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I have to record, with regret, the prolonged illness of Mr. E.H. Hambly, who has been the consulting
orthopaedic surgeon to the Lordship Lane Clinic, Tottenham, for the past 20 years. It is hoped
that it will not be long before he is restored to health..
Dr. E.G.M. Palser, Consultant in Orthopaedic and Traumatic Surgery to the Weston Park Clinic,
reports: -
"There is an overall increase in the attendance both for examination and treatment. The increased
proportion of children under 5 years of age which was noted in 1967 was not maintained. The 1967
figures were probably due to some non-recurrent factor.
The proportion of children under 5 who have come for treatment and carried it out satisfactorily
has increased a little. Selection of these cases and the care they receive in congenial surroundings
has been fully justified.

Medical Services at Vale Road School for Physically Handicapped Children
This school offers day education to physically handicapped children from the London Boroughs of
Enfield and (part of) Barnet as well asHaringey.
A medical officer attends at the school twice a week and there is a full-time school nurse, and a
full-time physiotherapist.
I once again express my appreciation to Mr. A.J. Ives, Headmaster of the school and his staff,
for their continued co-operation with the medical staff.
The Cerebral Palsy Unit associated with the school is a centre to which mothers are referred for
advice and children for treatment, as soon as cerebral palsy is diagnosed. Dr. William Dunham,
Consultant in Physical Medicine to the Unit, attends weekly and a full-time cerebral palsy therapist
gives treatment to the children under his direction. A speech therapist and an educational
psychologist are available to give advice and treatment in suitable cases.
Of the 8 new cases seen at the Unit during 1969, 5 were Haringey children, and 3 from outside the
Borough. 3 of these children were under five years of age and 5 over five. The recommendations
made for the new cases were as follows; —
Recommended admission to Vale Road Special School 7
Recommended admission to an ordinary school 1
Dr. Dunham reports as follows on the year's work: —
"Of the 95 children attending the Vale Road School for Physically Handicapped Children, 32 were
children with cerebral palsy — "spastics". The proportion has remained fairly constant for several
years.
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