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

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Enfield 1969

[Report of the Medical Officer of Health for Enfield]

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State registered nurses not holding the health visitor's certificate continued to
be employed as clinic nurses to replace health visitors during school inspections, for
school clinic duties, and to assist at child health clinic sessions. To reduce the time
spent by health visitors on clerical work, clerical staff were employed part-time at
clinics.
We are fortunate to have no less than 120 voluntary workers to help us at the
child health clinics.
Training of Staff of other Agencies
Student nurses from the three major local hospitals continued to spend time
with health visitors, learning about the preventive services by visiting homes with
the health visitor and seeing the work done in the clinics. Lectures were also given
to the nurses by the Medical Officer of Health, the superintendent and deputy
superintendent health visitors.
Student nurses from the Middlesex Hospital continued to visit the borough
periodically for practical training in community services.
The Children's Department and the technical colleges also were given opportunities
for their students to learn about the work of the health visitors and the
department generally.
(See Statistical Tables 9 and 14)
HOME NURSING
Under Section 25 of the National Health Service Act, 1946, it is the duty of
every local health authority to make provision in their area for securing the attendance
of nurses on persons who require nursing in their own homes.
Section 11 of the Health Services and Public Health Act, 1968, enables local
health authorities to make provision for the attendance of home nurses on persons
who require nursing elsewhere than in their own homes, the aim being to facilitate
co-operation between general practice and local health authority services. The section
also provides for arrangements between local health authorities for the services of
home nurses employed by one authority to be made available in another authority's
area on agreed terms and conditions.
The number of patients increased from 3,011 to 3,733 and of these 2,274 were
65 years of age or over and 120 under five years of age. The total number of visits
made also increased considerably from 112,026 to 121,842.
Disposable Equipment
The extended use of disposable equipment in the home nursing service maintained
the improvement in efficiency and safety. All nurses use disposable syringes,
dressing forceps and enemata.
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