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32
Amalgamations on the above lines would effect economy in rent, working expenses and
staff. At the same time more adequate and convenient buildings might be obtained. It is
difficult to estimate the economy in rent and working expenses until suitable buildings are
secured.
As regards staff, the Ministry of Health suggest one Health Visitor for every 400 births.
The number of births in the Borough is about 4,000 per annum, and the rate is decreasing.
According to the scale mentioned, a staff of 10 Health Visitors is necessary. At the present
time the total Centre staff number 20—of these 10 are Superintendents and 10 are Assistants—
this large staff to some extent being required owing to the number of small Centres.
It is probable that some further economy would result from the proposed grouping, as the
attendances at the consultations would be more uniform, and probably one or two consultations
might be dispensed with.
The table attached gives for each Centre details as to Staff, number of attendances, number
of visits, total cost, etc. A study of this table shows the wide variations which at present exist.
It is not suggested that any change is possible at the moment; but, if after consideration
the Committee is of opinion that the policy indicated is desirable, and this policy is approved by
the Council, the proposed changes might be adopted as and when opportunity arises.
I have, etc.,
G. Sowden,
Mcdical Officer of Health.

Attendances at Voluntary Consultations and visits by Voluntary Workers are $xcluded.