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(5) In the above cases compensation of 10s. Od. will be paid by the
Stepney Borough Council.
Maternity
Nursing.
Scheme II—Trained Midwives as Maternity Nurses in Doctors' Cases.
Method of Application, etc.
(1) It will be necessary for an expectant mother desiring a midwife as a
maternity nurse to apply to the Medical Officer of Health through her doctor
who must be engaged for the case.
(2) On the consent of his patient, any doctor who is engaged for the
confinement, may certify in writing to the Medical Officer of Health that a
midwife also is necessary or desirable to act as a maternity nurse, and that the
patient does not appear to be able to pay for this service in full.
(3) The expectant mother or her representative will attend at the Public
Health Office with the above doctor's certificate and particulars of income
will be taken. All particulars shall be entered by the clerk on a form or card
which can later be presented to the Committee.
(4) If the patient comes within the scale of necessity she will be eligible
accordingly to have either half or all of the fee of the midwife paid for her by
the Local Authority and notification of this in writing on an authorisation
form will be either handed to her (or her representative) at the time, or posted
to her later.
(5) Where half the fee is to be paid by the patient, payment by weekly
instalments can be arranged.
(6) On receipt of this authorisation the patient can immediately proceed
to engage any registered midwife whom she and the doctor desire.
(7) To engage a midwife the patient must sign an authorisation form and
hand it to the midwife.
(8) The midwife on completion of her period of engagement obtains the
signature of the doctor certifying satisfaction with the work and, having signed
the form, she presents it to the Medical Officer of Health for payment.
(9) The appropriate fee to which the midwife is entitled in a particular case
is paid to the midwife by the Local Authority and, in cases where the patient
has been assessed to pay half, this amount must be paid by the patient to the