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aa97a922-3975-4677-b024-758466f1f347 | EXHUMATIONS Licences issued by the Home Office for the removal of human remains under the Burial Act 1857 state, inter alia "It is considered advisable that the Medical Officer of Health should be notified whenever such a licence is granted in order that he may be in a position to take any action that may be necessary in the interests of public health". Seven exhumations were carried out during the year and, where appropriate, were observed by a Public Health Inspector, to ensure compliance with the conditions in the licence. 69 MENTAL HEALTH SERVICES MENTAL HEALTH SERVICES Throughout the year there was again a steady increase in the demand for community services, particularly in the field of mental illness. It is becoming more apparent with the advances in modern methods of treatment, that the need for long term hospital care is decreasing, and it is expected that the numbers of persons needing help will continue to grow, and this Borough will need to increase facilities to keep abreast of the modern approach to mental health community care. |
9e2aba23-3334-450c-bed0-fec4e30a5c9f | The special needs are highlighted in an important report of the Psychiatric Rehabilitation Association on "Mental Illness in City and Suburb", which points out that poverty is not necessarily synonymous with mental illness. The middle-aged women from well favoured boroughs were not, for the most part, suffering from diseases attributable to poverty. Social isolation seems to be a factor of equal importance, and areas which exhibit a style of life which is conducive to this isolation, whether in the affluent suburbs or in the furnished bedsitter domains, will tend to have larger numbers of people suffering from either psychiatric illness or its consequences. Also, successful rehabilitation requires a framework of support from the community itself - stable family life, good housing, superior educational facilities, plentiful enjoyment opportunities,- etc., - and when these supports are weak, additional community care via the local authorities is more urgently needed to compensate for the deficiencies of the environment. |
e5c1bd64-1d09-4233-aea7-9ce35fff53eb | The most pressing priorities in considering plans for future development still show up in greater needs for services for the adult subnormal and mentally infirm elderly. Casework At the end of the year, the total known caseload of both psychiatric patients and mentally handicapped was 1,105; 452 psychiatric patients and 563 mentally retarded patients. Social work with the mentally handicapped under 16 years of age was continued by the Health Visitor with enormous benefit to families and to the staff themselves. The general picture which emerges from a study of the statistical details is of a steadily increasing volume of work undertaken .but not so obvious from mere figures, is the quality and variety of social work being done by the Mental Welfare Officers. Some indication of this can be gathered from the fact that, although the number of mentally ill persons being referred increases, the number of admissions to hospital under the Mental Health Act, 1959, continues to decrease. |
b4d400eb-1041-4226-b683-28d09917da76 | Whereas in 1967 50% of cases referred were admitted to hospital, in 1970 only 30% were admitted. The use of emergency admissions under Section 29 has now been reduced to 10%% of the total referrals. 73 The source of referrals is changing; whereas previously some 50% were from General Practitioners and 28% from other sources, the present percentages are 33 and 40 respectively. This is due to a number of factors of which direct referral to hospitals by doctors, including General Practitioners and the Principal Medical Officer, as is usual in physical illness, is one very welcome trend. |
8e54fa97-25d4-4862-97a3-cebc75e36e7c | Day Centres - Elderly Mentally Infirm f Day Centre facilities for the elderly mentally infirm remained a high priority in the plans for the development of the service, and it had been hoped that in addition to extending the Centre at Park House Hostel which commenced as an experiment in 1966, a further 45 place purpose built Day Centre would have been completed by 1969 to supplement the service. Unfortunately, there have been setbacks because the far-sighted plans of the Council have a high therapeutic content, which means that negotiations have to go on with the North West Metropolitan Regional Hospital Board to reach agreement on the sharing of costs, with all the difficulties that ensue with the present divided Health Service. Social Clubs The two social clubs for the mentally ill are organised and run by the Department's Officers who are also greatly assisted by the local voluntary organisation dealing with mental health activities. |
51001a6a-353a-4011-8824-8d63a98ce4c9 | It is felt that there is also a considerable need for social clubs for the mentally handicapped and educationally subnormal, and much is being done by excellent local voluntary associations. Park House Hostel Applications for admission to the hostel continued at a steady rate throughout the year, and the fact that the hostel did not have all 30 places occupied was mainly due to the criteria for admission. Potential residents must be ready to return to their previous employment or be ready to seek employment; thus the danger of the hostel becoming silted with residents unable to progress to unsupervised accommodation is minimised and, more important, the residents are at a stage where they can cope with some of the demands which will be made on them in the community. Residents who rehabilitate to a point where they are able to leave the hostel are encouraged to return at intervals and have the occasional meal, thereby maintaining a useful link and means of support. |
d7721767-f179-4474-afa3-9dd80f0c6b44 | However, an increasing burden is thrown on staff by the greater degree of disturbance found in patients referred for after-care nowadays. Modern methods of treatment and the increase of local authority hostels generally, probably account for the fall in the numbers of patients simply requiring the facilities of a "half way house". 74 Hospital Services Napsbury Hospital remains the major psychiatric hospital providing cover for the mentally ill in the Borough. However, we are particularly fortunate in having close ties with the Teaching Hospitals in North West London, including St.Luke's, Woodside. Hence, admission can to some extent be made to suit the particular patient's problem. Napsbury Hospital also provides out-patient facilities at the two local General Hospitals - this service being of particular advantage since Napsbury is situated some considerable distance outside the catchment area which presents difficulties in arranging early referral and maintaining contact with former patients. |
4c97dfff-af1e-480a-9c47-4e807f59557b | It is hoped that in time, it was be possible to set up localised psychiatric services which will alleviate, if not resolve, problems of distance, time and transport. Other Mental Health Work On the medical side, the Principal Medical Officer conducted seminars for pupil midwives in the district on 'Psychiatric Problems of Pregnancy and Puerperium', and gave courses of lectures on mental health to the local detachment of the British Red Cross. In the field of addiction, liaison was maintained with other bodies involved with this problem by the Principal Medical Officer, being a member of the Drug Discussion Group at the King Edward VII Hospital Centre. The number of notified Heroin addicts with addresses in the Borough remained about 10. There is, however, an ominous increase in the number of L.S.D. and Marijuana takers, particularly in the under 20's. |
35bb25a4-95c0-40e5-979e-d703acfeeace | Community Care of the Subnormal and Severely Subnormal Each year a great deal of thought is given to the type of community care service which will best meet the different and complex needs of each family with a handicapped child or adult. Every endeavour is made to co-ordinate the services to provide not only "first aid", but supporting help and encouragement to assist the family to achieve some measure of independence, irrespective of the degree of handicap of the person in their care. There is seldom a simple answer when a crisis situation arises, but it is only through early intervention, skilled counselling and a wide range of day and residential accommodation that these complex and often heart breaking problems can be solved. Training Schools The provisions available in the two junior training schools have been found to be adequate for present needs and, therefore, there is no immediate proposal to increase the number of schools. 75 One of the most important factors for the handicapped child is establishing social competence, and noticeable progress has been observed through expanding outside activities. |
