Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Haringey]
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The following are examples of the type of case that makes heavy demands on the service:Case
No.1
Case referred by Health Department Social Worker.
Patient expecting 9th child in March. The ages of the eight children are 10, 9, 8, 6, 5, 4, 2 and 1.
When the case commenced on 2nd January the husband was on the sick list. He is now fit but
staying at home until his wife is discharged from hospital when the baby is born. He has an
allowance from Social Security.
Home Help attends five hours daily - 8.30 to 11.30 a.m. and 3.30 to 5.30 p.m.
Case No.2
Mother has disseminated sclerosis and is incontinent. She is confined to bed most of the time.
District Nurse calls daily. She has three sons, the eldest aged 19 years by her first marriage, and
two others aged 5 and 6 years. Her second husband died last year. At present no apparent
difficulties with the children.
Home Help attends four hours daily.
Case No.3
Case referred by G.L.C. Housing Welfare Officer.
Case commenced on 17th March 1961 when family were rehoused by the G.L.C. Mother left
home prior to the move.
The children are now aged 16, 14, 12, 11, 9 and 8 years.
Father is in regular employment but is more often than not in debt. Rent, electricity and gas
bills outstanding. (Gas meter has been broken into on various occasions). The Children's
Department had to pay these bills in 1968.
One son, aged 12, has been in trouble on a number of occasions and is now in an Approved
School. Another son, aged 11, has been taken to Court three times, the last being in January of this
year when he was arrested while robbing a garage. He has a history of bed-wetting.
The only girl in the family, aged 9 years, shares a bedroom with the younger boys.
The accommodation comprises three bedrooms - one occupied by father, one by the two eldest
boys and the third by the other children, a living room and sitting room. There is no bathroom. The
only washing facility is a sink which stands in a small area approximately four feet square which
includes the gas stove. There is an outside toilet.
Home Help attends three hours each morning. Up to August she also attended for two hours
each afternoon.
Case No.4
This case is visited by the Children's Department.
Patient's wife died in December 1967. He had a major stomach operation in 1967 and is unable
to work. He has a Social Security Allowance.
Four children at home; their ages are 14, 12, 10 and 9 years.
The children appear to be well disciplined and help with the housework, shopping etc. The
father spends a good deal of time out of the house and often refuses help. We persist for the sake
of the children.
Case No.5
Triplets aged 16 months and two other children aged 214 and 4 years.
Home Help attends three times a week, two hours each time.
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