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64
There were two deaths ol infants during the first year of life from the
following causes:-
Atelectasis associated with patent inter-ventricular septum, aged
2 days.
(iastro-enteritis, aged 3 months.
A notification was received that it was proposed to substitute artificial
feeding in respect of one infant owing to puerperal pyrexia of the mother.
In March 1947, the Council decided to extend the facilities for the acceptance
of vouchers from eligible members of the U.S.A. and H.S.F. to cover
the cost of the services of cases attended by the Salvation Army midwives,
including ante-natal examinations by the private Doctor and any fee for a
Doctor called in by the midwives under the Midwives Act, 1918. The arrangement,
as mentioned below, which became operative in respect of all cases
confined on or after 1st July 1947, also covered the payment of a grant to the
Salvation Army for each case attended to meet the increased costs of their
services.
Charges made to patients:-
Midwife (primipara) £2 10 0 per case
(multipara) £2 0 0 ,, ,,
Maternity Nurse
(primipara and multipara) £2 0 0,,
Patients who are covered by H.S.A. or H.S.F. vouchers—no charge.
Where a case is covered by U.S.A. or H.S.F. voucher the Salvation Army
collect the voucher as soon as possible after the case is booked and forward the
same to the Borough Treasurer.
The Council pay to the Salvation Army in respect of all cases the
following sums:-
(1) Cases not covered by H.S.A. or H.S.F. vouchers, whether
attended as midwife, primipara or multipara, or as maternity
nurse (primipara and multipara) £1
(2) Cases for which the H.S.A. or H.S.F. accept responsibility.
(a) Midwife (primipara) £3 10 0 per case
(b) ,, (multipara) £'3 0 0,, ,,
(c) Maternity Nurse (primipara and
multipara) ;£3 0 0 ,, ,,
In these cases the Council recover the value of the voucher from the
U.S.A. or H.S.F.
Ilotne and Domestic Helps.—The service inaugurated in October 1946, as
mentioned in my Report for 1946, continued during the year.
The scheme steadily progressed throughout 1947 and at the end of the
year 45 Home and Domestic Helps, either full-time or part-time, were
employed. The following is a summary of the cases dealt with during 1947:-
(a) Number of applications received for assistance 480
(b) Number for whom Home or Domestic Helps were
vided (including 10 who were having the service at
the commencement of the year) 341
(c) Number of cases which on investigation were either not
eligible for assistance or did not require the service 110
(d) Number of cases where Home Help is required in future
months 26
(e) Enquiries incomplete 3
During the year, the Council decided to pay a retaining fee of 5/- per week
to those Home or Domestic Helps who are available for full-time emplovment,
and also to grant a maximum of 12 working days' leave per annum with pay,
or one day after one month's service, to all the Home and Domestic Helps, such
leave to be proportionate to the average number of hours employed weekly
during the 3 months immediately prior to such leave.