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69
The summary referred to above is based upon a return formerly called for by
the Local Government Board and is given here because it is convenient as showing
the elements in the scheme.
Health Visitors.—There are six health visitors. One acts exclusively as
tuberculosis health visitor; two give whole time to health visiting and work, one at
the centre in Salisbury Street, the other at Crawford Street. Three are part time
health visitors, holding appointments also as sanitary inspectors. Voluntary workers
of the St. Marylebone Health Society also do visiting in co-operation with the work
of the Council. The Borough for the purpose of health visiting is divided into three
districts, and in 1919 the health visitors made 8,662 visits to 9,128 infants, and the
voluntary visitors attached to the schools for mothers made 4,070 visits to 3,018
infants ; children are visited up to school age.
Centres.—There are in all seven centres, all " voluntary," at which consultations
are held. Five of these are under the Health Society, viz.:—(1) North Marylebone
School of Mothercraft, Salisbury Street, has an ante- and post-natal consultation
under medical supervision. The dental clinic and minor ailment treatment centre
are in the same building. The Council's health visitors co-operate, one of them
acting as superintendent. The nurse in charge of the dental clinic assists at the
ante-natal clinics.—(2) South Marylebone School of Mothercraft, St. Marylebone
General Dispensary, 77, Welbeck Street, and 30, Marylebone Lane. An ante-natal
clinic is held once weekly, and an infant consultation twice weekly, both under
medical supervision. There is a superintendent and a part-time assistant, both of
whom are nurses. Children attend up to school age, and the Council's health visitors
co-operate.—(3) Ogle Mews, Ogle Street, W.1. Infant consultations are held
weekly under medical supervision. The Council's health visitors attend. There are
also classes weekly in cookery, needlework and hygiene.—(4) Barrow Hill Road.
Infant consultations under medical supervision are held weekly at the day nursery
here. The health visitors co-operate and one of the nurses of the day nursery gives
part time to health visiting.— (5) 101, Crawford Street. Infant consultations under
medical supervision are held weekly. There are also classes for nursing, etc. One
of the health visitors is specially attached to this centre and acts as superintendent.
In addition to these centres consultations are held weekly at Queen Charlotte's
Hospital and at Middlesex Hospital. Each is presided over by a member of the
Hospital Medical Staff. One of the Council's health visitors attends at each and
Middlesex Hospital has also a paid health visitor in attendance. Both consultations
are open to other than St. Marylebone babies, who, however, constitute the bulk of
those attending. At both hospitals there is an ante-natal clinic particularly for
hospital patients.
Ante-Natal Work as indicated. There are two voluntary Ante-Natal Clinics.
Visiting is undertaken by the Council's health visitors and in the case of the clinic in
Salisbury Street by a nurse who gives part time also to the dental clinic. There is a
system of co-operation with the Middlesex and Queen Charlotte's Hospitals.
Dental Clinic.—This was originally established for the treatment of women
and children of pre-school age. By arrangement with the London County Council,
school children are also dealt with.
Hospital Treatment.—Children's cases are referred from the centres to the
dispensaries and hospitals in the Borough, and the Queen Charlotte's and Middlesex
Hospitals are available for ante-natal and complicated maternity cases. Under a
special arrangement cases calling for special examination or treatment are referred
by the doctors at the centres to Middlesex Hospital.
Maternity Cases.—The Council have not established a Maternity Home or
Hospital, but there is accommodation within the Borough at Queen Charlotte's
Hospital, Middlesex Hospital and in the Labour Wards at the Workhouse in