Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for West Ham]
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Facilities.
2—Provision of Dentures.
Extension of present Dental Scheme for mothers to provide
dentures where necessary.
Possible Methods for Provision of Facilities.
(a) Contract with a recognized firm of Dental Mechanics to undertake
the work at a flat rate per denture.
Advantages:
(1) The entire responsibility for the dentures rests with the
contracting firm or mechanic.
(2) Very little additional equipment would be required by the
Council's Dental Surgeon for this added work.
(3) All work would be undertaken at the firm's specially
appointed workshop.
This Scheme would assist and augment the present scheme
of Dental treatment for mothers (expectant and up to 6
months after confinement) : many women refuse treatment or
refuse to submit to complete and satisfactory treatment because
they know they will be unable to provide dentures.
(b) Appointment of a Dental Mechanic as one of the Maternity
and Child Welfare Staff.
Disadvantages:
Expensive both in regard to the salary and having regard to
the fact that a workshop and necessary equipment would have
to be provided.
Facilities.
3—Subsidies to Midwives.
(1) As compensation for the transfer of their patients to hospital
for confinement as a result of abnormality detected at an antenatal
clinic.
(2) Claims by midwives might be considered in respect of attendance
in the home at confinement of cases in receipt of public
assistance from whom the fee (either in part or in whole) is
irrecoverable.
(3) Subsidies might be granted in cases where the patient is
advised at the clinic to engage a doctor for attendance at confinement
owing to some abnormality, but where she is unable
to pay the fee both for a doctor and trained midwife.
Possible Methods for Provision of Facilities.
Remarks:
In both these schemes (1) and (2) the midwife would be
required to submit full details to the Medical Officer of Health
of each case for which claim for payment was made.
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