70bcb15c-6c04-4c67-b6c4-fa57bb7778b5 | An excellent film on this theme has been made by the staff of the Hendon Junior Training School. I am pleased to acknowledge that the success and progress of these schools is attributable to the tireless efforts of the staff to avail themselves of every opportunity to seek new approaches to the word and, in handing them to the Education Department in 1971, am confident that they will not cease to educate these children in an exemplary manner. Special Care Units The provision of more special care unit accommodation remains one of the most urgent priorities, particularly for the more severely physically handicapped child and young adult. Without these units and the devotion of the staff who run them, it would be impossible for some families to go on caring for the handicapped in their midst. Discussions are taking place with the North West Metropolitan Regional Hospital Board to provide Day Hospitals for these patients. Short Term Care It is recognised that it is an essential part of community care for practical relief to be given to families from the continual care of the handicapped member. |
5f151b58-ab47-4341-a68b-ec2d140cefa7 | It is frequently the short term care, rather than the supporting help, which enables the family to go on. Voluntary organisations are the main source of short term care vacancies, and many patients benefited from this service during the year. It is particularly fortunate that the Principal Medical Officer is Hon. Consultant to Buckets and Spades organisation with a Home at St.Leonards, Sussex, which provides excellent holiday care for the majority of children. Residential Care The effective stop on admissions to Psychiatric Hospitals for the mentally retarded has increased the difficulties which have been growing steadily. The very heavy burden placed on the parents of severely disturbed or physically handicapped retarded children and adults is difficult to relieve at the present time. For children, the 10 place hostel at 55 Christchurch Avenue, North Finchley, has proved a great success. This has been much admired and visited by Architects, Doctors, Educationalists and Administrators from all over the world, and is regarded as a model for small family homes. |
903b1d3d-39ca-44b1-ba52-7b44acaa4810 | Two 25 place hostels for adults are at the advanced planning stage. 76 Adult Training Centres The numbers needing adult training are naturally increasing and, although the Council has provisions for 100 places at two existing training centres, the 150 places in the adult training centre shortly to be built on the Broadfields Estate will satisfy most of the demands for the immediate future. It is intended that 40 of the places at this new establishment shall be specifically set aside for intensive training to fit higher grade patients, particularly immature leavers from Educationally Sub-Normal Schools, for outside employment. 77 78 Number of persons under Local Health Authority care at 31st December, |
dce145f0-af91-4f3f-a077-8f07de71269e | 1970 Mentally Ill Elderly Mentally Infirm Psychopathic Mentally handicapped Severely Mentally handicapped Total Under age 16 16 and over Under age 16 16 and over Under age 16 16 and over Under age 16 16 and over M F M F M F M F M F M F M F M F M F (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) 1 Total number 9 5 134 202 25 75 2 8 4 134 100 67 56 107 87 1015 2 Attending workshops, |
fcf8d61f-0fbe-4e41-b326-0bfc30fcf96e | day centres or training centres (including special units) 3 3 11 18 6 4 19 22 60 40 63 53 302 3 Awaiting entry to workshops, day centres or training centres (including special units) 3 5 2 8 2 1 5 5 4 35 4 Receiving home training 5 Awaiting home training 6 Resident in L.A. home/hostel 4 5 1 5 3 18 7 Awaiting residence in L.A. home/hostel 1 4 6 1 12 8 Resident in other home/hostel 19 12 1 9 12 9 4 16 6 88 9 Boarded out in private household 1 1 2 10 Attending day hospital 3 9 12 11 Receiving home visits and not incl. |
4577df62-f57e-496b-8069-47d114cf71c2 | in lines 2-10 (a) suitable to attend a training centre 17 28 12 48 1 106 (b) others 9 5 85 140 2 2 109 69 5 10 27 28 491 79 Number of persons referred to Mental Welfare Officers during 1970 Mentally Ill Psychopathic Mentally handicapped Severely Mentally handicapped Total Under age 16 16 and over Under age 16 16 and over Under age 16 16 and over Under age 16 16 and over M F M F M F M F M F M F M F M F (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) :i3) (14) (15) [16) (17) (a) General practitioners 133 268 401 (b) Hospitals, |
24274497-47c3-414c-b98d-0ed7d5a63296 | on discharge from in-patient treatment 1 65 77 2 2 2 1 150 (c) Hospitals, after or during out-patient or day treatment 26 55 2 2 1 86 (d) Local education authorities 3 1 1 1 17 5 7 12 47 (e) Police and courts 19 21 40 (f) Other cources 4 4 172 257 4 3 2 5 1 1 453 (g) Total 7 5 415 679 1 1 23 12 11 18 3 2 1177 The terms mentally handicapped and severely mentally handicapped are now used in place of subnormal and severely subnormal. |
32308a98-c4a7-4934-8a8d-ee012d8886ad | ACTIVITIES OF MENTAL WELFARE OFFICERS Attendances at:- Out Patients' Clinics 174 Social Clubs 203 Day Centres 164 Total 541 Visits to:- Mentally Ill Persons 5,962 Mentally Handicapped Persons 659 Total 6,621 * * Includes 518 visits outside office hours Emergency Night and Weekend Standby Service:- Monday - Friday Night Calls 161 Weekend Calls 83 Total 244 80 WELFARE SERVICES WELFARE SERVICES The Welfare Services provided by the Council, by virtue of the National Assistance Act, 1948, have been expanded during the year in relation to the care of the aged, the physically handicapped, and the homeless members of the community. Residential Accommodation The demand for residential accommodation continues to increase, and at 31st December, 1970, 230 people were on the waiting list. |
68aa7c73-70e5-4e74-8231-db6b1db56cd3 | During the year "Merrivale" (one of the four replacement homes for Redhill House) was opened and the first residents were admitted on 23rd February, 1970. Redhill House, a former poor law institution was closed down completely on 14th March, 1970. Residents from there were transferred to other Council Homes. The residential accommodation in Council Homes for the elderly at the end of the year was 349 and was made up as follows:- Name of Home No. of Beds Disposition Beach Lodge, 66 Hendon Lane, N.3. 32 Female The Cedars, Richmond Road, New Barnet. 38 Mixed The Leys, Barnet Lane, Elstree. 47 Mixed Merrivale, Burnt Oak, Edgware. 60 Mixed Morton Lodge, Ashfield Road, Southgate, N.14. 50 Mixed Storth Oaks, 1 Downage, Hendon, N.W.4. |
b2f8dfae-70e3-4031-9a7d-010a9e520a36 | 31 Mixed Woodhill House, Kentish Lane, Essendon, Herts. 41 Mixed Meadowside, 58 Holden Road, N.12. 50 Mixed Total - 349 The Council was financially responsible for 40 people accommodated in other local Authority Homes, and 7 residents in our establishments were chargeable to other Authorities. We are financially responsible for 467 persons in the Homes of Voluntary Organisations. During the year 76 people were admitted to the Council's Homes; 43 residents died, 54 were transferred to hospital and 8 returned to their home address. Short-stay accommodation was provided for 87 persons, to enable relatives who normally care for them to take a holiday, 134 persons were admitted to Voluntary Organisation Homes of whom 10 were for short stays. Improvements and maintenance of buildings, furniture and equipment have been maintained at a high standard, with due regard to economy. |
8e396899-b787-4da2-8795-87f8cd731863 | 83 A Handicrafts Instructor attends the Home to assist those residents who are willing to accept such instruction. Outings to the coast and countryside are arranged. Film shows and outings are provided frequently at modest cost to the Council, and additional outings, lunches, theatre parties etc. are frequently provided by voluntary organisations. The interest shown and the contribution made by the many voluntary societies in the Borough towards the welfare of the elderly is greatly appreciated. Registered Homes for the Elderly and Handicapped There are 52 Registered Homes for the Elderly and Handicapped in the Borough providing places for 1118 persons. At the end of the year 780 resided in Homes run by Voluntary Organisations, and 170 in Private Homes for the elderly. One new Voluntary Home was registered during the year, and two private and one voluntary registrations were cancelled. |
be2777bb-8c42-4a41-8327-af2fda02e114 | Services provided for the Elderly (Persons of pensionable age) Residential accommodation for persons who by reason of age and infirmity are in need of care and attention. Grants to Old People's Welfare Committees, British Red Cross Society, Finchley Guild of Social Services, W.R.V.S., to assist them in providing handicraft classes, social and luncheon clubs, meals on wheels, visitors, etc., for the general benefit of the elderly in the area. Provision of Day and Work Centres and Transport thereto, where necessary. Home Nursing, Home Helps, Health Visiting, Chiropody, Recuperative Holidays. Claremont Clinic A Day Centre at this clinic for 15 elderly people is staffed on a voluntary basis by the League of Jewish Women. The Centre functions on Tuesday and Thursday of each week, and has proved most successful, enabling housebound elderly people to be collected from their homes, and enjoy the facilities at the Centre. |
