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(a) General Hospitals.—Under the London County Council scheme,
the dispensary is "linked" to the London Hospital for consultative
purposes, and cases presenting special difficulty or requiring special
methods of investigation are referred there for opinion.
Also under an old agreement between the Borough Council and the
London Hospital, surgical cases and certain others can be sent to the
Hospital for investigation and necessary treatment.
Cases of lupus are, by special arrangement, treated at the London
Hospital at the expense of the Borough Council on the Tuberculosis
Officer's recommendation. A fee of 5s. per application of the Finsen
Light is charged, and continuance of the treatment beyond 12 applications
requires a further authorisation from the Tuberculosis Officer.
Recently, it has been found! advantageous in some cases to combine
general light treatment, by lamps other than the Finsen lamp, with
the local application of the Finsen Light, and a charge of Is. for each
application of such treatment has been authorised. This combination
is said to shorten the duration of the whole treatment and is therefore
not likely to lead to any increase in the cost.
During 1925, one new case of lupus was recommended for treatment,
while eight old cases were carried over from the previous year.
A total of 302 applications of light were given.
(b) Special Hospitals.—The Tuberculosis Officer is visiting physician
to the tuberculosis wards of St. Andrew's Hospital.
Patients who are being treated by the artificial pneumothorax
method, attend either Brompton or Victoria Park hospitals for refills.
A charge of 10s. is made for each refill.
Cases of non-tuberculous pulmonary disease are, when necessary,
referred by card or Out-patient letter to Victoria Park Hospital, or, in
the case of children, to one or other of the Children's hospitals, but
not under any special arrangement.
(c) School Clinics.—Arrangements for the treatment of minor
ailments and defects, e.g., tonsils and adenoids, otorrhoea, etc.,
among school children, are in the hands of the Divisional
School Medical Officer and the School Care Committees.
Cases requiring such treatment are brought to the notice of the
Divisional Medical Officer, who deals with them.