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Hospital removal declined, and family doctor agreed to trial of
home nursing and payment of other tenant as a domestic help. A
second-hand mattress was supplied. In July, the domestic help
arrangement ceased since the help was not well enough and her
child had contracted scarlet fever. By then the patient had improved,
but there was still some urinary incontinence. A new domestic
help was arranged.
Case (5).—Male, aged 82 years, reported 20th November. Had
been in receipt of domestic help since 1951, but difficulty in arranging
continuing help because of patient's habits. Patient reported
to be falling about and on visiting, the position was explained and
voluntary entry to hospital suggested, rather than the possibility
of compulsory removal. Patient admitted to Langthorne Hospital
on 30th November and discharged by agreement on the 18th
December. Patient worsened at the end of January, 1954, and
reconsideration given to need for compulsory removal, since patient
obstinately refused to enter hospital voluntarily.
National Assistance (Amendment) Act, 1951.
The Medical Officer of Health is authorised by the Council to
make application for the necessary orders in cases to which the
Act applies.

There were no refusals or appeals.
Three inspections of each home were made by the medical
staff. No difficulties in regard to supervision arose.
Routine enquiries are made with regard to unregistered homes.
9. Essex County Council, Act, 1933 (Establishments for massage
and special treatment).
No new licences were granted under the Act during the year.