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Health services were transferred from the City and the boroughs to the London County Council, 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.
The Council's maternity and child welfare centres provided ante-natal, post-natal and child welfare clinics, motherhood classes, nutrients, medicines and National Welfare Foods. Domiciliary midwives used the ante-natal clinics to examine their patients and book visits. Day nursery services were also provided. The child welfare service provided a diagnostic service for detecting mental and physical handicaps and offered psychiatric care.
In 1948 the Council became responsible for services for the prevention of tuberculosis and the care and after-care of tuberculous persons. Diagnostic and treatment services were transferred to the hospital authorities, but the Council paid parts of the salaries of chest physicians, and hired tuberculosis visitors and handicraft instructors. A BCG vaccination scheme was initiated for school children. Hostels were established for homeless men with tuberculosis who might be an infection risk for others. Diversional therapy classes were held at many chest clinics for patients able to travel. A service for homebound patients was also established. Tuberculosis health visitors saw patients in their homes, advised on diet and hygiene, ascertained home conditions and needs, provide extra nourishment and ensure patients attended clinic.
Before 1948 home helps were provided by boroughs for maternity cases and the sick and infirm. Under the National Health Service Act the Council took over this service and was empowered to provide help to any person who was ill, lying-in, an expectant mother, mentally defective, aged, or a child not over compulsory school age.