London's Pulse: Medical Officer of Health reports 1848-1972

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Richmond upon Thames 1966

[Report of the Medical Officer of Health for Richmond]

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Students and teachers in training for remedial work are yearly attached to the
Clinic, and supervision of their work is provided. This is time-taking, but in our
opinion is valuable to both the students and their future work, and in providing a form
of therapy for the children allotted to them. We are interested in contacting as many
agencies dealing with children as possible where we feel we can be of use in helping
in the understanding and handling of disturbed children.

Table XVII.

Child Guidance Treatment.

Number of cases known to have been treated.
Pupils treated at Child Guidance Clinics338

ORTHOPAEDIC CLINIC.
Mr. R. H. Maudsley, F.R.C.S., Consultant Orthopaedic Surgeon reports:—
The Hampton Wick clinic is visited once monthly by the Senior Orthopaedic
Registrar from this hospital (Heatherwood Hospital, Ascot)—in the first part of the
year Mr. J. C. A. Madgwick, and more recently Mr. A. R. Taylor.
Between 30—40 patients are sent for to attend the clinic, and between 20—30
actually attend.
In all there are 116 patients in the files, being divided into the following clinical
conditions:
1) Feet, mainly valgus types 58
2) Knees, mainly genu valgum 27
3) Conditions around the hips and spine 11
4) Miscellaneous 20
The value of the attendance of an Orthopaedic Surgeon is mainly reassurance.
The main problem in my mind, however, is that when children have more serious
conditions requiring admission or investigation, they have a long distance to travel to
Ascot and there might well be some delay in attending for treatment.

Table XVIII. Orthopaedic and Postural Defects.

Number of cases known to have been treated.
(a) Pupils treated at clinics or out-patient departments293
(b) Pupils treated at school for postural defects
293