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The following reporthasbeen received from the Central London Branch of the Family Planning
Association in respect of the City of London Family Planning Centre at Milton Court:—
"During 1967 there was a steady increase in the number of people using the Family Planning
Clinic at Milton Court and in October a second lunch time session was started to be held on
alternate Fridays.
Altogether 105 sessions were held during the year and 606 patients made 1,582 visits. Many
were young people coming prior to marriage or in the early stages of their marriage who attended
with their partners and the clinic staff were very glad to welcome such couples. Of the 606
patients, 344 were new to the Family Planning Association (221 premaritals) 58 transferred from
other clinics and 214 were old patients returning for check visits.
The clinic doctors were ready to discuss with and advise patients on the most suitable
method of birth control for them and of the new patients 140 were fitted with the cap, 193 prescribed
oral contraceptives and 7 other methods. Four patients were referred to the Islington
Family Planning Centre for the fitting of an inter uterine device.
162 cervical smears were taken during the year all of which were satisfactory.
It is found that family planning clinics provide an environment in which those with difficulties
are encouraged to discuss these with the clinic doctors. As much time as possible is given to
patients in birth control sessions but where more help is needed with marital problems patients
can be referred for consultation to the Islington Family Planning Centre where the Branch holds
four sessions for psycho-physical difficulties staffed by specially trained doctors. Two such
patients were referred during the year.

Well-Women's Clinic
The clinic, set up with City Corporation funds in 1958, is now well established at St. Bartholomew's
Hospital.
The following reporthasbeen received from the hospital on the work of the clinic during 1967:-
"During 1967 - 591 (649) patients were seen. In one patient a positive smear was found
suggesting an in situ carcinoma of the cervix and this was treated by total hysterectomy. Three
patients had class 3 smears which were suspicious of malignancy. These were investigated and
found to be not malignant. A number of abnormalities were discovered on clinical examination.
17 (22) patients had uterine fibroids, 3 (5) of whom required total abdominal hysterectomy
and 2 (5) others had ovarian tumours which were treated surgically. 14 (16) patients had cervical
polypi and 4 women were investigated for post-menopausal bleeding."
The Medical Officer of one of the large Banks set up a cervical smear service for staff and
in the latter three months of the year during which the scheme operated 110 examinations were
carried out. One positive smear was found and the individual referred to St. Bartholomew's Hospital.
MENTAL HEALTH ACT, 1959 and NATIONAL HEALTH SERVICE ACT, 1946
Mental Health Services
Mental Health services in the City are provided on an agency basis by the London Borough of
Tower Hamlets and the following information has been given by Dr. R.W. Watton, Medical Officer
of Health of that Borough:—
"City Courts
Four (9) patients were seen at the Courts by the Mental Welfare Officer and escorted to
mental hospitals.
Police Cases
One (8) patient dealt with by City Police pursuant to Section 136, Mental Health Act, 1959.
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