ids stringlengths 36 36 | texts stringlengths 1 1.43k |
|---|---|
82dfa892-f23c-4c2f-aab1-39fb98d7da60 | The Elderly Community Services are provided at a number of Centres throughout the Borough. 82 Claremont Clinic A Day Centre for 15 elderly people commenced activities during the year. The Centre functions on Tuesday and Thursday of each week enabling housebound elderly people to be collected from their homes, and enjoy the facilities at the Centre. Health Visitors have given support to the venture which has proved most successful. Etchingham Park Centre, Finchley The popularity of this Centre continues. Day care is provided for 15 elderly houseboundpersons, enabling the members of their families, who normally care for them, to follow their own occupations. A Work Centre, catering for 35 active elderly persons, also operates and adds to the value of the service provided. Finchley Work Centre This Centre is organised by the Finchley Guild of Social Service and provides a most worthwhile and interesting service for elderly persons in the East Finchley area. |
44cdac53-6502-4777-8882-d22c7ee51b80 | Meals on Wheels The service in the Borough continues to be organised by the Women's Royal Voluntary Service and 53,670 meals were delivered during the year. Not all parts of the Borough receive a five-day service but there has been an increase in the number of meals provided since last year, and the ultimate aim is a daily service in all areas of the Borough. Luncheon Clubs operated by the Women's Royal Voluntary Services and other associations, play an important and supportive role in caring for the needs of the elderly. During the year a total of 14,935 meals were served in different areas of the Borough. In addition, Social Welfare Officers continue to play a large part, and with other Officers of the Department and those of voluntary bodies, advise on the wide range of available activities and services. |
fcf3b527-62df-4e7e-9370-956f87471c9e | Services for the Blind, Deaf and Physically Handicapped Blind and Partially-Sighted Persons The total number of persons registered at the 31st December 1968 was made up as follows:— 83 Eight of the registered blind persons are employed in sheltered conditions in Workshops for the blind, and an equal number of Blind Homeworkers are engaged in occupations ranging from physiotherapy to knitting. It is pleasing to report that 71 persons were employed under ordinary conditions in occupations such as telephone operators. A total of 22 males and 48 females were added to the Blind Register during the year. Qualified Social Welfare Officers for the Blind are employed to promote their general social welfare, arrange occupational and recreational facilities and ensure that those able to benefit from training and rehabilitation, are given the opportunity to do so. The partially-sighted register totals 162 persons. Handicraft classes for the blind and partially-sighted are held in different parts of the Borough each week. |
7529721f-9872-4dda-b5e0-b7a1987f2569 | Dancing and Cookery classes form a feature of other activities. Forty-seven persons participated in the Council's Assisted Holiday Scheme. The Deaf and Hard of Hearing The Welfare Officer for the Deaf undertakes case work on behalf of persons registered Deaf and /or Hard of Hearing and advises other Social Workers of their special problems with which he has knowledge. Contact is maintained with the "Hard of Hearing" Groups at Barnet and Hendon which continue to flourish under active leadership. Physically Handicapped Persons This group of persons includes spastics, epileptics, sufferers from multiple sclerosis, muscular dystrophy, arthritis, poliomyelitis and other permanent disabilities. |
1b26a4b5-b02f-424f-bcdf-73400e26fc7c | The number on the Council's Register of Physically Handicapped Persons at 31st December 1968 was 1,451 — when split into age groups the following figures emerge:— Under 16 years of age 16 Aged 16 years to 64 years 550 Aged 65 years and over 885 84 1,451 Male Female Total Under 5 years of age - - - Aged 5 to 15 years 9 7 16 Aged 16 to 20 years 4 5 9 Aged 21 to 64 years 86 84 170 Aged 65 years and over 135 346 481 234 442 676 The Work Centre at Heriot Road continues to operate successfully, attendance of up to 30 persons daily is maintained. The output of work has increased to the benefit of those attending. |
6c36bae8-2f77-42dc-aeef-b98511b1774e | The new Rehabilitation Centre at Deansbrook Road, Edgware, was opened during the year and is providing a useful service for the physically handicapped. At the moment approximately 30 persons attend the Centre daily, most of whom are conveyed by Council transport. The British Red Cross Society operates weekly craft classes at Edgware, Hendon, Finchley and High Barnet. During school term a choral class is held in North Finchley. Transport to these classes is provided by means of the Council's specially-adapted vehicles. During the year 135 persons availed themselves of the Council's Assisted Holiday Scheme for the physically-handicapped. Social Welfare Officers visit the physically handicapped frequently and offer advice and guidance on the many problems of these persons. The case work undertaken by these Officers provides intensive support for the physically handicapped of the Borough. |
267cfcd5-1593-4a1b-a2c1-a8b31671b356 | During the year 460 aids to daily living were issued on free loan and 93 adaptations effected to the properties of those who need assistance to maintain independence at home. Miscellaneous The Council has a duty to protect the movable property of persons admitted to hospital, residential or other accommodation under order of the Court where there appears danger of loss or damage to such property. Action was taken in five cases during the year. The Department accepts gift furniture which is distributed to persons in need and is particularly useful in assisting families rehoused from the Homeless Families Units. Voluntary Organisations The valuable contributions made by the many voluntary organisations with the Borough is much appreciated; all are concerned with the well-being of those who need support in the Community. The Council is continuing its policy of assisting these organisations in their work by means of financial and other support where needed. |
64ce8497-1df7-4d2f-bc9a-9f73c6afd470 | 85 PERSONAL HEALTH SERVICES PERSONAL HEALTH SERVICES Existing Clinic Provision Full information in respect of the Council's clinics and the key to the services provided, is set out in a table to be found on page 108. Co-ordination and Co-operation with Hospital and General Practitioner Services All midwives are attached to General Practitioner/Obstetricians and during the year General Practitioners were approached and discussed the possible attachment and allocation of health visitors and home nurses to their group practices and partnerships. Doctors in a group of four Practices led the way by having a health visitor in their premises and from the knowledge and experience gained in this situation a relationship was built up in many other parts of the Borough. It was rewarding to find, when introducing home nurses to the General Practitioners, how often the Practitioners showed an eagerness to also have a health visitor attached as soon as possible. |
d5f72d89-6fb4-4f84-91a1-ef3f25b85686 | By 1st October, after careful preparation, all home nurses were attached, and this closer association has led to the more effective use of staff. Student visitors from the Bamet General, Edgware General, Harperbury and Middlesex Hospitals were welcomed to observe health and welfare services. A closer link with Harperbury Hospital was gained, as student nurses were given lectures on community care of the handicapped and were able to visit some of the families of these patients. The attendance of staff at the Paediatric Units at Edgware General and Bamet General Hospitals has proved invaluable. One health visitor spends one morning a week at the Premature Baby Unit, Maternity Unit and Children's Ward at Barnet General Hospital. Another health visitor attends the Ante-Natal Unit at Edgware General Hospital once weekly. These visits help the staff to know their hospital colleagues better and give a more complete service to the family. |
1c743984-7408-4ecc-9c9f-b33a511e6d0f | The liaison with Edgware General Hospital, Geriatric Department, is now well established and is clearly appreciated by that Department, health visitors and patients. Health Visiting Some aspects of the health visitor's work began to change. The family unit was benefitting from her wider knowledge gained through a close working relationship with General Practitioners, and age groups not previously well known to the health visitor were rapidly constituting an important part of her work. Consultation, and group work with young mothers were replacing the routine weighing sessions in Child Welfare Clinics. 89 Health visitors continued to form discussion groups with mothers of young children, and mothercraft and relaxation classes provided a valuable link with ante-natal mothers. Fathers were included where some health visitors were able to hold\further discussions in the evenings. During the year, child care students spent two or three days at a time with health visitors, observing their work. Home Visiting Cases First Effective Total Effective No. |
1744e999-c0a2-4028-886d-5faa890244dc | Access Visits at request of G.P. or Hospital Expectant Mothers 1073 1765 404 - Children born in: 1968 4783 10864 2760 - 1967 4744 9706 2024 - 1963 - 66 7239 14726 2838 — Persons aged 65 or over 2180 5896 835 1030 Mentally disordered 182 570 95 89 Persons discharged from hospital (other than mental hospitals) 315 394 49 271 Households — Tuberculous 282 533 202 - Households — other infectious diseases 70 89 19 - Other visits as Health Visitors 1218 2681 286 - Total as Health Visitor - 47224 9512 1390 Cases seen as School Nurse - 1863 428 - Prevention of Homelessness - (Problem Families) Two Family Case Workers continued to carry out intensive case work with problem families. |
