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

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London County Council 1934

[Report of the Medical Officer of Health for London County Council]

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The number of attendances at medical relief stations has increased from 262,643 in
the twelve months, 1st April, 1933 to 31st March, 1934, to 263,518 in the year
ended 31st December, 1934. Included in the persons (80,352) seen by district
medical officers during the year are 20,914 who were seen only for the purpose of
supplying reports.
Arrangements have been made for the district medical officers records to be
checked by visiting clerks who will also prepare the necessary statistics with regard
to district medical work. These arrangements came into force on 1st January,
records and
Statistics are furnished by all district nursing associations for the purposes of
calculating the quotas to be paid to them from the Council's grant. These statistics,
however, are limited to the number of cases nursed and the number of visits paid
by the nurses, and give little indication of the nature of the work undertaken.
It appeared desirable, in view of the magnitude and importance of the service,
that more detailed information should be available in regard to the cases nursed.
Through the courtesy of the associations concerned it has been possible to obtain
detailed information from the following six nursing associations, which between
them account for more than a quarter of the cases dealt with under the Council's
scheme, and from their position give a representative idea of the work in
London as a whole :—
East London (South) District Nursing Association.
Metropolitan (St. Pancras) „ „
Metropolitan (Bloomsbury) „ „
North London „ „
South London „ „
Woolwich and Plumstead „ „
With the exception of the North London and the South London Associations
all are affiliated to the Queen's Institute of District Nursing.
The number of cases dealt with under the scheme throughout London has
increased from 2,942 in 1933, to 3,134 in 1934, while the number of visits has risen
from 143,932 to 172,913. The average number of visits per person nursed has
increased from 49 to 55. There is little doubt that the main reason for the rather
considerable increase in the number of visits is to be found in the growing demands
made on the nurses' time in connection with the administration of insulin to diabetic
The six nursing associations have furnished particulars as to the total number
of general nursing cases dealt with, and the following table shows a comparison of
the total figures with the figures relating to the Council's cases.

Comparison between all general nursing cases and L.C.C. cases (male and female) and diabetes and

non-diabetes in six selected districts.

Nature of casea.Sex.Cases.Visits.Average visits per case.
All general nursing cases (including L.C.C. cases)13,116310,19723.6
L.C.C. casesMale2259,11740.5
L.C.C. cases (excluding diabetes)Male2105,21324.8
L.C.C. cases (diabetes cases)Male153,904260.2