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

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Bromley 1968

[Report of the Medical Officer of Health for Bromley]

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66
20 adults of either sex with activities towards rehabilitation for
work in some sheltered or open employment. In order to emphasise
the prevailing spirit of friendly co-operation those attending are
designated not Trainees but "Members".
Incentive Payment
After the initial period of Council payments of a modest
attendance fee to each member a sliding scale of bonuses was
introduced on the lines of Ministry of Health Circular LHAL
21/67. This bonus payment takes into account the amount of work
done, the quality of time keeping, general application to work and
behaviour at the Centre. This scheme apart from providing basic
incentives or even motivation has the added value of giving each
member an insight into his own disability and progress. We accept
that in the final analysis each member is responsible for solving
his own problems.
Facts and Figures
During 1968, 43 members attended the Centre with the average
stay of 6½ months. The average number of daily attendances was
17. The difficulty of keeping to the maximum number of 20 was due
in the main to a rapid turnover.
The Centre must, by its very nature work closely with all
sectors of the Service and other agencies involved in rehabilitation.

The breakdown by Source of Referralis as follows: —

Mental Welfare Officers23
Family Doctor1
Direct from Hospitals16
Department of Employment and Productivity (D.R.O.s)3
TOTAL43
The 43 members lived in the following areas: —
Bromley12
Penge21
Beckenham5
West Wickham2
Orpington3
TOTAL43

Since every member has to make his/her own journey to and
from the Centre the above table would point on the one hand to
the lack of similar facilities in other parts of the Borough and on
the other would underline the fact that many ex-patients have not
only the ability but also the motivation to travel a considerable
distance to undergo rehabilitation.