a82001ef-03db-4cdc-a15e-547dd4c7e882 | Families at risk of homelessness were successfully helped and those re-housed from temporary accommodation by the Borough Housing Officer under the Council's scheme were given support by social workers of the Department. 90 Care of Mothers and Young Children Notification of Births Number of births in the London Borough of Barnet during 1968 as adjusted by inward and outward transfers:- (i) Live Births (a) Domiciliary 316 (b) Institutional 3944 4260 (ii) Still Births (a) Domiciliary — (b) Institutional 40 40 4300 Ante-Natal and Post-Natal Clinics Ante-Natal and post-natal clinics are provided at 11 clinics and the following tables show the numbers of ante-natal, post-natal, relaxation and mothercraft clinic sessions held Ante-Natal Clinics (Combined with Post-Natal) Clinics No. of sessions held Total No. |
58d4f62d-d1ca-481f-9b41-ff4a3c6441c8 | of Attendances Average attendance per session Ante-Natal Post-Natal Oak Lane 49 217 19 4.8 Torrington 48 235 23 5.4 Central Hendon 30 122 2 4.1 Childs Hill 44 164 — 3.7 Mill Hill 49 314 9 6.6 Watling 24 46 1 2.0 West Hendon 50 602 — 12.0 Holly Park 47 63 10 1.6 Oakleigh Road 51 10 - 0.2 Edgware 46 152 1 3.3 Sutton Road 52 306 15 6.2 TOTALS 490 2231 80 4.7 91 Attendance at combined Mothercraft and Relaxation Clinics Combined Mothercraft and Relaxation No. of Sessions Held Total No. of Attendances Average Attendance per session Oakleigh Road 47 97 2. |
771f3134-042b-4dd7-bf30-369183df0e69 | 1 Mill Hill 43 417 9.7 Chi Ids Hill 36 91 2.9 Edgware 53 221 4.2 Watling 16 54 3.4 West Hendon 36 188 5.2 Central Hendon 46 195 4.2 Oak Lane 39 103 2.6 Torrington 94 652 6.9 Sutton Road 40 57 1.4 East Barnet 10 46 4.6 Vale Drive 38 272 7.2 Broadfields 4 11 2.8 TOTAL 502 2404 4.8 Congenital Malformations From January 1964 information has been collected about congenital defects by local health authorities and since that time 261 cases of malformation have been notified in respect of children born to parents normally resident within the area of the London Borough of Barnet. A classified breakdown of this figure is given below. |
9fbf70e7-281b-4dc9-b0ad-f37ed6f6ffda | The names of all children suffering from congenital malformation are added to the Observation Register to ensure that they are examined at the appropriate time and that treatment is given where required. 92 Defect Number of cases Central Nervous System Anencephalus 10 Hydrocephalus 10 Other specified malformations of brain or spinal cord 2 Spina bifida 10 32 Eye and Ear Accessory auricle 1 1 Alimentary System Cleft lip 23 Cleft palate 9 Hiatus hernia 1 Tracheo-oesophageal fistula 1 Rectal and anal atresia 3 Other specified malformations of intestinal tract 2 39 Heart and Great Vessels Specified malformations of heart and great vessels 3 3 Respiratory System Malformations of nose 1 Other specified malformations of respiratory system 1 Unspecified malformations of respiratory system 1 3 Urino-Genital System Extrophy of bladder 14 Malformations of male |
a68cb5da-7872-43c4-81ac-b0892c78aec5 | external genitalia 4 Malformations of female vagina and external genitalia 2 20 Limbs Polydactyly 1 93 Limbs — continued Syndactyly 2 Reduction deformity hand or arm 1 Reduction deformity leg or foot 21 Unspecified reduction of limbs 6 Talipes 11 Congenital dislocation of hip 81 Unspecified malformations of upper limb or shoulder 1 Unspecified malformations of leg or pelvis 7 Unspecified limb malformations 2 133 Other Parts of Musculoskeletal System Other malformations of musculoskeletal system (including congenital hernias) 1 Malformations of skull or face bones 6 Malformations of spine— scoliosis curvature — lordosis, not otherwise stated 3 Chondrodystrophy 1 11 Other Systems Branchial cleft, cyst or fistula; |
4c0ba734-574e-4a72-86d0-8b2a41234b14 | pre-auricular sinus 1 Other malformations of face and neck 4 Other unspecified malformations of muscles, skin and fascia 1 Pigmented naevus 1 7 Other Malformations Conjoined twins 1 Down's syndrome (mongolism) 8 Multiple congenital malformations not specified 3 12 261 * * Of this number 28 had multiple defects 94 Child Welfare Centres The following table shows the sessions held and attendances at each of the Child Welfare clinics: Clinics No. of Sessions Total Attendance Average Attendance No. of cases seen by A.M.O. No. |
2ff4b055-c0a9-497c-8b77-29352e902de9 | of cases referred elsewhere Infant Welfare Sessions Claremont 50 993 19.9 454 9 Colindale 50 2064 41.3 717 _ Edgware 100 2969 29.7 1048 2 Broadfie Ids 54 2333 43.2 796 _ Watling 82 1179 14.4 484 — Central Hendon 151 4684 31.0 2111 6 West Hendon 103 2515 24.4 913 8 Childs Hill 102 4661 45.7 1857 1 St. |
7b5cc9bb-d110-46c1-8703-d419569bef56 | Barnabas 53 2194 41.4 660 18 Holders Hill 34 981 28.9 437 7 Mill Hill 102 3083 30.2 1356 — Sanders Lane 25 793 31.7 309 _ Torrington 102 3748 36.7 1334 _ Oak Lane 154 3729 24.2 1838 5 Essex Park 7 257 36.7 88 _ Etchingham Park 97 2938 30.3 1152 — Oakleigh Road 55 1791 32.6 733 — Holly Park 52 1391 23.9 773 — Sutton Road 52 2013 38.7 848 - St. Marks 11 262 23.7 145 1 St. |
bfc025a5-f5df-41b9-8115-59206fb9fc41 | Stephens 50 1477 29.5 664 5 Osidge 153 4086 26.7 1571 3 Quaker Hall 17 209 12.3 70 2 Vale Drive 51 1263 24.6 766 14 East Barnet 100 3163 31.6 1484 6 Dollisfield 23 477 20.7 254 10 Sessions without a doctor Dollisfield 27 300 11.1 _ — Holly Park 33 227 6.9 _ — Inglis Barracks 49 1063 21.7 — — Oak Lane - - - - - Holders Hill 10 306 30.6 _ — St. Barnabas 51 722 14.2 _ — St. |
e314ef33-7e3a-470c-b39d-99d468af46e0 | Marks 13 339 26.1 — — Sanders Lane 25 524 20.9 _ — Mill Hill 3 53 17.7 - - Vale Drive 2 16 8.0 _ — St. |
8a71c2b0-dfd8-4617-b9fa-87f2409db722 | Stephens 1 20 20.0 — — Central Hendon 1 83 11.6 - - Toddlers Sessions Sutton Road 1 13 13.0 13 — Watling 5 49 9.8 49 — Oak Lane 39 538 13.8 451 Claremont 1 21 21.0 13 — Holly Park 2 22 11.0 22 — Oakleigh Road 2 12 6.0 12 - Developmental Clinics Broadfie Ids 5 38 7.6 38 — Mill Hill 5 69 J3.8 55 - Holly Park 3 4 1 .3 18 — East Barnet 3 _ — 8 — St. |
00b561a2-e822-4bb9-9208-ffbe16ebc804 | Barnabas 42 321 7.6 435 - Childs Hill 14 55 3.9 85 — Vale Drive 9 16 1.8 22 - Oakleigh Road 1 10 10 0 10 - TOTALS 2177 60074 27.6 24093 97 95 Number of children who attended during 1968 Born in 1968 3851 Bom in 1967 3581 Born in 1963/66 4485 11917 Mothers Discussion Groups Discussion groups were in operation at the end of the year at the Vale Drive, Torrington Park, Brunswick Park (Osidge), Mill Hill and Childs Hill Clinics. Midwifery The trend towards hospital confinements has increased with a marked decrease in domiciliary confinements. The number of home deliveries conducted by the domiciliary midwives was 316 and medical aid was summoned in 22 cases. |
6c3b549f-a1cf-4bb2-8097-c39435aa2d49 | Apart from these deliveries there were 520 early discharges from hospital on a planned scheme and assessments were made in all cases prior to confinement and early discharge, by midwives employed especially for this work. Pupil midwives from Edgware General and Bushey Maternity Hospitals received their Part II district training under the Department's approved midwifery teachers. Six pupils resided with midwives and the remainder were accommodated at the Nurses Home, Gervase Road, Edgware, in the charge of a Senior Midwife. This Home was modernized during the year — hand basins were put in four of the six bedrooms, a large kitchen was provided and central heating installed. Difficulty had been experienced in obtaining private accommodation for pupils in training. Arrangements were made for 4 midwives to attend statutory refresher courses. All "Trilene" machines were replaced by "Entonox" machines in accordance with Department of Health and Social Security policy. |
b7cba0a2-6a2c-41f4-b7f7-c5986b212aa8 | Home Nursing During the year four Senior Home Nurses were appointed and home nurses were divided into four groups. The employment of nursing auxiliaries to blanket bath patients showed, over a nine month period, a considerable saving in skilled home nursing time, and eight nursing auxiliaries were appointed to fill home nurse vacancies. The Senior Home Nurse introduces new staff, supports other staff, is responsible for the supervision and work load of the nursing auxiliaries and is given other minor administrative duties to gain experience and provide a career structure for this service. 96 No. of cases nursed 3801 No. of patients under 5 at first visit 93 No. of patients 65 or over at first visit 2604 Marie Curie Memorial Foundation This voluntary society, for which the Authority acts as agent, has provided 13 terminal cases with night nursing service to assist relatives in caring for them. |
52928482-1c11-4dc6-80a0-3fb8dd34a89e | Loan of Nursing Equipment The British Red Cross Society continues to act as agent of the Authority in providing for the loan of nursing equipment apart from large items, such as hoists, special beds and ripple mattresses, which are purchased or hired by the Authority. A small loan charge is collected by the Society towards the replacement of equipment, except in hardship cases where the charge is paid by the Council. Incontinence Pads and Clothing In suitable cases recommended by General Practitioners or home nurses, the free provision of incontinence pads and clothing helps greatly where patients are being nursed at home by relatives. Pads and clothing are available at all main clinics; 85,200 pads were issued during the year and 580 waterproof pants and linings. Home Help Service A syllabus has been drawn up for a course of training at the Barnet College of Further Education which suitable home helps will attend on a day release basis. It is hoped that the scheme will be in operation by September next year. |
