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

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London County Council 1957

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

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HOME NURSING SERVICE
The home nursing service was provided, as hitherto, by 26 voluntary district nursing
associations acting as agents for the Council, liaison being maintained through the
Central Council for District Nursing in London. These associations (with one exception
where a block grant is paid) were grant-aided to the extent of 93 per cent. of net
approved expenditure.
At the beginning of 1957 a simplified system of record keeping was introduced,
which, instead of analysing in great detail the data about completed treatments, provided
the following data on visits by type of case, age of patient and location, and in
addition, number of long-term cases and number of nursing treatments commenced
and completed.
Details are set out in the following tables—it is not possible, except in tables (i) and (ii),
to give comparative figures for previous years.

Table (i)—Staff

195519561957
Total number of nurses employed at end of year572584614
Full time equivalent of nurses employed512538567
Number of trained district nurses321327389
Number of state enrolled assistant nurses363530
Number of male nurses493840

Table (ii)—Types of case nursed and visits paid

Type of caseNumber of patients nursedPercentage of totalAverage number of visits to each patientTotal visits
Medical56,09183.5291,647,319
Surgical6,1269.134210,477
Infectious diseases2760.471,807
Tuberculous1,7422.64782,620
Maternal complications7141.185,441
Others2,2203.32043,957
TOTALS67,169100.0301,991,621

The figures for 1956 and 1955 were 1,962,733 and 1,953,182 respectively.

Table (iii)—Visits for general treatment and for injections

Visit forAt patients' homes Elsewhere (e.g., Nurses' Homes)Percentage of total visits
Injections only968,50633,57550
Injections plus other treatment108,7152456
Other treatment only880,5047644
TOTAL VISITS1,957,72533,896100

Table (iv)—Long term cases (i.e., those visited more than 24 times during the year)

NumberPercentage of total patients nursed
14,59821.7