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London County Council the dental clinic is used also by school children, and in
conjunction with this there is also a minor ailment treatment centre for school
children.
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. Two give whole time to
health visiting and work, one at the centre in Salisbury Street, the other at Crawford
Street. Four 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 four districts, and in 1923 the health visitors made
8,480 visits, and the voluntary visitors attached to the schools for mothers made
1,076 visits ; children are visited up to school age.
Centres.—There are in all nine centres, all " voluntary," at which consultations
are held. Five of these are under the Health Society, viz.:—(l) 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.—(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 (temporarily held at Western
General Dispensary). 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, at Middlesex Hospital, at the Church Army Dispensary and at the
Western General Dispensary. One of the Council's health visitors attends at
each and Middlesex Hospital has also a paid health visitor in attendance. All
the consultations are open to other than St. Marylebone babies, who, however,
constitute the bulk of those attending. At the 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. 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. The fact that a special centre
has been established at the Western General Dispensary has already been mentioned,