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9
The restrictions placed on removal of patients from one
group to another by the Emergency Medical Service in the
early part of the war, gave rise to difficulties with regard to
institutional treatment, as under our scheme the Royal National
Orthopaedic Hospital, and its branch at Stanmore, provided
us with this accommodation ; but these cases have been dealt
with under the institutional arrangements of the Kent Education
Committee's Orthopaedic Scheme with the generous
co-operation of the County Medical Officer of Health.
Tuberculosis.
The responsibility for the Tuberculosis Scheme for this
area, rests with the County Council and under their Tuberculosis
Scheme they provide a Dispensary at Erith where a
Tuberculosis Officer attends twice weekly.
Following up and Summary Work by the School Nurses.

Since the war attendances at the Minor Ailment Clinic
have fallen considerably, and this absence of large numbers of
minor casualties occupying the doctor's time, enables a higher
proportion of special cases to be given appointments for Medical
Consultation, which is, after all, an important function of the
School Medical Service.
I have always felt that too much of the doctor's time is
taken by these out-patient department cases at the Clinic, but
in the absence of an out-patient department of a hospital available,
there does not seem to be any solution other than
restricting access to the doctor to particular days or by
appointment, or by arranging for extra medical assistance on
a sessional basis for part of or all of these Minor Ailment
Sessions.