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Because the hospital environment is more sheltered than the
home, patients may be judged ready for discharge before the community
can receive them properly. Close liaison by hospitals with
the domiciliary team is particularly important with the border line
case.
Registered Nursing Homes
Nursing Homes are of three groups:—
(i) Private Maternity Homes.
(ii) Institutions for persons requiring surgical or medical
treatment.
(iii) Institutions for the reception of the aged, infirm, and
chronic sick.
Sometimes a home may be mixed for the reception of patients
under the various categories.
There are three Registered Homes in Romford all of which
receive aged chronic sick cases. Between them they provide 47
beds at charges varying from approximately nine or ten guineas and
upwards weekly. The County Council lay down standards in regard
to accommodation, staffing, general hygiene and record keeping,
and such homes are inspected quarterly by me to ensure that the
County Council's Byelaws are being observed.
Home Nursing
22,767 visits were paid to the homes of 1,029 sick persons
during the year by the ten full-time District Nurses employed in the
area.

Apart from general nursing care the District Nurse is expected
to concern herself with general welfare and rehabilitation. The
Home Nurse must be capable of assessing the social as well as the
medical needs of her patients, and arrange through her contacts with
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