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* The excess number of Journeys over patients carried is explained by the fact that
many out-patients are taken to hospital for treatment, and collected later in the
day, to avoid unnecessary waiting of the conveyance.
By far the largest proportion of calls, both on the ambulances and cars emanate from
hospitals. The demand from private practitioners is comparatively small. Calls made by the
public and relatives relate mainly to maternity cases and home accidents.
The greatest demand upon the service as a whole, consists of the conveyance of patients
to and from hospital out-patient clinics. This position Is no doubt brought about by the
tendency of hospital authorities to discharge in-patients earlier, thus giving a more expeditious
'turn round' of beds.
Reciprocal arrangements have been agreed upon with neighbouring authorities, namely,
East Ham County Borough, Essex County Council and London County Council. In addition an
agency arrangement Is in operation with the London County Council for the provision of
ambulance service in that part of Woolwich which is north of the Thames. (This arrangement
ensures the speedy removal of patients from an area not readily accessible to the London
County Council's ambulances).
The removal of patients suffering from smallpox or typhus fever Is carried out under
a special arrangement with the London County Council.
The present service appears to meet the needs of the areac
SECTION 28: PREVENTION OF ILLNESS, CARE AND AFTER-CARE.
(1) Tuberculosis.
The Council's services for the prevention of tuberculosis, and the care and after-
care of persons suffering from this disease were continued.
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