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The only available accommodation for advanced cases is
Whipps Cross Hospital.
Co-operation is maintained with the general London Hospitals
—the special Hospitals for Diseases of the Chest and the local
general Hospital (Queen Mary's, Stratford). Where a patient
has been attending any of these hospitals, a request is made for
the medical and X-ray findings; where recommendations are made
by the authorities of these institutions they are as a rule carried
out if concurred by the Tuberculosis Officer, e.g., Sanatorium
treatment, the provision of instruments, etc. Use, too, is made
of the facilities for special forms of treatment in cases of Lupus.
With the School Clinics and School Medical Service generally
there is close co-operation. Where minor ailments are discovered
at the Dispensary in children of school age, they are referred to
the School Medical Service for appropriate treatment, teeth, tonsils,
adenoids, etc. The usual certificates of inability to attend school
on the re-admission to school are granted at the Dispensary, and
the School Medical Service is acquainted with the fact.
The number of chalets in use by patients at their own homes
is 5 ; they are all visited periodically.
The arrangements set out in Memorandum 286 have been
adopted and are working satisfactorily. The model forms
suggested in the Memorandum are in use, the co-operation of local
medical practitioners continues to increase, and their relationship
with the work of the Dispensary is intimate.
Where the diagnosis of a case is doubtful, arrangements are
made for the patient's frequent attendance, during which time
several investigations of the sputum are made, opportunity is
taken for consultation, and arrangements made for special forms
of diagnosis, viz., X-ray.
The Dispensary Nurses visit all notified cases, noting the
hygienic, financial, and home conditions, and appointments are
made for the examination of all contacts.
Where, upon examination, the teeth of insured notified cases
are found to require attention, patients are recommended to obtain
treatment through their approved societies; and in the case of
uninsured patients, they are advised to obtain treatment through
their own dentist; children are dealt with through the agency of
the School Medical Service.