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This is not a good or satisfactory arrangement.
There should be at each Clinic someone conversant with the work and methods of the whole
Clinic, in touch with the Matron and acting as her assistant who would be able to carry on her work
without break of continuity or disturbance to the Clinic in the event of her absence.
Clinic (2)—Need of Caretaker.
At Clinic (2) the difficulties of the Clinic Matron are still further increased and the necessity
of making some further arrangements made more urgent by the absence of a caretaker during the
time the Clinic is opened. There should always be a resident caretaker in connection with a Clinic.
A Caretaker is needed to be available throughout the day to keep some control over boys
and others in the yard and round about the Clinic, to receive goods, to clean when children are sick,
as not infrequently happens in the waiting and treatment rooms, etc.
Further at Clinic (2), there is not anyone properly available to deal with the laundry. At
Clinic (1) this is done by the Nurse Attendant.
Recommendations.
To meet the foregoing difficulties, the following action needs to be taken :—
(1) Appointment of additional Health Visitors-at scale salaries.
(2) Appointment of one Relief Health Visitor at each Clinic at scale salary.
(3) Appointment of one Senior Health Visitor at each Clinic at salary of £160-£190 per
annum with bonus in addition and uniform.
(4) Sanction of Council to make appointments without delay when vacancies occur.
(5) Appointment of Caretaker for Clinic (2).
(6) Acquisition of 383, High Road, Willesden and extension of existing Clinics and
ment of additional Clinics.
NOTE.—Re Verminous Heads.—There is not sufficient cleansing room accommodation or
staff to deal with all the verminous heads requiring cleansing.
Cases cannot well be prosecuted until they have had an opportunity of being cleansed. They
cannot be given an opportunity of being cleansed. They remain away from School for long periods.
GEORGE F. BUCHAN,
Medical Officer of Health.
APPENDIX F.
To the Health Committee.
28th May, 1920.
MUNICIPAL HOSPITAL.
Nursing and Domestic Staff. 48 Hours Week.
I beg to report in accordance with the following Minute of the Council :—
"Owing to the possibility of the provisions of the Hours of Employment Bill becoming law,
which will affect the Nursing Staff at the Hospital to the extent of a 48 hour week,
we have instructed the Medical Officer of Health to submit a report on possible alternatives
which may be taken to meet the position." (Council Minutes, 23rd March, 1920,
page 992).
The Hospital has 199 beds or cots and 14 bassinettes.
The hours of duty of the Nursing Staff vary from 48 hours per week in the case of a Sister to
58½ hours per week in the case of a Probationer Nurse on the average.
The hours of duty of the Domestic Staff vary from 56½ hours in the case of a Laundress to
12¼ hours in the case of a Messroom Maid on the average.
When the Hospital is fully occupied the following is the Nursing and Domestic Staff required.
(a) On the basis of the existing hours of duty, and
(b) On the basis of 48 hours duty per week.