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giving them more individual treatment than has been our custom in
the past; this has meant that every 'old case' returning from
evacuation has been immediately readmitted for regular treatment.
(b) The second factor contributing to a lower discharge figure has been
the effect of the raids and consequent nervous tension on the children,
particularly the stammerers. The raids in the early spring had a
very marked effect on the children.
On January 1st, 1944, there were 139 cases on the books, there have been
92 new cases and 5 re-admitted (previously discharged or defaulted).

One hundred and forty-three school children have received treatment and
we start the New Year with 148 cases on the books.

The Maternity and Child Welfare have referred 7 cases during the year;
of these 2 are not considered suitable for immediate treatment but will be
recalled for inspection at regular intervals; one has not attended since June
and has probably gone away on account of the raids, 3 are receiving regular
weekly treatment; one child was found to be in need of a plastic operation
before treatment in the speech clinic could be successfully carried out, this
child has been admitted to hospital for the operation and as soon as he is well
enough he will be re-admitted to the speech clinic for regular weekly treatment.
This is the seventh year since the Clinic was opened in 1937. Every
effort is made to co-operate with other departments of the School Medical
Service especially in connection with those children requiring medical, surgical
and dental treatment. It is also very satisfactory that the Child Guidance
Clinic has been established in the Borough where further help can be given
to those children needing it.
The co-operation of the teachers and other members of the staff has been
satisfactory.
It may interest the Education Committee to know that 630 children
have been seen in the Speech Clinic, the results of which have given great
satisfaction to the parents and teachers.
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