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49
Two to three children are seen every week by special appointment and extra
sessions are occasionally arranged to reduce the size of the waiting list.
This Clinic is for the appraisal and assessment of pre-school aged children
whose problems cannot be completely contained hy departmental Medical Officers
and health visitors. Such children present with intellectual retardation
behaviour problems or dual handicaps. At the present time there are thirtysix
on the waiting list.
Most of the statutory examinations of such handicapped children using
the Griffith's Mental Developmental Scales from birth to eight years are
also held here because of the large ideal basement room. These are special
sessions and the number held varies from week to week.
One of the Borough's Special Investigation Clinics for school children
with problems is also held here once a week and an average of eight children
are seen by the doctor and social workers. The reasons for reverse referral
usually have an emotional overlay.
Three sessions are devoted weekly to speech therapy and are organised
hy the Inner London Education Authority. Attenders are usually of school
age, but some three/five year olds are also accommodated. About twenty-five
children on average are seen weekly.
A special class to deal with school phobic children will commence in
September, 1973. This will also be organised hy the Inner London Education
Authority and will be held in two upstairs rooms.
One vision clinic for school children is also held weekly and an
ophthalmologist optician attends. Fourteen children are seen on each
occasion.
A fortnightly vision clinic is held for old people and a social worker
attends on these occasions. About ten people are seen each time.
A full dental service is provided for children and adults as follows:-
Twenty-one sessions per week are part of the general dental service for
all age groups, apart from school children. An average of 160 patients
attend weekly and are dealt with by two dentists, two dental auxiliaries and
a clerk.
Forty-two sessions per week are organised by the I.L.E. A. for school
children (though pregnant women may also come), and an average of 400 attend.
They are dealt with by four dentists and four dental auxiliaries.
The I.L.E. A. dentists also visit the Geffrye School for Physically
Handicapped Children and the Homerton School (E.S.N.) Severe on a weekly
basis.
Two sessions are devoted weekly to staff medical examination, one being
conducted by a Departmental Medical Officer and the other hy a Principal
Medical Officer.
Problem cases are usually referred to the latter.
Only one ante-natal clinic is now held weekly hy midwives from the
Salvation Army Mothers Hospital. Post-natal examinations are also carried
out, a. general practitioner obstetrician is present and attendances vary.