4f59f4d8-92f8-4900-adc1-6c7f4aec4a08 | Recruitment improved during the year, although it still did not reach a satisfactory level. In seeking the services of suitable staff the Authority is at a disadvantage in having to compete against the higher rates of pay offered by private employers. The following shows the type of assistance given during the year:— Number of cases Aged 65 or over on first visit during year Age under 65 in 1968 Total Chronic sick or Tuberculosis Mentally Dis ordered Maternity Others 1575 150 18 109 549 2401 97 Neighbourly Help Service 51 Neighbourly helps were employed at the end of the year and were providing assistance to 51 households. Day Nurseries During the year the three day nurseries remained adequately staffed, for although there was a considerable turnover of staff, replacements were obtained without difficulty. The 165 approved places were filled with children in the priority categories. |
529c8bd1-ff7c-4402-90d3-7739ebe8bae8 | In a few cases, where it was considered to be beneficial, the children of families at risk of homelessness were admitted for temporary periods, free of charge. Day Nursery No. of approved places Children on Register at 31st December 1968 Attendances for the year Average daily attendances 0-2 2-5 0-2 2-5 York Park 60 9 47 2769 8757 45.2 Kingswood 50 6 47 2078 8779 42.6 Wood Street 55 12 38 2183 8442 41.7 TOTALS 165 27 132 7030 25978 129.5 Nursery Nurses Training Negotiations continued with the Department of Health and Social Security and the Nursery Nurses Examination Board regarding the introduction of a nursery nurse training course at Barnet College of Further Education, and this course commenced in September. |
3b96b8df-28bd-4c47-84c9-c1aa51ff4a10 | A total of 26 college based students were selected for the first year of training and the Health and Welfare Department was asked to nominate a representative for the Selection Panel. Lectures on health aspects were covered by two members of the Department. Private Day Nurseries and Registered Child Minders The number of applications for registration continued to grow steadily throughout the year and from November, in accordance with the Health Services and Public Health Act, 1968, applications for the registration of child minders receiving one or two children were considered. 98 Clinics for the Elderly A total of 55 sessions were held at West Hendon and Watling (Edgware) clinics and 1201 attendances made. Chiropody As I pointed out in previous Annual Reports, there is an ever-increasing demand for chiropody treatment and, whilst the Council's directly operated scheme continues to expand, the inability to recruit sufficient staff militates against this being as effective a service as is needed. |
99e8e992-f8ba-42b7-adf4-5456a483d9ba | It is hoped that with an increase in the Council's staff establishment and subject to chiropodists being available, it will be possible to provide a directly operated chiropody scheme in the areas of the Borough where the Hertfordshire County Council's scheme of treatment by chiropodists in private practice or domiciliary visits still continues. The chiropody service is supplemented by work undertaken on behalf of the Authority by various voluntary bodies and this has proved to be a valuable adjunct to the Council's directly operated service. |
0a783af7-9ad2-4ad3-8a7e-7627633a1262 | Category Persons provided with Treatment Directly by the Authority (including those treated by private chiropodists on behalf of the Authority) Through arrangements with Voluntary Organisations Elderly persons Physically handicapped Expectant and Nursing Mothers School children Children under 5 years TOTALS 2837 25 10 18 2 2892 790 790 Recuperative Holiday Homes Recommendations for holidays were received from General Practitioners, Hospitals and medical staff of the Department and during the year 82 persons were admitted to recuperative holiday homes. There were also 36 applications approved but later withdrawn. Registration of Nursing Homes The 16 Nursing Homes, named below, are registered with the Borough in accordance 99 with the provisions of the Public Health Act, 1936, the Nursing Homes Act, 1963 and Part 3 of the Mental Health Act, 1959 and were regularly inspected during the year. Name and Address No. of Beds St. |
7d4856c5-afb5-4daf-a06b-8d629ada3249 | Mary's Maternity & Medical Nursing Home, 5 Maternity 46 Sunny Gardens Road, N.W.4. 6 Surgical/Medical/Chronic Brent Nursing Home, 4-6 Heather Gardens, N.W.ll. 32 Medical/Chronic "Cartref", 196 Watford Way, N.W.4. 2 Chronic Edgware Nursing Home, 36—38 Orchard Drive, Edgware. 13 Medical/Chronic "Clovelly", 81 Torrington Park, N.12. 14 Medical/Chronic Arkley Lawn Nursing Home, Arkley, Barnet, Herts. 26 Medical/Chronic Ellern Mede Nursing Home, Totteridge Common, N.20. 34 Chronic Preston Lodge Nursing Home, 38 Station Road, New Barnet, Herts. 16 Medical/Chronic Braeside House Nursing Home, 76 Park Road, New Barnet, Herts. |
16f488e6-506d-441e-b18a-153e5ce3794a | 9 Medical/Chronic Highwood House Nursing Home, Highwood Hill, Mill Hill, N.W.7. 21 Medical/Chronic Bedford House, Hammers Lane, Mill Hill, N.W.7. 23 Chronic Convent of St. Mary at the Cross, Hale Lane, Edgware. 48 Incurable Orthopaedic (Female) Manor House Hospital, (The Industrial Orthopaedic Society) North End Road, N.W.ll. 139 Medical/Chronic Stuart House, 66 West Heath Road, N.W.3. 8 Chronic The National Kidney Centre, 1 Fairholme Gardens, N.3. 3 Northumberland House Mental Nursing Home, 237 Ballards Lane, N.3. 30 Mental 100 Nurses' Agencies The four nurses' agencies: Harley Nurses, Rupert House, Stonegrove, Edgware. The Hertford Nurses Bureau, 45 Manor Road, Barnet. |
e9c0a09a-61ad-4571-ba2f-ce26650913a7 | The Finchley Nurses Co-operation, 24 Eton Avenue, N.12. Nul-Sal Agency, 335 Long Lane, N.2. were inspected during the year and their licences renewed. Priority Dental Services The number of expectant and nursing mothers and children under 5 years of age receiving dental treatment at clinics continued to decline due to the greater number of patients seeking free treatment from their own private dental practitioners. Attendances and Treatment Children under 5 Expectant and Nursing Mothers First Visit 643 117 Subsequent Visits 763 214 Total Visits 1406 331 Number of additional courses of treatment commenced 27 9 Treatment Provided: Number of fillings 1175 236 Teeth filled 995 209 Teeth extracted 211 53 General Anaesthetics 104 1 Emergency visits 40 20 Patients X-rayed 6 32 Patients treated by scaling etc. |
b7e55ae2-276b-49c3-b833-9cd8bf0eb592 | 26 120 Teeth otherwise conserved 348 _ Teeth root filled _ 1 Inlays/Crowns — 1 Number of courses of treatment completed during the year 353 54 Prosthetics Patients supplied with full upper or full lower (first time) 9 Patients supplied with other dentures 28 Number of dentures supplied 37 101 Anaesthetics General anaesthetics administered by Dental Officers 3 Inspections: Children under 5 Expectant and Nursing Mothers Number of patients given first inspections 573 82 Number of patients who required treatment 297 66 Number of patients who were offered treatment 297 66 Number of Dental Officers sessions devoted to maternity and child welfare patients 212 T uberculosis The Borough is served by two chest clinics, i.e. Edgware Chest Clinic (attached to Edgware General Hospital) Chest Physician — Dr. H.J. Trenchard, and Barnet Chest Clinic (attached to Barnet General Hospital) Chest Physician — Dr. J.G. |
6562fe67-2c3e-49e2-aa4f-62780bae8160 | Hounslow. The Department's health visitors and T.B. visitors continued to carry out social visiting and act as liaison between the patients and the Chest Physicians. 1. Number of cases of tuberculosis under treatment or supervision at 31st, December, 1968:— Respiratory N on-Re spiratory Men Women Children Total Men Women Children Total 1800 1342 183 3325 64 77 6 147 2. |
a8e15b05-f139-460e-908f-d8c2c0af7d5a | Number of cases of respiratory tuberculosis (whether notified or not) included under Section 1 above which were new to the clinics (but excluding transfers from other clinics) during the year ended 31st December, 1968:— * Classification Non-Bacteriologically Confirmed Bacteriologically Confirmed Men Women Children Total Men Women Children Total Group I 25 21 91 0 137 10 6 - 16 Group II 10 3 - 13 12 4 - 16 Group III 5 2 1 8 10 3 1 14 Totals 40 26 92 0 158 32 13 1 46 0Includes 82 school children found tuberculin positive under school scheme and who had not previously received B.C.G. 102 3. |
dc0dbca5-902b-4214-8ecc-bd1b819286af | Number of cases of non-respiratory tuberculosis included in 1 above, new to the clinics (but excluding transfers from other clinics) during the year ended 31st December, 1968:— Men Women Children Total 8 14 3 25 4. Number of cases included in I above, whose broncho-pulmonary secretion was positive during the year — 51 * The three sub-divisions of new respiratory cases are estimated as follows from the standard P.A. film. Group I Total area of disease not exceeding one third of one lung in aggregate. Group II Total area of disease not exceeding two thirds of one lung in aggregate. Group III Total area of disease exceeding (including miliary disease) two thirds of one lung in aggregate. |
9abd35f0-d535-404a-86dc-002dcfeb4623 | Tuberculosis pleural effusions, pleural thickening, lung involvement and enlarged hilar glands are placed in Group I. The Care of the Unsupported Mother The Authority has one Mother and Baby Home, Guilford House, where 14 ante-natal and 14 post-natal beds with 14 cots are provided. No deliveries take place in the Home. Of the 112 referrals to the department, 43 were admitted to Guilford House. 19 were admitted to other Local Authority Homes and 50 were not admitted; also 65 cases were admitted to Guilford House from other Local Authorities. Family Planning A clinic and domiciliary service continued to be offered through facilities provided by the Family Planning Association. |
