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

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East Ham 1930

[Report of the Medical Officer of Health for East Ham]

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153
(c) Under this heading may be recorded routine inspections,
if any, of children who do not fall under the three code agegroups,
e.g., routine inspections of a fourth age-group or of other
groups of children, as distinct from those who are individually
selected on account of some suspected ill-health for "Special"
Inspection.
(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 Inspection 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 Inspection 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 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.