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Number of cases added during year 66
Number of cases discharged during year 69
Number of cases on register at end of year 184
Cases discharged during year who:—
Achieved normal speech 27
Were greatly improved 24
Showed some improvement 9
Showed little or no improvement 9
Analysis of cases treated during year: —
Stammering 19
Dyslalia 139
Cleft palate 5
Nasal obstruction 1
Cluttering 1
Aphasia 1
Nasality 1
Defective speech due to amontia 1
Defective speech due to deafness 2
Retarded speech 18
THE WORK OF THE SCHOOL NURSES
In this Local Education Authority the Health Visitors are also
School Nurses, and each Health Visitor has the responsibility of two
or three school departments. Where it is possible, the Health Visitor
is attached to a primary school in her own area, since she often knows
the children and their families well. This is of value as there is in
the main, very good co-operation between the Head Teacher, School
Medical Officer and the Health Visitor.
Hygiene inspections are carried out regularly in the majority of
schools by the Health Visitor early in each term and 'follow-up'
visits are paid either in school or at home where necessary. There is
a link here with the Education Welfare Officers who are notified in
cases of exclusion and are told the probable length of children's
absences from school and the names of the School Clinics where
children will be seen before re-admission to school.
Routine medical inspections in primary schools are carried out
with a Health Visitor in attendance. She tests vision and is present
during the medical inspection by the School Medical Officer. This
is of value because the Health Visitor can often give details of the
past history of the children and she also knows the parents, which
promotes a more friendly atmosphere altogether. At routine medical
inspections in grammar and secondary schools there is usually a state
registered nurse present. This has been found to be a practical idea,
since the Health Visitor rarely knows the older children who often
travel long distances to school. The state registered nurse, wherever
possible, is allocated to a particular School Medical Officer, which
builds up a good team relationship.
Vision tests are carried out by Health Visitors in all schools where
there are 13-year-old children, since there is not now a medical
inspection for this age group. Where a possible defect is discovered
by the Health Visitor at this primary vision test, the child's parents
are offered the choice of an appointment with the Ophthalmologist at
the School Clinc, or to make their own arrangements for eye testing.
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