76c030db-8b7e-494b-867a-637ac4a6573a | In June, the Council decided to implement the Family Planning Act, 1967 by providing a comprehensive family planning service for residents of the Borough through the medium of the Family Planning Association, who would act as the Council's full agent; the service to include the following provisions:— a) that in all medical cases advice, examination, prescriptions and supplies be given free of charge. 103 b) that in all non-medical cases advice, and examination be given free of charge but that the appropriate charge be made to these persons for prescriptions and supplie: subject to the abatement by the Council of such charge in accordance with the the appropriate assessment scales in cases of financial hardship, and that the Family Planning Association be responsible for the collecting of amounts and charges so made. c) that advice be given on request to unmarried persons under 21 years of age withou the necessity of prior consent of the parent/guardian to be obtained. |
f519b23b-9cde-4265-b15d-fe407ebbc803 | d) that treatment be given to unmarried persons between 16 and 21 years of age only in cases where prior consent of the parent/guardian has been obtained. e) that the arrangements approved by the Council in February, 1967, for the provision of a domiciliary Family Planning Service in the Borough be continued. f) that the General Practitioner concerned be consulted in all cases in which oral contraceptives are proposed to be supplied or prescribed or an intra-uterine contraceptive appliance is proposed to be fitted. Cervical Cytology This service continued during the year at Torrington, Childs Hill, East Barnet and Watling Clinics and in April a fifth clinic was started at Vale Drive, Barnet. In May, further clinics were established at West Hendon and Oak Lane (Finchley). Fortnightly sessions were held at the clinics and all women who attended had a full examination of the breasts, abdomen and pelvis. |
6031ce1c-aa2a-4d36-bf57-5155da45101d | 1608 Patients attended for the first time during the year and in every case the patient and her doctor were notified of the result of the test; there was one positive result and the patient was referred through the General Practitioner to a Gynaecologist for further investigation. Clinic No. of Sessions held New Cases Total No. |
ca250981-7f86-4d6e-95c7-feb3b7d84bca | of attendances Average attendance per session Torrington 26 2 94 327 12.6 Childs Hill 25 289 319 12.8 East Barnet 26 257 297 11.4 Watling 44 490 496 11.3 West Hendon 11 100 100 9.1 Oak Lane 10 139 146 14.6 Vale Drive 17 139 144 8.5 TOTAL 159 1608 1829 11.5 104 Vaccination and Immunisation Immunisation in Childhood Early in the year the single schedule of immunisation in childhood, recommended by the Joint Committee on Vaccination and Immunisation of which the Authority was notified by the Ministry of Health in December 1967 as advance information, was put into effect by the medical staff of the Department. |
b14540a0-fc1f-4a54-8592-db4fdd3c0334 | The new procedures include vaccination against measles and make several important modifications affecting the minimum age at which immunisation against diphtheria/tetanus and pertussis and poliomyelitis should preferably begin, the spacing doses in the basic course of immunisation against these diseases and the spacing of subsequent re-inforcing doses. It is desirable that the basic course of immunisation against diphtheria, tetanus, pertussis and poliomyelitis, which consists of three doses of diphtheria, tetanus, and pertussis (triple) vaccine and, concurrently, three doses of oral poliomyelitis vaccine, should be completed by about the first birthday or as early as possible thereafter, consistent with the recommended spacing of the doses. The age at which the first dose is given is important and so are the intervals between doses. |
0a21c626-9a6b-4c52-8930-ca56551b9a0c | The desirable intervals between the doses of the basic course are six weeks between the first and second doses and six months or more between the second and third doses. These intervals offer optimum protection from three doses and render unnecessary the giving of a re-inforcing dose during the second year of life. These recommended procedures were confirmed by the receipt, in August, of Ministry of Health Circular 29/68 which also included a revised list of vaccinations and immunisations and associated fees for the purpose of determining payments due to General Practitioners. Statistical tables of the immunisation of persons under the age of 16 are given below:— Table 1. Completed Primary Courses Type of vaccine or dose Year of Birth Others under age 16 TOTAL 1968 1967 1966 1965 1961-64 1. Quadruple D.T.P.P. _ _ _ _ _ 2. Triple D.T.P. |
7b41fb96-2708-488f-b033-a4a31be2a52f | 309 1546 143 20 98 35 2151 3. Diphtheria/Pertussis — 7 — — — - 7 4. Diphtheria/Tetanus 30 219 31 8 91 61 447 5. Diphtheria — — 1 — — — 1 6. Pertussis — 1 3 — — — 4 7. Tetanus _ 1 1 — 9 386 397 8. Salk _ — — — — — — 9. Sabin 280 1782 209 59 207 108 2645 10. Measles 19 467 579 470 1256 212 3003 11. |
0f4cdd58-5c76-4c10-9cfc-b3806f6b7712 | Total immunised against Diphtheria (Lines 1-2-3-4-5) 346 1772 175 28 189 96 2606 12. Total immunised against Whooping Cough/Pertussis (Lines 1-2-3-6) 309 1554 146 20 98 35 2162 13. Total immunised against Tetanus (Lines 1-2-4-7) 346 1766 175 28 198 482 2995 14. Total immunised against Polio (Lines 1-8-9) 280 1782 209 59 207 108 2645 105 Table 2. — Re-inforcing Doses Type of vaccine or dose Year of Birth Others under age 16 TOTAL 1968 1967 1966 1965 1961-64 1. Quadruple D.T.P.P. |
67d17b4c-6e71-42f3-b522-b6eba18ff77c | _ 2. Triple D.T.P. 779 114 8 104 494 97 2622 3. Diphtheria/Pertussis — 1 37 38 4. Diphtheria/Tetanus _ 126 245 56 1994 1115 3536 5. Diphtheria — — — 2 19 129 150 6. Pertussis — — — _ — — — 7. Tetanus — — — 1 28 907 936 8. Salk — - — — - — 9. Sabin — 799 1200 116 2313 2219 6647 10. Measles — — — — - — — 11. |
5cd38a2b-556f-4aae-b19f-37cdd08f3e50 | Total immunised against Diphtheria (Lines 1-2-3-4-5) - 905 1393 163 2544 1341 6346 12. Total immunised against Whooping Cough/Pertussis (Lines 1-2-3-6) - 779 1148 105 531 97 2660 13. Total immunised against Tetanus (Lines 1-2-4-7) — 905 1393 161 2516 2119 7094 14. Total immunised against Polio (Lines 1-8-9) - 799 1200 116 2313 2219 6647 B.C.G. Vaccination against Tuberculosis To enable the B.C.G. |
61958088-7ff3-4f49-ac67-2d7a3372cf61 | vaccination of school children to be integrated into the latest schedule of immunisation, the age at which this protection is offered was advanced by one year with the necessary adjustment being carried out during the course of the year. School children and students were vaccinated at school and at establishments for further education by the Department's medical staff and contacts of tuberculosis were vaccinated at Chest Clinics in the Borough. Young immigrants arriving in the Borough during the year were offered a tuberculin test; where the result was positive arrangements were made for further investigation and supervision at a Chest Clinic. Tuberculin Test and B.C.G. Vaccination No. of persons vaccinated through the Authority's approved arrangements under Section 28 of the National Health Service Act (a) CONTACTS (i) No. skin tested 230 (ii) No. found positive 37 (iii) No. found negative 193 (iv) No. |
2b346b32-6dcd-4680-9182-89229cc8fa05 | vaccinated 150 106 (b) SCHOOL CHILDREN AND STUDENTS (i) No. skin tested 3145 (ii) No. found positive 379 (iii) No. found negative 2603 (iv) No. vaccinated 2585 Whooping Cough Vaccination The Authority continued to co-operate in the investigation by the Public Health Laboratory Service of the sero-types currently responsible for cases of Whooping Cough. Smallpox Vaccination There were no reports of cases of generalised vaccinia or post-vaccinal encephalomyelitis or death from any other complications of vaccination. |
e346b522-3459-4d14-af2d-340a3d14b424 | Smallpox Vaccination Persons aged under 16 Age at date of Vaccination Number of persons vaccinated or re-vaccinated Number Vaccinated Number Re-Vaccinated 0— 3 months 17 — 3— 6 months 14 — 6— 9 months 28 — 9—12 months 78 — 1 year 2039 - 2— 4 years 329 125 5—15 years 96 539 TOTALS 2601 664 107 CLINIC PREMISES Main Clinics Clinic Sessions (See Key Table on page 109) Brunswick Park Road, N.ll. I.W.C. D OPH SP C.S.C. Town Hall, Hendon, N.W.4. C.S.C. A/N OPH ORT D CHIR I.W.C. A/NE-M/C SP Garth Road, N.W.2. C.S.C. DV I.W.C. |
746aa4fd-a6e0-4788-894f-6f780d64aade | C SP CHIR A/N A/NE-M/C D 149 East Barnet Road, Barnet I.W.C. A/NE-M/C C.S.C. D C SP Holly Park, N.ll. D DV I.W.C. CHIR C.S.C. T SP A/N Hartley Avenue, N.W.7. SP DV D CHIR I.W.C. A/NE-M/C C.S.C. A/N Oak Lane, N.2. SP A/N D C I.W.C. T C.S.C. CHIR OPH A/NE-M/C Oakleigh Road, N.20 I.W.C. A/NE-M/C C.S.C. A/N DV T Sutton Road, N.10 I.W.C. T C.S.C. A/NE-M/C A/N DV SP Torrington Park, N.12. I.W.C. CHIR C.S.C. |
afe62a3a-0b1e-4775-85d7-031c94e8fb4e | A/NE-M/C A/N C SP Vale Drive, Barnet SP DV D C I.W.C. ORT C.S.C. A/NE-M/C OPH 36 Cressingham Road, Burnt Oak CHIR OPH A/NE-M/C SP A/N D C I.W.C. T C.S.C. C.E. York Road, N.W.9. SP c D C.E. I.W.C. CHIR C.S.C. A/NE-M/C A/N Claremont Way, N.W.2. I.W.C. T Approach Road, Edgware SP CHIR I.W.C. A/NE-M/C C.S.C. A/N C Other Premises Etchingham Park Road, N.3. I.W.C. CHIR St. Andrew's Church Hall, Lynford Gardens, Edgware I.W.C. |
