London's Pulse: Medical Officer of Health reports 1848-1972

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London County Council 1912

[Report of the Medical Officer of Health for London County Council]

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xvii.
Appendix IX.—(Contd.)
The following arc the conditions and terms of the agreements between the Council and hospitals
for the dental treatment of children attending public elementary schools—
(i) No cases shall be received for treatment by the hospital except such as are found on inquiry to be from
their circumstances suitable for special treatment.
(ii.) The hours of attendance shall be made to suit the convenience of the hospital and the children.
(iii.) Any dentist or anaesthetist appointed for the work shall be fully qualified and, for the purposes of treatment,
be appointed by, and be under the sole control of the hospital.
(iv.) Payment shall be made by the Council at the rate of £400 a year in respect of the services of a full-time
dentist, working on 10 half-days of 21/2 hours each a week, or £200 a year in respect of the services of a dentist working
on 5 half-days of 21 hours each a week, subject to any necessary adjustment of salary being made from time to time
in regard to dental inspection and treatment, and at the rate of £50 a year for the anaesthetist working one half-day
a week, and a capitation fee of 2s. shall be accepted by the hospital in full discharge of any extra expense incurred by
them in providing treatment.
(v.) The voucher for the capitation payment shall be a card, issued by the Council, directing the child named
thereon to attend the hospital on a specified date, which card will be handed to the authorities at the hospital by the
person presenting the child.
(vi.) The hospital authorities shall, if required by the Council; certify as to whether a child patient is fit to attend
school during the treatment.
(vii.) The consent of the parent shall be obtained in every case before treatment is given, and the responsibility
for the treatment shall rest with the hospital.
(viii.) The hospital shall allow an officer of the Council to attend the hospital for the purpose of regulating the
attendance of the children and of supplying the Council with such particulars as will enable it to ensure that every
child referred to the hospital shall continue in attendance until discharge.
(ix.) The hospital shall provide treatment for children 6, 7 and 8 years of age, and in urgent cases for children
of other ages. Ten new cases a session may be referred to the hospital for treatment each half-day by the Council,
except on half-days allocated for the treatment of cases requiring an anaesthetic when no new cases shall be referred
to the hospital.
(x.) Agreements shall be for one year dating from 1st August, and shall be subject to annual renewal and to
termination at the end of each year by three months' notice on either side.
The following are the conditions and terms of the agreements between the Council and nursing
associations in connection with the nursing treatment of children attending public elementary schools—
(i.) The scope of the work shall include nursing treatment of children suffering from discharging ears, external
eye diseases, viz., blepharitis and conjunctivitis, skin diseases, such as impetigo, and sores, and such other conditions
as require the daily services of a nurse, and also home visits after operations for adenoids, tonsils, etc.
(ii.) The work shall be carried on partly at a suitable centre and partly in the homes of the children.
(iii.) The association shall allocate a nurse, who should attend daily at the centre from 12.15 to 1.45 and from
4.30 to 6.30, and on Saturdays from 9 to 12, and shall give such treatment as the doctor in charge of the case may
direct, and also arrange for the necessary home visiting.
(iv.) The Committee shall appoint a doctor to be selected by the Council from nominations received from the
committee or association, and the doctor shall attend at the centre on one half-day a week to see the children and
supervise the work of the nurse.
(v.) The Council shall pay the association £100 a year for the equivalent of the whole-time services of one nurse.
Such payment should include the cost of equipment, drugs, lotions, etc., necessary for the treatment in the homes,
and arrangements for home visiting, ncluding travelling expenses.
(vi.) The work shall be carried on under the supervision of the Council's school medical officer.
(vii.) Not less than fifteen new cases shall be referred to the centre by the Council each session.