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13
1.—GENERAL PROVISION OF HEALTH SERVICES FOR
THE AREA
(i) Staff
The particulars of staff are set out at the beginning of this
report. The Assistant Medical Officers, Nursing Staff, the Domestic
Help Organiser, and also the majority of the Clerical Staff come
under the jurisdiction of the Essex County Council, in their capacity
as Local Health Authority. For my own part, I hold the position
of Medical Officer of Health for the Borough of Romford, and Area
Medical Officer for the Part III duties of the National Health
Service Act, 1946, as administered by the Essex County Council.
(iii) Laboratory Facilities
These facilities remain as hitherto, and meet requirements.
Good use of the services has been made by the Department, and by
the General Practitioners.
(iii) Nursing in the Home
(a) General Nursing.
At the end of the year eight Home Nurses and four Home
Nurse/Midwives were serving the area. These were all employed
in general domiciliary nursing, but, in addition, the Home Nurse/
Midwives also combined this work with midwifery duties.
Instructions have been issued to the Home Nurses to the effect
that all patients must be visited when requested by a doctor, and
that no treatment must be undertaken without a note or telephone
message from a doctor, except in the case of an emergency.
Under the provision of Section 28 of the National Health
Service Act, arrangements continued for the loan of sick-room
equipment, for which no charge is made.
Table 3 sets out the work of the Home Nursing section, during
the year.

(b) Domiciliary Midwives.
At the end of the year ten Domiciliary Midwives were employed
and also the four Home Nurse/Midwives referred to above.
The following gives a summary of the cases attended by the
Domiciliary Midwives, as Midwives and as Maternity Nurses.

Table 5 gives a summary of the "Medical Aid" notices received
during the year.