48f5a865-40cd-48cb-8209-1a461278be20 | DV A/NE-M/C 108 Other Premises (continued) St. Stephen's Hall, I.W.C. Bells Hill, Barnet Dollisfield, Totteridge Lane, I.W.C. N.20. United Free Church Hall, I.W.C. Sanders Lane, N.W.7. St. Barnabas Church Hall, I.W.C. DV Cranbourne Gardens, N.W.ll. St. Mark's Hall, I.W.C. Woodville Road, Barnet Congregational Church Hall I.W.C. Colin Close, N.W.9. St. Mary Magdalen Church Hall I.W.C. Holders Hill Road, N.W.4. KEY TABLE I.W.C. Infant Welfare Clinic C.S.C.Consultative School Clinic A/N Ante-Natal Clinic C.E. |
47fb66a1-1b42-4a56-8dac-ee61ff371b6b | Clinic for Elderly OPH Ophthalmic SP Speech Therapy A/NE Ante-Natal Exercises only M/C Mothercraft only A/NE-M/C Combined Ante-Natal Exerciscs and Mothercraft ORT Orthoptic D Dental CHIR Chiropody DV Development Clinic T Toddlers Clinic C Cervical Cytology S.I.C Special Investigation Clinic 109 SCHOOL HEALTH SERVICE SCHOOL HEALTH SERVICE Introduction The continuation of regular medical inspections for those children in attendance at Local Authority Schools has been maintained; any treatment needed being available at clinics or readily and freely obtainable through facilities provided under the National Health Service Act, 1946. In accordance with the duty laid on the School Health Services of the Local Educatioi Authority, to ascertain which children in their area require special educational treatment, during the year, 83 children were reported to the Authority as suffering from a disability requiring some form of special educational treatment. |
6f937dd1-5d5d-4126-a881-9d57c9808ae7 | The School Health Service continues in its endeavour to co-ordinate available services to the benefit of the handicapped children in the Borough. School Population The school population continued to increase during the year and the following table shows the position at 31st December, 1968. Schools No. of Pupils 89 Primary Schools 23,770 19 Secondary Modern and Bilateral Schools 10,478 14 Grammar Schools 7,693 1 Residential Special School (E.S.N.) 176 2 Day Special Schools (E.S.N.) 243 42,360 Periodic Medical Inspections The policy of the Authority for the routine medical inspection of school entrants and leavers together with an intermediate examination during the last year at the primary school has continued. Assistant Medical Officers are encouraged to maintain a close contact with the schools and Head Teachers are aware that any problems they have may be discussed with the Medical Officers. |
c4e939fc-4a17-4b25-9454-29e975053a86 | 113 The following table shows the number of children inspected by years of birth and the state of their physical condition:— Year of Birth Number of Pupils Inspected Physical Condition of Pupils Inspected Satisfactory Unsatisfactory 1964 & later 286 286 — 1963 2,149 2,147 2 1962 1,752 1,752 - 1961 457 456 1 1960 237 236 1 1959 194 193 1 1958 1,336 1,336 - 1957 1,855 1,853 2 1956 667 665 2 1955 283 283 - 1954 2,012 2,011 1 1953 & earlier 1,139 1,139 - TOTAL 12,367 12,357 10 Percentage of pupils inspected whose physical condition was found:— Satisfactory 99. |
7afa5388-1de3-4c9b-8c99-42b772b7d109 | 92% Unsatisfactory 0.08% Medical Treatment Details of treatment (excluding uncleanliness and dental disease) of pupils attending maintained primary and secondary schools (including arsery and special schools), whether provided directly by the Council or arranged for through other agencies, are contained in the Tables of statistics which follow this section of this Report. Ophthalmic Clinics There are five school ophthalmic clinics operating in clinics dispersed throughout the whole of the Borough and an orthoptic service is provided at two of these clinics. As the Ophthalmologists working in the school ophthalmic service are employed by the North West Metropolitan Regional Hospital Board they also work in hospital. Therefore, any eye examinations which can be undertaken outside hospital can be carried out in the Authority's clinics with a resultant saving in time and journeys for both children and parents. The obvious advantage of this system is in its promotion of early diagnosis and supervision of children with defective vision. |
c650a854-54e5-4de5-af34-54374be5ac77 | Audiometry Three routine hearing tests are carried out during the school life of children in schools 114 in the Borough by two Audiometer Operators who also deal with those children suspected of having a hearing loss. The following Table shows the number of pupils whose hearing has been tested: — Sweep tests 9,597 Re-tests 806 Special tests 799 Re-tests 159 Audiology Those children requiring further investigation for a loss of hearing are referred to one of the audiology units established in the London Borough of Haringey and the London Borough of Brent. The Peripatetic Teachers for the Deaf attached to the units visit those children in schools in this Borough who are in the care of the units and require supervision or training. The demand for a Peripatetic Teacher to supervise children in school, and at home, who are in the care of Consultants at various London Hospitals still exists. |
9b12d082-b619-4b2f-b387-67b4cf2b903a | Unfortunately, although the Local Authority agreed to the appointment of a Peripatetic Teacher of the Deaf to care for these children for whom adequate help is not available, it has not yet been possible to fill the post. During the year 13 children were provided with hearing aids and at the end of the year 85 school children and 10 children under school age (6 of whom were attending the Local Authority Day Nurseries) were known to have hearing aids. Child Guidance Service In July a Child Guidance Service was established in the Borough under the joint administrative responsibility of the Chief Education Officer and myself. Dr. A.D. Black was appointed by the North West Metropolitan Regional Hospital Board as the Consultant Child Psychiatrist for three sessions a week in the Local Authority Clinics at:— 304, Regents Park Road, Finchley, N.3. and The Health Centre, Vale Drive, Barnet, Herts. |
44b98b66-3696-4d1d-aeca-674c34c62976 | 115 Prior to the establishment of the Authority's service arrangements were made for children to be seen at Child Guidance Clinics held at:— The Child Guidance Training Centre The Hampstead Child Therapy Clinic The Tavistock Clinic University College Hospital Working in close conjunction with the Child Guidance Service the Authority opened the Diagnostic Unit, Smith's Field, East End Road, N.3. for the education of children with severe learning problems, certain minor or severe behaviour problems. The link between the Unit and the full facilities of the Child Guidance Service being through the Senior Educational Psychologist. Speech Therapy The speech therapy service in the London Borough of Barnet has an establishment of five speech therapists who work within the school health service at clinics and special schools in the district. The speech therapists are responsible for the diagnosis and treatment of speech and language disorders. These may arise from organic or emotional problems resulting in the inability of the patient to communicate either adequately or intelligibly. |
85e75a74-29db-47f9-90b9-295e2f174610 | The therapists however cannot concentrate all their attention on the treatment of the specific speech disorder alone, and must look for all the possible causes of speech defect, be they psychological or physiological. The abilities of the patient in all language concepts must be assessed before an adequate diagnosis can be reached, advice to parents proffered and the correct treatment implemented. While the therapists are themselves capable of dealing with most aspects of such an assessment, to obtain a complete assessment they must of course rely on colleagues in other departments, such as the Educational Psychologists, for help in respect of their own specialties. The therapists are indeed grateful for the co-operation they have always received from these departments. i The age of the children seen in the speech therapy clinics ranges from three years to school leaving age although the majority of children who receive regular treatment are between the ages of five and seven years. Some may, however, be referred as early as two and a half years old, if there is any cause for concern. |
f9ef8545-7c4f-4dfe-b304-f391f69655b3 | Indeed, therapists would prefer referrals at an early age, not necessarily for the purposes of regular therapy but to give advice and guidance to parents thus alleviating any anxiety and avoiding the possibility of lengthy treatment in the future. 116 Children with speech and language disorders are generally referred to the speech therapist by the school medical officers following medical examinations, although the therapists themselves, following school visits, often have children referred to them by the Head Teachers. The following is a list of the types of disorders treated by the therapists. Disorders of Articulation. Dyslalia, dyseneia, dysarthia and articulation defects due to structural abnormalities such as a cleft palate. Disorders of Language. Developmental dysphasia and retarded language development, the latter being very common particularly amonst children in special schools. Indeed it is also felt that some disorders of arciculation are closely linked with retarded language development. |
de32f736-4816-4e65-ac21-43164ccf82c6 | At this stage it may be pointed out that speech therapists are aware of the growing problem of language difficulties amonst Immigrant children who are faced with the problems of learning a new language. Disorders of Voice. Dysphonia or impairment of voice such as excessive nasality and puberphonia (failure in development of the normal adult voice). Disorders of Speech Fluency. Most well known is that of stammering. Not so well known is the disorder of non fluency most common amon g children of pre-school age. This is often, and wrongly, diagnosed as stammering. However, if it is incorrectly handled it can often prove to be the fore-runner of a stammer. In closing it must be mentioned that while it is possible, following the Seebohm Report, that the format of the service and the present role of the speech therapist will change, the aims will not. |
