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

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West Ham 1959

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

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Queen's Visitor
The Borough, being a member of the Queen's Institute of District Nursing, receives
a yearly visit from one of their Nurse Inspectors. Miss Englefield spent three days with
the nurses in February. She was satisfied with the standard of nursing care, but recommended
improvement in record keeping, so that the Superintendent could have more time to supervise
the work of the nurses in the patients, homes. It had been recognised for some time that a
simplified system of record keeping was needed and senior medical, nursing and administrative
officers are investigating the possibilities if a specially designed punch record card for
the purpose.
Staff Communication
The Health Visitor Consultative Committee had proved so successful that the Home
Nurses were asked if they would like similar consultative machinery established. They
welcomed this opportunity for regular discussions with the Medical Officer of Health, the
Senior Medical Officer and Senior Nursing Officers on all matters connected with
improvement of the service. A Committee was formed and the nurses representatives consisted
of a Queen's District Trained Nurse, an S.R.N., a S.E.A.N., and a Male Nurse.-
In-service Training
The nurses requested information about Syringomyelia as they were nursing a young
woman with this unusual but tragic condition. Dr. Plerentin, the Senior Medical Officer,
gave a talk on this subject.
It is not easy to arrange Post Certificate courses for Home Nurses, as most are
part-time married women with domestic responsibilities who find it difficult to leave the
Borough for nationally organised courses. In an effort to meet their need, it was agreed
to organise talks and demonstrations at the Centre.

Summary of Work Carried out by Home Nurses

Total Cases AttendedTotal number of Visits paidAverage Number of Visits per case
2,51678,94331.4
Q
Condition of Patients VisitedTotal CasesNew CasesTotal Visits
West HamLady RayleighTotalWest HamLady RayleighTotalWest HamLady RayleighTotal
Medical6381,1961,8344779301,40724,95433,38958,343
Surgical2661554212451293748,2226,23414,456
Tuberculosis201232129211,0744541,528
Infectious Diseases64106410633497
Maternity162181621810022122
Miscarriages41014410141193104
Other Conditions187-187136-1364,293-4,293
1,1377,3792,5168961,0841,93038,71740,22678,943
Grand Total:2,5161,98078,943