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Residential Institutions:—
(a) Sanatoria—hospitals and homes available through the
medium of the London Insurance Committee for insured cases
and ex-service men.
(b) Similar institutions available for uninsured cases,
through the medium of the London County Council.
(c) The Poor-Law Infirmary.
(d) In a few cases in-patient letters for Victoria Park and
other hospitals are made use of.
(ii.) In the case of administrative counties, precise particulars of
arrangements for co-operation with Sanitary Authorities and their officers.
Nil.
(iii.) The nature and extent of co-operation with general and special
hospitals, school clinics, and other institutions.
General Hospitals:—
Under an agreement made between the Borough Council and the
London Hospital, cases of surgical tuberculosis may be referred to the
latter institution for opinion or treatment. A fair number of cases are
dealt with in this way. Other patients are sent for dental treatment,
or the removal of tonsils and adenoids.
Special Hospitals:—
No special arrangements exist, but cases, for the most part nontuberculous,
are referred to Victoria Park Hospital; sometimes they are
given an out-patient's letter.
Other cases are referred to the Children's Hospitals, either at
Shadwell or Hackney Road.
School Clinics, etc. :—
A large number of children are sent to the school clinics for the
treatment of enlarged tonsils and adenoids, others for dental or aural
treatment.
Co-operation with the School Medical Officers is in course of
development.
A number of children come up to the dispensary on the recommendation
of the School Medical Officer. In these cases—and in the
cases of other school children examined at the dispensary—where there
is definite or suspected tubercle, full particulars of the case are entered
on a special card, which is sent to the Divisional School Medical Officer
for his information, and which may contain a recommendation for the
provision of milk or meals for the child at school. When further
attendance of the child at the dispensary, for either treatment or observation
is considered unnecessary, a request that the child shall come up
again for re-examination after a stated interval is entered on the card,
which now passes into the keeping of the Divisional School Medical Officer,