the friend accompanying the patient wishes to be conveyed alone
for the outward or return journey;
(iii) 2s. 6d. a head each way for each additional person who desires to accompany
the patient;
(iv) 5s. for the services of a nurse for a period up to two hours, and thereafter
at an extra charge of 2s. an hour or part of an hour;
(v) 5s. an hour or part of an hour for keeping an ambulance waiting more than
15 minutes.
(b) For journeys extending outside the county and for work carried out for public
authorities within and without the county.
For 1 or 2 persons, in addition to the Council's staff, 1s. a mile up to 50 miles, and
thereafter l0d. a mile.
For 3 or 4 persons, in addition to the Council's staff, 1s. 3d. a mile up to 50 miles,
and thereafter 1s. a mile.
For 5 to 8 persons, in addition to the Council's staff, 1s. 6d. a mile up to 50 miles,
and thereafter 1s. 3d. a mile.
For over 8 persons, in addition to the Council's staff, particulars of charges may
be obtained on application to the Medical Officer of Health at the address given
below.