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

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London County Council 1950

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

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94
Provision of
care and
treatment
for the mentally
ill
MENTAL HEALTH SERVICES
Lunacy and Mental Treatment Acts, 1890.1930
A staff of fifteen mental welfare officers and five assistants, under the supervision
of a senior mental welfare officer, operating centrally from the County Hall, continued
to carry out the work of taking initial steps to provide care and treatment for persons
suffering from mental illness. The difficulties caused by the shortage of accommodation
in observation wards, particularly for female patients, continued and many
patients had to be admitted direct to mental hospitals from their own homes under
sections 14 and 16 of the Lunacy Act, 1890, or on urgency orders under section 11 of
that Act, instead of being admitted first to an observation ward as envisaged in the
Council's scheme under section 51 of the National Health Service Act, 1946. The
proposal to decentralise the work had to be further postponed, principally for manpower
reasons as decentralisation would require additional staff.

The following table shows the number of persons dealt with by the mental welfare officers during the year, together with the action taken:—

19501949
MaleFemaleTotal
Number admitted to hospitals designated under section 20 of the Lunacy Act, 1890 (i.e. for observation)2,3772,9175,2945,326
Number dealt with in their homes etc. under sections 14 and 16 of the Lunacy Act, 189013210223*16t
Number admitted direct to mental hospitals under section 11 of the Lunacy Act, 1890936458
Number dealt with under section 24 of the Criminal Justice Act, 194833
Number in which no action under the Lunacy Acts was found necessary7221,1051,8271,614
Total 19503,1244,2687,392
Total 19492,9773,9876,964

* Of these 9 male and 110 female patients were certified and removed to mental hospitals.
† Of these 6 male and 8 female patients were certified and removed to mental hospitals.

The following table shows the ultimate disposal of the patients admitted to observation wards:—

MaleFemaleTotal
Certified and sent to mental hospitals6641,2151,879
Admitted to mental hospitals as voluntary patients4695441,013
Admitted to mental hospitals as "temporary "patients122335
Discharged to care of relatives (sec. 22)193756
No order made by Justice and discharged151227
Transferred to general wards12090210
Transferred to Tooting Bec Hospital210253463
Transferred to Mental After Care Association Homes314
Died143112255
Discharged by Medical Officer6415161,157
Dealt with privately61117
Dealt with under Mental Deficiency Acts77
In ward on 31.12.507596171
Total2,3772,9175,294