d03252ec-e241-45db-932f-cc01496af364 | Handicraft is organised under the supervision of the Council's Handicraft Instructor. 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 and to give necessary care for those who live alone. The Matron is responsible for the very successful results achieved in the handicrafts section. A Work Centre 84 provides 40 active elderly people with clean work in a very pleasant sociable atmosphere and a modest amount of pocket money. 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 and is on similar lines to the Council's Work Centre. Meals on Wheels The service is provided mainly by The Women's Royal Voluntary Service, as Agents of the Council, and 66,979 meals were delivered during the year. |
0fb572f7-abd8-490c-9969-93ea95ff2dd9 | Not all parts of the Borough receive a 5-day service, but there has again been a substantial increase in the number of meals provided this year, and the ultimate aim is a daily service in all areas of the Borough. In addition, the Hendon Old People's Welfare Committee, and the Watling Community Centre have a lunch Club for the elderly once each week, and The League of Jewish Women supply Kosher meals to a number of elderly people in the Finchley area. The Luncheon Clubs operated by all the Organisations mentioned play a very important role in caring for the needs of the elderly, and during the year a total of 19,465 meals were served in these Clubs in the Borough. Services for the Partially Sighted These are persons substantially and permanently handicapped by congenitally defective vision, or in whose case illness or injury has caused defective vision of a substantial and permanently handicapping character, which brings them within the scope of the welfare services which the local authority are empowered to provide for blind persons. |
b3278cf1-e0c1-4f6a-aabf-606a34ce6331 | Services Provided: Employment of Social Welfare Officers to assist in promoting general welfare, and to give instruction on reading embossed literature if required. Christmas parcels for the lonely and housebound. Talking Book Machines, if surgeon agrees that the person cannot read print. Tape Recorders. Large print books (available from local library). 85 Educational grants for further studies. Social Clubs Industrial and Social Rehabilitation for Partially-rSighted persons, whose sight is likely to deteriorate. Handicraft Classes. Financial assistance with holidays. Dancing Classes and Dances (see Blind Services). Provision of clothing, furniture and meals, etc., by W.R.V.S. North Middlesex Horticultural Society for the Blind.- Financial assistance from Middlesex Association for the Blind, if in need, e.g. electric or gas bill, clothing, household repairs and decorations, provision of furniture, etc. Sheltered employment in Workshops or Home Workers. Handicraft Materials. |
6bcf7879-296b-4b09-89f3-17f0d0984fa8 | Aids 194 persons are registered as partially-sighted, an increase of 24 during the year. |
665c6d17-82ec-4316-8345-1ab6f64ad690 | AGE GROUPS 0-1 2-4 5-15 16-20 21-49 50-64 65+ Total Males - - 9 3 11 15 33 71 Females - - 9 3 16 17 78 123 Total - - 18 6 27 32 111 194 86 Registered Partially-Sighted Persons other than those near or propsectively blind Age Groups 16-20 21-49 50-64 65+ Total Mainly Industrially Handicapped Employed: Males 2 8 5 — 15 Females — 7 3 — 10 Available for and capable of training for work: Males — — — — — Females — — — — — Requiring observation only: Males — 1 — 17 18 Females 1 5 6 32 44 Children, 16 and over, |
85f5e242-f042-4333-bd6f-6f8d79ca7f6d | still at school: Males 1 — — — 1 Females 1 — — — 1 5 21 14 49 89 Age Groups 0-5 5-16 Total Children under 16: Attending special schools: Males — 6 6 Females — 5 5 Attending other schools: Males — 2 2 Females — 3 3 Not at school: Males — 1 1 Females — 1 1 — 18 18 87 Services for the Blind "A person so blind as to be unable to perform any work for which eyesight is essential". Services Provided: Employment of Social Welfare Officers to assist in promoting general welfare, and to give instruction on reading embossed literature. Financial assistance from Middlesex Association for the Blind if in need, e.g. electricity or gas bill, repairs, etc. Magazines in Braille and letterpress. |
d6b58300-377f-4968-b148-6b689b28212c | Christmas Parcels from Middlesex Association for the Blind Talking Book Machines Library Service of literature in Braille Wireless Set from Wireless for the Blind Fund Wireless Licence Exemption Certificate from London Borough of Barnet Bus Passes from London Transport Educational Grants for further studies, tape recorders, etc., from Voluntary Organisations Pensions for the assistance of Blind People from charities. 5 Social Clubs — (4 afternoon, 1 evening) organised by Voluntary Organisations 3 Handicraft Classes and yearly exhibition Industrial and Social Rehabilitation Financial assistance for holidays Dancing classes and dances: Hendon Dancing Class for the Blind (Education Department, Transport by Welfare) Tottenham Deaf/Blind Class (Transport by Welfare) Provision of clothes, furniture, meals, etc. by W.R.V.S. North Middlesex Horticultural Society for the Blind: Spring and Summer Shows. Free Bulbs Guide dogs for totally blind Sheltered employment in Workshops or Home Workers. |
21d6aa2d-6cd2-4f11-9451-901b3bd205bb | Financial assistance by London Borough of Barnet Cinema Passes for blind (Rank Organisation) Handicraft Materials, incl. card games, etc. (Paid at cost price) Aids Loan of typewriters and tape recorders Escort duties by B.R.C.S. and League of Jewish Women Various house and garden jobs by Task Force Home Helps Industrial Rehabilitation (organised by R.N.I.B.) 88 Number of Registered Blind Persons at 31.12.70 Age Groups 0-1 2-4 5-15 16-20 21-49 50-64 65+ Total Males — 1 2 4 39 50 145 241 Females — 1 4 5 35 51 364 460 Total — 2 6 9 74 101 509 701 During the year 124 persons were added to the Register, |
432d6b54-a133-494f-ad9f-700993f2571d | in the following Age Groups:— Age Groups 0-1 2-4 5-15 16-20 21-49 50-64 65+ Total Males — — — — 2 2 15 19 Females — — 2 — 3 3 50 58 Total — — 2 — 5 5 65 77 Employment 83 registered Blind persons were in employment at the end of the year; 7 in special Workshops, 8 in Home Workers Schemes and 68 in open employment were as follows:- Masseurs & Physiotherapists 8 Lecturers, Teachers, Instructors 3 Barristers & Solicitors 2 Musicians 3 Social, Welfare and related workers 2 Proprietors, Managers & Executive Workers 3 Typists, Shorthand Typists & Secretaries 6 Braille Copyists 1 Clerical Workers 2 Telephone Operators 10 Working Proprietors & Shop Managers 2 Sales Representatives, |
e6e98136-90e1-4826-b0a1-8532c9d49648 | Agents & Collectors 2 Machine Tool Operators 5 Fitters & Assemblers 3 Viewers, Inspectors & Testers 1 Packers 2 Carpenters & Joiners 1 Knitters (Hand & Machine) 3 Upholsterers 1 89 Basket Makers 3 Chair Seaters 1 Wireworkers 1 Piano Tuners 1 Craftsmen and Production Process Workers 8 Labourers 2 Domestic/Canteen Workers 3 Miscellaneous Workers 4 83 Services for the Deaf and Hard of Hearing Deaf (a) Without speech: "Those who have no useful hearing, and whose normal method of communication is by signs, finger spelling, or writing". (b) With speech: "Those who (even with a hearing aid) have little or no useful hearing, but whose normal method of communication is by speech and lip-reading". |
7ea424ee-1e65-4f59-8a7e-830503fb20de | Hard of Hearing: "Those who (with or without a hearing aid) have some useful hearing, and whose normal method of communication is by speech, listening and lip-reading". Services Provided Employment of Welfare Officer for the Deaf, to give advice and guidance on problems relating to the deaf and act as interpreter. Assistance with holidays Aids: Mountcastle Silent Bell Hearing Aids — outside National Health Service Liaison with Disablement Resettlement Officer Clubs, lip-reading classes, etc. Grants to "Hard of Hearing" Groups in Hendon and Chipping Barnet. |
7805706a-03a4-4f49-b3ae-5917ad75b8b1 | The number of persons on our Register at 31st December, 1970 was 105 in the following age groups:- Age Group Deaf with speech Deaf without speech Hard of hearing Total Under 16 1 1 - 2 16-64 years 21 23 10 54 65 years or over 11 10 28 49 Total 33 34 38 105 90 The "Hard of Hearing" Groups at Chipping Barnet and Hendon continued to flourish under active leadership, and provided valuable assistance to my Department and to the individuals concerned. Services for the Physically Handicapped "Persons who are substantially and permanently handicapped by illness, injury or congenital deformity, or such other disabilities as may be prescribed by the Minister." Services Provided Social Welfare Officers assist in overcoming effects of disabilities and give help on personal problems. |
39943af2-9d7d-4565-a871-1bbf9d48c3fe | Necessary aids are available on free loan Adaptations to property - up to £25 free of charge to client, assessed if estimate is above this amount. No charge if Borough Council property Financial assistance with holidays Transport to Centres and to special functions Rehabilitation Centre (Deansbrook Road, Edgware) Home Helps Clubs and Handicraft Classes — some in co-operation with the British Red Cross Society Functional Assessment Unit — arrangements made for attendance at hospital Various house and garden jobs by Task Force Liaison with Disablement Resettlement Officer Financial Assistance for employment in Work Centres of other Authorities and Organisations This Group includes spastics, epileptics, sufferers from multiple sclerosis, muscular dystrophy, arthritis, poliomyelitis, cardiac disease and other permanent disabilities. |
