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These figures show a high proportion of other abnormalities in
need of treatment.
In the Cervical Cytology clinic there are close links between the
pathologist, gynaecologist, clinic doctor and general practitioner.
It is important to notify the general practitioner of each positive
smear as soon as it is diagnosed, and to know what arrangements
he makes for his patient so that a full follow-up can be arranged
from the cytologist through the gynaecological surgeon to the
pathologist. The need for this follow-up is well understood by the
clinic doctors who are in a key position to ensure the necessary
liaison. It is no less important to mention, as was emphasized in
my report for last year, that in addition to the benefit of early
detection of malignant disease, the relief from anxiety afforded to
all women who undergo the screening tests is of immense value.
During the year we have once again had the full support and
help of Dr. Elizabeth R. Hicks of the South London Hospital for
Women and Dr. Hussain of St. Stephen's Hospital, and we are
greatly indebted to them for their co-operation and their prompt
reporting on the smears sent for examination.
Occasional Creches
These three-hour play sessions are extremely popular and it
has become necessary to restrict attendances for each individual
child to one a week except in special circumstances. Not only
does the mother benefit from having a few free hours to herself
but the children benefit immensely from the opportunity of having
space in which to play and sharing their play with other children.
A number of children attend primarily for health or medical
reasons.
Day Nurseries
The demand for nursery places continues to be very heavy and
it has only been possible to admit children with a high priority
or for short periods during a domestic emergency. These emergency
admissions enable many children to remain in their own
homes when mother goes into hospital. A number of deaf children
have been admitted free for three hours daily and this arrangement
has now been extended to other children needing priority
admission on medical grounds.
The staffing situation in day nurseries has given rise to concern
almost continuously throughout the year. Great credit must be