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

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Tottenham 1954

[Report of the Medical Officer of Health for Tottenham]

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82
1. Che health visitor in Hornsey and one in Tottenham shall be detailed
to take over specialised work with problem families.
2. The case load for each of the two health visitors shall generally
not exceed 15 families at one time.
3. Each of the two health visitors shall be granted a car allowance at
the casual user rate.
4. These health visitors shall not have their hours of duty prescribed
because they will need to undertake evening work.
5. Financial provision to be made available so that inmediate requirements
of equipment, cleaning materials and food, not exceeding
25s.Od. per fanily, may be purchased for the family where necessary.
Duti es of the Health Visitors
The duties of the Problem Family Health Visitors will obviously vary from
case to case, but the following are set out as an example of the type of
duties which the work will entail:
1. Receive the case information which is known to the department or
forwarded to it by the Sanitary Inspector, the Health Visitor for
the District, the Probation Officer or other social worker.
2. Family difficulties. Deal first with the difficulties of the
family itself even if these difficulties are not regarded by the
reporting agency as the most urgent. By this means the Health
Visitor will get on to the right footing with the family and obtain
its confidence. Other problems connected with the family can be
dealt with afterwards.
3. Health. Make arrangements for the improving of the health of each
individual in the family. If necessary, accompany the mother or
children to the clinic, private doctor or hospital, or mind the
children while the parent goes to hospital, etc.
Put into motion the arrangements for convalescence if necessary.
4. Conditions in the home. Improve the cleanliness of the family and
home by helping the mother to do the washing and cleaning in order
to show the mother how. Encourage the father to undertake repairs
and redecorations.
5. Equipment. Help to improve the family bedding, cooking equipment
etc. by encouraging the family to buy small equipment itself and obtaining
large equipment from local charities (British Red Cross
Society or W.V.S. etc.).