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"Although the use of immunisation facilities continues to be satisfactory, there is still a
fall off in third and booster courses. Omission of routine Smallpox vaccination, as recommended
by the Department of Health has not ended this practice. Although Smallpox Eradication schemes
are making considerable progress, parents liable to travel abroad with their families are still
encouraged to ask for vaccination in the second year.
More reliance is being placed on routine surveillance of all babies at regular intervals than
on an "At Risk" Register.
Liaison with the Obstetric Department of St. Bartholomew's Hospital continues close."

During the year the Department of Health and Social Services advised that vaccination
against smallpox need not now be recommended as a routine procedure in early childhood.
At Risk Register
Children aged under five years on
the Register at the end of the year
1970 1971
1 3
Welfare Foods
The sale of Welfare Foods continues at the Child Health Clinic St. Bartholomew's Hospital
and at the Health Department Office.
SECTION 23 - MIDWIFERY SERVICE
The Metropolitan District Nursing Association continued to provide domiciliary midwifery
services in the City. No request for midwifery services within the Temples was made.
1970 1971
Home confinements attended NIL NIL
Planned early discharge from hospital 2 7
Emergency cases attended 1 1
The midwives continued to visit, on a one day per week rota, St. Bartholomew's Hospital
maternity department in order to promote closer liaison between hospital and domiciliary midwifery
services and to attend deliveries of City mothers who have been accepted for discharge home
after 48 hours.
Midwives Act, 1951
The Corporation, as the supervising Authority for the City of London, received from midwives
44 (34) notifications of intention to practise during the year.
SECTION 24 - HEALTH VISITING
1970 1971
Home visits to children under 5 years;
Successful visits 290 251
Unsuccessful visits 47 65
At the end of the year, 1,216 new residents were living in the Barbican Development. Thus
the number of small children and babies increased, as also the number of chronic sick, elderly
and handicapped persons requiring information and advice. Many requests for Health and Social
Services.were received. The Health and Welfare Officers were involved in helping families and
elderly persons settle in their new environment and in many small ways have been able to foster
their own endeavours in helping one another within the new community.
Liaison with one family doctor group practice has been extended.
One Health and Welfare Officer and a District Nurse Midwife make regular visits to the
Barbican G.P. Surgery to discuss the care, treatment and provision of services for old and new
patients. Monthly attendances to assist the doctors and to help and advise the patients at the
Obesity clinic and the Cytology clinic are also made by these officers. Other General Practitioners
have been approached regarding the community care of their patients as needed.
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