73501c7d-4248-42e9-af98-3871ddecdd56 | These are to offer advice and treatment where necessary to those patients who are handicapped by speech and language disorders. Handicapped Pupils Section 34 of the Education Act, 1944, makes it a duty of the Local Education Authority to ascertain what children in the area require special educational treatment and to provide such treatment. The various categories of handicapped pupils are defined by The School Health Service and Handicapped Pupils Regulations, 1959, as follows:— Blind Epileptic Partially Sighted Maladjusted Deaf Physically Handicapped Partially Hearing Delicate Educationally Subnormal Children suffering from Speech Defects Special educational treatment being provided either in special school or, otherwise, by special methods appropriate to the handicap of the particular child. 117 The following Table shows the Number of handicapped pupils as at 31st December, 1968 Special Day Schools Special Residential Schools Maintained Primary & Secondary Schools Independent Schools Not at School Total b. g- b. g- b. |
02320774-ecf3-41ba-a0f1-5f89324ebabb | g- b. g- b. g- b. g. Blind _ 2 6 2 - - - - - 6 4 Partially Sighted 3 4 — _ 1 2 1 _ 4 7 Deaf 2 3 2 5 — — — — 3 — 7 8 Partially Hearing 8 8 1 - 2 1 - 1 2 1 13 11 Delicate 8 2 7 7 - - 3 - - - 18 9 Educationally Subnormal 97 68 23 6 2 1 - - 2 — 124 75 Epileptic - - 4 - - - - - - - 4 — Maladjusted 4 1 39 14 8 3 3 1 2 2 56 21 Physically Handicapped 24 11 10 6 3 1 - - 4 |
dd41d712-a46f-4e57-8cd9-985f91e54af5 | 5 41 23 Speech Defects - - - 1 — — — - — — — 1 Total No. Handicapped Pupils 146 99 92 41 16 8 6 3 13 8 273 159 Special Transport to School Section 55 of the Education Act, 1944, allows for the provision of transport to facilitate the attendance of pupils at school and, during the year, special transport was recommended on medical grounds for 35 children attending ordinary schools. The length of time for which the transport was required varied according to the needs of the individual cases Home Tuition During the year 12 children were recommended home tuition, under Section 56 of the Education Act, 1944, for varying periods in accordance with their disability. |
f9e4bd3a-e103-4e0f-acda-1ddb91f6f532 | SCHOOL HEALTH SERVICE STATISTICAL TABLES PUPILS FOUND TO REQUIRE TREATMENT AT MEDICAL INSPECTION (excluding dental disease and infestation with vermin) Year of birth For defective vision (excl. squint) For any of the other conditions recorded Total Individual Pupils 1964 and later 2 13 14 1963 76 148 214 1962 83 148 218 1961 22 39 59 1960 16 19 32 1959 12 17 28 1958 127 146 244 1957 164 150 293 1956 78 57 123 1955 32 16 42 1954 269 138 364 1953 & earlier 147 69 201 TOTAL 1,028 960 1,832 118 PERIODIC INSPECTIONS Defect Code No. |
7b4614ae-dc2b-43d7-af74-5053755ec0a1 | Defect or Disease Entrants Leavers Total incl. all other age groups Special Inspections 4 Skin T O T O T O T O 24 70 26 24 100 141 4 3 5 Eyes: (a) Vision 180 434 385 131 1028 831 123 128 (b) Squint 60 24 10 6 104 49 3 6 (c) Other 6 7 2 2 19 31 2 — 6 Ears: (a)Hearing 43 151 20 17 91 237 22 71 (b) Otitis media 8 48 2 3 15 68 _ 1 (c) Other 3 8 3 1 10 12 - — 7 Nose & Throat 27 156 7 25 43 230 16 6 8 Speech 67 65 4 |
fe0b9679-4bee-4b40-8554-dfa34462fd9f | 3 100 88 26 10 9 Lymphatic Glands 1 27 1 - 4 34 - 1 10 Heart 4 55 8 15 17 103 3 2 11 Lungs 11 73 8 18 30 143 2 4 12 Developmental: (a) Hernia 9 11 - 2 12 18 1 2 (b)Other 7 106 2 - 37 162 9 13 13 Orthopaedic: (a) Posture 1 20 17 29 86 87 3 2 (b) Feet 13 44 29 31 80 119 3 6 (c) Other 5 26 3 10 14 50 1 2 14 Nervous System: (a)Epilepsy 1 11 3 3 9 31 1 |
fbdde830-86fa-490d-8701-f299a1468efd | (b) Other 9 1 1 22 - 1 15 Psychological: (a) Development _ 25 2 8 4 64 2 10 (b)Stability 2 53 2 14 14 122 6 6 16 Abdomen 1 11 - 3 3 21 - - 17 Other 50 130 52 43 191 297 21 35 *T — requiring Treatment 0 — requiring Observation 119 TREATMENT OF PUPILS ATTENDING MAINTAINED PRIMARY AND SECONDARY SCHOOLS (including Nursery and Special Schools) GROUP 1: Eye Diseases (e.g. blepharitis, conjunctivitis), Defective Vision and Squint (a) External & other, excluding errors of refraction & squint No. |
a015295a-53e1-4f70-a60a-601a4e73752f | of cases known to have been treated 8 (b) Errors of refraction, including squint 2,526 TOTAL: 2,534 (c) No. of pupils for whom spectacles were prescribed 881 GROUP 2: Diseases and Defects of Ear, Nose and Throat Received ope rative treatment for: (a) Diseases of the ear - (b) Adenoids and Chronic Tonsilitis 36 (c) Other nose and throat conditions 7 Received other forms of treatment - TOTAL: 43 Total No. of pupils in schools who are known to have been provided with hearing aids: (a) in 1968 13 (b) in previous years 72 GROUP 3: Orthopaedic & Postural Defects No. |
a2672757-4629-4bd9-a4e1-f8d490cd009a | of pupils known to have been treated in clinics or at out-patients departments - GROUP 4: Diseases of the skin (excluding uncleanliness) Ringworm (i) scalp 1 (ii) body - Scabies 13 Impetigo 10 Other skin diseases - TOTAL: 24 GROUP 5: Child Guidance Treatment No. of pupils treated at Child Guidance Clinics 266 GROUP 6: Speech Therapy No. of pupils treated by speech therapists 561 GROUP 7: Other Treatment given: (excl. B.C.G. |
85d355d7-19fd-4e25-aaae-f96a50009fa5 | vaccination) (a) Minor ailments 26 (b) Convalescent treatment under School Health Service arrangements 30 TOTAL: 56 Education Act 1944 - Section 57 Cases dealt with under Section 57, Education Act, 1944 3 Cases de-notified under Section 57(a) Education Act, 1944 Nil 120 REPORT OF THE PRINCIPAL SCHOOL DENTAL OFFICER When considering the Dental Health of a child, one tends to underestimate the damage which can be caused by poorly aligned teeth. In general terms poorly aligned teeth form the basic of orthodontic treatment. The causes of teeth being irregular are many and varied. These causes are looked for by the Dental Surgeon and attempts to eliminate them are constantly being made. When, however, the teeth are not normally positioned in the mouth, the proper cleaning of the teeth can be difficult, which leads to eventual loss. This makes orthodontic treatment a very vital part of dentistry. |
7b33df64-de0d-4512-8a2a-df22c2f06cbc | The more regular form of the dental arch, does much to eliminate food particles between teeth, and thus reduces gum disease. The progress of some gum diseases is such that premature loss of teeth occurs. As much of this kind of disease can be prevented by orthodontic treatment, it is important that this treatment should have a firm place in our School Dental Service. With this in mind consideration is being given to increase further this service within the Borough. In July 1968 the Cressingham Road Dental Clinic, in common with the rest of that Clinic, closed down for alterations. Dental Surgery No.2 at Mill Hill Clinic was used as a base for operations, and the Dental Surgeon carried out her duties for Cressingham Road Clinic from Mill Hill. During the year the Quinquennial Survey was conducted in the Borough. The full result of this is shown on Page 123. A Pre-School Children's Nutritional Survey was carried out by the Department of Health and Social Security. |
3824f9b5-f46d-4177-9b16-e2186f00ee0d | The results of this will be made known at a later date. Equipment An X-Ray machine and a new cabinet were added to the equipment at Watling Clinic. Dental Laboratory The Dental Laboratory continued to supply the various apparatus required by the dental surgeries and in addition prosthetic work for the London Borough of Enfield and Haringey; with regard to the latter however this discontinued in September, 1968. 121 Ages 5-9 Ages 10-14 Ages 15 & over Total Attendances & Treatment: First visit 4091 3173 692 7956 Subsequent visits 6217 7347 2241 15805 Total visits 10308 10520 2933 23761 Additional courses of treatment commenced 353 182 60 595 Fillings in permanent teeth 3094 6789 2572 12455 Fillings in deciduous teeth 7186 638 7824 Permanent teeth filled 2460 5983 2079 10522 |
53b01039-210c-44c0-8700-3df5a9e3fa0e | Deciduous teeth filled 5874 552 6426 Permanent teeth extracted 83 472 137 692 Deciduous teeth extracted 1438 781 2219 General anaesthetics 1014 386 44 1444 Emergencies 318 153 31 502 Prosthetics: Pupils supplied with full upper or full lower (first time) Pupils supplied with other dentures (first time ) 2 4 7 13 Number of dentures supplied 2 4 7 13 Number of pupils X-rayed 738 Prophylaxis 1794 Teeth otherwise conserved 3420 Number of teeth root filled 78 Inlays 25 Crowns 116 Courses of treatment completed 6060 Orthodontics: New cases commenced during year 303 Cases completed during year 107 Cases discontinued during year 72 No. of removable appliances fitted 484 No. |
5606b493-4b3c-4c81-878b-c9a6160c4147 | of fixed appliances fitted 67 Pupils referred to Hospital Consultant 5 [Anaesthetics General anaesthetics administered by Dental Officers 50 122 Inspections: a. First inspection at school No. of pupils 31019 b. First inspection at clinic No. of pupils 2389 No. of a. and b. found to require treatment 13784 No. of a. and b. offered treatment 13784 c. Pupils re-inspected at school or clinic 1094 No. of c. found to require treatment 601 Sessions: Sessions devoted to treatment 4640 Sessions devoted to inspection 241 Sessions devoted to Dental Health Education 137 Quinquennial Survey of Dental Caries in School Children 12 year old children (i) No. of children examined Hendon Finchley 500 120 (ii) No. of children showing no D.E.M. Permanent Teeth 16 3 (iii) No. of children D.E.F. |
