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(i) The Council already have an artificial sunlight clinic, provide additional
nourishment, provide facilities for diphtheria immunisation and engage
additional health visiting staff during measles epidemics.
After consideration of the report the Council resolved :—
(а) To appoint two additional health visitors.
(b) To increase the number of toddler sessions per week from three to six.
(c) To appoint three part-time medical officers on a sessional basis so that
the assistant medical officers would be able to carry out routine medical
inspection at these additional toddlers sessions.
(d) To appoint two junior clerks.
(e) To establish a special ear, nose and throat clinic, under the medical charge
of one of the assistant medical officers.
(f) To appoint a consultant for the above clinic who would see such cases as
were referred to him by the assistant medical officer and all cases in which
the question of operation was raised.
(g) To make increased provision for the treatment of minor ailments cases.
(h) To make increased provision for the treatment of orthopaedic cases.
(i) To make increased provision for the treatment of dental cases.
It was decided also that all the Council's Health Visitors should be appointed
as infant life protection visitors for their own districts, and to accept in principle the
establishment of an artificial sunlight clinic and orthopaedic clinic in new premises
to be built in Eltham.
These proposals were submitted to the Minister of Health, and in reply, a letter
was received stating " that the Minister notes with satisfaction that as a result of
the Council's consideration of Circular 1550, it has been decided to extend the scope
of the existing facilities in the manner indicated in your letter." These new services
are to come into operation at the beginning of April, 1937.
Toddlers' Clinic.—The routine medical examination of toddlers is now an
integral part of the Council's Maternity and Child Welfare Scheme. Children are
examined in their birthday month, aged 2 years, 3 years and 4 years. Those requiring
observation are called up for review at intervals of a few months and those requiring
treatment are told how to obtain it. All those who require further observation or
treatment are " followed up " by the Health Visitors.
Dr. Margaret Emslie, who is in charge of these clinics attends three times weekly
—once at the Old Town Hall, Woolwich, once at Plumstead Health Centre, and
once at Eltham Health Centre. It was possible in addition to examine a few toddlers
at morning sessions at other centres, and this was developed as much as possible
during the year.