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Hospital Child Health Departments
Once again I wish to pay tribute to the co-operation received by the
School Health Service from the Children's Department at the Prince
of Wales's General Hospital, Tottenham, under Dr. Ian Anderson,
M.D., M.R.C.P., Consultant Paediatrician, and for the opportunity of
having the services of Dr. J. Nuttall-Horne, M.D., M.R.C.P., Paediatric
Registrar, in Tottenham, participating in the work of the local
authority's clinics. We are also grateful for the opportunity given to a
member of the area medical staff to attend as a clinical assistant in
the children's department of the hospital for one session a week.
In Hornsey close co-operation has been made with the Child Health
Department in Whittington Hospital under Dr. S. Yudkin, M.B.,
M.R.C.P., D.C.H., the Consultant Paediatrician. During the year
members of the area medical staff have accepted the opportunity to
attend weekend post-graduate sessions in Dr. Yudkin's department,
primarily arranged for general medical practitioners in the district.
Rheumatism Supervisory Centre
The rheumatism supervisory scheme has now been in operation since
August, 1951, under the overall direction of Dr. I. M. Anderson,
Consultant Paediatrician, Prince of Wales's Hospital, with the close
co-operation of the local Public Health and Area Health Departments.
Children are referred to the clinic by general medical practitioners
and through the School Health Service. A number of children are
also admitted directly to the paediatric wards of the Prince of Wales's
Hospital and St. Anns General Hospital suffering from acute rheumatic
fever and allied conditions. After discharge from hospital these patients
attend the supervisory clinic.
The supervisory clinic sessions for follow-up are held on alternate
Monday mornings in the Out-patients Department of the Prince of
Wales's Hospital. The routine examinations are carried out by the
paediatric registrar and an assistant area medical officer, assisted by
a sister-in-charge and a clerk from the Area health office. Both first
and subsequent cases are seen at each session. In the case of new
patients a full history is taken and a complete clinical examination is
carried out. The various forms are then completed and other investigations,
where necessary, such as X-rays and electrocardiographs are
performed. After these preliminary procedures the patients are seen
by Dr. Anderson on Tuesday and Thursday mornings at the Prince of
Wales's General Hospital. At this examination and from the results
and reports previously obtained the diagnosis and clinical assessment
are made and recommendations regarding future schooling are sent
to the School Health authorities.
Following this initial assessment the patients are seen at regular
intervals at the supervisory clinic by the paediatrician or local authority
medical officer and should any significant change appear in the clinical
condition they are again referred to Dr. Anderson for further discussion
regarding treatment of special educational requirements.
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