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"557 patients were seen and there were 2 patients with Class 5 smears.
One of these patients came in for a cone biopsy, but carcinoma-in-situ was not confirmed.
Another patient had a Class 5 smear, but the patient would not come in for further investigation
as her doctor had another smear done at a local clinic and this was negative.
There were 2 patients with Class 3 smears and one of these had treatment for an in-situ
carcinoma.
As usual the incidental findings were quite numerous.
Cervical polypi 27 patients
Cervical erosion 15 "
Uterine myomata 29 "
Benign swelling in the breast 5 "
Fissure in ano 4 "
Monilial vaginitis 10 "
Ovarian cyst 1"
Solid ovarian tumour 1 "
Bank of England cervical smear scheme
The following report on the work of the clinic during the year has been received from Dr.
I. D„ MacDonald, M.D.
"The first series of examinations, which started in 1967, has recently been completed. 756
examinations have been made and 3 cases of carcinoma-in-situ have been treated by hysterectomy.
In addition the clinic has provided a valuable means of detecting many minor gynaecological
disorders which needed treatment.
No more examinations are being done at present but it is hoped to resume in the Autumn
when the second series of examinations is due to begin."
Domiciliary Physiotherapy
During the year the Metropolitan District Nursing Association continued to employ a sessional
domiciliary physiotherapist to assist, under general practitioner and hospital supervision,
those persons who are usefully benefitting from this type of service which may not be provided
by a local health authority under the Act.
1968 1969
Patients treated during the year 2 12
Visits made by physiotherapist in seeing 150 257
patients, visiting G.P.'s., hospitals and so on.
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
Eleven patients seen at Court by a Mental Welfare Officer and escorted to Psychiatric
Hospitals.
One patient escorted to Saxondale Hospital, Nottingham, from Guildhall Court, twice in
one month.
One patient returned to Holloway Prison from Central Criminal Court, for a further period
of remand.
Police Cases
Three patients dealt with by City of London Police, pursuant to Section 136 Mental Health
Act 1959.
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