b268fa30-22db-4770-b199-8453fdbf6ab4 | The number registered at the end of the year was 1976, in the following age groups:- under 16 years of age 21 16 years to 64 years 703 over 65 years 1252 Total 1976 The daily Work Centre at Heriot Road continued to operate successfully; attendance of an average of 30 persons daily was maintained. The Rehabilitation Centre at Deansbrook Road, Edgware, provided a useful service 91 for the physically handicapped and the blind. The number of persons attending daily varied between 20 and 40, most of whom were conveyed by Council transport. The British Red Cross Society continued to operate weekly Handicraft Classes at Edgware, Hendon, Finchley and High Barnet. During school term, a choral class was held in North Finchley. Transport to these classes was provided by means of the Council's specially-adapted vehicles. |
97ede8bf-34ee-49a8-b525-49613ed2f871 | During the year 212 persons availed themselves of the Council's Assisted Holiday Scheme for the physically-handicapped. 7 families enjoyed a holiday of up to 13 days each in the caravan at Monckton, Kent, given to us by the students of Orange Hill School, but due to illness at last moment full use of the caravan was not maintained. Adaptations to the homes of physically-handicapped persons were carried out in 119 cases at a total cost of £4,861. 528 aids to daily living were issued at a cost of £1,611. 3s. 8. of which 136 were second-hand and were supplied from stock. All these aids were loaned free of charge. Homeless Families The year brought major changes in the Council's provision for families which had lost their homes. |
81490684-9fac-4019-86c8-55ea5ec686f4 | Redhill Lodge (accommodation for 25 families) and Redhill House Welfare Home (accommodation for up to 10 families plus a reception unit) were progressively closed during the months following the opening in April of The Croft, a purpose-built hostel for up to 15 families. The Housing Department of the Council supplemented the reduced accommodation by providing homes for 47 families as against 24 in 1969. 92 The accommodation at Kelvedon, 27 Woodside Avenue, N.12. (12 families) and a 2 Edward Road, New Barnet (4 families) has remained in full use. Families Persons Number accommodated at 1.1.70. |
70cb3052-9643-406c-b959-67f151d6e325 | 56 234 Number of applications during 1970 (Family Units) 190 – Number of admissions during 1970 60 237 Number re-housed by Housing Department 47 199 Number discharged to other accommodation 16 63 Children born to residents – 15 Husbands rejoining families – 5 Number remaining at 31.12.70. 53 229 Number of Men (aged 16 and over) resident at 31.12.70. 34 Number of Women (aged 16 and over) " " " 56 Number of Children (aged 5 — 15) " " " 66 Number of Children (aged under 5) " " " 73 229 93 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 113. |
488e8a54-b9e5-46d2-9468-ff0a0b2b850f | Co-ordination and Co-operation with Hospital and General Practitioner Services Links with the hospitals have been strengthened. A health visitor now visits the Paediatric Unit at Edgware General Hospital and joins the meetings of social workers and others concerned with patients in the Unit. Another health visitor combines regularly a visit to the Barnet General Hospital Paediatric Unit with a visit to the Hospital's Premature Baby Unit. Health visitor/group advisers have visited the wards at Edgware General Hospital and offered assistance with regard to patients' social problems. At Barnet General Hospital health visitor/group advisers and home nurses have co-operated with the staff of the Geriatric Department. In September a senior midwife holding the Midwifery Tutor's Diploma was appointed and arrangements were made for her to visit Edgware General Hospital to give lectures to pupil midwives in preparation for their period of training on the district. |
6d28a342-44d3-4b7a-801a-f6b641d3bb6c | A newly formed relationship within the teams attached to general practitioners needed time to become established, but there has been a growing understanding amongst members of the team of the role that each has to play. At the beginning of the year the conversion of the East Barnet Clinic to a Health Centre was completed and two of the general practitioner suites were occupied. The arrangements for the joint operation of general practitioner and local authority services have worked smoothly and have greatly benefited the residents in that part of the Borough. Health Visiting This has been a year of consolidation for the service. Health visitors attended a number of courses during the year. The first in-service course for those interested in teaching health education in school was organised by the health education officer and health visitors are now teaching in 18 schools. Health visitors continue to be associaated with research projects carried out by a number of agencies. Three health visitor students successfully completed their studies and are now members of the staff. |
70432d78-95f9-4b7e-a7ed-7f88902e4d0f | Assistance was given for the training of six health visitor students from other authorities and eight child care students were placed with health visitors for two weeks. They also welcomed two social work students from Durham and London Universities, respectively. 97 Home Visiting Cases First Effective Total Effective No. Access Visits at request of G.P. |
63a83931-6f4d-4735-a7f7-fb8a4ad186e1 | or Hospital Expectant Mothers 825 1187 277 — Children born in: 1970 4154 8067 1820 — 1969 2999 5695 1405 — 1965-68 4689 9439 2183 — Persons aged 65 or over 2015 4748 720 1390 Mentally disordered 244 741 108 199 Persons discharged from hospital (other than mental hospitals) 178 278 25 199 Households — Tuberculous 332 477 212 - Households — other infectious diseases 169 227 41 — Other visits as Health Visitors 1361 3271 598 — Total as Health Visitors — 34130 7389 1788 Cases seen as School Nurse — 2108 302 — Total No. of hours devoted to G.P. |
edd15e79-5058-4e90-99d2-c1435c5d8cb6 | Surgery 3041¾ Prevention of Homelessness (Problem Families) The department's social workers have continued to make every effort to reduce the risk of homelessness in the borough and family case workers have carried out intensive case work with problem families. The fullest support possible was given to families rehoused from temporary accommodation. Care of Mothers and Young Children Notification of Births Numbers of Births in the London Borough of Barnet during 1970 as adjusted by inward and outward transfers:- 98 (i) Live Births (a) Domiciliary 168 (b) Institutional 3893 4061 (ii) Still Births (a) Domiciliary 1 (b) Institutional 56 57 4118 Attendance at combined Mothercraft and Relaxation Clinics Combined Mothercraft and Relaxation No of Sessions Total Attendances Average attendance per Session Central 22 111 5.2 Childs Hill 31 103 3.3 East Barnet 12 74 6. |
80ca769b-7d5b-45fb-bb20-3b7f478e7f62 | 2 Edgware 24 84 3.5 Mill Hill 18 61 3.4 Oak Lane 22 94 4.3 Oakleigh Road 29 113 3.6 Sutton Road 10 26 2.6 Torrington 52 379 7.3 Vale Drive 32 300 9.4 Watling 14 60 4.3 West Hendon 40 82 2.0 Osidge 5 37 7.4 TOTALS 311 1524 4.9 Congenital Malformation During the year 71 cases of malformation were notified in respect of children born to parents normally resident within the area. Since January 1964 details of 406 cases have been passed to the Registrar General. |
4af028c5-e6ba-489e-acc1-00c33337d992 | Mothers' Discussion Groups Discussion groups were in operation at the end of this year at the following clinics:- Vale Drive Oakleigh Road Torrington Oak Lane Brunswick Park (Osidge) Holly Park Mill Hill Sutton Road Childs Hill 99 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 Attendances No. of cases seen by A.M.O. No. of cases referred elsewhere Infant Welfare Sessions Broadfields 47 2176 46.3 682 25 Central 94 2661 28.3 1450 Childs Hill 102 3511 34.4 1580 47 Claremont 24 516 21.5 292 14 Colindale 53 1883 35.5 725 1 Dollisfield 22 250 11.4 174 12 East Barnet 100 3045 30. |
1551db3f-e545-43f8-b6bd-c2a52d972690 | 5 1541 8 Edgware 48 1430 29.8 641 13 Etchingham Park 105 2332 22.2 1210 — Holders Hill 22 469 21.3 241 — Holly Park 52 1465 28.2 857 — Mill Hill 95 2404 25.3 1195 39 Oak Lane 103 2935 28.5 1568 6 Oakleigh Road 52 1392 26.8 857 — Osidge 104 3141 31.2 1436 — St.Barnabas 52 2489 47.9 837 24 St.Marks 11 109 9.9 88 — St. Stephens 24 425 17.7 265 3 Sanders Lane 25 618 24.6 277 31 Sutton Road 53 1313 24. |
117f5ffd-d030-481c-a582-b86da96e0b76 | 8 699 — Torrington 102 2948 28.9 1257 — Vale Drive 26 1021 39.3 477 4 Watling 28 563 20.1 261 — West Hendon 102 2262 22.2 906 4 Sessions without a Doctor Broadfields 1 16 16 — — Central 15 197 13.1 — — Claremont 6 62 10.6 — — East Barnet 1 2 2 — — Edgware 13 169 13 — — Holders Hill 8 80 10 — — Inglis Barracks 9 98 10.9 — — Sanders Lane 5 62 12.4 — — St.Marks 3 17 5.6 — — Torrington 4 37 9.2 — — Vale Drive 4 24 6 — — Developmental Clinics Broadfields 1 4 4. |
6bff7e8f-58b4-4904-a2a1-4b26f798fae8 | 0 — — East Barnet 4 6 1.5 — — Holly Park 3 36 12.0 — — Mill Hill 3 16 5.3 — — Osidge 6 58 9.7 — — Oak Lane 13 103 8.0 — — St. Barnabas 8 75 9.4 — — Childs Hill 3 13 4.3 — — TOTALS 1556 42433 27.3 19516 231 100 Number of children who attended during 1970:- Born in 1970 3623 Born in 1969 3003 Born in 1965-1968 3317 9943 Midwifery As in previous years the decline in the number of home confinements conducted by domiciliary midwives continued with 168 deliveries taking place during the year (254 in 1969). |
