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54
(e). In a few cases where the Committee saw fit this 37/- was
reduced or cancelled, and in seven cases free treatment was allowed,
with rail expenses being granted in some cases to the patient.
These free cases were treated exactly the same as those paying
the 37/-, with the additional privilege that they had not to wait
till the above 15/- was paid.
(/). When the fee of 37/- was paid in one sum the Committee
gave an automatic sanction for treatment: When not so
paid, the Committee saw the cases and interviewed the parents
before giving their decisions.
Except for one visit to the Royal Dental Hospital for the
Consultant's opinion, all cases are treated in our local Clinic by
the School Dental Surgeon.
An account of how the system works between the Royal
Dental Hospital and the Clinic.
The patient is seen, impressions taken, and duplicate models
made. The Clinic Dental Surgeon writes a report on the case,
classifying it and specifying the abnormalities as seen by him.
This report, together with one set of the duplicate models (an
upper and a lower) is sent to the Royal Dental Hospital and retained
there. One set is retained at the Clinic, as is also a copy of
the report. This enables the Consultant to be in possession of all
details before he sees the patient, and facilitates any correspondence
about the case. Space is left on the same sheet for the Consultant's
report.
A sheet is made out for the Royal Dental Hospital to fill in
the Consultant's time and date of appointment, which is returned
to the Clinic.
The patient is warned by the Clinic to attend the Royal Dental
Hospital at the appointed time. In due course the Consultant reports
on the case, when treatment proceeds at our own Clinic
as indicated, or in some cases, terminates—usually on the
grounds that the home co-operation would not be helpful, and the
prognosis is not hopeful for success, or the results that it would
be possible to obtain would not be of sufficient value to justify the
necessary course of treatment. In a fair percentage of cases the
Consultant advises a commencing course of treatment with a view