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128
"The times of attendances must be entered on a time-sheet daily,
which sheet should be signed by the patient or some responsible person
on her behalf, and presented at the Public Health Offices for payment as
each week is completed.
"The duties consist of general home management, including
cooking, not more than two weeks' washing, and the care of the children
(she will not undertake arrears of washing).
"A doctor and a nurse, or midwife, will be in attendance, and it
must be fully understood that no nursing duties are to be undertaken by
the Home Help.
"If there are not suitable facilities for washing in the house, the
Home Help will wash elsewhere (Baths, etc.) and out-of-pocket expenses,
if any, will be paid.
"Patients are not expected to provide meals for Home Helps.
"Home Helps will be under the general supervision of the Health
Department, and they are,expected to attend at the Model Welfare
Centre, 210, Kingsland Road, as requested from time to time for instruction
in their duties."
The foregoing rules for Home Helps were not so drawn in the first
instance, but were modified to their present form in order to prevent the
possibility of a Home Help being placed in the predicament of being present
at a confinement at which the doctor or midwife failed to arrive.
Consideration of the position arising in homes in which the confinement
is conducted by a doctor or student, and where consequently no arrangement
is made for the necessary nursing duties during the puerperium, led the
Council to decide that they would supply a nurse to doctors' cases if a Home
Help is being supplied.
It will be noted that under the arrangement regarding St. Bartholomew's
Hospital students' cases, p. all cases under scale are offered the services
of a Home Help.
Home Helps attended in 96 cases.
of these 59 were Midwives' cases,
2 doctors' cases (nurse also provided),
18 City of London Maternity Hospital,
17 St. Bartholomew's Hospital.