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 St. Pancras, Metropolitan Borough]
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4.—University College Hospital Welfare Centre. Special Clinic for St. Pancras Babies born in
the Hospital or under the care of Hospital Officers.
St. Pancras babies born in University College Hospital or on the district under the
care of Hospital Officers are examined when three weeks old. This is in accordance with an
agreement between the Welfare and Maternity Department of the Hospital. If normal the
babies are immediately discharged by the Welfare Centre for the area in which they are
resident. If abnormal they are expected to continue under the care of this Clinic until
normal. "Abnormal" indicates a condition which should not be dealt with at a Welfare
Centre.
The following notes describe certain specific arrangements for the Administration of
the Maternity and Child Welfare Scheme in St. Pancras, so far as the University College
Hospital is concerned.
(a) Home Visiting in St. Pancras.
The Hospital's Health Visitors will undertake all the usual home visiting in Ward 7,
the Hospital's own Welfare Centre area.
Visiting outside the Borough is not controlled by St. Pancras officials.
Visiting in the Borough outside of Ward 7 is only carried out at the express wish of
the Medical Officer in charge of the Hospital's Welfare Centre. Children visited in this
respect would only be those attending the Hospital under items III and occasionally IV.
This will result in some overlapping by the Hospital and local Welfare Centres respective
Health Visitors which will require co-operation and exchange of information between the
Centres. Therefore, unless otherwise indicated, the local Welfare Centres are responsible for
visiting all babies after the 14th day.
(b) Exchange of Information.
Children referred under item III will be given a letter from the Medical Officer to the
Consultant. It would be of great value if the Consultant would report back any important
notes on the case.
In the case of children coining under item IV, the Hospital should report all first
attendances indicating whether the baby is considered normal or abnormal. In the case of an
abnormal baby clinical notes would be appreciated. When the abnormal baby becomes fit for
transfer the Hospital should notify the local Centre of this discharge. When required diaries
of Health Visitors, Children's Case Papers, reports on home visiting and other relevant
records should be sent to the Maternity and Child Welfare Officer at the Town Hall. When
a child is transferred to another Centre, the case papers should be sent to the Town Hall in
order that they may be forwarded to the Centre serving the area into which the child has
moved. This transfer may result from knowledge coming in the first place to the staff in
Ward 7, in which case the papers and information should be sent to the Town Hall as a
routine measure without waiting for a request.
The grant made under the Maternity and Child Welfare Contributions (London)
Scheme, 1937, by the Borough Council to University College Hospital for the Service outlined
above is £1,150 per annum. The payment of this contribution is subject to the following
conditions:—
1.—That the Borough Council are satisfied as to the efficiency of the maternity
and child welfare service provided by the association in respect of which contribution