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4 CO-ORDINATION AND CO-OPERATION BETWEEN HEALTH DEPARTMENT'S
SERVICE. AND HOSPITAL AND FAMILY DOCTOR SERVICES
The scheme of attachment of Health Visitors, Home
Nurses and Midwives has continued, and all Health
Visitors and Home Nurses, and four fifths of the
domiciliary midwives are now attached to general
practices. In view of the number of the practices, the
nursing personnel need to be attached to several, and
this requires wide mileage coverage which is not
economic in time and transport. However, the service
given to the patients is considered to be an improved
one, and the over-all advantages far outweigh the
disadvantages.
It is not feasible for some practices to participate in
this scheme, and in such cases the nursing services
are still provided on a geographical basis.
Officers of the department serve on local maternity
liaison committees, and the Health Visitor at the Ealing
Day Treatment Centre also undertakes geriatric liaison
duties.
Links with the Central Middlesex Hospital include
regular programmes of instruction for undergraduate
medical students, the work of the diabetic liaison health
visitor, and a continuing programme of Health education
in the hospital arranged by the Health Education Officer.
Perivale Hospital continues to provide lunch-time
meetings which are attended by the domiciliary midwives
and other Health Department staff.