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Residential institutions :—
(а) Sanatoria—hospitals and homes available under the
L.C.C. scheme (which now includes all classes of patients,
whether insured, uninsured, or ex-Service men).
(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 the hospital for treatment by 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 further recommendation from the
Tuberculosis Officer is necessary. During the year five new cases have
been recommended and eleven cases in all have attended the hospital
for lupus ; they have received a total of 169 Finsen Light applications.
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 Shad well
and Hackney Road.
School Clinics.—-Co-operation with the School Medical Officers has
been continued, and found to work satisfactorily. A further extension
of the scheme has been evolved so as to embrace a certain number of
contacts who on examination by the Tuberculosis Officer are found to
be healthy, and others who for some reason the Tuberculosis Officer
has not been able to examine. This arrangement comes into use on
January 1st, 1923.
As in previous years, a number of schoolchildren having defects of
various kinds—aural, nasal, dental, etc.—have been referred to the
Divisional School Medical Officer for the provision of necessary treatment.
(iv.) Any special arrangements made to secure the co-operation of
medical practitioners and the working of the arrangements for periodical
reports on insured patients under domiciliary treatment.