a87d4a34-37c7-48b6-90da-9626f162631a | Permanent Teeth Found 3064 647 (iv) No. of children D. Permanent Teeth Found 694 175 (v) No. of children E. Permanent Teeth Extracted 315 364 (vi) No. of children F. Permanent Teeth Filled 2055 408 (vii) The Percentage of children showing no D.E.F. 3.2% 2.5% (viii) Average No. of D.E.F. Teeth per child examined 6.12 4.29 GENERAL SERVICES GENERAL SERVICES Health Education The need for education in health matters is no less essential today than it was in the Dark Ages, when life was "nasty, brutish and short". Indeed, man has not yet reached that highest state of well-being that might have been expected from such rapid changes in environment and in medical knowledge. |
32c06bb2-6011-48bb-8cd4-84337bd52d1d | The sicknesses of yesterday have been largely mastered, only to be replaced by others, most of which are avoidable by the individual himself. The gap between health knowledge and health practice, however, appears to be widening. Education in health, therefore, is of prime importance, and the staff of the Health Education Section of the Department is aware of the responsibility it holds to make every effort to improve the general level of personal and community health through a programme of education. Health Education in School Recent years have seen increased awareness of the importance for all children of the feeling of stability, goodwill and enjoyment that accompanies the satisfaction of their physical, mental and social needs — for all are involved. With this in mind, staff of the local health authority, i.e. Health Visitors, Health Education Officers and others participated in health education programmes in schools. |
564404b4-6432-4214-aae9-22a2b8adcf90 | In Primary Schools, the children are helped to an understanding of health and the functions of their bodies, ways in which they can maintain good functioning and the abuses or neglect which will prevent good health. The approach in Secondary Schools is somewhat different. The concern of health education with the physical and emotional changes of adolescence are self-evident. Whilst there is still as much need for strengthening of good habits, there is also a need to influence the pupils to make proper use of the new forces which are at work in them, and prepare them for adult life. Most of the schools, where Health & Welfare Department staff were teaching health subjects, had a full year's programme, whilst a few asked for shortened programmes or occasional talks. The subjects covered included the effects of smoking, alcohol and drugs on physical, mental and social life, education for family life (covering sex education, childbirth and child care), human relationships and mental and social health. 127 Below are details of school courses which were undertaken during the year. |
280e5d79-1d78-4fa7-985a-f5af150d8ff9 | Primary Schools: 10—11 year old pupils Full year's courses 9 One or two term courses 1 Short courses 2 Secondary Schools: 13—15 year old pupils Full year's courses 7 Occasional talks 3 Grammar Schools: 16—18 year old pupils Occasional talks 3 Special Schools: (Educationally Subnormal, Junior Training Schools) Short courses 2 Health Education in Clinics Parentcraft Classes in relaxation and parentcraft for expectant mothers continued during the year in many clinics. These were undertaken by Health Visitors, supported by the Health Education Section. In support of these classes, the film "To Janet — A Son?" was shown on alternate months in the evenings for expectant mothers and their husbands at two parts of the Borough. |
d784154d-2633-4da6-83f8-bd271ab9e9b1 | Mothers and Toddlers Groups The purpose of these groups is to enable mothers to get together to discuss a variety of subjects and problems concerned with the well-being of the family, together with other items of interest, giving them an opportunity of making friends and sharing experiences. Health topics feature continuously in the arranged programmes. Clinics for the Elderly These clinics serve a good purpose in that not only are the old folks 'screened' by the Doctor, but also that they are able to meet together for mental stimulation in which matters concerning their health are frequently introduced. Support in the form of films and other aids and help was maintained by the Health Education Section. 128 Health Education in other Organisations Talks or discussions in small groups are of tremendous importance in health education, since the effect is more likely to be successful in changing attitudes and inculcating new habits. During the year, talks to a wide variety of groups and organisations within the community were given and a synopsis is given below. |
c9087aea-0a60-437a-99a0-ff7df4af395d | Groups requesting talks Youth Organisations, Clubs etc. 59 Young Wives Groups, Women's and Men's Organisations 32 Parent/Teacher Associations 5 Old People's Clubs 13 Synopsis of subjects covered Health and Welfare Services 20 Health of the Elderly 10 Home Safety 44 Smoking and Health 9 Personal Health 5 Child Growth and Development 11 Drug Use and Abuse 3 Food Hygiene 7 General Publicity A monthly programme of health subjects for general distribution was arranged with posters and leaflets being sent to all Borough establishments. Special publicity was given to Safety with fireworks and Christmas safety. Many requests for health education material came from various sections of the community, namely teachers, leaders of organisations and students in training. Displays and Exhibitions Window displays and exhibitions were assembled on the themes given below. March The Services of the Department June Mental Health July Home Safety Gateway House, 322 Regents Park Road, N.3. |
e321b667-4a82-4a89-8439-a9c68626aad1 | Mental Health Week Youth Conference Finchley Carnival 129 August The Services of the Department October Safety with fireworks Friern Barnet Summer Show Gateway House, 322 Regents Park Road, N.3. and Town Hall, Friern Barnet Campaigns Dental Health Campaign in Primary Schools In October almost all primary schools in the Borough had a visit by Pierre, the clown, organised by this Section. Visiting six or eight schools a day, Pierre put across an instructive yet amusing lesson in dental health. Every child received painting sheets, an Apple Club badge and an apple. This schedule covered two weeks and was most popular with the schools. The aim of this campaign was to stimulate interest in dental health, the intention being to follow up with more intensive teaching of the subject the following year. In-Service Training in Health Education Students and staff taking courses are frequent visitors to the Health Education Section, seeking help in projects which their course requires of them and where possible, assistance is given. |
4554e2c9-bee6-4438-b728-3d74b1c769cd | Film reviews were arranged from time to time. A course in Psycho-Physical preparation for childbirth was arranged for Health Visitors and Midwives. Home Safety There is a continued need for education in the dangers within the home and the ways in which these can be overcome. Both local and national statistics prove that as one cause of home accidents is eradicated, another one takes its place. Many of these are caused by a constant flow of new articles appearing on the market which are found to be unsafe, or by hazards in the home, but the majority are caused by the human factor. 130 Education in safety at home, bearing in mind the need to guard the very young and the old, continued and increased. General Publicity Posters and leaflets supporting the quarterly campaigns of RoSPA were distributed. Special emphasis was made at Guy Fawkes Night and at Christmas. Training and Talks Talks to various groups and organisations were undertaken. Many of these were to youth groups, i.e. |
8955667e-b583-4c2d-8f6f-36d758b65c09 | Girl Guides, Scouts, Cubs and Brownies, Girls Brigade and youth clubs. Others included mothers' groups, old people's groups and influencial groups such as St. John's and Red Cross. Talks on Home Safety were given in schools and frequently in the courses of health teaching given by Health Visitors. Campaigns Disposal of Medicines Campaign A campaign urging the public to turn out their cupboards and return old medicines and tablets to their local chemist was held for two weeks in April. Some of the pharmacists in the boroough agreed to participate by receiving a 'dump box' for use in their shop, in which was placed the returned material. This was collected for disposal by the Health Education Staff. In order that the effort may be evaluated, the material was weighed and the tablets counted; some 22, 000 tablets were destroyed emphasising not only the danger that lurks in the cupboards and drawers of the homes in our community, but also the wastage. |
ab17c6c4-0564-4935-8b6c-7510824f6a25 | It is considered that the effort was worth while if only one child or other person was saved from accidental poisoning. Finchley Carnival and Friern Barnet Summer Show This year, at the Finchley Carnival, a float was entered in the procession, the theme being 'The facts about home accidents'. It showed the need to guard the young and old. At both events a display was mounted and free literature disseminated and a children's competition was again organised. This attracted a large number of children on both occasions in spite of the weather and it is considered that many children were made aware of the hazards at home. Displays The occasion of Guy Fawkes' Night is always fraught with apprehension, knowing 131 the danger it hazards. Consequently displays were mounted in the windows of Gateway House, 322 Regents Park Road, N.3 and at the Town Hall, Friern Barnet. A small display was also arranged for a series of talks on home safety at St. |
