London's Pulse: Medical Officer of Health reports 1848-1972

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Hendon 1938

[Report of the Medical Officer of Health for Hendon]

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144
suspected ill-health for "Special" Inspection. Any children who are
absent at the time of a routine inspection and are examined in a subsequent
year prior to their next routine inspection should be recorded as
"routine" and not as "special" inspections. For example, a child who
is absent from School when due for routine inspection at 8 years of age
should be included in the second routine age-group when the missed
inspection eventually takes place.
(d) A Special Inspection is a medical inspection by the School
Medical Officer himself or by one of the Medical Officers on his staff
of a child specially selected or referred for such inspection, i.e., not
inspected at a routine medical inspection as defined above. Such
children may be selected by the Medical Officer during a visit to the
School or may be referred to him by the Teachers, School Nurses, Attendance
Officers, Parents, or otherwise. It is immaterial for the purpose
of this heading whether the children are inspected at the School or at
the Clinic or elsewhere. If a child happens to come before the School
Medical Officer for special inspection during a year in which it falls
into one of the routine groups, its routine inspection should be entered
in Part A of Table I and its special inspection in Part B. The inspection
to be recorded under the heading of special inspections should be
only the first inspection of the child so referred for a particular defect.
If a child who has been specially inspected for one defect is subsequently
specially inspected for another defect, such subsequent inspection
should be recorded as a Special Inspection and not as a Re-inspection.
(e) Under this heading should be entered the medical inspections of
children who as the result of a routine or special inspection come up
later on for subsequent re-inspection, whether at the School or at the
Clinic. The first inspection in every case will be entered as a routine
or special inspection as the case may be. Every subsequent inspection
of the same defect in the same year will be entered as a re-inspection.
Care should be taken to see that nothing is included under the
head of special inspections or re-inspections except such inspections as
are defined above. Attendances for treatment by a Nurse, or for
examinations by anyone other than a Doctor on the staff of the School
Medical Service, should not be recorded as medical inspections. If,
however, at any such attendance a child is also examined by one of the
Authority's Medical Officers, this should be recorded as a special
inspection or re-inspection as the case may be, even if treatment is
also given; but such attendance may also of course be recorded as an
attendance for treatment.