8760cfc6-8ea8-4ede-9196-cb8609cbaa99 | Patients nursed at home following hospital confinement numbered 758 (724 in 1969). Sixteen pupil midwives received their district training in the borough and resided at Gervase Road, Edgware during the training period. Home Nursing The upward trend in the demand on the home nursing service has continued. The number of visits during the year showed an increase of 910 over the previous year. A proportion of these visits must be attributed in some measure to the success of the home nurse/general practitioner attachment scheme which has now become an established way of working within the borough. A full establishment of home nurses and nursing auxiliaries was maintained throughout the year. Eight of the home nursing staff attended training courses and were successful in obtaining the National Certificate. One senior home nurse attended a Practical Work Instructor's course. No. of cases nursed 4935 No. of patients under 5 at first visit 182 No. |
3c85e6b7-b416-41fc-9080-c5ee3a10f889 | of patients 65 or over at first visit 3224 Marie Curie Memorial Foundation The authority continues to act as agents for the Foundation and during the year 15 patients were provided with day and/or night nursing to assist relatives in caring for them. Loan of Nursing Equipment The British Red Cross Society continued to act as agents of the authority in providing the loan of nursing equipment, apart from large items which are hired or purchased by the local authority. A small charge is collected by the Society towards the replacement of equipment, except in hardship cases, when the charge is paid by the Council. . 101 Incontinence Pads and Clothing Incontinence pads and clothing are provided free for suitable cases recommended by general practitioners or home nurses and are available at all main clinics. 102624 pads and 828 pairs of waterproof pants and linings were issued during the year. |
7265646b-40d2-41b4-8c81-1414866b2a0a | Home Help Service The following shows the type of assistance given during the year Aged 65 or over in 1970 Age under 65 in 1970 Total Chronic sick or Tubercular Mentally disordered Maternity Others Number of Cases 1856 188 4 81 328 2457 Neighbourly Help Service 38 Neighbourly helps were employed at the end of the year and were providing assistance to 38 households. Day Nurseries The number of places available at the Council's three day nurseries remained at 165 and these were filled by children in the priority categories. Despite staff movements a reasonable staff ratio was maintained during the year. The day nurseries continued to offer practical training to student nursery nurses from Barnet College of Further Education, and observation visits were paid by speech therapy students and student child care officers. Day Nursery No. |
59ff5439-d166-411c-89be-b8634966f971 | of approved places Children on Register at 31st December 1970 Attendances for the year Average daily attendances 0-2 2-5 0-2 2-5 Lakeview 60 12 50 3047 9496 48 Kingswood 50 12 37 2177 8033 39 Wood Street 55 10 44 2059 8781 42 TOTALS 165 34 131 7283 26310 129 102 Private Day Nurseries and Registered Child Minders During the year applications for registration under the Nurseries and Child Minders Regulation Act, 1948, as amended by Health Services and Public Health Act, 1968, continued to be received and reports on the home conditions and the suitability of persons concerned were submitted by the nursing officers who visited the applicants. At the end of the year there were 226 registered child minders and 67 private day nurseries. |
1184eb53-d03f-44ac-ac6d-f34cca8a8ffe | Clinics for the Elderly A total of 52 sessions were held at West Hendon and Watling (Edgware) clinics and 1430 attendances made. Chiropody There was a further increase in the number of persons treated during the year. Treatment is provided through a directly operated domiciliary and clinic scheme in the former Middlesex part of the borough and in the former Hertfordshire part of the borough the Hertfordshire County Council's scheme of treatment by chiropodists in private practice continues. The service was supplemented by work undertaken by voluntary bodies on behalf of the authority. |
180a458d-82a7-4328-8df1-889873b0443e | Category Persons provided with Treatment Directly by the Authority (including those treated by private chiropodists on behalf of the Authority) Through arrangements with Voluntary Or ganisations Elderly persons 2423 677 Physically handicapped 23 _ Expectant and nursing mothers 4 _ Schoolchildren 20 _ Children under 5 years 3 _ TOTALS 2473 677 Recuperative Holiday Homes Recommendations for holidays were received from general practitioners, hospitals and medical staff of the Department, and during the year 26 persons were admitted to recuperative holiday homes. There were also 26 applications approved but later withdrawn. 103 Registration of Nursing Homes The nursing homes named below are registered with the Borough in accordance with the provisions of the Public Health Act, 1936, the Nursing Home Act, 1963 and Part 3 of the Mental Health Act, 1959, and were regularly inspected during the year. Nursing Homes registered year ended 31st December 1970 No. of Beds St. |
559b87e5-006c-4a0a-943f-b1115c945887 | Mary's Nursing Home, 46, Sunny Gardens Road, N.W.4. Maternity, Surgical and Medical 5- Maternity 6- Medical Brent Nursing Home 4—6 Heather Gardens, N.W.11. Medical & Chronic 32 "Cartref", 196 Watford Way, N.W.4. Chronic 2 Edgware Nursing Home, 36—38 Orchard Drive, Edgware. Medical & Chronic 13 "Clovelly", 81, Torrington Park, N.12. Medical & Chronic 19 Arkley Lawn Nursing Home, Arkley, Barnet. Medical & Chronic 26 Ellern Mede Nursing Home, Totteridge Common, N.20. Chronic 34 Preston Lodge Nursing Home, 38, Station Road, New Barnet. Medical & Chronic 12 Highwood House Nursing Home, Highwood Hill, N.W.7. |
f5a4887c-6642-4737-9154-c3ed6bdd88e2 | Medical & Chronic 21 Braeside Clinic, 76, Park Road, New Barnet. Surgical 10 Ravenscroft Park N. Home, 4, Ravenscroft Park, Barnet. Medical & Chronic 10 Bedford House, Hammers Lane, N.W.7. Chronic 23 Manor House Hospital, North End Road, N.W.ll. Medical & Chronic 139 104 Cursing Homes registered year ended 31st December 1970 No. of Beds Stuart House, 66, West Heath Road, N.W.3. Chronic 8 Convent of St.Mary's at the Cross, Hale Lane, Edgware. Incurable Orthopaedic 48 National Kidney Centre, 1, Fairholme Gardens, N.3. 3 Northumberland House, 237 Ballards Lane, N.3. Psychiatric 30 Nurses Agencies The nurses' agencies: Harley Nurses 84, Edgware Way, Edgware. |
088af659-50ec-4b63-94af-de4798d4fae4 | Finchley Nurses Co-operative 24, Eton Avenue, N.12. Mill Hill Nurses Agency 2, Beechwood Close, N.W.7. were inspected during this year and their licences renewed. The Nul-Sal Agency 335, Long Lane, N.2. was transferred under the name: Albany Nurses Agency to premises at, 7/7a Station Road, N.3. and after inspection of the new premises, the licence was renewed. Licences were issued during the year for the following agencies to be established: Court Nurses Agency 397, Hendon Way, N.W.4. Universal Nursing Service 61, High Street, Barnet. Priority Dental Service The number of expectant and nursing mothers and children under 5 years of age receiving dental treatment at clinics, continued to decline and it is assumed that this is attributable to the fact that a greater number of patients are seeking free treatment from their own private dental practitioner. |
b768dca4-880b-41dc-bcac-1d975cc13e69 | 105 Attendances and Treatment Children under 5 Expectant and Nursing Mothers First Visit 396 66 Subsequent Visits 445 158 Total Visits 841 224 Number of additional courses of treatment commenced 40 15 Treatment Provided: Number of fillings 603 168 Teeth filled 572 149 Teeth extracted 90 33 General anaesthetics 45 3 Emergency visits 16 3 Patients x-rayed 9 29 Patients treated by scaling etc. |
38de45bd-54e1-46a7-9675-f1b7e5af8317 | 46 88 Teeth otherwise conserved 181 — Teeth root filled — 2 Inlays/Crowns — — Number of courses of treatment completed during the year 197 33 Prosthetics Patients supplied with full upper or full lower 31 (first time) Patients supplied with other dentures 7 Number of dentures supplied 38 Anaesthetics General anaesthetics administered by dental officers 2 Inspections Children under 5 Expectant and Nursing Mothers Number of patients given first inspections 326 48 Number of patients who required treatment 204 42 Number of patients who were offered treatment 204 42 Number of Dental Officer sessions devoted to maternity and child welfare patients 135 106 Tuberculosis The Borough is served by two chest clinics, viz. 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. Hounslow. |
f7e4bc76-6db0-4345-a0a0-3d9df57d147e | 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, 1970. Respiratory Non-Respiratory Men Women Children Total Men Women Children Total 1492 1047 171 2710 65 86 4 155 2. |
adbd18c4-bc3f-4ae7-931e-014f77119814 | 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 1970: Classification Non-Bacteriologically Confirmed Bacteriologically Confirmed Men Women Children Total Men Women Children Total Group I 47 21 4 72 5 5 - 10 Group II 3 8 - 11 9 3 - 12 Group III 1 - - 1 9 3 - 12 Totals 51 29 4 84 23 11 - 34 3. 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 1970:- Men Women Children Total 14 14 1 29 4. |
