View report page

Smallpox Hospital
Joyce Green Hospital
Dartford Kent
Tel: 01-32 23231
(Admission to this hospital should be arranged through the
Medical Officer of Health)
Tel: 01-570 7715
Cases Admitted
Approximate no. of
available staffed beds
Middlesex Executive Council after transfer home for a minimum of ten days after the
conclusion of labour.
This body is responsible for the provision under the
National Health Service Act of the general practitioner. The totals for the year are as follows:-
dental (other than local health authority provision for
expectant and nursing mothers, young children and school domiciliary confinements 286: 48-hour discharges 753:
children) pharmaceutical and supplementary opthalmic early discharges 344: "Domino" confinements 57:
services. The headquarters of the council are at International
Life House, Olympic Way, Wembley, Middlesex: The training of student midwives continued and lectures
Tel: 01-902 8891 on community care were arranged every three months
alternately by this authority and the London Borough of
Ambulance Service Richmond. Students came from Hillingdon, Queen
Charlotte's and West Middlesex Hospitals.
The borough is included in the area of the Greater London
Council Ambulance Service. Provision is made for the Health Visiting
conveyance of sick, accident and emergency cases.
Tel: 01-204 0251 The scheme of attachment of health visitors to family
doctors continues to develop, very successfully in some
Health Centres instances, less so in others. Attachment requires a higher
staff ratio to permit the health visitor to extend this role as
The Hounslow Health Centre which was completed in 1970 well as to continue her routine preventive work,
was officially opened by the Rt. Hon. Sir Keith Joseph Although the Social Services Department was established
Bt., M.P., Secretary of State for Social Services on 1st on 1st April the health visitor has continued to work in
April, 1971. The centre, which is linked with the existing depth with some families whom she knows well. Close
health department building includes a family doctor unit liason with the Social Services Department has taken place
for twelve doctors, a child guidance unit and a day centre over individual cases and meetings of a multi-disciplinary
for those recovering from mental illness. nature, including general practitioners, have proved of
The Maswell Park Health Centre for three family doctors value both in staff getting to know one another and giving a
and local health authority services which was completed in lead to a more integrated service to the public.
1970 was officially opened by Sir Alan Marre, K.C.B., In the complex society of today the health visitor's role
Parliamentary Commissioner for Administration on 30th in prevention continues to remain of prime importance.
April, 1971. She is trained to detect deviation from the norm in mental.
Health Centres are also in operation at Brentford, psychological and social fields and is still giving much suppor
Feltham and Heston and our five centres now provide to problem families. Her field of work now extends from
accommodation for 25 family doctors and cover some birth to old age.
70,000 of our 206,650 population. Participation in research such as the Obstetric/Child
Three further centres are being planned - at Chiswick, Health Project and the Infective Hepatitis Survey has
Cardinal Road Feltham and Old Isleworth. opened up interesting aspects of work for the health visitor
Frequent discussions have taken place with groups of Health education in schools has been requested by
family doctors practising from health centres and also with several head teachers and health visitors have welcomed the
those who are interested in working from such centres. opportunities presented. Arising from contact with school
children informal counselling has been undertaken.
Midwifery The clinic/school nurse continues to fill a very important
supportive role to the health visitor and in order to make
During the year there were 280 domiciliary confinements, her role more interesting 'attachment' to certain schools in
680 48-hour discharges and 309 early discharges. In the borough has been attempted thus enabling her to know
addition midwives from Queen Charlotte's Hospital children and teachers better.
attended 6 domiciliary confinements, 73 48-hour However staff shortages has prevented the objectives
discharges and 35 early discharges within the borough. from being fully realised. Some home visits have also been
The Domino scheme initiated with West Middlesex Hospital undertaken by school nurses following up failed appoint-
in 1970 continued to expand. Under this scheme the ments and arising from hygiene inspections in schools.
department's domiciliary midwives conduct confinements
of selected patients in hospital and continue to attend them
24