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(b) The Poor-Law Infirmary.
(c) A few In-patient letters for Victoria Park or other
hospitals when obtainable.
(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 between the Council
and the London Hospital, cases of surgical tuberculosis and certain
other cases are referred to the hospital for opinion or treatment.
Cases of lupus are also sent to this hospital for treatment by means
of the Finsen light, on the recommendation of the Tuberculosis Officer :
a fee of 5s. is charged for each treatment, and if more than twelve applications
are required in any case a fresh recommendation from the Tuberculosis
Officer is necessary. Owing to the difficulty of forecasting the
number of applications which may be required in any given case and to
the varying intervals between applications in different cases, it has
proved difficult in practice to avoid breaking the continuity of the treatment
in some cases pending a fresh recommendation from the Tuberculosis
Officer.
Special Hospitals.—No special arrangements exist except that
cases in which an artificial pneumothorax has been produced may be
referred to Brompton Hospital for the necessary refills at a charge of
10s. for each refill.
Non-tuberculous pulmonary cases are referred generally to Victoria
Park Hospital either by cards or out-patient letters. Similar cases in
children are sent to one or other of the Children's Hospitals—at Shadwell
and Hackney Road.
School Clinics.—Cases of children of school age requiring treatment
for defects of various kinds—e.g., tonsils and adenoids, aural, dental,
eye trouble, etc.—are referred to the Divisional School Medical Officer,
who arranges through the School Care Committees for their attendance
at the appropriate school clinic.
The scheme of co-operation with the School Medical Officers outlined
in last year's report has been working satisfactorily. A large number of
doubtful or indefinite cases have been referred to the Divisional School
Medical Officer with a request that they be kept under observation for
a definite period. A period of six months has been found the most
convenient one to fit the arrangements of the Divisional School Medical
Officer, and in the majority of cases two examinations of the child have
been made at three-monthly intervals and recorded on the card which is
returned to the Tuberculosis Officer when the child is due to attend the
dispensary again.