3c2a786b-9ff4-4908-b5d4-90a4d4a7e841 | Number of cases included in 1 above whose broncho-pulmonary secretion was positive during the year — 42 107 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. Tuberculous pleural effusions, pleural thickening, lung involvement and enlarged Hilar lymph glands are placed in Group I. The Care of the Unsupported Mother The Authority has one Mother and Baby Home, Guilford House, providing 14 antenatal beds and 11 post-natal beds with 11 cots. No deliveries take place in the home. A relaxation class was conducted by a member of the health visiting staff and mothers were taught the general principles of mothercraft and infant care. |
fa1cc28c-5473-44a5-934f-98bf3500954e | Group discussions were held when mothers were encouraged to talk about their problems. Of the 59 referrals to the department 39 were admitted to Guilford House, 8 were admitted to other authority homes and 12 were not admitted. In addition 32 cases were admitted to Guilford House from other Authorities. Family Planning A comprehensive family planning service, including a domiciliary service continued to be provided through the medium of the Family Planning Association acting as the Council's full agent. The service was available at the following centres:- The Family Planning Association, Barnet & District Clinic, 133 Wood Street, Barnet. Edgware Clinic, Approach Road, Station Road, Edgware. West Hendon Clinic, 215 The Broadway, N.W.9. Oak Lane Clinic, Oak Lane, Finchley, N.2. Claremont Clinic, Claremont Road, N.W.2. East Barnet Health Centre, 149 East Barnet Road, New Barnet. |
b108dbe8-23e0-4117-9716-ea532e874cb0 | 108 Cervical Cytology This service continued during the year at the following clinics:- Torrington Childs Hill Watling Vale Drive West Hendon Oak Lane Edgware Brunswick Park (Osidge) East Barnet Health Centre Fortnightly sessions were held at the clinics and all women who attended had a full examination of the breast, abdomen and pelvis. 1440 patients attended for the first time during the year and in every case the patient and her doctor were informed of the result of the test. There were no positive results. Clinic No. |
628567ca-f2c6-4900-8dde-fe38a587c372 | of Sessions New Cases Total Attendances Average attendances per session Childs Hill 23 261 275 11.9 East Barnet/ Osidge 24 201 236 9.8 Oak Lane 15 92 105 7.0 Torrington 43 270 378 8.8 Vale Drive 20 119 150 7.5 Watling 28 328 346 12.5 West Hendon 20 169 191 9.5 TOTALS 173 1440 1681 9.7 Vaccination and Immunisation Rubella Vaccination In July, in accordance with Circular 11/70 issued by the department of Health and Social Security, I made arrangements for the introduction of rubella vaccination and invited general practitioners to participate in these arrangements. |
7a54e231-f059-4d9d-bf8d-a43776577f3b | The Joint Committee on Vaccination and Immunisation has recommended that vaccination against rubella should be offered to all girls between their 11th and 14th birthdays and that initial priority should be given to older girls, i.e., those who are in their 14th year. The purpose of this recommendation is to ensure that as many girls 109 as possible are offered protection against rubella by vaccination before reaching child bearing age because of the known association of certain foetal abnormalities with rubella infection in pregnancy. 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 1970 1969 1968 1967 1963-66 1. Quadruple DTPP — — — — — — — 2. Triple DTP 140 1797 721 35 33 5 2731 3. |
3934e89e-6ef6-4f05-adfe-eca8139824d8 | Diphtheria/Pertussis 1 — 2 — — — 3 4. Diphtheria/Tetanus 5 233 73 21 104 26 462 5. Diphtheria — 3 — — 2 — 5 6. Pertussis — 1 — 1 — — 2 7. Tetanus — 2 2 1 11 347 363 8. Salk — — — — — — — 9. Sabin 137 1961 763 52 150 150 3213 10. Measles 13 547 728 273 395 51 2007 11. Rubella — — — — — 146 146 12. |
aac982c6-fce3-44b5-bc44-27bd1ccbfbcb | Total immunised against Diphtheria (Lines 1-2-3-4-5) 146 2033 796 56 139 31 3201 13. Total immunised against Whooping Cough/Pertussis (Lines 1-2-3-6) 141 1798 723 36 33 5 2736 14. Total immunised against Tetanus (Lines 1-2-4-7) 145 2032 796 57 148 378 3556 15. Total immunised against Polio (Lines 1-8-9) 137 1961 763 52 150 150 3213 Table 2. Re-inforcing Doses Type of Vaccine or Dose Year of Birth Others under age 16 TOTAL 1970 1969 1968 1967 1963-66 1. |
733d9280-d173-4614-bf2b-6c60d061122d | Quadruple DTPP — — — — — — — 2. Triple DTP — 136 258 69 392 57 912 3. Diphtheria/Pertussis — — 2 — 10 — 12 4. Diphtheria/Tetanus — 27 61 33 2258 407 2786 5. Diphtheria — — — — 3 — 3 6. Pertussis — — — — — — 7 . Tetanus — 2 4 12 93 938 1049 8. Salk — — — — — — — 9. Sabin — 151 291 100 2708 1627 4877 110 Table 2. Re-inforcing Doses (Contd.) |
1e2c85bf-84a1-4048-b49a-cbf32661d1f5 | Type of Vaccine or Dose Year of Birth Others under age 16 TOTAL 1970 1969 1968 1967 1963-66 10. Total immunised against Diphtheria (Lines 1-2-3-4-5) - 163 321 102 2663 464 3713 11. Total immunised against Whooping Cough/Pertussis (Lines 1-2-3-6) - 136 260 69 402 57 924 12. Total immunised against Tetanus (Lines 1-2-4-7) - 165 323 114 2743 1402 4747 13. Total immuhised against Polio (Lines 1-8-9) - 151 291 100 2708 1627 4877 B.C.G. |
071e2faf-0fc9-4c2c-8824-dc37a53d316f | Vaccination against Tuberculosis 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. A tuberculin test was offered to young immigrants arriving in the Borough during the year and, 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 tested133 (ii) No. found positive 13 (iii) No. found negative 120 (iv) No. vaccinated 104 111 (b) SCHOOL CHILDREN AND STUDENTS (excluding those known to have had B.C.G. vaccination already) (i) No- skin tested 3,090 (ii) No. |
ec5f5177-06ec-4076-89de-8fee631e51d6 | found positive 377 (iii) No. found negative 2,495 (iv) No. vaccinated 2,459 (c) SCHOOL CHILDREN AND STUDENTS (known to have previously had B.C.G. vaccination) (i) No. skin tested 204 (ii) No. found positive 145 (iii) No. found negative 51 (iv) No. vaccinated 41 Smallpox Vaccination There were no reports of cases of generalised vaccinia or post-vaccinal encephalomyelitis or death from any other complications of vaccination. |
7d9511d5-5a41-416c-91ae-daa4ab94bd74 | 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 5 — 3 — 6 months 26 — 6 — 9 months 16 — 9 —12 months 3 — 1 year 1087 — 2 — 4 years 564 93 5 —15 years 124 643 TOTALS 1825 736 112 CLINIC PREMISES Main Clinics Clinic Sessions (See Key Table on page 109) Brunswick Park Road, N.ll. (Osidge) I.W.C. c D SP DV OPH CSC Town Hall, Hendon N.W.4. (Central) I.W.C. CSC D OPH ORT SP CHIR DV A/NE-M/C Garth Road, N.W.2. I.W.C. |
299ac3e6-950b-476c-9f6b-f18afb27270a | C D SP CHIR DV A/NE-M/C CSC East Barnet Road, Barnet. I.W.C. CSC C D SP DV A/NE-M/C CHIR Holly Park, N.ll. I.W.C. D SP CHIR DV CSC Hartley Avenue, N.W.7. (Mill Hill) I.W.C. CSC D SP CHIR DV A/NE-M/C Oak Lane, N.2. I.W.C. C D SP CHIR DV CSC A/NE-M/C OPH Oakleigh Road, N.20 I.W.C. DV CSC A/NE-M/C Sutton Road, N.10 I.W.C. SP CSC A/N A/NE-M/C Torrington Park, N.12 I.W.C. C CSC SP CHIR A/NE-M/C Vale Drive, Barnet I.W.C. |
09ad8a7f-7371-407b-a2d8-3f053ea7fc64 | CSC SIC c D SP DV ORT OPH A/NE-M/C Cressingham Road, I.W.C. CSC C D SP Burnt Oak CHIR A/NE-M/C OPH CE York Road, N.W.9. I.W.C. CSC C D SP (West Hendon) CHIR A/NE-M/C CE Claremont Way, N.W.2. I.W.C. Approach Road, Edgware I.W.C. CSC SP CHIR A/NE-M/C Other Premises Etchingham Park Road,N.3. I.W.C. CHIR St. Andrew's Church Hall, Lvnford Gardens. Edeware. I.W.C. DV 113 Other Premises (continued) St. Stephens Hall I.W.C. Bells Hill, Barnet Dollisfield, Totteridge I.W.C. Lane, N.20. |
58998962-f929-4e7d-a759-e8b40c313fa7 | 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. KEY TABLE I.W.C. Infant Wel fare Clinic CSC Consultative School Clinic A/N Ante-Natal Clinic CE Clinic for Elderly OPH Ophthalmic SP Speech Therapy A/NE-M/C Combined Ante-Natal Exercises and Mothercraft ORT Orthoptic D Dental CHIR Chiropody DV Development Clinic C Cervical Cytology S.I.C. Special Investigation Clinic. 114 SCHOOL HEALTH SERVICE SCHOOL HEALTH SERVICE Introduction The regular medical inspection of children in attendance at Local Authority Schools continued, any necessary treatment being obtained either at Clinics or through facilities provided under the National Health Service Act, 1946. |
79093be5-c4d6-4f10-9a70-1e5e0cc04342 | In accordance with the requirements of the Education Act, 1944, 84 children were reported to the Authority during the year as suffering from a disability requiring some form of special educational treatment. School Population The school population for the Borough continued to increase and the following table shows the position at 31st December, 1970:- Schools No. of Pupils Primary Schools 25,229 Secondary Modern and Bilateral School 11,260 Grammar School 7,999 1 Residential Special School (E.S.N.) 182 2 Day Special School (E.S.N.) 268 1 Autistic Unit 4 44,942 Periodic Medical Inspections The Authority's policy of routine medical inspection of school entrants and leavers, together with an intermediate examination during the last year at the primary school was continued, and the close contact between the Medical Officer of Health and Head Teachers was maintained. |
