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

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Croydon 1964

[Report of the Medical Officer of Health for Croydon]

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25
AFTER-CARE OF THE TUBERCULOUS PATIENT
In 1964, as in previous years, after-care has been given to
newly notified tuberculous patients, and this after-care may
continue for a very long period. Home visits can establish good
personal contact with the patient and his family, and visits to
the Clinic for medical check-ups provide an opportunity for the
patient to discuss any social problems.
The financial position is a great source of worry to any
patient who is the breadwinner of the family and who is not
entitled to his salary or wages whilst off sick. The patient is
advised about National Insurance and National Assistance, as a
person suffering from pulmonary tuberculosis who has given up
his employment to undergo treatment, he is entitled to a special
rate of National Assistance. The pensioner suffering from tuberculosis
will probably receive an extra nourishment grant from
the Assistance Board in addition to his normal grant, and a
certain number of chronic cases are allowed a pint of milk daily,
free of charge, through the Council's Milk Scheme for tuberculous
patients.
Heating is a heavy item of expenditure for the sick person
at home all day. During the past year or two, many patients have
changed from solid fuel to gas or electricity. Some of these
patients have found it difficult to learn to budget for the
quarterly accounts and have required help and encouragement.
Despite statutory grants, voluntary assistance is still
needed. The Care Committee has again given invaluable help with
holidays, fares for relatives to visit patients in Hospital,
clothing, fuel and other needs. At Christmas £110 was distributed
amongst patients for fuel, and grocery vouchers were given
away to the value of £60.
1964 has been a good year for employment. Some patients have
been recommended for a rehabilitation course before returning to
work, and arrangements for this have been made by the Disablement
Resettlement Officer. It has been very helpful to have a
close liaison with the Ministry of Labour Disabled Section.
Tuberculous patients need practical help and support, and
after-care has continued throughout 1964.