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accommodation for the latter, which is urgently needed, and would at
the same time be a great convenience when children have to be
referred from one Clinic to another. It would also simplify the work
of administration and supervision.
Co-ordination of the Work of the School Medical Service with
that of other Health Services.
(a) Infant and Child Welfare.—The Maternity and Child
Welfare Centre is held in the same building as the School Clinic, and
is under the supervision of the School Medical Officer. The School
Nurse also gives some assistance in the Infant Welfare Centre, so
that the work of the two Clinics is intimately associated.
(b) Tuberculosis.—The School Medical Officer acts as Tuberculosis
Officer for the area supervised by the Beckenham Tuberculosis
Dispensary, and there is therefore a direct connecting link between
the School Service and the provisions made by the County Council
for dealing with Tuberculosis.
ROUTINE INSPECTIONS, 1922.
Routine Inspections refer to those made on the School premises
of the Groups of Children prescribed for examination by the Board
of Education. The number examined at these inspections during
1922 was as follows : —
Entrants 439
Leavers 190
Intermediate Group 471
In addition to the above Groups, 471 "Special" children were
referred to the Medical Inspector, either at the School or the School
Clinic, for examination. These "Special" cases were selected by
the Teachers, School Nurses, School Attendance Officers, or
Parents, on account of some obvious or suspected physical defect.
Tables I. and II. (see pages 54 and 55) set out in summary form the
numbers inspected and the defects found.