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fully-trained nurses and midwives holding only the certificate of the Central Midwives
Board, nor to exclude married women from appointment provided they were
able to undertake whole-time employment.
It was decided also, with regard to any further appointments which may be
necessary in the near future, that midwives who were married on a date earlier
than 1st January, 1938, are to be eligible to apply for any appointments made before
30th July, 1939, when the position is to be reviewed, and any unmarried midwives
who may be appointed before 30th July, 1939, are to be allowed to retain their
appointments if they marry before that date. It was also decided that, for the
first appointments and for the filling of vacancies occurring up to 30th July, 1939,
independent midwives practising in London, who had not reached 60 years of age,
should be regarded as eligible for employment.
The salary fixed for the midwives was £200 a year rising by annual increments
of £12 10s. to £250 a year and, after a further period of four years, by similar annual
increments to £300 a year. They receive in addition annual allowances of £12 for
laundry and £10 for travelling expenses, and are also supplied with their telephone
free of cost. Uniform, nursing equipment, and necessary drugs are supplied by
the Council.
Those appointed are required to reside in a locality and in premises approved
by the Council, and the Council may require removal to other premises if it so desires.
The annual leave allowance has been fixed at four weeks, and periodical leave is
granted, subject to the exigencies of the service, at the rate of 24 hours each
week and two days and three nights each calendar month, this monthly leave to
include the weekly 24 hours' leave falling due in the week in which such monthly
leave is taken.
The 36 voluntary organisations with which the Council is entering into agreement
include 9 teaching hospitals (employing 40 midwives under their agreements
with the Council), 7 maternity hospitals (including Royal Northern hospital, whose
district work is centred in Myddelton Square Maternity Nursing Association) (43
midwives), and 20 nursing organisations (37 midwives); the total number of midwives
employed by voluntary organisations under the scheme is 120.
The midwives employed by the teaching hospitals and maternity hospitals
are accompanied by medical students or pupil midwives. The nursing associations
fall into three groups :—
(i) Those which undertake maternity nursing only ;
(ii) Those which undertake midwifery as well as maternity nursing ;
(iii) Certain nursing associations which will undertake both midwifery and
maternity nursing and are also concerned in the training of pupil midwives.
The midwives employed by the voluntary organisations are subject to the
approval of the Council. They must be whole-time servants of the organisations,
although not necessarily devoting the whole of their time to midwifery or maternity
work. The agreements with the voluntary organisations provide for the keeping of
the necessary records and accounts, and for the inspection by duly authorised officers
of the Council of the places of residence of the midwives and the provision made for
carrying on domiciliary midwifery service.
Payment will be made by the Council to voluntary organisations on the basis
of the number of cases attended, and on the conditions laid down in the agreements.
(а) Voluntary hospitals and maternity homes—
£2 6s. lOd. for every case attended by a midwife acting alone or when a
medical student is also present.
£1 17s. 6d. for every case attended by a midwife associated with a pupil
midwife.
(б) Nursing associations—■
£2 14s. per case for every case attended.
Voluntary
organisations