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

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City of London 1969

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

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Subject
Baby Care
Use of voluntary
Place and Audience
Ante natal mothers
Toc H
No. of Lectures
7
1
Attendances
90
10
workers in welfare
services
Publicity and talks on positive good health have continued.
Informal talks and formal lectures have been delivered to both professional and voluntary
organisations. Lectures have been given to Public Health Nursing Administration Students and
Fieldwork Instructor Students from the Royal College of Nursing.
The Health and Welfare Officer was invited to talk to nursing sisters and Administrators
at a study day held at St. Bartholomew's Hospital. Talks to expectant mothers at St. Bartholomews
Hospital are now a regular feature of the Assistant Health and Welfare Officers' work.
The talks on Health and Hygiene to school children took place in the Sir John Cass's Foundation
Junior and Primary School.
Posters and leaflets are supplied for display in St. Bartholomew's Hospital Out Patients
Department and at the Citizens Advice Bureau,.
Family Planning
Rent free premises are provided for the Family Planning Association at Milton Court where
three lunch-time and one evening sessions are held each week for City Workers and residents
The Corporation continues to underwrite the cost of consultations and supplies to married
women residents referred on medical grounds. Following the National Health Service (Family
Planning) Act, 1967, the Corporation also underwrites the cost of consultations to married women
residents or other residents who seek advice on social grounds.
The Corporation has also agreed to give a grant to the Family Planning Association.
The Association has submitted the following report on their work in the City:-
"During 1969 the Clinic for family planning continued to expand and by the end of the year
the four weekly sessions were always fully booked. Three of these are lunch-time sessions which
seem to be greatly appreciated by those working in the City. The total number of sessions held
in the year was 181, against 152 last year, and 1315 patients (962 in 1968) of whom 642 were
new to FPA clinics (560 in 1968), made a total of 37 59 visits (2636 in 1968). The number of City
residents attending the clinic was 17.
The majority of those attending the clinics are youngpeople under the age of 24.Most of them
learn about the service from their friends, but an increasing number come because of greater
publicity given to the subject through the press, radio, television, etc.. Many learn about the
clinic when they visit the neighbouring Mass Radiography clinic.
Our doctors have continued to offer as full a service as possible, giving couples the opportunity
to discuss methods together, taking cervical smears — (561 were screened during the
year, all of which were negative) — helping with early problems and referring to special sessions
those with deeper marital difficulties.
A crisis occurred in December following the publication of the Scowen Committee's report
on high-risk oral contraceptives without prior warning to doctors. Alarmed and worried patients
jammed the telephone lines at clinic, branch and national level. The City clinic, which held a
session on the Friday following this publication, was no exception, and both medical and lay
staff worked long and hard to allay fears and to see that patients were changed to lower-risk
pills or alternative methods as soon as possible.
The work of the clinic is carried on in a very friendly atmosphere andwe find those attending
are appreciative and make full use of the service offered."
Well-Women's Clinic
The clinic, set up in 1958 with Corporation funds, is established at St. Bartholomews Hospital.
The following report on the work of the clinic during 1969 has been received from Mr. D.K.
Williams, F.R.C.S., M.R.C.O.G.
43