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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.:-
"With reference to the work of the Cervical Smear Clinic at the Bank during 1972, I have to
report 239 women were examined. There were no positive results, but, as usual, a number of
women were advised to visit their own doctor for treatment for minor disorders. Interest in the
Clinic continues to be well maintained."
ROUTINE CERVICAL CYTOLOGY RE-CALL SCHEME
From January 1972 a national scheme of periodic recall for routine cervical cytology was introduced
by the Department of Health and Social Security. Records of women whose last test took
place five years earlier are passed by the National Health Service Central Register to the local
authority of her area of residence. These patients are then invited by the local authority to attend
for a further examination. All general practitioners, hospitals and clinics involved in these tests
are advised to use a revised request/report/recall form and after completion of the test copies of
the form giving the result are distributed by the laboratory to the patients general practitioner and
to the local Medical Officer of Health. The latter, in turn, passes the result form on to the patient's
area of residence and thus it can be verified whether or not a patient invited to attend for reexamination
has, in fact, done so.
The Corporation is participating in this scheme and those City residents notified by the
National Health Service Central Register as being due for recall are advised that they should
contact their general practitioner or attend a clinic for re-examination. If they fail to do so, a
follow up visit is made by a Health and Welfare Officer. A form showing the test result is received
for every test which is dealt with by the cytology laboratory at St. Bartholomew's Hospital.
Those relating to City residents are retained for follow-up purposes and those for non-City
residents are forwarded, in each case, to the Medical Officer of Health of the patient's area of
residence. In a similar way forms in respect of City residents who have attended a clinic out of
the City are received in from the Medical Officers of Health of many other areas.
Domiciliary Physiotherapy
The Metropolitan District Nursing Association continued to employ a sessional domiciliary
physiotherapist to treat, under general practitioner or hospital supervision, those persons who
would usefully benefit from this type of service which may not be provided by a local authority
under the Act.
1971 1972
Number of patients treated during the year 18 32
Visits made to treat patients, visit doctors
and clinics 320 277
EDUCATION ACT, 1944
SCHOOL HEALTH SERVICE
The general standard of health at the Sir John Cass's Foundation School remains good and
the high level of hygiene continues satisfactorily.

The Selective Inspections are conducted by the School Nurse. The general standard of
hygiene amongst the school children was good, and no head or body infestation occurred during
the year. 6 home visits were made to City parents to follow up matters arising from the medical
inspections.
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