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(iii). The nature and extent of co-operation with general and special
hospitals, school clinics, and other institutions.
(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 treated at the London Hospital by Finsen and other
forms of artificial light, on the Tuberculosis Officer's recommendation.
A charge is made to the Borough Council of 5s. per application for Finsen
Light, and Is. for other light treatment.
During the past year, no new cases were recommended for the
treatment, while nine old cases were carried over from 1925. They
received a total of 150 applications of light.
(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 Hospital for refills.
A charge of 10s. is made for each refill. Eight patients have received this
treatment, a total of 137 refills being given.
Cases of non-tuberculous pulmonary disease are, when necessary,
referred bv 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.—Children of school age found to be suffering from
defects or ailments which can be dealt with at the School Treatment
Centres arc referred to the Divisional School Medical Officer, who arranges
for their treatment. Children who are considered to be suitable subjects
for an Open-Air School are also referred to the Divisional School Medical
Officer for consideration.
Under a scheme for co-operation with the School Medical Service,
contacts of tuberculous patients, if of school age, whether previously