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There is practically no difficulty in getting cases into the West
Middlesex Hospital, but there is no out-patient department.
The Hounslow Hospital has a staff of consultants, who are almost
entirely concerned with in-patients, but there appears to be a
feeling for preference for the larger Hospitals with national reputation
such as Grt. Ormond Street, Queen Square, Brompton, Chelsea
Hospital for Women and the larger hospitals. The difficulty in
connection with this however, is that it entails a considerable expense,
which many of the parents can ill afford and in other cases
where specialised treatment is wanted, there is often considerable
difficulty in obtaining the necessary letters demanded by the Hospital.
There is still considerable difficulty in getting satisfactory outpatient
treatment for children. Things have improved somewhat
since the appointment of a House Surgeon at the Hounslow Hospital,
but there is a definite need in the district for a properly staffed
out-patient department.
There is an ever increasing demand made by Local Hospitals
for payment for services rendered, and these recurrent payments
have a definitely deterring effect on the willingness with which
patients seek advice, owing to the inroads on their small incomes.
4. Fever.—This district joins with Richmond in the form
of a Joint Hospital Board, which is responsible for the Mogden
Hospital dealing with Scarlet Fever, Diphtheria and Enteric
fever.
Arrangements have been concluded with the Metropolitan
Asylums Board, through the County Authorities, for the admission
of cases of small-pox to their Hospitals, as from 1st October, 1,928,
and Dockwell Hospital was closed on that account, and arrangements
were made for the disposal of the site.
An arrangement exists also whereby cases of Ophthalmia
Neonatorum can be admitted to the St. Margaret's Hospital of the
Metropolitan Asylums Board.