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geriatrician at Langthorne Hospital. Health visitors and home
midwives and nurses assist family doctors in those duties which are
the responsibility of the Local Health Authority. In particular they
assist at the ante-natal, child welfare and immunisation sessions
held by general practitioners. The health visitors give regular
talks at Thorpe Coombe Maternity Hospital and to student nurses
in general training.
Records
School medical records are available to family doctors on
request and the findings at all specialist clinics are conveyed to them.
Many hospitals send summaries of their discharge reports in regard
to children and more recently have notified accidents treated in
hospitals.
As and when required letters are sent to all general practitioners,
especially when there are outbreaks of communicable diseases.
Nineteen were issued during 1958 and referring to Poliomyelitis
Vaccination, Sonne Dysentery, Food Poisoning, Perinatal Mortality
Survey, Immunisation and Vaccination Records, Collection of
Pathological Specimens, Precautions in regard to Communicable
Diseases, Obstetric Emergency Unit, Winter Epidemics, and
Emergency Supply of Sera.
Training
Thorpe Coombe Maternity Hospital is a Part I and Part II
training school and is linked with the domiciliary midwifery service
at "Carisbrooke" for the district training of Part II pupil district
midwives.
The student nurses at the Connaught Hospital undertake
"field" training with the domiciliary services, as do student nursery
nurses from the day nurseries.
General Dental Service
The dental officers of the Local Health Authority Dental
Service, with others, carry out duties for the Executive Council at
the Town Hall where there is a recognised Dental Health Centre.
Voluntary Agencies
There is close co-operation with all voluntary agencies in the
Borough and there are periodic case conferences in relation to
problem families and more frequent smaller case conferences of the
individual officers most closely concerned.
3. Laboratory Facilities
Dr. Frank Marsh, Pathologist in charge of the Laboratory at
Epping, has kindly supplied the following information in regard
to work done for Walthamstow :—