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111
Health. Visitor. This list should reach the Lady Almoner
on the Saturday morning before the week to which the
appointments refer.
(5) If possible the cases may well be met at the hospital by one
of your Health Visitors, who can be of material assistance
both to the patients as well as to the hospital in many
directions. This, however, may not be possible with
existing staff.
(6) Difficulty will be experienced in connexion with dental
cases because the prime object for them is conservative
treatment and that will not be possible to obtain at all
the hospitals. The greatest use should therefore be made
of the dental clinics at the various welfare centres. If
needed the Council should be approached through this
office for provision of dental clinics at those welfare
centres where they do not already exist and for extra
sessions where a dentist is already employed.
(7) Cases requiring spectacles will be expected to pay the
hospital for them although refraction and any treatment
will, of course, be free.
(8) Each welfare centre will keep one new alphabetical register
of names of children to whom cards are issued, together
with the date, name of hospital, and minor ailment for
which to be treated. The register, if desired, may of
course be composed of the record cards, if indexed. A
copy of the record card which will be issued will be found
attached hereto. These cards should be retained at the
Centre with the infant welfare cards until the toddler
goes to school when the complete medical history should
be returned to me.
In the ordinary course of events no child should require
a complete examination more often than once a year.
Nor should attendance at the clinic be required more than
say, four times a year, subject, of course, to the wishes
of the medical officer in charge. For any extra notes the
follow-up card should be used, copy attached hereto.
(9) It is expected that there will be some cases upon which your
medical officer would like a report. No doubt he or she
will in that event write a note for the parent to take to
the hospital with the card, or get in touch with the
consultant in some other way.