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

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East Ham 1934

[Report of the Medical Officer of Health for East Ham]

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Medical Officer of Health (see Form (6) ), who will decide whether the
case is one for admission or not; admission orders to be issued by the
Relieving Officers. In cases of urgency the Medical Practitioner to be
permitted to admit cases through the Medical Officer of the Institution
concerned. In these cases the Public Assistance Officer to be notified
at once on a form to be provided (see Form (c) );
on the admission to an institution or hospital of any patient under his
care, to supply the Medical Officer thereof, if required, with such information
as may be in his possession as to the medical history of the case ;
in the event of a case arising of a patient who has been recommended
by a member of the panel for hospital treatment, such recommendation
having been approved by the Medical Officer of Health, and such patient
refusing institutional treatment, to continue domiciliary treatment and
report the case to the Medical Officer of Health, who will submit the
same to the Public Assistance Committee for consideration ;
to meet the Medical Officer of Health (or one of the Council's medical
staff) when the latter so requires, for the purpose of examining, in consultation,
any patient in respect of whom the practitioner has sought
the advice of the Medical Officer of Health;
to give to the Council, when required by them, any reasonable information
respecting the case of any patient who is or has been under his care, and
certify, in writing, on the request of the Council or of a Relieving Officer,
or of the patient whom he is attending, the sickness of the patient, or
other cause of his attendance on him; and to issue to the patient upon
application a certificate as to his fitness to resume work;
upon due notice being given, to afford to the Medical Officer of Health,
or such other person as he may appoint for the purpose, access at all
reasonable times to the practitioner's surgery or other place where the
records are kept, for inspection of these records;
to answer any enquiries of the Medical Officer of Health regarding any
prescription issued by the practitioner and furnish such information as
the Council or Minister may from time to time direct with respect to
any cases of sickness or death amongst patients;
in making entries in books, record papers, or other records, to employ
the terms used in the volume prepared by a Joint Committee appointed
by the Royal College of Physicians of London and entitled " The
Nomenclature of Diseases ";
to send to the Medical Officer of Health a monthly statement of patients
attended (see Form (f) ), such statement to be circulated through the
Public Assistance Officer to the Relieving Officers for their information;
to keep clinical records of each patient similar to those kept by panel
practitioners for panel patients (see Form (g)). This record, if a patient
changes his or her doctor, to be forwarded to the Public Assistance Officer
for transmission to the new Medical Attendant;
to have the right to refuse to accept a patient. He must, however,
accept responsibility for the patient's treatment pending the submission
of a report to the Medical Officer of Health and the decision of the Public
Assistance Committee thereon;
to name to the Council some duly qualified medical practitioner who
will, in case of his absence or other hindrance to his personal attendance,
act in his place.
Duties under Lunacy Act, 1890.
The Medical Practitioner
on obtaining knowledge that a poor person on his panel is or is deemed to
be of unsound mind, and a proper person to be sent to a Mental Hospital,
to give notice in writing within three days to the Relieving Officer.—
Sec, 14 (1);
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