View report page

39
Nurses on Community Care Option and the best methods of
implementing the new syllabus.
Lectures and Talks
Numerous talks were given in Hospitals and to the General
Public by members of the staff on the work of the District Nurse.
Statistics
During the year 3271 persons were nursed. This represented
an increase over the previous year of 444. The number of visits
to patients totalled 78,503.
MIDWIFERY
Miss M. C. Martin, s.r.n., s.c.m.
Non-Medical Supervisor of Midwives
Group Practice Attachment of Domiciliary Midwives
Following the successful pilot scheme completed in August,
1970, in which a Domiciliary Midwife was attached to a group
of General Practitioner Obstetricians, the scheme was extended
to a further three groups of doctors and finally, early in 1971
throughout the Borough. In some practices full attachment has
taken place, in others Midwives cover the maternity case load
of a number of doctors rather than a geographical area. In many
cases G.P.'s have realised the value of a Midwife working in their
team and what started as a liaison has become full attachment
with the Midwife attending the surgery clinics.
Modified "Domino" Scheme (Hospital Confinement and Early
Discharge by Domiciliary Midwife)
Arrangements were made for domiciliary Midwives to deliver
a limited number of mothers in hospital, taking them home early
in the puerperium.
These mothers were selected from practices where Midwives
and G.P.'s were involved in "shared care" with local Maternity
Hospitals.
Many Midwives are eager for G.P. involvement at the confinement
as this ensures consecutive and comprehensive care of
the mothers by a smaller team.
Domiciliary Midwives are now taking mothers into Beckenham
Maternity Hospital, Masons Hill and Widmore Road Maternity
Units and Queen Mary's Maternity Unit, Sidcup (Full
Domino). Arrangements for a "Domino" Scheme involving Farnborough
Hospital are almost complete.