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23
FOOT CLINIC.
The arrangements for the management of the foot clinics were
altered towards the end of the year, and the part-time chiropodists
were replaced by three whole-time chiropodists, two ladies and a
gentleman being appointed. At the same time the fee for treatment
was fixed at two shillings per attendance, subject to reduction
in the case of inability to pay the full fee. This alteration
took effect at the end of the year, and it was anticipated that
owing to the new arrangement and the fact that all patients would
thereafter be seen by appointment only, there would be a reduction
in the number of patients. There has, however, been an increase
of more than a thousand in the total number of attendances, and
there cannot be any doubt whatever that these clinics fulfil a
valuable public service in the borough.

INSULIN FOR DIABETIC PATIENTS.
Under Section 77 of the Public Health (London) Act, 1891
the Minister of Health has sanctioned the temporary supply of
insulin for those poorer inhabitants of the borough who are suffering
from Diabetes. Practitioners applying for supplies of insulin
are required : —
(a) To give the name, address, age and sex of the patient.
(b) To supply a quarterly report to the Medical Officer of
Health showing :—
(1) The number of doses of insulin administered.
(2) The results of blood and urine tests.
(3) The progress of the patient.
Though the number of diabetics is small the cost of insulin
is high, and this scheme is a real benefit to them. Nine patients
have been supplied during the year, either free or at reduced cost
according to circumstances.