London's Pulse: Medical Officer of Health reports 1848-1972

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Harrow 1946

[Report of the Medical Officer of Health for Harrow]

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Cases Referred to Other Clinics11
To Child Guidance Clinic3
To Wembley Speech Clinic5
To Uxbridge Speech Clinic1
To Special School2
Cases Not Accepted for Treatment11
No speech defect10
I.Q. too low1
Number of Cases on Waiting List33

Cases are taken at the clinic on Mondays, Tuesdays and Wednesdays
all day, and on Friday mornings. Thursdays are reserved for home and
school visiting. In all, 71 such visits were paid, 50 school visits and 21
home visits. Evening visits are made to the homes if the parents are
working during the day. On Friday afternoon I attend a conference
held by the staff of the Child Guidance Clinic.
Until last August, three students treated their own cases under
my supervision (total 2½ days a week). Since September, 1946, 2 students
have been treating cases (total 1½ days a week).
Over the year, the attendance of patients has been good. During
school holidays, however, very few patients attend. Bad weather
and the resultant illness early this year also caused a considerable falloff
in attendance.
With the opening of the Wembley clinic last autumn, five cases
were transferred from here.
During November, at the invitation of Stag Lane Parents' and
Teachers' Association, I gave a talk on " The Work of the Speech
Clinic."
The majority of cases are referred to the clinic from the schools,
but in 8 cases children under school age were accepted for treatment,
having been referred from Welfare Clinics.
The equipment which arrived last term is invaluable to the treatment
of the majority of cases and the cupboard is much appreciated.
Following-up.
Some children seen at the routine medical inspection are recommended
to obtain treatment. In others, while treatment at the time is
not considered necessary, it is felt that it might become so. Such children
then have to be seen again well before the date of the next ordinary
routine inspection. Others again do not require treatment, but need to
be kept under observation. In regard to those referred for treatment
which in most cases can be arranged through the machinery of the school
health service, the children need to be seen again, in some cases to be
satisfied that the treatment carried out is adequate, in others to ensure
that the treatment is obtained at all. Where arrangements are made for
the treatment to be obtained through the local authority's machinery