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

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Willesden 1919

[Report of the Medical Officer of Health for Willesden]

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149
Central Kitchen.
A large central kitchen with the necessary larders, pantries, etc., requires tn be built, and this
is shewn in the draft plan.
Medical Staff.
Medical Staff will consist of:—
Medical Superintendent.
Visiting Consultants.
Resident Medical Staff to be provided in the proportion of 1 Resident Medical Officer
to 100 beds, i.e., 4 Resident Medical Officers are required.
Nursing Staff.
48 Hour Week.
The hours of duty of the present nursing staff vary from 48 hours per week in the case of a
Day Sister to 64 hours per week in the case of a Probationer Nurse on the average. To allow for
an average week of 48 hours for all nursing staff the following will be required in the extended
Hospital:—
1 Matron.
1 Assistant Matron.
1 Home Sister or Housekeeper.
1 Night Sister.
12 Sisters.
25 Staff Nurses.
90 Probationer Nurses.
4 Spare Nurses to replace sick staff.
Total (excluding Matron for whom 135
accommodation is already provided).
To accommodate this Staff, a new Nurses' Home with 150 beds is shewn.
Domestic Staff.
48 Hour Week.
The hours of duty of the present domestic staff vary from 59½ hours in the case of a Laundress,
to 84 hours in the case of a Mess Room Maid, on the average.
To allow for an average week of 48 hours for the domestic staff, 100 will require to be employed.
Accommodation for 117 is provided as follows:—
Existing Annexe 25 Beds.
Extension of Annexe 80 Beds.
Extension of Annexe over Maids' Recreation Room 12 Beds.
Total 117 Beds.
Medical Superintendent's Residence.
The function of the Medical Superintendent in the extended Municipal Hospital will be primarily
to take the necessary steps to secure the medical and surgical efficiency of the Hospital and
generally to supervise the working arrangements.
The primary responsibility for the treatment of patients will be on the visiting staff duly
assisted by competent resident medical officers who would always call upon the Medical Superintendent
when the visiting consultant for any reason was not available in an urgent or a difficult case.
Under these circumstances it is a matter of no importance from the point of view of Hospital
Administration whether or not the Medical Superintendent resides on the premises, and certainly
in 9 cases out of 10 the Medical Superintendent would desire to live away from his work.
Miscellaneous Items.
In connection with the extended Hospital the following matters will require attention:—
Roads—Both within and without the Hospital grounds.
Boiler House—Extension.
Laundry—Additional Plant.