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A central stores distributing room to replace the existing dried
milk store accommodation at the Town Hall which is inadequate for the
purpose.
The Clinic Medical Officers' room should be large enough to be divided into
two, three, or more self-contained consulting compartments so that all such
compartments could be used for professional purposes at the same time, if
necessary.
The equipment costs for the infant welfare centre and associated clinics
exclusive of general furnishing charges for such items as chairs, tables, desks
and other office furniture, should not exceed £200.
With regard to the staff requirements in connection with the infant welfare
centre, no additional medical appointments are indicated but I advise the
appointment of an additional full-time health visitor whose duties would almost
entirely be devoted to attendance at the various Medical Officers' sessions to be
held in the Maternity and Child Welfare section of the Health Centre.
Special Clinic for Women ( Gynaecological).
The main purpose of a clinic of this nature is the diagnosis and treatment
of minor ailments peculiar to women such as cervical erosions, prolapse and other
displacements, leucorrhoea, disorders of menstruation, and minor disabilities of
the menopause.
Many of these conditions frequently have a marked adverse influence upon
future pregnancies, and treatment may be regarded, to all intents and purposes,
as ante-natal supervision.
It might possibly be argued that patients requiring advice and treatment
for these causes should attend a women's hospital or a general hospital. Having
regard, however, to the increasing demand on hospital facilities in London to-day,
I am of the opinion that in the interests of such patients a clinic of this nature
should find a place in the new Health Centre.
At this Clinic birth control advice could be given to any woman for whom
pregnancy would be detrimental to health, if the Council so decide, including
advice on the fitting of contraceptive appliances.
The accommodation provided for ante- and post-natal examinations would
suffice for the requirements of this Clinic if sessions were held in the mornings or
evenings.
The services of an obstetric surgeon and gynaecologist on the basis of
payment per session would be the only appointment necessary.
X-Ray Department.
I am of opinion that a Centre of this kind would not be properly equipped
without a modern X-ray Department.
The installation of an X-ray unit would be invaluable as an aid to diagnosis
for all Departments of the Centre, particularly the Tuberculosis Dispensary to
which Department I suggest it should be attached.
The accommodation required and the estimated cost of an X-ray apparatus
are set out in the Tuberculosis section of the report.
The proposals for carrying out X-ray examinations by the Tuberculosis
Officer partially disposes of the question of staff requirements for this section, but
there remains for settlement the staff arrangements to cover the X-ray work of
the other Departments of the Heath Centre. For this purpose I advise the appointment
of a full-time Radiographer.