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

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Waltham Forest 1965

[Report of the Medical Officer of Health for Waltham Forest]

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(v) The survey revealed that unsatisfactory lighting standards, in offices more particularly,
were more the result of lack of knowledge on the part of employers, and electrical contractors than
any deliberate attempt to evade their responsibilities.
(vi) It is felt that great benefit would be derived from a publicity campaign and a booklet
sponsored by the appropriate department of the Ministry of Labour to assist occupiers in designing
and improving lighting standards.
(vii) The recommendations of the Illuminating Engineering Society with respect to the design
of satisfactory standards in lighting and the methods to be adopted for assessing excessive direct
glare from light fittings is a complex subject, requiring some measure of specialist training; in this
connection there is a need for short courses on the subject to be arranged for the inspectorate
responsible for advising occupiers and administering the Act.
Trends in the Psychiatric Services
Mental health includes being able to adapt to changes. Will the birth pangs of the new
Borough in April 1965 prove that its Officers can adapt and go on adapting?
Changes for the individual include growth and decline; for the family, the crisis of illness,
parting or even death. The psychiatric services must aim to provide continuing help; at least to
officers of other agencies, until relatively scarce specialist help can be mobilized.
Continuing help to individuals, their families, and the agents caring for them means helping
children to develop, handicapped people to realise their full potential, and families through crisis.
It may mean intermittent help rather than lifelong contact. People in need must know who to go to,
and agents must know what special help is available.
HELP WITHIN THE HOME
Wherever possible use is made of established contacts at home.
General Practitioners and Health Visitors work together in some practices, and Health
Centres, drawing together the General Practice and Community Health sections of the Health
Service are planned.
General Practitioners are used to working with the Mental Health Section of the Health
Department, and this Section linked up with the Health Visitors even more in 1965. The Social
Welfare Section is being drawn towards co-operation with Mental Health; so, for families with
children, is the Children's Department. Officers from any of these Sections may visit any home;
so may representatives of special Hospital and Centre Teams- Psychiatric Social Workers, Welfare
workers from the Housing, Education and Ministry Departments may visit for special reasons.
Chaos follows if each worker acts independently. Meetings to plan for responsibility,
work-sharing and aims of contact must be held.
Two kinds of meeting emerge. The Administrative kind decides responsibility and worksharing
and consists of heads of Sections who bring the fieldworkers in contact with the home.
The Fieldwork kind plans aims of contact, and responsibility grows out of discussion between
fieldworkers all of whom have first hand experience of the home.
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