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

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London County Council 1951

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

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60
Drugs
and
dressings
Agency
organisations
Drugs and dressings were supplied to the midwives and also to some district
nursing associations through the Council's supply organisation.

There was a decrease during the year in the number of connnements undertaken on behalf of the Council by district nursing associations and hospital district midwives.

YearMaternity nursing casesMidwifery casesTotal
1949
Hospital district service1124,5324,644
District nursing associations2852,5812,866
7,510
1950
Hospital district service1313,8814,012
District nursing associations2192,2132,432
6,444
1951
Hospital district service1023,1443,246
District nursing associations1611,9122,073
5,319

The number of midwives employed by these agencies on 31st December, 1951 was as follows:—

Staff
Hospital district service70 (including supervisory staff)
District nursing associations36 (including supervisory and Dart-time staff)

Payments
to
District
Nursing
Associations
and
hospitals
Payments to district nursing associations under section 23 of the National Health
Service Act, 1946, continued to be merged in the grants made to them for home
nursing services provided under Section 25 of the Act. The rate of payment to hospitals
providing midwifery services on behalf of the Council was increased from
£7 13s. 4d. a confinement to £10 10s. a confinement on 1st April, 1951. The rate
of payment for one hospital (the Mothers' Hospital—Salvation Army) is £9 15s. as
some of the district midwives employed by that hospital are members of the
Salvation Army and do not receive the full Whitley Council rates of pay.
Ante-natal
sessions
The midwives' sessions for booking patients and ante-natal examinations at
the maternity and child welfare centres were adjusted as necessary. There are now
only a very few midwives who still continue to book and examine their patients at
home.
Mortality
Patients attended by
Maternal
deaths
Stillbirths
Neo-natal
deaths
London County Council midwives 1 73 15
Hospital district midwives — 33 2
District nursing association midwives — 23 6
1 129 23
Emergency
Obstetric
Service
During the year, 79 calls were made to hospitals for the emergency obstetric
service. Thirty-seven of these calls were made by doctors and 42 by midwives.
The time intervals between the calling and arrival of service were:—
15 minutes 12 cases
15 to 30 minutes 57 cases
30 to 45 minutes 8 cases
60 minutes 1 case
95 minutes 1 case (delay due to fog)