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13
1.—GENERAL PROVISION OF HEALTH SERVICES FOR
THE AREA.
(i) Staff.
Particulars of the staff are set out at the beginning of this
report. The Assistant Medical Officers, Nursing Staffs and Home
Help Organiser, as also some of the Clerical Staff, now come under
the jurisdiction of the Essex County Council, in their capacity as
Local Health Authority, and your Medical Officer of Health is also
Acting Area Medical Officer for the Part III duties of the National
Health Service Act, 1946. At the end of the year, negotiations
were still proceeding with the County, as to the proportion of time
to be given by the Medical Officer of Health in his capacity of Area
Medical Officer.
(ii) Laboratory Facilities.
There is no change in the facilities as previously recorded, and
these meet the requirements of the district.
(iii) Nursing in the Home.
(a) General Nursing.
There, are at present 7 Home Nurses serving the area. These
give the whole of their time to general domiciliary nursing, with
the exception of one, who has also Midwifery duties to perform.
Arrangements are being made to provide nurses for the new estate
at Harold Hill, in order to keep pace with the development there,
and, at the end of the year, 1 of the Home Nurses had taken up
residence on this estate.

(b) Domiciliary Midwives.
At the end of the year 9 Domiciliary Midwives were employed,
and, here also, the requirements of the Harold Hill Estate are
receiving attention. All the Midwives have had the necessary
tuition in the administration of Gas and Air Analgesia, and all have
been provided with the necessary apparatus. Eight of these Midwives
now have cars, either provided by themselves, or by the
County Council.

As from 1st February, Miss M. B. Worby has acted as NonMedical
Supervisor of Midwives and Home Nurses in this area.
The appointment is a part-time one, as Miss Worby is also Queen's
Superintendent of the York House Training School at Dagenham.