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with a teaching centre, to the maintenance of higher standards in the borough's dental
services. This is discussed more fully in the report of the Principal School Dental
Officer.
(d) The liaison of health visitors and social workers in the Health Department
with hospital clinics continued to develop. The following hospital attendances are now
made in respect of 'care of mothers and young children, and schoolchildren'-
i) London Hospital - Spastics out-patients. Attendance for discussion
on children in wards. Vision clinics.
ii) Mile End Hospital - Vision and ear, nose and throat clinics.
iii) St. Andrew's Hospital - Paediatric out-patients.
iv) London Jewish Hospital - Paediatric out-patients.
v) Poplar Hospital - Paediatric out-patients.
Section 23
The domiciliary midwifery service is run on an agency basis with approximately half
the borough allocated to the London Hospital domiciliary midwives, and half to the Nursing
Sisters of St. John the Divine. The former group have a direct link with their own teaching
hospital; the latter have for some years with their Part II school been indirectly
associated with the obstetric department of the Mile End Hospital and its Part I school.
This relationship was strengthened during the year, by agreement with the Central Midwives
Board, with the formation of a combined midwifery training school based at Mile End
Hospital with its district coterminous with that of the Nursing Sisters of St. John the
Divine. Lectures and discussions on public health are given to student midwives at the
Health Department during their course of training.
Section 24
Health visiting attachment schemes have not been feasible in this borough where many
general practitioners cover wide areas. Doctors are kept informed on details of local
authority staff and the facilities available in nearby clinics. In most districts there
is increasingly better co-operation between the field worker and the local medical practitioner.
If and when it is possible to accelerate provision of combined group practice
centres and clinics, a true domiciliary team headed by the family doctor will be possible.
Section 25
Home nursing continued on an agency basis with the East London Nursing Association,
29.