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cases needing simply reference to some social agency are dealt with superficially, so
that adequate attention can be given to those people more likely to be in fundamental
need, and who are likely to respond to social therapy. There has been no prospect of
the Almoner personally seeing all patients attending the clinic, as is ideally desirable.
The advantage in such a practice would be that some of those patients in need of help
and advice, but who are not aware of it, or who are to reticent to speak without
encouragement about their needs, would be discovered, whereas at present those whose
need is more obvious and those who clamour for attention probably receive proportionately
too much. The same applies to those patients to whom it is at present impossible to
devote more time and energy, and who on more detailed social investigation may be found
to be in need. However, within the limits of the service, every attempt is made to draw
the information required. A considerable increase in staff and expenditure would be
needed to exclude this weakness in the service. Fortunately, the Chest Clinic has two
Chest Physicians who are very conscious of the social aspect of tuberculosis, and a team
of Health Visitors who do not hesitate to refer the larger social problems to the Almoner.
In general, the services and help given have followed the same pattern as in
former years, though under most headings there has been an increase which undoubtedly
follows from the changes in the medical staff of the clinic made during the year. Particularly
to be noted are the increases in adult convalescence, in those referred for suitable
work to the Employment Exchanges, in occupational therapy, and in those referred for
housing. The last continue to be one of the most important social factors affecting
tuberculous patients. It is, however, satisfying to note that many cases referred to the
Housing Officer in previous year have now been rehoused.
Summary.
Cases seen:-
Tuberculosis 401
Others 17
4l8
Preventive Measures:-
Convalescence: Adult 27
Children 41
Referred to Children's Officer 5
Referred for rehousing 111
Housing Repairs: Referred Sanitary Inspector 16
Referred Landlord 4
After-Care and Rehabilitation.
Referred to D.R.O. for work or training 6l
Referred for Home Help Service 13
Occupational Therapy l6
Provision of clothes and bedding (free or from grants) 93
Miscellaneous 123
Financial Aid.
National Assistance Board 127
Voluntary Funds 126
Other Funds 25
55