fe8818bb-a71b-48ef-9fa9-bfe7ceb4152a | 117 The following table shows the number of children inspected by years of birth and the state of their physical condition:- Y ear of Birth Number of Pupils Inspected Physical Condition of Pupils Inspected Satisfactory Unsatisfactory 1966 & later 246 246 - 1965 1,966 1,963 3 1964 1,730 1,728 2 1963 339 339 - 1962 160 160 - 1961 134 134 - 1960 897 897 - 1959 2,002 2,002 - 1958 837 837 - 1957 330 330 - 1956 2,189 2,189 - 1955 & earlier 1,029 1,029 - TOTAL 11,859 11,854 5 Percentage of pupils inspected whose physical condition was found:- Satisfactory 99.96% Unsatisfactory 0. |
66fbbeed-cdc6-4a19-8855-0268f68d837a | 04% Medical Treatment In the Tables of statistics which follow this section of the report, details are given of treatment (excluding uncleanliness and dental disease) of pupils attending maintained primary and secondary schools (including nursery and special schools), whether provided directly by the Council or arranged through other agencies. Ophthalmic Clinics The five school ophthalmic clinics continued to operate at centres dispersed throughout the Borough, with ophthalmologists provided by the North West Metropolitan Regional Hospital Board and an orthoptic service is also provided. In co-operation with Mr. P.A. Gardiner, Consultant Ophthalmologist, I introduced in April, squint diagnostic clinics for young children at the Central Hendon, Oak Lane and Vale Drive clinics. An orthoptist who works with Mr. Gardiner at Barnet General Hospital and at the Authority's eye clinics sees each child referred, whether by a general practitioner or the Council's medical staff and if she believes squint is present, refers the case to 118 Mr. |
2c16b8c0-fb25-4a86-899f-8d61c94fbb76 | Gardiner or an ophthalmologist working under his supervision, although, of course, general practitioners are free to send a child elsewhere if they or the parents wish it. Where a diagnosis is doubtful the orthoptist uses her judgment. The results to date are encouraging and I will report further on these clinics when they have been in operation for 12 months. Audiometry Two Audiometer Operators carry out three routine hearing tests during the school life of those children in the Borough attending the Authority's schools and also test, as special cases, those children suspected of having a hearing loss. It was unfortunate, however, that, due to the ill-health and subsequent resignation of one of the operators, for nearly half the year the work of testing fell to one operator, and as a consequence, the full number of routine tests required could not be carried out. |
9b97d65b-9916-4108-b018-8ffc19bba136 | The following table shows the number of pupils whose hearing was tested:- Sweep tests 8,251 Re-tests 618 Special tests 1,181 Re-tests 316 Audiology Those children requiring further investigation for a loss of hearing are referred to the Consultant Otologist, at one of the audiology units established in the London Borough of Haringey and the London Borough of Barnet. Peripatetic teachers of the deaf attached to these units already provide a service for the children in the care of the units, but a number of children in the Borough in the care of various London hospitals were not receiving a service and a peripatetic teache of the deaf was appointed by the Authority in September to supervise the training of these children and the training of children in ordinary schools with some significant hearing loss. The peripatetic teacher reports:- "There are in excess of 2,000 school children in Barnet at any one time with a significant hearing loss who are not receiving any special educational help. |
e32374ec-557e-48a1-ad99-975916d50b6b | Although many of these children will not require individual help, their teachers should be notified so that they will be alerted to possible symptoms (particularly 119 in the case of severe unilateral, and high frequency losses) and given guidance, and a pamphlet has been produced for this purpose. The notification of children with hearing loss to Head Teachers and their placement in class is also supervised in co-operation with the School Health Service. This process must be continuous as schools often fail to pass on this information from year to year. To introduce the new programme to the schools the peripatetic teacher attended the meeting of Head Teachers arranged by the Chief Education Officer. 35 Partially Hearing children have been supervised in schools with regard to their hearing aids and their educational progress, and 10 continue to be tutored on a weekly basis. |
53af17a5-35cd-440a-836f-ca751d6a0d7c | Other visits were made at the invitation of Head Teachers to those schools with individual problems - in some cases it was necessary to test the children's hearing when the results were dealt with by and in co-operation with the School Health Service. Any individual teacher should be able to call on the peripatetic teacher for advice or guidance. Parents should also be able to ask for personal help from the peripatetic teacher if they wish and parents of pre-school deaf and some parthearing children should be given regular help. In this respect 18 homes have been visited, in some cases several times, giving help and guidance and two parenteducation meetings were organised which were very successful. Discussions to promote co-operation and liaison, to the benefit of the service and the well-being of the children, have been held with Medical Officers, Health Visitors, Speech Therapists, Audiometricians and Social Workers for the deaf and deaf/blind. |
6ebaf68d-060b-42c4-9714-3bb3eab9152e | These consultations and attendance at clinic sessions when children under the teacher's supervision are seen have proved helpful to all concerned. Personal contact and visits have been made to six hospitals and two hearing aid centres. The Nuffield Hearing & Speech Centre The Hospital for Sick Children, Great Ormond Street The Royal Northern Hospital Barnet General Hospital Edgware General Hospital University College Hospital St. Mary's Hospital, Praed Street Consequently, discussion of cases has been possible and help given to the children as envisaged by the Hospital Consultants. Cumulative Records have been compiled on all children needing help." Supplies of batteries and spare parts for hearing aids have been obtained by the peripatetic teacher and are available for children in her care. 120 During the year 15 school children were provided with hearing aids and at the end of the year 91 school children were known to have hearing aids. |
5f2d0c26-4334-4cc0-bab7-43bb59563c02 | Child Guidance Service Under the joint administrative responsibility of the Chief Education Officer and myself the Local Authority Child Guidance Service operates from centres at:- 304, Regents Park Road, Finchley, N.3. and The Health Clinic, Vale Drive, Barnet, Herts. Dr. A.D. Black, Consultant Child Psychiatrist and Medical Director at the Finchley Centre reports:- "The year 1970 was marked by the appointment of a Consultant Psychiatrist and Medical Director to the second Child Guidance Centre at Vale Drive Clinic, High Barnet, in June. From the point of view of the psychiatric services, the two clinics were then administered separately. During the year, 149 new cases were referred to the Psychiatrist at the Finchley Child Guidance Centre, of whom 82 cases were accepted for diagnostic examination. 68 new cases were actually seen diagnostically. In some of the others, preliminary interviews with our Psychiatric Social Workers lead to the family or the Centre deciding our agency was inappropriate. |
c4b8386c-69ca-469c-82b6-c2e60190d568 | In a few cases, all appointments offered were failed, and in an increasing number, consultation was offered to the referring agency, which sometimes enabled resolution of the presenting problem without the family needing to be seen diagnostically at the Centre. As found previously, over 50% of families referred were at the instigation of the school, either directly or through the School Medical Officer, or the Educational Psychologist. Significantly, schools referred considerably more boys than girls, although in the total number seen at the Clinic, the sexes were approximately equally represented. On the other hand, General Practitioners who referred 25% of the cases seen, referred significantly more girls than boys. The vast work of the Clinic during 1970 was providing various forms of treatment for the families seen in 1969 which continued well into 1970. The main service that the Clinic offers to the community is psychiatric treatment in depth. |
c90a6d8d-f25a-417e-a37c-ad9d89a3cbfc | The major form of treatment used at the Clinic is child and family psychotherapy and casework by Psychiatric Social Workers with parents and whole families. The child referred is often the "presenting symptom" of a complex family problem, and the diagnostic process elucidates the underlying problem of the family which might require many of its members to undergo treatment, either individually or as a family. 121 Table 1 analyses the cases by diagnostic categories using the proposed World Health Organisation Classification of childhood psychiatric disorders. This Clinic is taking part in a study of the effectiveness of the revised diagnostic categories before the final revision is published. |
