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carcinoma of the cervix and a further six were referred for further
investigations.
A most encouraging response met the establishment of an
evening clinic at Orpington Hospital to meet the needs of women
unable to attend a clinic during working hours. Negotiations with
two other hospitals for the establishment of similar facilities are
proceeding. Special clinics have also been held at factories and
other establishments employing a large female labour force and
through this project 692 examinations were made.
The re-examination of women who were first seen in 1965
has commenced and it is hoped that all of those women applying
will be re-examined without undue delay.
Recuperative Care
The demand for short recuperative holidays for persons who
have had an illness or operative treatment continues. During the
year there were 92 applicants but due to limited funds and rising
costs of placements, financial liability was accepted for only 60 of
these mostly elderly people and generally for a period of two
weeks.
Deaf Children
Screening tests for children under two years of age were commenced
at the beginning of the year. 23 cases were referred, mainly
by Health Visitors and hospitals for further action.
MIDWIFERY
Miss G. Simmons, s.r.n., s.c.m.
Non-Medical Supervisor of Midwives
In accordance with the general trend the number of domiciliary
confinements fell again this year. The problem of adequate
training for pupil midwives where fewer home deliveries can be
undertaken has arisen and it is hoped that a new training scheme
providing wider public health training may be implemented in the
near future.
Group practice attachment has been agreed in principle and
consideration will be given to setting up of a pilot scheme.
Preliminary consultations have been held with a local
maternity liaison committee with the aim to integrate the domiciliary
and hospital services whereby midwives will take their
patients to a hospital and deliver them there. Mother and child will
return home for nursing shortly afterwards.