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

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Havering 1968

[Report of the Medical Officer of Health for Havering]

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1 — T.B. Visitor who combined 1 — Full-time clinic nurse, whose
T.B. visiting with general duties consist of half-time in
duties. T.B. work and half-time as a
Peripatetic Clinic Nurse.
18— Part-time clinic nurses, whose
duties include school nursing.
Some clinic nurses' posts are set against the establishment
for health visitors; their services being utilised to carry out
some duties under the general supervision of the health visitors.
This ensures economy in the use of time expended on duties
which do not necessarily require the particular skills of the
trained health visitor.
The health visitors have continued their work of advising
families, at visits to the home or in the clinics, on matters of
healthy living, with particular emphasis on the needs of the
very young and the elderly.
Co-operation with general medical practitioners has been
maintained, through the liaison arrangements which enable
individual health visitors to act as the channel of communication
between the general practitioner and the Health and Welfare and
other Departments of the Council. One group practice has a fully
attached health visitor. Additional help is supplied by the
allocation of a clinic nurse at the ante-natal and child health
sessions.
Emphasis has continued to be placed on the early assessment
and detection of possible defects in young children, and the
health visitors carry out screening tests in the home if the mother
is unable to attend the clinic.
The number of visits to elderly people is increasing. Health
visitors are particularly well qualified to assess the needs of
elderly people, and to follow up their progress. The services
of the clinic nurses in undertaking some of the follow-up
visiting, are particularly valuable in ensuring that changes in
circumstances and health are observed as early as possible. In
this and other aspects of the work the close relationships
between many health visitors and local voluntary organisations
are of particular value.
A certain amount of health education is being carried out
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