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nition that an Institution should provide for the training of any minimum number of intending midwives, it is clearly necessary that the number should be sufficient to justify the provision of suitable staff, premises and equipment.

(10) Article 5 of the Regulations requires the scale of fees to be approved by the Board. They will expect the fee charged for the normal course to students in respect of whom grants are payable, to be £20 less than that charged to other students. In some instances the Authorities of Institutions may desire partly to meet this requirement by raising the fees charged to other students.

(11) Under the Regulations grants are payable in each financial year commencing the 1st April to recognised Institutions. The grant will be dependent on the numbers of students who completed approved courses during the preceding financial year. The grant

in aid of the normal courses of training will be at a rate not exceeding £20 per student. For the purposes of this grant a student will be regarded as having completed her course on the date on which she enters for the examination for her certificate, whether she subsequently passes the examination or not. Under Article 11 (b) the Board have power to pay a proportionate grant where a student, owing to illness or other unavoidable cause, is prevented from completing her course of training. The grant in aid of courses of additional practical training will be at the rate not exceeding £6 a student; the grant in aid of courses for practising midwives may be at the same rate. In neither case will the grant exceed a rate equivalent to £1 a week.


(12) Under the Regulations the Board have power to pay grant to a recognised Institution during the present financial year. this purpose, where they are satisfied as to the work of the Institution, they will be prepared to antedate their recognition of the Institution in so far as may be necessary to take into account for grant students who commenced a normal course of training on or after the 1st April, 1918, and completed their course not later than the 31st March, 1919.



OF THE EDUCATION ACT, 1918 (8 AND 9 GEO. 5, c. 39) FOR

1. The Board of Education are prepared, subject to the conditions of these Regulations, to give grants in aid of the training

of intending and practising midwives at recognised residential Institutions.

2. (a) Before recognising an Institution for the training of midwives the Board will, amongst other things, require to be satisfied that the premises, equipment, and staff are adequate and suitable for the purpose.

(b) Recognition will not be given or continued unless the Institution is recognised for the purposes of the Regulations of the Central Midwives Board.

(c) The Institution must be conducted by a responsible Body of Managers and a person must be appointed to act as Correspondent on behalf of the Managers.

(d) The Institution must not be conducted for private profit or farmed out to any member or members of the staff and must be eligible from its character and financial position to receive aid from public funds.

(e) Recognition when given will ordinarily be continued from year to year without further application, but may be withdrawn at any time by the Board.

3. No student may be refused admission upon other than reasonable grounds.

4. Institutions must keep such records and furnish such returns as may from time to time be required by the Board.

5. The scale of fees must be approved by the Board.

Courses for Intending Midwives.

6. (a) The Board will recognise under the Regulations courses designed to meet the needs of intending midwives. The courses must be of such duration and must provide for such instruction and training as may from time to time be prescribed by the Central Midwives Board for the award of a Midwife's Certificate.

(b) District Nursing and other subjects may be included in the curriculum with the approval of the Board, but such subjects will not be recognised for the purposes of these Regulations.

7. The Board will recognise under the Regulations courses of not less than one month at recognised residential institutions designed to enable student midwives, who have completed the normal course, to obtain additional practical experience and training under supervision.

Courses for Practising Midwives.

8. (a) The Board will recognise under the Regulations courses designed to promote an improved knowledge of the theory and practice of modern Midwifery among practising midwives.

(b) The courses must be held at recognised residential institutions.

(c) The courses should, where practicable, be of at least one month's duration. No course will be recognised unless it is of at least fourteen days' duration.

9. Grant will be payable to cial year, on the basis of the approved course in that year. able after the end of the year.


a recognised institution, for a finannumber of students who complete an The grant for that year will be pay

10. Grant will be payable at a rate not exceeding

(a) £20 for each student who completes a course approved under Article 6.

(b) £6 for each student who completes a course approved under Articles 7 or 8. This grant will not in any case be paid at a rate exceeding 1 for each complete week of the course.

11. (a) No student will be taken into account for grant under Article 10 (a) unless either

(i.) she has signed an agreement or declaration of bona fide intention to practise as a midwife, provided that a student who has commenced her training before October 1, 1919, may be taken into account for grant if she began to practise as a midwife within three months of the end of her course, even though she had not signed an agreement or undertaking; or

(1.) she has been for not less than three years in full-time employment as a Health Visitor or has completed successfully a course of training approved under the Regulations for the Training of Health Visitors.

(b) Where a student, owing to illness or other unavoidable cause, is prevented from completing a course of training approved under Article 6 the Board may, if they think fit, pay a proportionate grant under Article 10 (a).

12. The grants payable under these Regulations may be reduced or altogether withheld if the Board are not satisfied as to the suitability of the provision made, or as to the proportion of students who subsequently fulfil the terms of their agreement or declaration.

13. If any question arises as to the interpretation of these Regulations, the decision of the Board shall be final.

14. These Regulations come into force as from 1st April, 1918, and may be cited as "The Board of Education (Midwives' Training) Regulations, 1919.”

L. A. SELBY-BIGGE, Secretary to the Board of Education.

19th September, 1919.


Circular 38.


Ministry of Health,

Whitehall, S.W.1.

November 12th, 1919.

Sir, I am directed by the Minister of Health to state that he has been in communication with the President of the Board of Agriculture and Fisheries with regard to recent outbreaks of Foot and Mouth Disease in this country. In view of these outbreaks it is desirable that specially strict supervision should be exercised over the meat. supply with a view to the detection of meat or offal showing signs of the disease, and Dr. Addison is anxious to enlist the co-operation of sanitary authorities and their officials for this purpose. He will accordingly be glad if the Local Authority will instruct their Medical Officers of Health, Sanitary Inspectors, Inspectors of Nuisances, and Assistant Officers under the Food Regulations to exercise the strictest vigilance in the supervision of abattoirs and slaughter-houses and places where meat is deposited, prepared or exposed for sale, and of imported meats.

The parts which require specially careful examination are the heads, tongues and feet. Whenever lesions or signs suspicious of Foot and Mouth Disease are discovered, the officer should communicate at once with the Local Authority under the Diseases of Animals Acts, and retain for inspection the suspected parts in order that any further action which may be considered necessary to trace the disease to its source may be taken.

Copies of this circular and of a leaflet issued by the Board of Agriculture and Fisheries describing the symptoms of Foot and Mouth Disease are enclosed for transmission to the officers concerned, and Dr. Addison will be glad to learn that the necessary steps have been taken.

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