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districts to ours is often the result of either their indiscretions or
infringements of the laws connected with motoring, to the exclusion
of those of this district who are in need of surgical assistance.
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 preference for the larger Hospitals with national reputation,
such as Great 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 patients 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 deterrent 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 Committee, which is responsible for
the Mogden Hospital dealing with Scarlet Fever, Diphtheria
and Enteric Fever.
Arrangements have been, in operation with the Metropolitan
Asylums Board, through the County Authorities, for the admission
of cases of small-pox to their Hospitals, since 1st October, 1928,
and Dockwell Hospital was closed on that account,