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

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West Ham 1925

[Report of the Medical Officer of Health for West Ham]

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85
(2) Co-operation with Medical Practitioners and co
ordination of work.
Doubtful Cases.
Cases are daily referred, usually by letter, to the Tuberculosis
Officer for opinion. The findings at the Dispensary
are communicated to the Practitioner at the earliest possible
moment by letter. No formal letter has yet been adopted for
the purpose. Form G.P. 35 is used in some cases.
Notified Cases.
Form G.P. 17 (revised) is used in a certain number of
cases. The Practitioner is informed of the results of examination
and of the treatment recommended in each case. The
Practitioner concerned is notified of the admission of the case
to Institution and also of the death of his patients in
Institution.
After discharge from Sanatorium, the patient is examined
at the Dispensary or at home, if necessary, and the Practitioner
is then informed of the treatment recommended,
capacity for work, and other details of interest noted during
the period of Residential Treatment.
Practitioners furnish quarterly, or when requested, the
domiciliary progress reports on cases under their care. The
failure of a patient to attend at his Doctor's Surgery is a
frequent cause of delay in completing such forms.
(3) The arrangements for following up patients in cases
in which the diagnosis is doubtful.
The procedure is as follows:—
After the first examination a card is given to the patient
with the date of the next attendance. When a patient fails
to attend, after the elapse of a week a letter is sent making
another appointment. If the patient still fails to attend, the
practitioner concerned is informed of the fact.
F