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

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Harrow 1937

[Report of the Medical Officer of Health for Harrow]

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14
AMBULANCE FACILITIES.
(a) For Infectious Cases.
Infectious cases are removed by the Austin ambulance, which
is housed alternately at the two isolation hospitals.
(b) For Non-Infectious Cases and Accidents.
There are four ambulances for the removal of non-infectious
and accident cases: two 20-h.p. Austin ambulances housed at the
Headquarters Station, a similar ambulance at the Harrow-on-theHill
Station and a 20-h.p. Talbot ambulance housed at the
Wealdstone Station.
A summary of the rules and conditions governing the use of
the ambulance is contained in the Annual Report for 1935. Paragraph
3 (a) of these reads : "no charge shall be made for cases of
accident, seizures or fits happening at home, in the street, at work
or elsewhere within the district if removed within twenty-four hours
of the accident, seizure or fit occurring. After such period the case
shall be considered as a sick removal and the charges mentioned
hereafter shall apply." This rule has now been altered to read:
" no charge shall be made for cases of accident, seizure or fit
nappening in the street, at work or in any place of public assembly
ih the district."
The Council agreed to an arrangement with the Hospital
Saving Association by which the Association's "green voucher"
is accepted in lieu of charging the person otherwise liable for payment,
the Association paying 7/6 per case in respect of removals to hospitals
within the district and to Redhill and the Pinner and Northwood
hospitals, and a larger sum for removals to hospitals outside the
district. The Association accepts responsibility only when the
ambulance is ordered by a medical practitioner and only in respect
of stretcher cases.

The following is a summary of the extent to which the ambulances have been used during the year and figures for previous years:—

193719361935
Accident cases517480400
Maternity cases336211142
Other cases1,229971897

The number of maternity cases removed should prove to be
the maximum as in future, with an increasing number of maternity
patients being accommodated in the County Council hospitals, there
should be fewer removals of such patients to the London hospitals.