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The following additional medical work requires to be provided for in accordance with the
Council's scheme:—
Post-natal examination of the mother.—This would apply mainly to women confined in the
Willesden Maternity Hospital and by the Municipal Midwives. It is estimated that 353 would come
for examination to Health Centre (2) and that each examination on the average would occupy 15
minutes. The total time would be 353 x 15 minutes or 88 hours of a doctor's time per annum.
Routine medical inspections of toddlers (1-5 years).—Approximately 2,160 toddlers would be
attached to this clinic and 66 per cent. or 1,426 would attend for routine medical inspection. The
time allowed for such routine medical inspection is 10 minutes per inspection. The total time required,
therefore, would be 1,426 X 10 minutes or 237 hours of a doctor's time per annum.
Diphtheria immunisation.—-It is estimated that 660 births per annum would be attached to
Health Centre (2) and that one-half of the births would accept diphtheria immunisation. Five
attendances are required for diphtheria immunisation or 1,650 in all. The time taken per attendance
would be about 1½ minutes. Therefore the total per annum would be 1,650 x 1½ minutes or, say,
41 hours of a doctor's time per annum.
Medical and Vocational Examinations in the Schools.—In addition to the foregoing, 2 sessions
per week in the public elementary and secondary schools are required for statutory medical inspections
and vocational medical inspections and one hour per day per doctor will be given up to office work and
the supervision of the district health visitor's work.
Having regard to the foregoing figures the total time required per annum for the work set out
above is as follows:—
Cleansing, throat, nose and ear conditions and minor ailments 371 hours.
Expectant mothers 689 ,,
Nursing mothers 580
Infant Welfare 905 ,,
Post-natal examinations of mothers 88
Medical inspection of toddlers 1-5 years 237 ,,
Diphtheria immunisation 41 ,,
2,911 ,,
A doctor works 1,702 hours per annum.
A doctor spends one session a week in the schools, or 120 hours per annum and one hour per day
on 5 days a week for the supervision of health visitors' work, infectious diseases, exclusion from school
and correspondence or 230 hours per annum. A doctor is thus left with 1,352 hours available for all
the clinic work mentioned above.
2
The number of full-time doctors required at new Health Centre (2) is 2911/1352 or 2.15
It will be appreciated by the Committee that the estimated provision has been arrived at on
the theoretical assumption that every available minute is utilisable which hardly works out this way
in practice.