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

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Richmond upon Thames 1969

[Report of the Medical Officer of Health for Richmond]

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Local Health Authority Nursing Staff
Practice
No.
Health
Visitor
Midwife
District
Nurse
Clinic
Nurse
1.
(a)
(b)
2.
(a)
(b)
†3.
(a)
(c)
* 4.
(a)
5.
(b)
6.
(d)
7.
(b)
8.
(b)
9.
(b)
10.
(c)
11.
(c)
12.
(b)
* In this practice the doctor has two child health clinics and two health visitors are involved,
† In this practice a part-time health visitor and a full-time district nurse are attached.
(a) the health visitor attends the doctor's child welfare (child health) clinic.
(b) the midwife attends the doctor's ante-natal clinic.
(c) the district nurse calls at the surgery every day to discuss the cases she is visiting from
the practice and to receive instructions from the doctor on these particular cases.
(d) In Practice No. 6 the dlinic nurse attends the doctor's ante-natal clinic.
During the year, consequent upon one of the partners emigrating and the concentration
of the practice into one surgery, the liaison arrangement with the local authority
health visitor and midwife was, by mutual agreement, discontinued.
A valuable meeting of family doctors and local health authority staff already
working in attachment/liaison schemes and other interested family doctors was held
in November. As a result of discussion and interest shown, the Chief Nursing Officer
and the Home Nursing Superintendent made visits to a number of surgeries. It is
hoped to implement further schemes when adjustments of work permit.
As this trend and its consequences in the field of community nursing evolve, serious
consideration and review will be necessary with particular reference to the staffing.
31