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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 the
report. I would again mention that the Assistant Medical Officers,
Nursing Staff, and Home Help Organiser come under the jurisdiction
of the Essex County Council, in their capacity as Local Health
Authority. Similarly, the majority of the Clerical staff also come
under the Essex County Council, but, for convenience, 25% of the
time of the Chief Administrative Assistant is given to Borough
Council work.
As I have already mentioned, your Medical Officer of Health
is also Acting Area Medical Officer for the Part III duties of the
National Health Service Act, 1946.
(ii) Laboratory Facilities.
The facilities remain as before, and meet the necessary
requirements.
(iii) Nursing in the Home.
(a) General Nursing.
There are at present 7 Home Nurses in this area and 2 Home
Nurse Midwives.
Under the provision of Section 28 of the National Health
Service Act, arrangements continue for the issue of sick-room
equipment on loan, and there is now no charge for this service.
Table 3 sets out the work of the Home Nurses during the
year, insofar as their general domiciliary duties are concerned.

(b) Domiciliary Midwives.
At the end of the year 9 Domiliciary Midwives were employed
and, in addition, the 2 Homes Nurse/Midwives, already mentioned.
The following gives a summary of the cases attended by the
Domiciliary Midwives, as Midwives, and as Maternity Nurses.