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3. "G.P. 36" which is the form for use when the practitioner is
sending a quarterly report on a case on domiciliary treatment.
In December, 1923, the Ministry of Health issued a Memorandum
re Co-operation between the Tuberculosis Officer and Insurance
Practitioners giving 6 model forms for use by the Tuberculosis Officer.
With slight modification these cards are now in use. The number has
been reduced to 4 by combining certain items of four cards on two, and
the original forms were altered to allow of the insertion of a diagram
shewing chest signs.
One card is used in reply to a doctor who sends a case for opinion
and informs him if the case is considered tubercular or not, or
whether a period of observation is necessary to decide, and gives
proposals for treatment if considered tubercular.
A second card is used with regard to condition, with proposals in
the case of a person who has been under observation or supervision.
A third card is used to give report and recommendation about a
patient who has just returned from a period of Institutional Treatment.
When a patient is recommended from Dispensary for Domiciliary
Treatment, the doctor is asked to send a report in 3 months time.
As there is difficulty in many cases in getting these reports, patients
placed on Domiciliary Treatment are, as a rule, asked to attend
quarterly at the Dispensary.
The fourth card is used to acknowledge receipt of a report from
the doctor on G.P. 36, stating that his recommendations have been
noted and recommendation made for the future.
In June 1923, the Ministry of Health issued a circular on the
subject of co-operation between the Boards of Guardians and the
Local Authorities' Tuberculosis Officers re Poor Law Cases of
Tuberculosis.
As a result of this it was arranged in the Borough that the Tuberculosis
Officer should visit weekly at the Greenwich and Deptford
Hospital to see all Deptford patients who were in the hospital for
Tuberculosis.
There are advantages in this inasmuch as some cases are seen
earlier by the Tuberculosis Officer than they otherwise would be, and
dispensary cases who go there for treatment can be observed as regards
their progress.