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interest in practising from a health centre planned
on a site in south Hounslow. A schedule of
accommodation and a brief have been prepared
and the borough architect will shortly be
submitting a plan for this project. Subject to the
Ministry of Health's approval it is hoped to
include this project in the 1967/68 financial year.
In the Ten Year Development Programme the
following projects are planned-
Extensions to the existing clinics at Bedfont,
Hanworth and Cardinal Road Feltham to provide
accommodation for general practitioners.
The provision of health centres at Cranford,
Chiswick, Old lsleworth, Osterley, South
Chiswick and Hounslow Heath.
The provision of mini-clinics/health centres
at Heston Farm and Mogden Lane are also under
consideration.
Co-ordination and co-operation of health
department services with the hospital and family
doctor services
There is increasingly better co-operation between
the department of health and family doctors.
Liaison and attachment schemes of health
visiting, midwifery and nursing staff with the
general practitioner service are under
consideration. Schemes which are already in
operation are mentioned elsewhere in the report.
Frequent discussions took place with groups of
family doctors who were interested in working
from health centres. With the provision of these
centres it will be possible to provide a domiciliary
team co-ordinated by the family doctor. This will
greatly facilitate the working of the general
practitioner and local health authority services
for the benefit of the community.
Close co-operation continues between the
department and the staff of the hospitals in the
area.
Midwifery Section 23
The general arrangements for the domiciliary
care of maternity cases remain the same as for
1965, Heston, lsleworth and Feltham districts
being covered by the council's midwives,
Brentford and Chiswick cases undertaken by
Queen Charlotte's Hospital midwives and
planned forty-eight hour discharges in Brentford
and Chiswick being attended by a midwife
operating on our behalf from the London
Borough of Ealing. Six hundred and nineteen
domiciliary confinements were attended by the
council's midwives during the year compared with
637 during 1965 but the small reduction was more
than compensated by the 694 early hospital
discharge cases compared with 550 in the
previous year. Midwives employed by Queen
Charlotte's hospital attended ninety-two
domiciliary confinements and also the eighty-six
patients discharged from that hospital after
forty-eight hours and before the tenth day of the
puerperium.
A full establishment of midwives was
maintained throughout the year. Fourteen pupil
midwives came on to the district for training.
Of these nine were from Hillingdon hospital and
five from West Middlesex hospital training
schools.
Two midwives and Miss Taylor, deputy non
medical supervisor of midwives attended
compulsory refresher courses conducted by the
Central Midwives Board.
Co-operation with Family Doctors
The majority of the midwives attended ante-natal
clinics provided by family doctors at their own
surgeries and liaison in this field continues to be
very good and will facilitate the implementation
of attachment schemes when these are eventually
put into operation.
Emergency Obstetric Units
Units are situated at Hillingdon and West
Middlesex Hospitals. Their services were
required on three occasions during 1966.
Analgesic Apparatus
Four Entonox analgesic machines were purchased
during 1966. This is considered to be the safest
type of analgesia for midwifery purposes as the
mixture of gas is 50% nitrous oxide and 50%
oxygen. The machines proved very useful to
patients with maternal or foetal distress.
Maternity Medical Services Co-operation Card
The main purpose of this card is to ensure that
each member of the obstetric team is aware of the
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