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With certain agreed exceptions, there is consultation between the clinic medical
officers and the family doctor, before a child is referred to a specialist clinic or hospital.
A copy of the report is sent to the family doctor.
Speech Therapy. 12 pre-school children were referred to the Speech Therapist.
Adlology Unit.
Five sessions were held during the year. Fifteen children were seen, 2 of whom were
examined on two occasions. Of these 15 children, 2 were found to be deaf, 3 partially deaf,
and 10 had normal hearing. The Team(Health Visitors, Medical Officers, Teacher of the Deaf,
and Audiometrlcian) who have now been working together for over two years under the direction
of Mr. C.J.Scott, Consultant Ear, Nose and Throat Surgeon, are gradually improving their
skill and gaining confidence.
The 2 deaf children were diagnosed at the age of two years. Of the 3 older children
found to be partially deaf, 2 were already attending the West Ham Spastic Unit, and arrangements
were subsequently made for them to be provided with hearing aids and to attend the School
for the Deaf for part of each day.
Physiotherapy.
Physiotherapy has been provided at Grange Road and Forest Street Child Welfare
Centres throughout the year for both pre-school and school children, some of whom are
treated individually, while others are treated in groups.

Handicapped Children.
Throughout the year health visitors have continued to report to the Senior Assistant
Medical Officer any pre-school child whose development did not seem to be proceeding along.
normal lines. Every effort has been made, in co-operation with the general practitioner,
to arrange for special examination and investigations, when indicated, so that the diagnosis
could be made as early as possible and appropriate help and guidance given to both the child
and his parents. Formal ascertainment has only been carried out in pre-school children when
it has been necessary, in order to secure admission to a special school or institution.
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