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140
Annual Report of the London County Council, 1913.
and nursing treatment in October, 1912. Both medical and dental work are now carried on under
agreement with a local committee under the chairmanship of the medical officer of health of the borough
Dr. J. C. Jackson, Mrs. Trevelyan acting as honorary secretary. The agreement provides for the
treatment of 660 eye cases, 660 ear, nose and throat cases, 1,540 dental cases, and 660 cases requiring
nursing treatment. The premises consist of a pair of adjoining private houses adapted for the
purpose, and are conveniently situated within easy access of Walham Green Station and close to
several omnibus routes.
The treatment has been very satisfactory and the attendance of children has been well maintained.
The capitation payment for dental cases treated at this centre has been revised, and the
payments now made are at the rate of 2s. a case for the first 1,000 cases, and 1s. a case for all
additional cases.
(5) Hackney treatment centre, 8, Lower Clapton-road, N.E.—The agreement with the committee
of Hackney medical practitioners provides for the treatment of 880 eye cases, 880 ear, nose
and throat cases, 660 minor ailment cases and 1,540 dental cases a year. The premises consist of a
suite of six rooms in a large house at No. 8, Lower Clapton-road, which is the headquarters of the
nursing staff of the Hackney District Nursing Association. The situation of the treatment centre is
excellent in every way, being quite close to the various tramway, omnibus and railway routes which
traverse Hackney in all directions. There is a separate entrance to the rooms used as the treatment
centre. On the ground floor there are two large rooms, one is used as a waiting room for parents and
children and the other for the treatment of minor ailments. Upstairs there are four rooms on the
first floor. Two of these are used for the examination of eye cases on one afternoon a week, and on
the other days for undressing children preparatory to operation. The two remaining rooms, which are
adjacent to one another, are used as operation and recovery rooms.
(6) Hammersmith treatment centre, Carnforth Lodge, Hammersmith-broadway.—This centre,
which was opened on 11th March, 1913, for nursing treatment, is organised by the Hammersmith and
Fulham District Nursing Association at their headquarters at Carnforth Lodge. A special structure
has been erected in the garden at the back for the reception and treatment of the children. The
rooms used are very well situated, the light is good and the place very quiet. The children are
admitted through the garden by a side entrance. The centre is in a very accessible position, close to
Hammersmith-broadway. The number of new cases receive 1 is 15 a session. A capitation payment
of 4d. a case is made on a minimum of 660 cases a year, and a grant of £12 10s. is allowed to the
association in respect of the rent of the premises for the current year. Arrangements have also been
made with the association for the treatment at the centre of 1,540 dental cases a year.
(7) Home and Infirmary for Sick Children, Lower Sydenham, S.E.—The arrangements made
by the Council for treatment at this hospital provide for the treatment of 250 eye cases and 250 ear,
nose and throat cases annually. Throat cases and eye cases are sent here alternately in successive
weeks. The operations are carried out by the ordinary staff of the hospital, who attend on Friday
afternoons to deal with Council cases only. The throat and ear cases, mostly operation cases, are seen
in the out-patients' department attached to the hospital, where the waiting-room accommodation is
adequate. The operations are performed in the operating room of the hospital, one of the small
wards adjoining being used as a waiting and undressing room. The Council makes an allowance of
£10 a year to the authorities of the home in respect of the extra nursing assistance which has been
necessary in connection with the cases sent to the hospital.
(8.) Islington treatment centre, 37, Thornhill-road, Barnsbury, N.—This centre is situated in the
midst of an area which is relatively poorly equipped with hospital accommodation. The agreement
with the local committee of medical practitioners provides for the treatment of 880 eye cases, 880
ear, nose, and throat cases, 264 ringworm cases, and 660 cases requiring nursing treatment. Recently
the work has been extended to include treatment for 1,540 dental cases annually. The work is carried
on in an excellent house, with good accommodation, consisting of a large waiting-room for parents
and children, whilst another large room on the same floor is used for the examination and treatment
of minor ailments. On the first-floor there are two rooms—one used for operations and for the
examination of eye cases, the other as a recovery room. The X-ray apparatus is fitted in a room in
the basement. Dental cases are treated on four half-days a week. The attendance of the children
and the work at this centre have been generally very satisfactory. There appears to be here much
less difficulty in securing attendance for treatment than in some other parts of London.
(9.) London Hospital.—The work at this hospital is almost too well-known to need description.
It should be mentioned, however, that it was at the request of the London Hospital authorities that
the system was inaugurated whereby the Council's officers attend certain of the hospitals to regulate
the attendance of the children, to supply information to Care Committees with regard to treatment,
and to secure nursing assistance in the homes. At the London Hospital the surgeons attach
special importance to the co-operation of the Care Committees, and it has often been found possible
to arrange for convalescent home treatment to adopt special measures with regard to trachoma, and
to supplement in several ways the treatment given at the hospital.
The Council has made arrangements for the treatment of 3,000 eye cases, 3,500 ear, nose,
and throat cases, 350 ringworm cases, and 1,540 dental cases, 8,390 cases in all, a very considerable
proportion of the total numbers for which arrangements have been made in London as a whole.
Separate waiting-rooms, consulting-rooms, and operating-rooms are allotted to the Council's cases. A
nurse from a district nursing association visits the homes of the children after operations and to
give nursing treatment for suppurating ears. The nurse also applies atropine in cases where the
parent is unable to do this successfully. Children attending with a ringworm voucher card are sent
directly to the surgeon without passing through the receiving room, but no case is treated by X-rays
without the written consent of the parent. Situated in the heart of a populous centre there is no
difficulty in securing the attendance of the full numbers, and most excellent work is being done.
(10.) Marylebone nursing treatment centre, 25, Exeter-street, Lisson-grove, N.W.—The arrangements
at this centre, which is provided by the Paddington and St. Marylebone District Nursing