View report page

109
(c) School Clinics.—Ailments or defects other than tuberculosis
discovered in children of school age are brought to the notice of the
Divisional School Medical Officer who arranges for the child's examination
and necessary treatment.
Co-operation with the School Medical Service as explained in previous
reports continues to work satisfactorily. Some 110 children, either
"unsatisfactory children" or contacts have been dealt with under this
scheme.
(iv.) Any special arrangements made to secure the co-operation of
medical practiitoners and the working of the arrangements for periodical
reports on insured patients under domiciliary treatment.
On receipt of a notification the Tuberculosis Officer at once communicates
with the notifying practitioner offering his assistance in dealing
with the case and calling attention to the services the Care Committee
may be able to render the patient and his family.
In all cases where patients are referred to the Dispensary a report
is sent to the practitioner, and where necessary arrangements are made
for treatment. 695 reports of this kind have been sent during the year.
Co-operation with insurance practitioners continues under the scheme
which has been explained in previous reports and close touch with panel
doctors had been maintained by means of the customary forms. 367 reports
have been sent to, and 166 received from panel doctors in respect of
patients having "domiciliary" treatment. 244 patients were on
"domiciliary" treatment on December 31st.
(v.) The arrangements for following up patients in cases where the
diagnosis is doubtful.
Cases in which a diagnosis cannot be arrived at after a reasonable
period of dispensary observation are referred to the London County
Council for admission to Brompton or Victoria Park Hospitals for further
investigation. Cases of doubtful non-pulmonary tuberculosis are sent to
the London Hospital. In other doubtful cases, where admission to
hospital is not considered necessary arrangements are made for the patient
to attend the dispensary after a lapse of a suitable period of time so that
the case can be reconsidered.