b724f153-13bf-4bbb-99fd-4fde6e2a3fb5 | John's Ambulance Brigade at Edgware. Barnet Civic News A series of 'Home Safety Tips' appeared in the Bi-monthly issues of the Barnet Civic News. These featured the cartoon drawings of 'Safety Sam' by a young cartoonist, providing a humourous illustration to the serious message to be conveyed. SPECIAL INVESTIGATION CLINIC During 1968 the number of patients referred to the Special Investigation Clinic continued to increase. The majority of the referrals were because of severe nocturnal enuresis, and the remainder were due to diurnal enuresis or encopresis. The mode of treatment if orientated on the lines of Learning Theory and Behaviour Therapy and the figures shown give evidence of the success of this approach. The relapse rate for the year 1968 was 25%, which is somewhat lower than is generally accepted for this therapy. |
0d73e412-d1f7-498c-949c-e86d813db894 | Two research psychologists are attached to the clinic on a voluntary basis and investigations are proceeding on medico-social variants in relation to enuresis, and application of high — low tone conditioning techniques. Other studies being undertaken are of personality assessment and preventive mental health and the value of overlearning to reduce relapse. The main percentage of referrals are via the medium of the school health service, but in each case the general practitioner is contacted before a patient is appointed. There is now also a tendency for some of the general practitioners to make their own referrals direct to the clinic. Statistics year ending 31st December, 1968 BOYS GIRLS TOTAL No. of new patients seen: Under 5 4 1 5 5-9 108 52 160 10 & over 21 12 33 133 65 198 132 Statistics — continued BOYS GIRLS TOTAL Total attendances 826 361 1187 No. |
bf0cf009-c6b4-477e-953a-297a166913d6 | of 1st appointment failures 38 34 72 Total appointment failures 339 182 521 Referrals: Under 5 17 4 21 5-9 97 67 164 10 & over 33 15 48 Total 147 86 233 Discharged Cases 93 55 148 (Of these, discharged for second time) 4 3 7 Relapsed Cases Discharged 1967: 3 3 Discharged 1968: 22 15 37 Total 25 15 40 Total Sessions: 110 Total Appointments: 1708 Average appointed number /sessions: 16 ESTABLISHMENTS FOR MASSAGE AND SPECIAL TREATMENT The total number of establishments registered at the end of the year under Part XII of the Middlesex County Council Act, 1944, was 27. |
f07d7c71-815e-471c-b3eb-434de8bb8614 | PERSONS IN NEED OF CARE AND ATTENTION Provision is made under Section 47 of the National Assistance Act 1948 as amended by the National Assistance (Amendment) Act 1951 for securing the necessery care and attention in hospital or other place, e.g. residential accommodation provided under Part III of the Act, for persons who are infirm or suffering from a serious chronic disease and who are unable to give themselves sufficient care nor are receiving it from other sources. Fortunately, it was not necessary to apply the statute in respect of any case during the year. 133 BURIAL AND CREMATION Under Section 50 of the National Assistance Act 1948 it is the duty of the local authority to cause to be buried or cremated the body of any person who has died in or been found dead in the area, in any case where it appears to the authority that no suitable arrangements for the disposal of the body have been or are being otherwise made. |
812629ab-326a-4a29-bab8-b79a5d74c4fa | The expenses incurred may be recovered from the estate of the deceased persons, by death grant subject to the contribution conditions being satisfied, or from any person who for the purposes of the Act was liable to maintain the deceased person immediately before his death. Nine cremations or burials were carried out during the year. CREMATION CERTIFICATES The Medical Officer of Health, Deputy Medical Officer of Health and a Senior Medical Officer are appointed Medical Referees under the Cremation Acts 1902 and 1952. During the year 962 certificates were examined and approved, this being an increase of 215 over the previous year. DOMICILIARY LAUNDRY SERVICE This service is available to assist families to care for the elderly, or to nurse chronically sick people of any age at home. The cleansing and laundering of soiled linen and clothing is carried out by the Hendon Group Hospital Management Committee at Colindale Hospital. A once a week collection and delivery is dealt with by the Department. |
64b1f2fe-0fad-41eb-ae18-ee043896f98a | At the end of the year 28 persons were receiving assistance. MEDICAL ASSESSMENTS AND EXAMINATIONS (STAFF HEALTH SERVICE) During 1968 discussions continued to take place in regard to the inauguration of a Staff Health Service and it is hoped that during 1969 a scheme will be implemented on the following lines: (a) The service would be operated by the Medical Officer of Health. (b) All employees, other than casual employees engaged for limited periods, would be medically assessed before commencing employment. 134 (c) Medical assessment of any employee would be obtainable by a Chief Officer at any time from the Medical Officer of Health (in normal circumstances within one week of request). |
ace003fa-a353-4df1-b23d-a78e46772ad0 | (d) Chief Officers would refer to the Medical Officer of Health for a report and recommendation on (i) any employee who had been absent through sickness for periods aggregating to more than three months in any period of twelve months; (ii) any employee frequenty absent for short periods of sickness, especially such where the submission of Medical Certificates was not required. (e) In all cases where employees are to be medically examined by the service, the employee's own General Practitioner would be advised and invited to attend the examination or submit any relevant information. (f) The closest liaison would be established between employees' General Practitioners and the service. Given below are statistics in respect of medical assessments and examinations carried out during the year:— No. of medical forms assessed 2013 No. of medical-examinations — Barnet 57 — other authorities 14 No. |
01f6e47f-7ea3-46a6-a798-f343534e8787 | of medical examinations carried out under Ministry of Education Circular 249/52:- (a) Teachers' first appointments 101 (b) Entrants to Training College 310 Eight medical assessments were carried out in respect of staff with prolonged absence due to illness and with a view to ascertaining whether or not they were fit to undertake the duties of their posts, or to be subject to early retirement. In six cases it was found that the staff should be subject to premature retirement on the grounds of permanent ill health. In connection with the operation of the Disabled Persons' Employment Acts 1944 and 1958, eight persons were medically examined and found suitable for registration as disabled persons. DEPARTMENTAL SPECIAL TRANSPORT During the year the Council's fleet of transport, required for conveying the elderly and 135 physically handicapped and blind persons to Craft and Choral Classes, Day and Work Centres etc., comprised six twelve-seater vehicles and one twenty-four-seater, all vehicles being provided with tail lifts. |
f4fab280-b429-40a8-8118-9a0166603a8b | It is hoped that in 1969, three other vehicles will have been delivered and which will enable transport to be provided at the required level and in respect of rapidly developing services. As in previous years, I would again pay tribute to the excellent service received through the medium of the Borough Engineer & Surveyor's Department and acknowledge the cooperative and understanding manner in which both drivers and escorts of the special vehicles perform their duties. TRAINING COURSES During 1968 a wide variety of training courses, refresher courses, study days etc. were made available to the staff of the Department. The London Boroughs Training Committee continued to be prominent in arranging courses and study days for midwives, district nurses, school nurses and social workers. |
5198499d-ee3f-48a7-b804-1aa61fb5864b | Courses and study days attended by staff inter alia embraced the following subjects:— Diploma in Public Health Diploma in Municipal Administration Social Work Course leading to the National Certificate Diploma Course for Teachers of Mentally Handicapped Children Refresher Course for Teachers of Mentally Handicapped Children Mental Subnormality Course for Head Teachers of Junior Training Schools Course for staff of Adult Training Centres Spastics Developmental Paediatrics Assessment of Hearing Loss in Children Assessment of Handicapped Children Screening tests for eye defects Maternal and Child Welfare Refresher Course District Nurse Training Field Workers' Course Case presentation for Health Visitors Midwives' Refresher Course Preparation for Childbirth Geriatrics Course for Matrons and Wardens of Old People's Homes Policy and Management of Residential Care Public Health Noise 136 Insect Control Imported Food Regulations Fuel oil firing Speech Therapy Refresher Course Epilepsy Drug taking in School Children Health Education Nursery Wardens' Course Illegitimacy Women, |
b748014b-7005-41cb-aed2-42d0010efbf2 | Family and Work STUDENT ATTACHMENTS The Department continued to provide facilities for a wide variety of student attachments and references to such attachments are made elsewhere in the Report. I would, however, draw attention to the fact that student nurses from the Friern Hospital Nurse Training School were afforded training by way of lectures and periods of observation of community care. This type of placement has enabled student nurses to understand the need for cohesion between the community and hospital services. One interesting visit made to the Department during the year was that of a member of the Department of Social Affairs, Sudan, who wished to be given knowledge of the services and administrative set-up for a combined Health and Welfare Department. The visitor was appreciative of all that she saw and was told, and which would be of benefit to her in her work in the Department of Social Affairs, Sudan. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.