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198
The following would be the cost of this system for purposes
of comparison:—
Salaries of two whole-lime assistant school medical
officers £6oo
Salaries of two health visitors £216 —£276
£816
No. 3 of the School Medical Service Grants Regulations
of the Board of Education reads as follows :—
"Where, in the Board's opinion, the provision made
for the School Medical Service is adequate, and its working
is efficient, grant will be paid at a rate of one-half
of the expenditure; in other cases the Board may either
pay at a lower rate or withhold the grant."
Having regard to the fact that the actual work of school
medical inspection can be performed efficiently at a cost of
^816, half of which, or ^408, would be repaid by the Board
of Education, it is open to question if the Board would be
likely to pay, in view of their letter, a materially higher grant
than this, whatever the amount paid by the Local Education
Authority in the actual medical inspection of school children
might Be.
(4) General.
In further discussion the question of whole-time or parttime
assistant school medical officers, it should be borne in
mind that the work of the School Medical Service is a
specialised work, and it is a distinct advantage to the Education
Committee to have men dealing wiith this work who
proposed to devote themselves to it. Many points arise out
of the Acts of Parliament and the Regulations of the Board
and the Elementary School Code which are not known to
the part-time Assistant School Medical Officer, and are of
little interest to him, but would be of importance to the
whole-time Assistant School Medical Officer intending to
devote himself to the public service.