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The Surgeon would visit the Clinic monthly or as required to keep
the children under observation or order appropriate treatment.
(4) Apparatus, Splints, etc.—The Hospital Authorities have their
own workmen, and thus any splints ordered would be suited for the case
and at a legitimate price.
Cost of Apparatus, probably under f 25 per year.
(5) As far as possible, children would continue at the ordinary
school: those children who are not obtaining " proper benefit" should be
sent to an open-air school.
In a recent interview with the Medical Officers of the Board of
Education, the view was expressed that a special school for cripples as a
distinct entity was a psychological mistake.
(6) Children would be conveyed to and from Stanmore by the
Hospital Ambulance, which picks them up at the Hospital. In some
' cases it would be necessary that our own Ambulance take them direct
from their homes to Stanmore.
(7) In order to make the scheme complete, I have made a similar
report to the Maternity and Child Welfare Committee, suggesting that
they should co-operate with this Committee, in order that children under
the age of two years might have the benefit of the residential treatment^
and under the age of five years the benefit of the outpatient treatment.
(8) The question of approaching the Enfield Authority to adopt a
similar scheme is worth considering. The two Authorities by combining,
could reserve four beds, which, by being interchangeable, would probably
be of mutual advantage."
As will be seen from Table III. there are comparatively few crippled
children not attending school, but on the other hand, several children attend
school who can only do so because their department happens to be on the
ground floor—to go up steps is unnecessary.
It is difficult to make provision for a small group of cases, but when the
open-air school is in existence, it might be possible to review the situation and
see whether this group could be catered for.