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

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Haringey 1970

[Report of the Medical Officer of Health for Haringey]

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The number of domiciliary bookings during the year was 508. 324 were actually delivered at home. 48 were transferred to hospital for varying reasons and 136 moved out of the area. 51 patients were delivered by domiciliary midwives in North Middlesex Hospital and transferred home for nursing within 6 hours making a total of 375 deliveries by domiciliary midwives during the year.

Source of requestNumber of requests received
1967196819691970
Requested by hospitals in North West Metropolitan Region187267233268
Requested by hospitals in North East Metropolitan Region143137201254
Requested by London Teaching Hospitals39445063
TOTAL369448484585

Number accepted 491 Unplanned 136
Actual number discharged and attended 762 Self discharges 151
The number of visits, i.e. Ante-natal, labour calls, post natal visits and guthrie re-tests from various hospitals
during the year was 16,645.
This figure is less than for 1969 owing to the reduced number of deliveries during the first six months. However
there was an increase during the last half-year and the trend as the year closed was upwards.
Self discharges rose to 151 compared with 116 in 1969.
Student Midwives Training
61 students were in training during the year, 12 from the Alexandra Maternity Home, 19 from the North
Middlesex Hospital, and 30 from the Whittington Hospital.
Obstetric Nurse Training
There were 40 students from the City of London Hospital and 26 students from the Whittington Hospital
who spent a day on the district and were given an insight into the work of the district midwife.
HOME NURSING SERVICE
The work load for district nurses continued to increase, especially after the introduction of group and general
practitioner attachment on 1st May 1970. Nurses visit the doctors to whom they are attached at least once
weekly, one nurse attends an afternoon clinic weekly, one a morning session twice weekly and another attends
a group practice each morning, treating an average of six patients at each visit.
Four nurses obtained the National Certificate for District Nurses. Two attended the course at Chiswick
Polytechnic and two the course at the North Western Polytechnic. These are day release courses over a period
of thirteen weeks, including a two week block.
Five nurses attended Practical Work Instructors' Courses, two attended refresher courses and one attended an
administration course.
The Marie Curie Memorial Foundation gave full night nursing for eleven patients suffering from terminal
carcinoma and gave financial aid for extra nutrition to one patient.
During the year the Prince of Wales's Hospital sent thirty student nurses for instruction on community nursing
and the Middlesex Hospital sent nine.
Number of old patients carried forward from 1969 to 1970 1,113
Number of new patients started during 1970 2,364
These new cases were referred from the following sources:-
50