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Admission to the day nurseries is determined by priority categories. The standard
daily charge is 4/- or 6/6d. per day.
Accommodation:—
Castelnau, Barnes 45 children
Parkshot, Richmond 53 children
Gifford Lodge, Twickenham 40 children
Children with defects are also admitted to the day nurseries to aid their development
emotionally, physically, mentally and socially.
Welfare Foods
The Council is responsible for the distribution of welfare foods (National Dried
Milk, cod liver oil, fruit juices, etc.) supplied by the Ministry of Health.
In addition various proprietary brands of dried milk and dietary supplements are
sold at the welfare centres on the recommendation of the medical officers, health visitors
or family doctor. I gratefully acknowledge the work of all voluntary helpers.
Cervical Cytology
During the latter part of 1965, arrangements were made at the request of the
Consultant Pathologist, St. Stephen's Hospital, Chelsea, for cyto-screening for cervical
carcinoma by the laboratory of a limited number of specimens taken from women in the
Borough clinics in Richmond and Barnes, the catchment area served by the South West
Metropolitan Regional Hospital Board.
This is a pilot scheme in which women are asked to co-operate in the comparison
of smears taken in a standard way at the clinics by doctors and smears taken by themselves
at home later and despatched to the laboratory. Each woman taking part in the
scheme is issued with appropriate instruction and "do-it-yourself kits" in the form of
cytopipettes and postal containers.
First priority is being given to women in the over 35 age group. The Borough
has been allocated 20—25 specimens a month for examination at the laboratory. The
number of women attending the clinics in 1966 was 241.
In October 1966, the Ministry of Health sent a memorandum to local authorities
in which the Minister expressed the hope that local health authorities would co-operate
fully with the hospital and general practitioner services in developing screening services
on the lines indicated. Further, the Minister had approved under Section 28 of the
National Health Service Act, 1946, the making of arrangements by the Council in
obtaining cervical smears for cytological investigations by hospital authorities. At the
end of the year negotiations were proceeding with the hospital authorities for the
maximum examination facilities so that this screening service could be offered in selected
clinics throughout the Borough.
DOMICILIARY MIDWIFERY AND HOME NURSING SERVICES
Staff
1 Non-Medical Supervisor of Midwives and Home Nursing Superintendent.
1 Deputy Non-Medical Supervisor of Midwives and Home Nursing
Superintendent.
12 Full-time Midwives.
3 Part-time Midwives.
(1.25)*
3 Full-time District Nurses/Midwives.
30 Full-time District Nurses.
5 Part-time District Nurses.
(2.5)*
* equivalent whole-time.
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