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Modern technical developments have already been brought in to aid the very young
child in special oases, such as the Audiology Unit for impaired hearing. To meet the
more general need, the Senior Medical Officer has organised a Development Clinic where
parents can bring their young children as soon as the existence of any kind of handicap
is suspected: they are usually introduced on the recommendation of a doctor or health
visitor. In all cases a careful assessment is made of the handicap and also of the
capabilities which remain to the child. Specialist opinion is obtained when required.
The parents are encouraged to discuss their own difficulties and anxieties, and are
helped to understand the nature of their child's disability. When the needs have become
clear it is easier for the parents to see how they themselves can help their child.
As time goes on a plan for the childls future care can be worked out with the parents
in a way which will gain their support.
Although the organisation of this Service has been along quite simple lines and no
additional staff were needed, it is in my view one of the most important advances in child
care which we have yet seen. It introduces a new approach by recognising that right from
the begining these early handicaps are family problems which need to be resolved as a whole.
The Senior Medical Officer deserves great credit for her initiative.
In the same Seotion of the report I would like to draw attention to the note on page
64 recording the publication of another of the special leaflets prepared by our own health
visitors to help the mothers of West Ham in the care of their babies. This, to, is a most
creditable enterprise which I hope will be continued as opportunity offers.
The changes in the organisation of the Ambulance Service which took place during the
year are summarised on pages 71 and 72.
Another important organisational change, briefly mentioned in the previous report,
was brought into full operation during the year under review. The Senior Medical Officer
assumed dual responsibility for the School Health and Maternity and Child Welfare Services
in pursuance of the aim of achieving continuity of care by the Child Health Services from
birth to school leaving age. No obvious changes are to be expected at this stage, but
the ground can now be prepared for suitable adjustments in future years, wherever they may
be needed for the children's benefit.
It is scarcely possible in a brief preface to give adequate recognition to all the
careful and devoted work which so many individuals have contributed each year to the successful
operation of the Health Services. A few features of particular interest or importance
have been singled out for particular mention; but beyond that a general expression of
gratitude is due to all members of the staff who have worked together as a most effective
team. I would also like to convey my thanks to the Committees and their Chairmen whose
support have made these things possible.
I am,
Mr .Mayor, Ladles and Gentlemen,
Your obedient Servant,
P. ROY DENNISON
Medical Officer of Health
and Principal School Medical Officer.
Health Department,
225, Romford Road,
FOREST GATE, E.7. 2