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19
There is considerable difficulty in getting children out-patient
or ??? tcatment in the district. The medical practitioners of the district
on the staff of the Hospital take a month on duty in rotation to see
out patient eases. As can well be imagined this is a thoroughly
??? nsatisfactory system in that the doctor coming on duty has the
???remains of one, two, three or more doctor's leavings to carry on
with, cases which he has not seen from the beginning when they
???were of some interest compared with what they are when he sees
??? them. In the same way his leavings are handed on to his succes???sor,
and as they admit, this system is entirely unsatisfactory. It
???might be said that these cases should go to a Poor Law Medical
???iddla Officer kut there are a considerable number of the cases which
???want special investigations which it would not be fair to expect a
???Poor Law Medical Officer to carry out, and which can only be done
where all the facilities of a Hospital exist. The appointment of
a House Surgeon has improved matters somewhat. I have person???
ally been able to get a great deal done as I have many friends
on ???the
staffs of the London Hospitals, general and dental, but it
???intailjhould not be that the personality of the Officer in charge of the
???ariuwork slfould be able to obtain treatment which should be available
for any child, no matter who the Officer in charge is.
4. Fever.— This district joins with Richmond in the
from of a Joint Hospital Board, which is responsible for the
Mogden Hospital dealing with Scarlet Fever, Diphtheria and
Enteric, and the Dock well Hospital with 13 beds for the
???there accommodation of Smallpox.
Arrangements have been made to substantially improve
pi tall the Mogden Hospital. Central heating has been installed to
??? I replace the previous unsatisfactory isolated units, and the
??? Administration Block has also been increased to adequately
ofter house the Staff. Plans were also prepared for an Observation
and ??? Block, but this was postponed for a period of one year. The+
Hospital Committee were approached with a view to arrang-