View report page

building programme loan sanction from the Department of Health and Social Security was not
forthcoming and the project has therefore been deferred.
Criteria for admission to the day nurseries are as follows:
(a) the children of an unsupported mother (e.g. unmarried, widowed, divorced or separated);
(b) children whose home conditions are unsatisfactory from a health point of view;
(c) children whose mothers are incapable of caring for them adequately;
(d) handicapped children (i.e. partially, or completely deaf, maladjusted, or partially sighted).
The maximum daily charge is 38/., but only one mother was paying this amount on 31st
December, 1970. All mothers are assessed according to the Council's scale, and the charge is
made according to income.

HANDICAPPED CHILDREN IN DAY NURSERIES DURING 1970
Nineteen handicapped children were placed in the day nurseries during 1970; the categories
are shown in the accompanying table. Costs in respect of the 2 mentally handicapped children
are charged to the Social Services, and for the remainder to the Education Committee. It is important
to ensure the ratio of handicapped to normal children is low. In the case of most of the
handicapped children there are additional factors in the home backgrounds which make day
nursery attendance of great therapeutic value. For those with communication difficulties it is
important that the children should be surrounded by speech to stimulate the desire to communicate
before training in a special school is commenced.
Category (handicap) Number
Deaf or partially hearing 7
Delicate 6
Mentally handicapped (Down's Syndrome) 2
Speech defect 1
Physically handicapped 2
Epileptic 1
HOME DIALYSIS
There is increasing use of artificial kidney machines in the treatment of chronic renal failure.
This treatment was developed in hospital, but its transfer to the patient's own home carries certain
advantages. Firstly, it allows a greater number of patients to receive treatment and secondly it
reduces the risk to hospital staff of a serious virus disease which has developed in some hospital
units.
Local Health Authorities are empowered to make arrangements under Section 28 of the
National Health Service Act, 1946 for the adaptation of any dwelling or the provision of any
additional facilities which may be necessary to allow the installation of equipment for intermittent
haemodialysis for the use of a person suffering from kidney disease. Requests for adaptations to
be carried out are received from the hospital where the patient is receiving treatment and under
whose medical care the patient will continue to remain whilst undergoing home dialysis. The
hospital service is responsible for the provision and maintenance of the haemodialysis equipment
and also provides dressings, concentrated fluids and specialised medical services.
38