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DIABETIC PUPILS These are pupils suffering from diabetes who cannot obtain the
treatment they need while living at home, and require residential care. Where regular
and effective medical treatment and care can be given to a child living at home there
is no need to disturb his education. If satisfactory care and treatment is impossible
at home, the child may be admitted to a hostel where this can be given; even so, he
will attend an ordinary school. Four such children were known to the School Health
Service in 1949. All were in the London County Council Diabetic Unit at Hutton.
Three were discharged during the year and one ascertained and admitted.
PUPILS SUFFERING FROM SPEECH DEFECTS. These are pupils who, on account of
stammering, aphasia, or defect of voice or articulation not due to deafness, require
special educational treatment. The number of new cases ascertained during the year
was 63 and 58 were considered as no longer belonging to this category. The number on
the records at the end of the year was 132. Two children were in Residential Special
Schools. An account of the work of the Speech Clinic appears on pages 49 and 50.
CHILDREN SUFFERING FROM DUAL OR MULTIPLE DEFECTS. Children handicapped by more
than one defect often present a serious problem in arranging suitable education, as
there are so few schools which specialise in the education of children with dual
disabilities. There is a real need for further provision, which can only be made on
a national basis, as no authority is likely to have more than two or three children
with any particular combination of disabilities. In the year 1949 the number of cases
known to the Authority was 2.
The particulars are as follows:
1 boy, aged 15 years and 1 girl aged 12 years, both totally deaf and
educationally sub-normal, in Rayner School,Penn. Bucks.
The first named subnormality is considered to be the leading defect, and
determines the educational needs.

ELIZABETH FRY AND GURNEY SPECIAL SCHOOLS.
These two Schools are considered together because the separation of function which
is proposed under the Development Plan whereby Elizabeth Fry becomes a school solely for
physically defective children, and Gurney caters entirely for educationally subnormal
children has not yet been fully implemented, and some educationally subnormal children
are still in attendance at the former. The combined capacity of the two schools is:
Educationally subnormal 200
Physically handicapped 80
The maximum numbers on the roll during the year were 200 and 78 respectively,
including 4-9 and 20 extra-district children.
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