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The London County Council assumed responsibility for the general hospitals formerly maintained by the Boards of Guardians and the Special hospitals formerly maintained by the Metropolitan Asylums Board with effect from 1 April 1930. These hospitals needed much work to modernise, equip and staff them adequately. The Council made great improvements in hospital accommodation and staffing standards. The nursing service had been improved, medical schools established, and a laboratory service built up. These functions were transferred to the Regional Hospitals Boards and Hospital Management Committees under the National Health Service Acts with effect from 5 July 1948. The Council assisted by providing services of supply, engineering and finance for several months after the transfer, until Council officers could be absorbed into the new organisation.
There was also a transfer from the City and the boroughs to the London County Council of health services including maternity and child welfare, health visiting, home help, vaccination and immunisation, and the care of those with tuberculosis. The Council took over 4,843 lay and professional staff, 70 freehold premises, and 252 tenancy arrangements, as well as adding new services such as home nursing, the provision of health centres and the expansion of the ambulance service. The County was divided into nine divisions, each with a divisional health committee, a divisional medical officer, a nursing officer and an administrative officer.