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Details of the cost of the services are as follows:—
Maternity cases—An hourly rate is charged if less than 36 hours' help is
given during the period but a variable lump sum is charged if more is required.
Early discharge cases receive a free service.
Night Service—Standard rate.
Good Neighbour—Charges are made according to the work done up to a
maximum of £2 a week.
Family Help—Residential: full rate £9 12s. 6d. a week. Non-residential:
full rate £9 12s. 6d. a week. Problem family: standard rate.
Toxaemia of pregnancy cases—Free service.
Tuberculosis cases—As for standard cases, with extra allowances if the
patient is assessed.
The establishment of home helps is 260. This is partly filled at present by 334
part-time helps which is the equivalent of 202.4 full-time workers.
Adding to the strain produced by this shortage of staff is an increasing demand for
the service. The result of this has been that the time which can be devoted to
individual patients has become less and less adequate. It means also that in the
event of a sudden influx of acute cases there have to be cancellations and alterations
to the service at much shorter notice than is desirable.
The Council at the moment is considering alterations to the service and it is hoped
that in the future more home helps will be employed and the service further stabilized.
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