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Constant consideration is given to methods for increasing the efficiency and usefulness
of the X-ray Service for General Practitioners. Results of detailed analyses of various facets of
this service have already been published. Work has also been published on the successful conservative
management of Spontaneous Pneumothorax, which should encourage wider adoption of
simpler methods of treatment.
Long-term data about carcinoma of the bronchus is being collected in the hope that useful
information may give some guidance to better management. By far the most important contribution
towards the abolition of the grave disorder, however, would be the prevention of cigarette
smoking. Campaigns should be initiated to show that smoking is socially undesirable, and that
those who smoke are impaired in health, performance and attractiveness, contrary to the manufacturer's
advertisements.
Important aspects of the Chest Clinic Service offered to the patients and their doctors
are the busy, integral radiographic unit; the essential help given to some patients by the Medical
Social Worker; and the Health Visitors' invaluable contributions to the co-ordination of out-patient
treatment and to preventive measures.
It is notable that, in the last year, integration with the Postgraduate Medical School has
become much closer. In particular, regular exchange visits between the Chest Clinic and the
Respiratory Unit of Dr. Fletcher and Dr. Campbell have been established. It seems inevitable
that this close co-operation will prove advantageous to patients, the Hospital, and the Postgraduate
Medical School alike.
Previous reports have drawn attention to the serious inadequancy of the Chest Clinic
accommodation and there has been no alleviation of this chronic and disabling situation. Evidence
of these deficiencies is constantly appearing, both from members of the public served by the
Clinic, and from visitors. Recently, two applicants for a clerical post withdrew because of the
conditions in which they would be expected to work.
It is most pleasing to report the continued cordial atmosphere existing among members
of the Clinic staff. The spirit of interested co-operation between nurses, health visitors, social
worker, radiographers, clerical staff and doctors has done much to minimise the serious inadequacies
of accommodation. This "Team spirit" is undoubtedly a most significant factor in maintaining
the efficiency of the Clinic.
Peter Stradling, M.D., F.R.C.P.
Director.
HAMMERSMITH CHEST CLINIC
New patient attendances:
1966: 1,029
1965: 960
1964: 958
1963: 910
1962: 781
Total other attendances:
1966: 21,789
1965: 25,116
1964: 19,636
1963: 19,443
1962: 19,026
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