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These two advances in Social Obstetrics are right at the heart of socio-medical
services, which enhance the preventive ideal.
It is a widely held conviction that it is in the best interests of all that the adult
subnormal resides and has his being in the community. To meet this requirement two
criteria have to be met. Firstly, occupation and social fulfilment must be available in
either a sheltered work situation or even in industry. Secondly, if the family cannot
care for him then a substitute family must be created, for example a hostel. You are in
the process of satisfying these criteria. A small temporary Adult Training Centre
opened during the year at Chestnut Avenue, East Sheen. It is envisaged that a larger,
purpose-built unit, will be required fairly soon.
The hostel for tuberculous homeless men was closed temporarily in December,
1969. You have decided that the hostel should re-open for the needs of the adult
subnormal.
Miss G. M. Francis, Chief Nursing Officer, retired at the end of 1968 to take up
an appointment in the nursing publishing field. Her acumen and knowledge in the
sphere of health visiting is nationally recognised. We wish her well in her endeavours.
In accordance with paragraph 5(1 )d, Circular 1/70, it is noted you resolved that
the Council adhere to their previous decision that they are not in favour of the fluoridation
of water supplies and the Secretary of State be informed accordingly.
Grateful acknowledgment is made to the following for their co-operation and
collaboration in the field of community medicine pertaining to, and in the service of,
the residents of Richmond upon Thames: —
The family doctors;
All hospital staff;
All voluntary organisations;
The Chief Officers.
The staff of the health department have worked with diligence. I would especially
thank Dr. Marguerite James, Mr. E. S. Herbert, and Mr. H. J. Pugh.
I conclude by thanking the Social Services and Education Committees, and the
respective Chairmen involved, for their encouragement.
I am,
Yours respectfully,
A. M. NELSON,
Medical Officer of Health and
Principal School Medical Officer.
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