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106
Park, or other approved hospitals, a charge of 10s. 6d. being made for
each refill. Eight patients have attended for this purpose, receiving
altogether 112 refills.
Cases of ''Surgical Tuberculosis" on return from residential treatment
are, as a rule, referred back to the Surgeon under whose care they
were before being sent away. Where this has not been possible, patients
who have received treatment in the institutions of the London
County Council have been referred to St. Margaret's Hospital, Kentish
Town; while patients who have been at Lord Mayor Treloar's Hospital,
Alton, are seen at the Farringdon Dispensary by Sir Henry Gauvain.
Arrangements for co-operation with St. Andrew's Hospital have been
continued and somewhat extended. Consultations were held with the
Acting Medical Superintendent and various suggestions for improved
co-ordination of Tuberculosis work were considered. Arising out of these,
regular fortnightly visits were made during the latter part of the year
by the Tuberculosis Officer or his deputy to the Tuberculosis wards and
suitable cases were recommended to the London County Council for
transfer to Sanatoria or other more suitable hospitals for treatment. A
satisfactory feature of this arrangement was that patients were found to
be more willing to accept admission to St. Andrew's Hospital pending
the allocation of vacancies in Sanatoria, and treatment was therefore
begun earlier.
(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 165 children,
either “unsatisfactory children“ or contacts, have been dealt with under
this scheme. Suitable cases of definitely tuberculous children are
attending the London County Council special school for tuberculous
children at Geare House, Stepney Green, while other delicate children
attend the Open-Air School in Bow Road.
(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.