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Facilities for Refresher' Courses for health visitors are afforded by
the Council to selected staff nominated by the Medical Officer of Health.
8. Home Nursing.
(a) General arrangements for the service. The Council has entered
into an agreement with the East Ham District Nursing Association to provide
a comprehensive Home Nursing Service for the greater part of the borough.
A similar agreement is in operation for the extreme southern part of
the area, where the Silvertown and North Woolwich District Nursing Association
act on behalf of the Council.
(b) Co-operation with general practitloners. Liaison with general
practitioners is excellent.
(c) Description of any arrangements for liaison with hospitals.
Good liaison between hospital almoners and staff, particularly with the
Geriatric Unit at Langthorne Hospital. Difficult cases are referred to
the Superintendent Nursing Officer for co-ordination with other services
and reference, where necessary, to the Medical Officer of health.
(d) Classification and proportions of main types of cases attended by
Home Nurses. Reference to table 25 shews details of statistics of work
carried out by the East Ham District Nursing Association and the Silvertown
& North Woolwich District Nursing Association
(e) Particulars of any night service. Two nurses are on call each
evening for late visits where required,, Night service is only available
in especially difficult cases - not for 'sitting in'.
(f) Refresher courses for nursing staff. Staff attend refresher
courses arranged by the Queen's Institute of District Nursing.
It should be appreciated that the Superintendent Nursing Officer
Is responsible for the co-ordination of-
The Domiciliary Midwifery Service,,
The Health Visiting Service.
The Home Nursing Service, and
The Domestic Help Service,,
with the Hospital and General Practitioner Service, and other personal
health services.
9. Vaccination and Immunisation.
Organised effort is sustained to secure a high vaccinal state and
level of immunisation in the child population by-
(a) Educative and propaganda efforts of the medical staff and health
visitors, by bringing the matter through the Local Executive Council to
the notice of all general practitioners.
(b) Press campaigns (in conjunction with West Ham County Borough)
(c) Provision of special sessions for immunisation against diphtheria
and whooping cough at all clinics in the borough (17,000 approximately of
30,000 children under 15 years of age have been immunised.)
(d) Combined immunisation against diphtheria and whooping cough is
advocated at four months. No child should reach the first birthday
without Immunisation against diphtheria. It has been the custom to send
out a printed birthday greeting card to every child reminding the parents
of the necessity for immunisation.
(e) 'Boosting injections' are given prior to school entry and
appointments are given to the special immunisation clinics from a register
of children kept for this purpose. Boosting injections are also given
(with parental consent) at the age of ten.