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104 Annual Report of the London County Council, 1913.
School Doctor. Subject.
Dr. E. F. Palgrave i. Malnutrition in relation to faulty home management, p. 30.
ii. Saunders-road and Addison-road school journeys.
iii. Open-air class, Fulham-palace-road.
,, Agnes Parson i. (with Dr. Edis) Conditions of school hygiene, etc., in Nuremburg.
ii. Open-air classes, Olga-street and Wolverley-street.
,, 0. H. Peters i. Relative degrees of mental deficiency.
ii. Hague-street school journey.
iii. Remedial exercise class, Deal-street (G.) School, p. 06.
,, A. J. Scott Pinchin i. Remedial exercise class, Garratt-lane. p. 60.
ii. Open-air classes at the “Earlsfield," Garratt-lane and The "Wandle."
,, Mabel Russell i. Sleeping conditions of school children in East End schools, p. 31.
ii. Open-air classes at The "Ben Jonson," Essex-street, St. Paul's-road, St.
Thomas Colet.
„ W. J. M. Slowan i. An investigation into cases of inequality of the pupils of the eyes, found
amongst 5,000 school children, p. 15.
ii. Battersea-park-road school journey.
iii. Remedial exercise class, Church-street (G.) School, p. 68.
iv. Open-air class, Priory-grove.
„ E- Bellingham Smith i. Remedial exercise class, Winchester-street School, p. 62.
ii. Open-air class, White Lion-street.
„ L. R. Tosswill i. Medical inspection and following up.
ii. Open-air classes at Ambler-road, Queen's-road, Richard-street.
„ A. E. Wells i. Littlehampton school journey.
ii. Open-air classes, Faunce-street and the "John Ruskin."
„ F. T. H. Wood i. Relation between nasal obstruction and superior protrusion, p. 18.
ii. Report on Birley House Open-air School, p. 69.
iii. Sydenham-hill-road, Holbeach-road and Manor-lane school journeys.
iv. Open-air classes at Gordonbrock-street School.
„ E. Colston Williams i. Woods-road and Mantle-road school journeys.
ii. Remedial .exercise class, Weston-street (G.) School, p. 67.
The letter of the Board of Education dated 24th June, 1913, on Medical Inspection and Treatment.
Reference has already been made in a previous paragraph to the letter of the Board of Education
of the 24th June, 1913. This letter is of particular interest as expressing the views of the
Board upon the working of the school medical service for the first time since the inauguration of the
new administrative arrangements approved by the Council on the 25th July, 1911, and referred to in
some detail in the annual report for 1912. The points raised in the letter have received the very
careful consideration of the Council, and in view of the importance of the issues raised it has been
thought well here to quote the letter in full before dealing with the questions raised in their
appropriate order. The letter is as follows:—
1. I am directed to inform the Council that the Board have received reports from
Dr. Eichholz. Dr. Crowley and Dr. Janet Campbell, three of their medical officers,
on the recent inspection of the working of the arrangements made by the Council in
connection with their school medical service. In the course of the inspection, the
Board's medical officers had an opportunity of seeing most of the Council's assistant
medical officers carrying out medical inspection, of visiting most of the treatment centres
and hospitals comprised in the Council's scheme of treatment, and of inquiring into
the administration of the work generally.
2. The Board are glad to learn from the reports that, subject to certain qualifications
the actual work of medical inspection is being carried out satisfactorily by an
efficient staff of medical officers who seem to be keenly interested in their work.
Further, the organisation of the work of inspection as a whole, particularly the arrangement
under which the area is divided into four sections, each under the charge of a
divisional medical officer responsible for the supervision of the assistant medical officers
in his section, appears to the Board to be satisfactory. In this connection the Board
note that the requirements of article 58 (b) of the code appear to be strictly complied
with, and that a suitable examination is now made of all children entering school.
3. With regard to the routine inspection of the children in the groups prescribed
by the code, the Board understand that the weighing and measuring of the children
and the testing of vision are, as a rule, undertaken by the nurses apart from the medical
examination and in some cases on a different occasion, and that this part of the work
is not in fact adequately supervised by the medical officers.
As regards the testing of vision, the Board consider it very desirable that the
medical officer should himself examine all cases reported as the result of the preliminary
examination by the nurse to be defective, so that he may be in a position to take full
responsibility for all cases referred for further examination and treatment, and to
estimate with accuracy any changes in visual power at subsequent examinations.
In connection with the examination for defective hearing, the Board entertain
some doubt whether sufficient attention is in all cases given to the detection and
estimation of this defect.
4. The Board are glad to learn that systematic arrangements have been made for
the re-examination of cases of defect found in the course of medical inspection. They
also desire to express their appreciation of the system adopted for ascertaining whether