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(4) After a child has been discharged from hospital, or returned from convalescence, or discharged by the
private doctor, the home is visited to see that the child continues to attend the supervisory centre.
(5) Letters are written by the honorary secretary on behalf of the medical officer to the school authorities
if it is thought advisable to limit the child's activities, and reasons are given for the suggestion.
(6) When cases are sent from boroughs other than Kensington, letters are written to the local Invalid
Children's Aid Association if it is thought necessary that the child should be visited.
(7) When the medical officer recommends that a child should attend a P.D. school, the honorary secretary
communicates with the authorities of the London County Council who are concerned.
(8) A record of cases and visits is kept by the honorary secretary.
PART II.
THE WORK OF THE CENTRE.
By JANET K. AITKEN M.D., M.R.C.P.
In the four years 1927-1931 during which the centre has been in existence, 777 cases of rheumatism or
potential rheumatism have been supervised. Although the centre was primarily established to deal with
cases from Kensington, it has been the custom to accept cases from other boroughs whenever advice was required.
The borough of Hammersmith have made a grant towards the expenses of the centre (which is held at the
Princess Louise Kensington Hospital for Children), and to the medical officers, in order that the centre may be
responsible for the supervision of certain cases referred to the centre from that borough.

During the year 1930-31, 48 sessions have been held at the Princess Louise Hospital, and the average
attendance has risen from 16.3 in 1929-30, to 23.7 in 1930-31; the total number of attendances during this year
has risen from 784 to 1,160.
Average attendance per session of Kensington patients 18.9
other „ 4.8
23.7