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

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Haringey 1969

[Report of the Medical Officer of Health for Haringey]

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The demand for domiciliary treatment was so heavy that it was decided that departmental medical
officers should visit and assess all new applicants. Investigation revealed that in some cases
patients would be able to attend private surgeries or clinics in the summer and only required
domiciliary treatment in the winter months. In other instances patients were sufficiently mobile
to attend clinics. A number of cases did not warrant the specialised services of a chiropodist,
and toenail cutting by home nurses was organised. During the year it was found necessary to
reassess some of the cases because of deterioration of physical condition or changing circumstances.
While assessing the need for domiciliary chiropody, departmental medical officers also reported
other social factors and made recommendations. As a result of these other Health and Welfare
Services were provided.

Applications received: -

19681969
Clinic: New Cases742802
Domiciliary: New Cases262419
Transfer from clinics9743
Waiting for assessments28

Assessments made for domiciliary treatment during the year-

Domiciliary treatment all the year234
Domiciliary treatment winter months only38
Referred to Home Nursing Department for nail cutting only81
Clinic treatment only28
To be dealt with by relatives and friends24
No action57
TOTAL462

1713 clinic sessions were held during the year, including sessions for school children. 22
Chiropodists were employed on a part time basis on 31st December 1969.
13 at clinic sessions 3 of whom also treat patients at their private surgeries
9 private surgeries 3 of whom attend clinic sessions
8 domiciliary 5 of whom attend clinic sessions
One domiciliary chiropodist commenced working for the borough in November 1969.

Chiropody Service: Patients on lists

19681969
Receiving treatment at clinics18071768
Receiving treatment at private surgeries175941
Receiving Domiciliary treatment11091116
Waiting for clinic appointments370235*
Waiting List: Clinic cases24161
Waiting List: Domiciliary cases6115X
Waiting List: Domicil iaries (transfer from clinics)1712X

*This number is high because one of the part-time chiropodists
has not been working owing to illness.
XWaiting for assessments.

Number of patients treated 3,995 (including 282 school children)

Number of treatments given:-New patients treated in 1969
In clinics10,841272
In private surgeries4,230469
Domiciliary5,345190
School Children in clinics1,330282
TOTAL21,7461,213