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that the vast majority of volunteers attending our Unit come from places far beyond the London
area, e.g., Margate, Ipswich, Weybridge, Amersham, Reading, Bedford, Eastbourne, Southampton,
Bletchley and Worthing, and are registered with doctors in their town of residence. The doctors
would automatically refer their patients to the Mass Radiography Units and Chest Clinics in
their area. This would account for the small number of Doctors' referrals examined by our Unit.
Medical Procedure
Abnormal cases have been first referred to the examinee's doctor for subsequent attention
by the appropriate Chest Clinic. Eight cases with a positive sputum have been reported of which
four were male and four female.
Cases not within the scope of a Chest Clinic have been referred to St. Bartholomew's Hospital.
The willing co-operation shown by Dr. Neville C. Oswald and Dr. Graham Hayward is gratefully
acknowledged.
WELL-WOMEN'S CLINIC
This clinic, set up with City Corporation funds in 1958, is now well established, and it is a
source of justifiable satisfaction that, at a time when the Ministry of Health is recommending
Local Health Authorities and Hospital Boards to take action, the Corporation of London and St.
Bartholomew's Hospital can claim eight years of first class work in this important field.
The following report has been received from the hospital on the work of the clinic during
1965:-
"During the year 582 patients were seen and it is encouraging that we now see a wider
range of social groups. As you know, when the clinic began there was a particular demand by
professional women particularly journalists and school teachers for cervical screening. During
1965 there has been a much larger demand from patients with large families, many of whom are
working in clerical or domestic jobs in the City.
Three patients were detected with a carcinoma of the cervix in its p'e-invasive stage and
these were treated by total obdominal hysterectomy.
As in previous years we have found quite a large number of other non-malignant gynaecological
abnormalities, for example there were fifteen patients with trichomonas vaginitis.
Eighteen patients had uterine myomata and in three hysterectomy was performed.
Three other patients had a benign ovarian tumour which was removed.
Nine patients were admitted for removal of cervical polypi and it was of interest to note that
two patients were found to have a double uterus although they did not require treatment."
CORPORATION STAFF
Mass Miniature Radiography
A permanent Mass Radiography Unit is operated by the North East Metropolitan Regional
Hospital Board in premises in the City which are owned by the Corporation. Members of the
Staff are encouraged to take voluntary advantage of the facilities provided thus for biennial X-ray
of the chest. For obvious reasons no attempt is made to compile official statistics but it is
known that a large percentage of Corporation employees take advantage of this opportunity for a
regular "check-up".
Medical Emergencies
The arrangement which has been made with a firm of medical practitioners in the City to be
on call for emergencies at Guildhall was implemented on five occasions during the year.
This emergency service was instituted because the Medical Officer of Health from the nature
of his duties may often be unavailable to answer urgent calls.
Ophthalmic Optician Service
Since the beginning of March, 1959, a firm of Ophthalmic Opticians have been operating an
eye testing service for members of the staff.
A weekly session is held in the Medical suite of the Guildhall Office Block.
This service is operated under the National Health Service, and examinations are free
although charges are made for the dispensing of prescriptions.
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