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Mr. Cholmeley reports that attendances at his consultant clinics and for any
physiotherapy that is ordered were very good throughout the year. This appears to
indicate an appreciation, both by general practitioners and by the parents, of the
facilities offered at the clinics as regards diagnosis and treatment of orthopaedic
conditions. Midwives, too, are glad to make use of the immediate appointments
which the clinics are able to offer for very young infants with orthopaedic defects.
Admission to hospital when surgery is required can be arranged promptly and
subsequent follow-up by the surgeon and the physiotherapist is at the clinic within
easy reach of the child's home.
A few requests for physiotherapy come from teaching hospitals and local hospitals
for their child patients, but unfortunately not so many as we should like.
Mr. Busfield reports that the average number of patients seen at his clinics
during 1965 was 18. During the first half of the year, only one session every two
months was held at Northcote Clinic, but an increase in the waiting list made it
necessary to hold a clinic every month in the second half of the year.
Ninety per cent. of the children attending have minor orthopaedic defects such as
flat feet and knock knees with associated poor gait. Operative treatment when
required for the more serious conditions is arranged at Hillingdon Hospital.
Physiotherapy is provided at Northcote Clinic for four sessions a week and at
Jubilee Gardens Clinic for two sessions a week. Most treatments consist of foot
exercises, manipulation and re-education in walking. Electrical apparatus when
required for treatment is available at Northcote Clinic only.

The times of the orthopaedic sessions are as follows:—
Once a month at Mattock Lane Wednesday p.m.
Alternate weeks at Ravenor Park Tuesday a.m.
Once a month at Northcote Monday p.m.
Physiotherapy is provided at seven clinics:—
Cloister Road Greenford Green
Jubilee Gardens Mattock Lane
Ravenor Park Islip Manor
Northcote
SPEECH THERAPY
The speech therapy staff comprises:—
1 full-time senior speech therapist.
2 full-time speech therapists.
2 speech therapists working four sessions per week each.
Clinics
There are 18 clinics in the Borough, 16 of which are used for one or more speech
therapy sessions per week. Steele Road and Perivale are the only two clinics not
used for this purpose.
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