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 London County Council]
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54
Payments
to district
nursing
associations
and hospitals
Payments to district nursing associations under Section 23 of the National
Health Service Act for domiciliary confinements are now merged in the grants made
to them for home nursing under Section 25 of the Act. The rate of payment to
hospitals has continued throughout the year at £1 13s. 4d. a confinement.
Notifications
of intention
to practise
Midwives Acts, 1902 to 1936
The number of notifications of intention to practise, compared with the
previous year, was:-
1948 | 1949 | |
---|---|---|
As midwives | 1,213 | 1,252 |
As maternity nurses | 289 | 242 |
An analysis of the notifications shows:- | ||
Midwives | Maternity Nurses | |
Practising in Hospitals | 842 | - |
Practising in Nursing Homes | 24 | 71 |
L.C.C. Domiciliary | 165 | - |
District Nursing Associations | 113 | - |
Hospital Districts | 93 | - |
Nursing Co-operations | - | 155 |
Independent ... ... ... | 15 | 16 |
1,252 | 242 |
It should be borne in mind that notification to practice as a midwife includes
practice as a maternity nurse.
The Council, as local supervising authority under the Midwives Acts, continued
to inspect midwives and maternity nurses in accordance with the rules of the Central
Midwives Board.
The supervisors of midwives investigate all cases of puerperal pyrexia and all
children with skin and eye affections. On 15 occasions midwives were suspended
from practice for varying periods to prevent the spread of infection.
Lectures,
etc., to
midwives
Two courses each of six post-certificate lectures, and five courses of four antenatal
and post-natal demonstrations were arranged in conjunction with the
Middlesex and Surrey County Councils. The number of tickets issued to midwives
for the lectures was 491 and 60 for the demonstrations.
Summoning
of medical
aid, doctors'
fees. etc.
The number of cases in which medical aid was summoned by midwives during
the year under Section 14(1) of the Midwives Act, 1918, was as follow:—
Domiciliary cases | 6,709 |
For cases in institutions | 330 |
Total | 7,039 |
As from 16th December, 1949, the National Health Service (Amendment) Act,
1949, extended the period for submission of claims for fees under the Midwives
Acts from two months to three months. This amendment has been made to give
doctors adequate time to carry out post-natal examinations.
Fees paid under the Midwives Acts to medical practitioners called-in by
midwives in emergency were as follow:—
1948 | 1949 | |
---|---|---|
Number of claims | 6,354 | 5,368 |
Amount paid | £15,594 | £15,829 |
The slight rise in the amount of fees paid in 1949 is due to the increased scale of fees
introduced by the Medical Practitioners (Fees) Regulations as from 18th April, 1948.
The reduction in the number of claims received is attributed partly to the fall