London's Pulse: Medical Officer of Health reports 1848-1972

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Tottenham 1925

[Report of the Medical Officer of Health for Tottenham]

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3
CO-ORDINATION OF THE WORK OF THE SCHOOL
MEDICAL SERVICES WITH THAT OF INFANT AND
CHILD WELFARE.
The School Medical Officer is the Medical Officer exercising supervision
over Maternity and Child Welfare. There is being effected a
gradual amalgamation of both services, so that the nurses supplying
the Medical Services of the Council shall be equipped and available for
any of its sections.
Children under school age are cared for at the Child Welfare
Centres, and Crèche. Details of the work accomplished there are to be
found in another section of this report. The records of progress are
carefully preserved and, at the date of transfer. these are filed in an
envelope, constituting the dossier of the child, and passed to the School
Medical Department. This dossier may contain (a) Birth Card and
Child Welfare Doctor's records; (b) Infectious Diseases records; (c)
Health Visitor's records; (d) Crèche records; (e) Reference to mother's
attendance at Ante and Post-Natal Clinic. To this dossier is added
during the school curriculum (a) the Medical Inspection card; (b)
Records of attendance at Minor Ailments and other clinics; (c) Following-up
cards; (d) Treatment received at Hospitals; (e) Convalescent
Home treatment, etc.
The completed dossier is available for the Juvenile Employment
Committee when the child leaves school.
The clinics of the School Medical Service for the northern part of
Tottenham are housed in the same premises as the Child Welfare Centre
for that area—namely, at Bruce Castle—and no hard and fast line is
drawn between the child of school age and the child under school age
when the question of treatment for an ailment is under consideration.
For instance, the dentist, whose clinic is established here, is frequently
requested to advise, or operate, upon the teeth of children under school
age, and the Doctor who refers the case to him will give her aid if an
anaesthetic is required. The dental clinic for the southern part of the
district is located in the same premises as the Child Welfare Centre
for that area, namely, at the " Chestnuts," St. Ann's Road, and a
similar freedom is exercised between the departments, although the
dentists are whole-time officers of the Education Committee. Similarly,
tile Eye Specialist employed by the Education Committee has always