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

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West Ham 1933

[Report of the Medical Officer of Health for West Ham]

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Dr. BegleyPart of Tidal Basin, comprising a total estimated population of 19,684.
Dr. BrewsSilvertown, comprising a total estimated population of 8,256.

The following figures will show to some extent how the work of the District Medical Officers has increased:—

Number of cases seen.
19311932
Dr. Dolan1455617262
Dr. Conran1421918157
Dr. Kennedy10731322
Dr. Begley6221065
Dr. Brews820900

After reviewing the position very carefully and interviewing
both Dr. Dolan and Dr. Conran, I am of opinion that to cope
efficiently with the work of their respective districts, additional
help should be provided (this should incidentally, lead to more
persons being able to be treated in their own homes, thus relieving
to some extent the pressure on the institutional beds).
I put forward for your consideration three alternative methods
for relieving the pressure of work, namely:—
1. The appointment of one or more additional part-time
District Medical Officers.
2. The appointment of another whole-time District
Medical Officer.
3. The appointment of Assistants to Dr. Conran and Dr.
Dolan.
After very careful consideration of the whole of the factors, I
suggest the first alternative to be the best method of approach to
this problem at the present time. Both Dr. Conran's and Dr.
Dolan's districts could be reduced by this method.
Either the second or the third scheme would mean additional
surgery accommodation, and also additional dispensers and
possibly nurses.
The work of the full-time dispensers has become greater
owing to the increased number of cases dealt with, and it may be
necessary for this Committee to provide additional help in this
direction, unless the work is diminished.
Under Scheme 1 the dispensing could be carried out by the
different chemists on the prescription of the part-time District
Medical Officer; this scheme would obviate additional surgery
accommodation or the appointment of an additional dispenser.
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