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

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City of London 1932

[Report of the Medical Officer of Health for London, City of ]

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92
APPENDIX F.—continued.
[.Previous issues hereby cancelled.]
London County Council.
public health department.
LONDON AMBULANCE SERVICE.
{Headquarters, The County Hall, S.E. 1.]
Facilities afforded by the London Ambulance Service with instructions for obtaining the help of the service.
I.
Ambulances Supplied Without Payment.
The Council provides, within the Administrative County of London, ambulances, free of cost,
for the conveyance to :—
A.—Hospitals or private residences of:—
(i) Persons meeting with accidents or suffering from sudden illnesses in the streets, public
places, places of employment, etc.;
(ii) Persons meeting with accidents in their homes ;
(iii) Persons suffering from illnesses in their homes if a medical practitioner certifies that
the case is one of life or death, and that arrangements have been made for the reception of the
patient in a hospital ;
(iv) Parturient women, if the case is one of urgency, whether from the home, place of
business or elsewhere, on the application of a qualified medical practitioner or certified midwife,
provided that either a doctor or midwife accompanies the case; and
(v) Non-urgent cases of parturition if the call is made between the hours of 11 p.m. and
8 a.m.
In such cases admission to a maternity bed must have previously been arranged and a card
(issued by the Council to hospitals, maternity homes, etc.) for such admission obtained. This
card must be handed to the ambulance attendant at the time of removal.
In these cases the husband or a female friend must accompany the patient.
(Note.—The Corporation of the City of London maintains its own ambulance service for dealing
with cases of accident and illness occurring in the streets within the City area.)
How to obtain an ambulance for :—
Cases coming under classes (i) and (ii).
No telephone number is required; ask the operator merely for "Ambulance."
Cases coming under classes (iii), (iv) and (v).
Ask the telephone operator (or dial) for one of the headquarters telephone numbers, namely :
HOP 6000, NEW Cross 2645, CENtral 6300-1 or REGent 4000.
In either case, when communication has been effected, particulars should be clearly given in
this order : Locality of accident or illness, name of the caller.
B.—The Council's hospitals for infectious cases :—
Patients can only be removed if the following conditions have been fulfilled :
A medical certificate must be handed to the ambulance nurse stating definitely the nature
of the disease, and this disease must be one of those admissible to hospital.
The nurse, on removing the patient, will leave at the house a notice stating the hospital to
which the patient is to be taken, together with a copy of the regulations as to enquiries about,
and visiting of, patients.
The diseases admissible to hospital are the following :—
Anthrax.
Cerebro-spinal meningitis.
Cholera.
Continued fever.
Diphtheria.
Dysentery (a).
Encephalitis lethargica.
Enteric (or Typhoid or Para-typhoid)
fever.
Glandular fever.
Malaria.
Measles (or Morbilli).
Membranous croup.
Ophthalmia neonatorum (b).
Plague.
Polio-encephalitis.
Polio-myelitis.
Puerperal fever and Puerperal
pyrexia.
Relapsing fever.
Scarlet fever (or Scarlatina).
Smallpox (or Variola).
Typhus.
Whooping cough (or Pertussis) (a).
Zymotic enteritis (or Infantile diarrhoea)
(a).
Notes.—In special circumstances, cases of chickenpox, german measles and mumps may be admitted.
(a) Admitted only on application of medical officers of health of metropolitan boroughs.
(b) Admitted on application of either a medical practitioner or a certified midwife (medical
certificate not essential).
C.—The Council's hospitals and institutions for non-infectious cases when application is made—
(i) Through the Council's Public Assistance Department ; and
(ii) By, or on behalf of, the Council's special, general and mental hospitals.