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69
Fees.
(a) In January, 1946, the Council decided to accept vouchers from
eligible members of the Hospital Saving Association and Hospital Saturday
Fund to cover the cost of the maintenance of patients in the Council's
Maternity Home, Emergency and other Maternity Homes, admitted on or
after 1st April, 1946, and in respect of the services of the Domiciliary Midwives
for confinements attended on or after 1st April, 1946.
The payments made by the H.S. A. and H.S.F. for the services provided
are as follows:—
Council's Maternity Home.
H.S.A.=£3 3s. 0d. per case, irrespective of the length of stay in the
Home and in full discharge of debt, including fee for services
of Obstetric Specialist and X-ray examination.
H.S.F. =£4 2s. 6d. per case, irrespective of the length of stay in the
Home and in full discharge of debt, including fee for services
of Obstetrio Specialist and X-ray examination.
East End Maternity Hospital and other Hospitals.
H.S.A.=£3 3s. 0d. per case, irrespective of the length of stay in
Hospital and in full discharge of debt.
H.S.F.=£4 2s. 6d. per case, irrespective of the length of stay in
Hospital and in full discharge of debt.
Evacuation to Emergency Maternity Homes.
H.S.A.=£3 3s. 0d. per case, irrespective of the length of stay in the
Home and in full discharge of debt. To include cost of
maintenance in Ante-Natal Hostel.
H.S.F.=£3 3s. 0d. per case, irrespective of the length of stay in the
Home and in full discharge of debt. To include cost of
maintenance in Ante-Natal Hostel.
Domiciliary Midwifery Service.
H.S.A. and H.S.F.=£1 0s. 0d. per case for attendance of Midwife and
including Ante-Natal examinations by private Doctor and any fee for the
Doctor called in by the Midwife under the Midwives Act, 1918. All patients,
irrespective as to whether or not they are members of H.S. A. or H.S.F. to
pay the current cost of the sterile maternity outfit provided by the Council.
The H.S. A. subsequently agreed to pay to the Council a fee of £1 12s. 6d.
for the services of the Domiciliary Midwives for cases attended from 1st
July, 1946.
(b) The Council also decided in June, 1946, to revise the chargesf or
the maintenance of patients in the Maternity Home and Ante-Natal Hostels
and Emergency Maternity Homes as follows:—
A reduction of 2s. per day in the daily charge on all assessments,
provided that the daily charge is not reduced below 2s. After the 14th
day, when the fees are charged at half the daily rate, the reduction to
be 1s. per day. When applied to patients admitted to the Emergency
Maternity Homes the fees to be one-half, as at present. Further, an
allowance is to be made of 10s. for the first and second living child (not
the expected child) and 5s. for the third and each subsequent child up
to the age of 16 years.
The revision applied to all patients confined on or after 1st July, 1946,
and does not affect the arrangement with regard to members of H.S.A. or
H.S.F., as mentioned above.
Training or Pupil Midwives.—As mentioned in the Report for 1944
the Home has been approved by the Central Midwives Board as a Part 1
Training School for not less than ten pupil midwives in training at one time.
38 Pupil Midwives commenced their training during 1946. 11 of these
and 13 of the 35 who commenced in 1945 passed Part 1 Examination in 1946.