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24. SCHOOL CLINICS
Children examined at school inspection who require further advice or treatment
may be referred to one of the undermentioned clinics:—
General school
Ophthalmic
Ear, nose and throat
Orthopaedic
Speech therapy
Foot health
Chiropody
Asthma
Child guidance
The ear, nose and throat, orthopaedic, ophthalmic and child guidance clinics are
conducted by consultants, appointed and remunerated by the Regional Hospital
Board. They may be regarded as extra-mural out-patient departments of the
hospitals but sited for the convenience of parents and children in our local clinics.
Children are referred only with the consent of the family doctor.
The asthma clinic and the foot health clinic are conducted by medical officers
of the Health Department.
Treatment at the chiropody and the speech therapy clinics is carried out by the
appropriate medical auxiliary.
GENERAL SCHOOL CLINICS
Children are referred to a school clinic when more detailed examination of defects
and problems discovered at routine medical examinations is required. Also seen
at school clinics are children referred by teachers and parents between regular school
inspections, and those requiring treatment for minor ailments.
Total attendances .. .. .. 5,829
OPHTHALMIC
Ophthalmic sessions were carried out at Mattock Lane and Ravenor Park Clinics
by Mr. J. G. Freeman Heal, M.D., D.O.M.S. Changes in staff occurred at the
other clinics, Dr. Orr-Ewing at Northcote Clinic being succeeded in September by
Dr. Westlake on a locum tenens basis. Mr. Mangat's sessions at Avenue Road
Clinic were taken over by Dr. Bradley in December.
The whole question of the provision of an efficient ophthalmic service was the
subject of discussions with the North West Metropolitan Regional Hospital Board
and I am optimistic that a completely satisfactory service will be in operation in 1966.

I would like, on her retirement, to express my appreciation to Dr. Orr-Ewing
who worked for many years in the Southall area where I know she was held in high
esteem.
I would also like to express my thanks to Mr. Freeman Heal who, after 25 years'
service at Mattock Lane and Ravenor Park Clinics, will have retired from the School
Health Service by the time this report is published.
Mr. Freeman Heal writes that, in the retrospect of something over a quarter
century, there is first the notable fact of the great improvement in general in children's
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