dbfb6ece-ddd3-4b14-b0e4-1cb35f70fd2a | TABLE 1 - DIAGNOSIS WHO Category M F 0 Normal Variation 1 1 2 1.0 Adaptation Reaction 6 4 10 2 Development Disorders 3 0 3 3 Conduct Disorders 9 3 12 4 Neurotic Disorders 10 12 22 5 Psychosis 1 1 2 6 Personality Disorders 5 4 9 7 Psychosomatic Disorders 1 1 2 8 Other Clinical Syndromes 3 0 3 9 Mental Subnormality only 0 0 0 Left before completion 3 0 3 42 26 65 These diagnostic categories are essentially clinical ones, pertaining to individual patients, and take no account of social interaction and pathology, particularly within a family, which is our particular interest. |
0a02c22a-5063-4a04-8396-9c4c10ad9889 | Since we give priority to children under 5 years and to disturbances of acute onset, it is not surprising that nearly a third of the cases that we saw last year, were cases of school refusal. TABLE 2 - SCHOOL REFUSAL WHO Diagnostic Category M F Total Adaptation Reaction 4 0 4 Neurotic Disorder 5 6 11 Conduct Disorder 2 2 4 Personality Disorder 1 1 2 Psychosis and other categories 0 0 0 12 9 21 122 Table 2 -The vulnerable ages for school refusal appear to be when starting school, when changing from Infant to Junior School, and changing from Primary to Secondary School. Most of our cases fell in the latter category, and many of them had been out of school for some time before referral. |
a4f963f2-829d-4eca-8e2a-a7d78633adc7 | SCHOOL REFUSAL TABLE 3 - ASSOCIATED FACTORS M. F Total Recent death of parent or sibling 8 5 13 Severe financial stress 6 3 9 Mother working a) whole time 1 4 5 (all these had no father) b) part time 9 1 10 Learning problems 3 6 9 Physical illness in family 9 4 13 Psychological illness in family 7 3 10 Some of these families had multiple associated factors. In at least sixteen cases, there appeared to be a global family disorder and family treatment was indicated. Ten families had four or more siblings, and in eight further families, the child referred was an only child. In the thirteen cases where the eldest child was referred, he or she did not come from a large family, and in the nine cases where the youngest child was referred, again, significantly, none came from a large family. |
5b0c67ca-efd0-47ba-b061-0a6d4cc7b598 | In the large families, it seemed to be the children in the centre of the sibship who appeared at risk. Our figures are too small for further analysis to be useful, but an analysis of the three year group would be more illuminating. Conclusion Once again this year, we have been handicapped in our work by the lack of provision in this Borough for schools for maladjusted children, and other special facilities, although the opening of the small autistic unit in the Borough at the beginning of the year and the opening of the NHS In-Patient Unit for young adolescents at Hill End Hospital, have been most helpful. The Day Unit at Daleham Gardens associated with the Child Guidance Training Centre, continues to take a proportion of our patients needing day treatment. In 1970, the only in-patient psychiatric unit for children available to us was at Maudsley Hospital in South East London, which entailed a long journey for the parents of children, who were hospitalised. |
c599ab25-737f-4ed6-a8b6-aee19379c541 | 123 As last year, we were fortunate in enjoying good relationships with the specialised psychiatric and psychotherapy clinics in London, such as the Child Guidance Training Centre, the Tavistock Clinic, Paddington Day Hospital, and Great Ormond Street Hospital who accepted most of the children, referred to this Clinic, whom we could not see because of our limited facilities Speech Therapy The Authority has an establishment of five whole-time speech therapists, but during the latter part of the year only four speech therepists were in employment and undertaking sessions within the School Health Service in clinics and Special Schools During the year a total of 572 children handicapped by speech or language disorders received treatment and supervision. 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 education appropriate to their handicaps. |
3fc65264-d81e-4ca4-80d6-ecf9dd726a3c | 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 The Authority maintains three special schools for handicapped children:- Oak Lodge Day School for Educationally Subnormal Pupils Northway Day Special School for Educationally Subnormal Pupils Swaylands Residential Special School for Educationally Subnormal Boys The School Medical Officer who had been responsible for the care of the boys at Swaylands Residential School for many years, retired in October and Dr. D.D. Law was appointed to the post of part-time School Medical Officer to the school. Although the 124 school is situated well outside the Borough boundary, I trust that the close co-operation which has always existed between the school and myself will continue at the same high level. |
7b253d2c-741e-4a47-89f4-2b408cd1c83e | During the year the Authority opened a Unit attached to the Grasvenor Avenue Infants School, Barnet, to provide special education for children in the Borough suffering from Autism. The following Table shows the number of handicapped pupils as at 31st December, 1970:- Special Day Schools Special Residential Schools Maintained Primary & Secondary Schools Independent Schools Not at School Total B G B G B G B G B G B G Blind — 2 4 1 — — — — 1 — 5 3 Partially Sighted 5 4 1 1 — 1 — — — — 6 6 Deaf 6 4 1 4 — — — — 2 2 9 10 Partially Hearing 12 9 4 — 1 1 — 1 — 1 17 12 Delicate 5 1 8 3 — 1 1 — 3 2 17 7 Educationally Subnormal 84 66 20 3 |
2285bd8e-0725-40c2-8855-0e5f1d9d2f3f | 1 2 — — — 2 105 73 Epileptic — — 2 — — — — — — 1 2 1 Maladjusted 8 4 38 13 12 3 4 1 2 1 64 22 Physically Handicapped 22 14 8 6 5 2 — — 3 2 38 24 Speech Defects — — — 1 — 1 — — 1 — 1 2 Total No. |
f49fcff9-a38e-41f9-94cb-33da84bae012 | Handicapped Pupils 142 104 86 32 19 11 5 2 12 11 264 160 Survey of Physically Handicapped Children in Ordinary Schools The last survey by the Department of Education & Science of physically handicapped children in ordinary schools, was about 18 years ago and the Department considered it advisable to carry out a further survey this year of children who by reason of a physical handicap require special additional attention in the school or who are unable for long periods to take a full part in all normal activities of children of their own age. With the co-operation of the Chief Education Officer, I asked Head Teachers of all ordinary schools in the Borough for details of children in this category, and :he lists obtained were compared with information on my own records. The School 125 Medical Officers examined the children considered to be handicapped, and completed the requisite questionnaires which were forwarded to the Department of Education and Science. |
27b9f423-3625-4172-a22e-0be69e4b7554 | Special Transport to School Section 55 of the Education Act, 1944, allows for the provision of transport to facilite the attendance of pupils at school and, during the year, special transport was recommended on medical grounds for 44 children attending ordinary schools. The length of time for which transport was required varied according to the needs of the individual cases. Home Tuition During the year 16 children were recommended home tuition, under Section 56 of the Education Act, 1944, for varying periods in accordance with their disability. 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. |
2647fb84-ccd5-4c28-a642-26181d1cb2f6 | squint) For any of the other conditions recorded Total Individual Pupils 1966 & later 8 12 20 1965 59 192 219 1964 47 167 195 1963 11 33 34 1962 8 9 15 1961 9 13 17 1960 89 51 130 1959 140 134 236 1958 70 50 112 1957 38 17 49 1956 259 81 316 1955 & earlier 108 55 147 TOTAL 846 814 1,490 126 TREATMENT OF PUPILS ATTENDING MAINTAINED PRIMARY AND SECONDARY SCHOOLS (including Nursery and Special Schools) No. of cases known to have been treated GROUP 1: Eye Diseases (e.g. |
2de69343-5a42-492c-9759-eca1f52010e4 | blepharitis, conjunctivitis), Defective Vision and Squint (a) External & other, excluding errors of refraction 8s squint 30 (b) Errors of refraction, including squint 2,590 TOTAL: 2,620 (c) No. of pupils for whom spectacles were prescribed 758 GROUP 2: Diseases and Defects of Ear, Nose and Throat Received ope rative treatment for: (a) Diseases of the ear 3 (b) Adenoids and Chronic Tonsillitis 17 (c) Other nose and throat conditions 2 Received other forms of treatment — TOTAL: 22 Total No. of pupils in schools who are known to have been provided with hearing aids: (a) in 1970 15 (b) in previous years 76 GROUP 3: Orthopaedic 8s Postural Defects No. |
9c4683f6-da20-44f1-8a4b-ab25735c990d | 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 5 Scabies 16 Impetigo 2 Other skin diseases — TOTAL: 24 GROUP 5: Child Guidance Treatment No. of pupils treated at Child Guidance Clinics 229 GROUP 6: Speech Therapy No. of pupils treated by speech therapists 572 GROUP 7: Other Treatment given: (excl. B.C.G. vaccination) (a) Minor ailments 60 (b) Convalescent treatment under School Health Service arrangements 5 TOTAL: 65 Education Act 1944 — Section 57 Cases dealt with under Section 57, Education Act, 1944 1 Cases de-notified under Section 57(a) Education Act, 1944 Nil 127 PERIODIC INSPECTIONS Defect Code No. |
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