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37
year a very comprehensive service had been built up in the Borough and a
total number of 5,213 patients had been seen, 1,652 being new patients.
The Borough continued to make per capita payments for Harrow residents
who received family planning advice or supplies at Kingsbury Hospital
and Edgware General Hospital.
In-training talks on family planning were given to pupil nurses,
midwives and health visitors.
LOCAL AUTHORITY NURSING SERVICES
Establishment
Following the recommendations of the Mayston Report published
in January 1970 by the Department of Health and Social Security, Harrow
adopted a new management structure for the nursing services on the 1st
April 1971.
The objectives of improved management are to ensure better patient
care based on sound nursing policies and effective deployment of nursing
staff; to give nurses of all levels an opportunity to participate more
effectively in management in partnership with doctors and administrators.
In the new structure, a Chief Nursing Officer was appointed
responsible to the authority for the co-ordination and direction of all
community nursing services in the area supported by two levels of
management—(1) a middle management level in which appointments of
two Principal Nursing Officers were made to cover the functional responsibility
for the whole Borough in the fields of health visiting, domiciliary
midwifery and home nursing, and (2) a first line management level
consisting of 5 nursing officers, three to support the health visiting service
and two to work as senior officers in home nursing posts.
Chief Nursing Officer
Principal Nursing Officer
Health Visiting
Principal Nursing Officer
Home Nursing & Midwifery
1 2 3
Nursing Officers
4 5
Nursing Officers
The Management team is supporting all other field workers consisting
off:
Fieldwork Instructors Health Visitors 6
Health Visitors 26 whole time equivalent
Clinic Nurses 10 full time equivalent
Midwives 13 full time, 1 part time
Home Nurses 21
Bathing Attendants 3 full time equivalent