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10.—The Association shall supply the Authority with such financial and other returns as the
Authority may reasonably require, including a copy of the audited annual accounts of the Association
and the records kept by the Association shall be open to inspection by the Medical Officer of Health
of the Authority, or by any other officer of the Authority specially authorised for that purpose.
11.—The Authority undertakes during the currency of this Agreement to pa}- to the Association
the sum of £1,715 per annum (until the same shall be altered or varied under Clause 12 (ii) hereof by
equal quarterly payments on the following days, viz., on the 31st day of March, the 30th June, the
30th September and the 31st December, in each year the first payment being a proportionate part of a
quarterly payment and amounting to £286 to be made on the 30th day of September, 1937. (These
figures are subject to final revision—vide paragraph 6 of the foregoing report.)
12.—The Association agrees with the Authority that:—
(i) Any difference or dispute between the Authority and the Association arising out of this
Agreement shall be referred to a single arbitrator appointed by agreement between the parties,
or, in default of agreement, by the Minister of Health, and
(ii) This Agreement shall have effect as from the 31st day of July, 1937, and shall continue
in force, subject to any variations which may be agreed between the Authority and the Association
until it is determined either by agreement between the said parties or by not less than six
months' notice in writing terminating on the 31st day of March in any year given with the
consent of the Minister by either of the said parties.
First Schedule.
No. of Midwives
Area to be served. to be employed.
The borough of Willesden. Five.
Second Schedule.
The midwives to be employed under this Agreement shall be fully trained general nurses holding
the C.M.B. certificate. Salaries of midwives employed by the Association under the terms of this
Agreement shall be £105 rising by annual increments of £15 to £195 per annum with, in addition,
board and lodging of a cash value estimated at £150. Superannuation in accordance with the Federated
Superannuation Scheme for Nurses and Hospital Officers. Travelling—all travelling expenses
paid.
Third Schedule.
One half of the fees set out in the Council's economic circumstances scale applicable to patients
confined or treated at the Council's Maternity Hospital.
II.—EXTRACT FROM COUNCIL MINUTES, 27th JULY, 1937.
REPORT OF HOSPITAL VISITING SUB-COMMITTEE.
GENERAL.
1.—In accordance with the reference from the Health Committee we have considered letters
received from the Minister of Health in regard to the Council's scheme under the Midwives Act, 1936,
copies of which have been circulated to all members. We also had before us a memorandum prepared
by the Medical Officer of Health showing the changes required by the Minister and their effect on the
scheme.
Midwifery.
2.—The Minister has raised certain questions as to the number of cases which should be allocated
to a midwife and has finally stated that he is prepared to leave the matter to the Council's discretion
on the assumption that they will review the point in the future when experience of the actual operation
of the arrangements has been obtained. As it is more convenient to increase the number of midwives
rather than to discharge a midwife recently appointed and having regard to the diminishing number
of domiciliary confinements, we recommend that the number of cases to be allocated to a midwife in
the first place be increased from 65 to 70, as originally proposed, to 80 per annum.
In those circumstances the Council would employ :—
(1) by arrangement with Queen Charlotte's Maternity Hospital, for the South Kilburn area as
defined, the equivalent of 2£ midwives for approximately 200 cases ;
(2) directly, for the rest of Willesden, 5 midwives for approximately 400 cases.
The arrangement proposed by the Council's original scheme with Queen Charlotte's Hospital in
respect of their District Home in South Kilburn will, therefore, remain unaltered except that the
number of midwives to be employed will be reduced from 3 to 2 J. In these circumstances it is estimated,
subject to confirmation by Queen Charlotte's Hospital, that the sum payable to the Hospital by the
Council would be £1,032 for the first year of working instead of £1,180.