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Busch House School (Isleworth)
This school provides 100 places for children
between the ages of 5 and 16 years and is
divided almost equally between delicate children
and those who are mildly maladjusted
A senior medical officer visits the school
weekly to supervise the delicate children and
deal with any minor ailments With the help of a
part-time social worker close liaison is main
tained between the children's homes and school
and with hospital departments who may be treating
the child Daily physiotherapy is also available
for those children needing it and indeed is
a very necessary part of the school curriculum
for many
The psychiatrist from the Child Guidance
Clinic together with a psychologist and
psychiatric social worker help to supervise the
maladjusted children and give help and support
to their families

Martindaie School (Hounslow)
This is a day school for physically handicapped
children with a closely associated medical unit.
The school has furniture and apparatus adapt
able to the needs of the pupils and facilities for
hydrotherapy physiotherapy and speech therapy
are available in the medical advisory unit
attached to the school. The majority of the pupils
in the school suffer from cerebral palsy and many
are dependent on wheelchairs for locomotion.
Close co operation between the teaching and
medical staff is maintained to secure a reasonable
balance between the need for education and treat
ment in order to achieve the highest potential
both intellectually and physically Many children
do have learning difficulties and here the services
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of the senior educational psychologist are particu
larly useful
The following table shows the number of children
on the school register and on the waiting list for
the years 1965-1968. The number of children on the
school roll has increased during these years but
so has the number on the waiting list.

The upward trend in the number of children with
spina bifida has continued this year and is shown in
the following table The number of children who
survive as the result of early surgical treatment of
the meningomye locoele is likely to increase, but
most of the children who survive wi II be multiply
handicapped and will need special educational
provision

Heston School for the Deaf
This day school with its associated classes for
the partially hearing in Townfield and Harlington
Secondary Schools Springwell Infant Springwell
Junior Norwood Green Infant and Norwood Green
Junior Schools provides accommodation for 160
deaf and partially hearing pupils The medical
officer to the Hearing Clinic gives general medical
supervision of these pupils and there is full discussion
of hearing and iearning difficulties between