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

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Tower Hamlets 1970

[Report of the Medical Officer of Health for Tower Hamlets, London Borough]

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I I I PERSONAL HEALTH SERVICES
The Principal Nursing Officer, Mrs, D.E Marrin. reports as follows:-
Main changes in the nursing services
"The home nursing and the p reventive nursing services ( he alth vi s i to rs . school
nurses and clinic nurses) have moved slowly towards integration during the year.
In preparation for an integrated health service, liaison between the local
authority nursing services, the general practitioners and the local hospitals has
steadily increased. In November a Liaison Nursing Officer was appointed by the
London Hospital for the purpose of assisting in estimating the future nursing
needs of the Borough community. To facilitate co-operation with the local
authority services generally and to exchange ideas in the interest of the
community, aNursing Liaison Committee has been established. Meetings are held
at the London Hospital and are at tended by the Borough's Principal Nurs ing Of f i cer .
Sickness
The senior nursing officers experienced an aggregate of nine months sickness
during the year. This 1 ed inevitably to some 1imiting of continuity in supervisory
and o ther dut ies and 1 imited to some extent the ful1 support which i s des i rabl e for
newly trained and newly recruited staff.
Senior Nursing Structure - Mayston Report
The Department of Health& Social Security requested by December 1970 a plan
for a senior nursing structure to include first, middle and top 1ine management as
described in the Department's Mayston' Report. Early implementation of such
a structure would relate the Local Authority nursing services with those of the
hospitals, which are rapidly re-structuring on similar lines as recommended in
the Salmon' report. In addition to this correlation with the hospital services
it is hoped that the introduction of suchaplan will lead to a career structure,
with clearly defined roles for the management grades, and will attract and retain
younger members of staff for the future development of the services.
Home Nursing Service
A total of 85,129 visits were paid by the home nurses during the year, an
increase of 200 on the previous year. Approximately 60% of these visits were paid
to the elderly, and close liaison was maintained between the home nursing and the
home bathing service.
Three home nurses paid visits of observation to cyto!ogy sessions held in the
clinics.
In order to give a more efficient service to the patient and to improve the
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