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75166d4d-24b1-46dd-80ef-155b1a77eacf | examination, two were promoted to Staff Nursery Nurses, one left to get married and subsequently obtained a post as Staff Nursery Nurse at the London Hospital. In September, six nursery students were appointed; all are making good progress and are interested in the N.N.E.B. course. During the past year we have had a number of partially handicapped children admitted to the Nursery: 3 with speech defects, 1 partially deaf, 3 with physical defects. It is very gratifying to see the progress made by these children. Helped by watching and playing with other children, they gradually learn to form words and associate them with toys and surroundings. They overcome self-consciousness as the other children accept them without question. They learn to accept their handicap by being taught to be more independent and are better adjusted mentally and socially by mixing with other children from an early age. Dental inspection was carried out for the first time last November, and children requiring treatment got appointments to attend their local Dental Clinics. |
472cf13c-330d-43fe-ba51-e42b402e0ce4 | We started a "Tufty Club" with thirty members 3-5 years, complete with badges and certificates of enrolment. With help from our Road Safety Officer, with necessary equipment e.g. flannelgraphs, films, books and song sheets, we feel we have made excellent progress in getting over the road safety message to our young but very energetic members. 30 Goresbrook Day Nursery Matron reports as follows:- There were several changes of staff during the year and in February, Miss Iris Brightwell was appointed as Deputy Matron. During the year three of our students spent a month at Thomas Arnold Infants School, whilst we had their Nursery Student here for a term. All the students felt they benefited by the exchange. Three students were successful in obtaining the N.N.E.B. certificate and moved to other local authority day nurseries. In August the nursery held a Summer Fete to which parents and friends were invited. |
9278f5ac-1e48-4645-a25d-f925acc3c940 | The weather prevented it being held in the garden as planned, but this did not detract from the success and enjoyment of the afternoon. Christmas brought the usual festivities, a Sale of Work organised by the staff and a party for the children to which parents, friends and colleagues were invited. PLAY THERAPY There have been 74 children helped at the four Play Therapy groups over the past year. At Northbury we have helped 20 children; 6 who had speech defects and 2 with difficult home lives. Also we had a blind and deaf child, owing to the fact that the mother had Rubella during pregnancy. Later she was transferred to Kingsley Hall. We also had 3 immigrant children at this group. At Thames View there have been 18 children, including 3 who had speech defects and 4 who are backward. At Julia Engwell 20 children have been helped including 1 mongol child, 4 mentally backward and b with behaviour problems. |
4e65639e-d2b7-487a-ab8c-a74f6b6d730c | At Oxlow Lane 16 children have attended including 1 mongol child and 3 who would not mix with other children and 4 mentally retarded. REGISTRATION OF NURSERIES AND CHILD-MINDERS A marked increase in the number of registrations under the Nurseries and Child-Minders Registration, Act 1948, as amended, took place during the year. 31 This was due in some measure to the increased powers of local health authorities to require registration provided by the amending legislation contained in the Health Services and Public Health Act 1968. At the end of 1970 there were 17 premises registered for the sessional care of 532 children and 88 persons were registered in their own homes to care for 163 children. In 1969 there were 12 premises catering for 376 children and 48 persons registered to care for 96 children. All the establishments were visited regularly by the health visitors. |
8a1c0159-3c58-402e-874e-0b23c9bd64b9 | DAILY GUARDIAN SCHEME The amending legislation mentioned above had the effect of requiring all those mothers who had voluntarily registered under the Daily Guardian Scheme to register formally as child-minders. Thus the point of encouraging women to maintain a good standard of care by making them a small payment and registering them voluntarily no longer applied and this scheme which had been in operation since the 1930's was discontinued. In its place it was decided to offer a small payment to suitable child-minders for accepting priority cases at short notice and a small number of volunteers were enrolled. KINGSLEY HALL ASSESSMENT CENTRE Kingsley Hall Assessment Centre was opened in May 1960 and was the outcome of a survey of handicapped children under the age of 5 years which was reported to the Health Committee in 1957. This Centre has now been open for 11 years. |
5980b791-25be-449b-803e-eb87ad017a98 | THE FUNCTIONS of the Assessment Centre can be described as follows:- Assessment - With the growth of our understanding in the care of children who are not developing normally it is becoming more and more important that the entire child population of a district be kept in close surveillance and that children who are found to be developing at an abnormally slow rate or in an abnormal pattern should be discovered as early as possible and the nature of their disorder assessed. It is also important that even in cases where a child is known to be handicapped that assessment is carried out to determine the extent of the handicap and the measures which are required to assist the child to attain his maximum function at home and at school and in the years that follow. Rehabilitation - This is an important aspect of the care of the young physically handicapped child. Many of the children who attend Kingsley Hall suffer from conditions which affect their mobility e.g. children who are spastic or who suffer from spina bifida. In the 32 absence of physiotherapy these children tend to develop abnormalities of the muscles. |
342d09dd-3428-4414-969a-dba0e5518ad7 | They fail to learn how to make the best use of the limbs and their mobility may fail to develop as well as it is possible for it to do. Kingsley Hall Assessment Centre admits children with a wide range of disabilities. In addition to those who require physiotherapy there are children requiring other forms of treatment e.g. children suffering from speech defects are provided with speech therapy and deaf children are given speech training by a visiting teacher of the deaf. Parent guidance and training - This is a very basic function of the Assessment Centre. The parents of children who are handicapped often require as much assistance as their children. Many of them find it difficult to accept that their child is handicapped, others suffer from feelings of guilt, and unless this problem is discussed and resolved parents end up either as grossly over-protective parents or parents who reject their children. Many parents find it difficult to understand the handicap that their child suffers from and it requires prolonged explanation and demonstration to assist them in learning to cope with the needs of their handicapped child. |
c6bf01aa-67df-46eb-8eee-a0b215410a00 | At Kingsley Hall the parents of spastic children are shown how to carry out simple movements of the spastic limbs at home and games and other activities for their children in order to prevent the formation of contractures and other severe abnormalities of the limbs. OTHER USES The Centre has been used for a variety of other purposes. On occasion handicapped children have been admitted for short term care when the parents have been ill or unable to cope with the needs of the child. From time to time children have been admitted to assist a parent who is too fearful to care for a child who has had a prolonged period of hospital care and who require a transitional period to regain their self confidence, to perhaps learn new methods of feeding or care for their child prior to assuming full responsibility for the care of their handicapped child at home. STAFFING The staff of Kingsley Hall consists of:- Sister in Charge, a Warden, 4 Staff Nursery Nurses, and 3 Nursery Assistants. A Medical Officer spends not less than one day per week at Kingsley Hall. |
c65d0477-eefc-46c2-9b54-8637784f8982 | In addition to the staff provided by the Borough, Kingsley Hall has been most fortunate in obtaining the assistance of Dr. K. Holt, Director of the Wolfson Centre. Dr. Holt and his staff have been associated with Kingsley Hall over many years, they pay regular visits to the Assessment Centre to assist in the assessment of children and in advising on the treatment of the children who attend there. In addition where more specialist/assessment facilities are required arrangements are made for the children to be conveyed to the Wolfson Centre when necessary. This close liaison with Dr. Holt has been of immense value to the Borough. It has also meant that many children are seen locally who would otherwise have to be taken by their parents to London Hospitals. In addition to assessment at Kingsley 33 Hall children are often escorted by staff to hospitals when specialist advice is necessary. Children are also taken to Ophthalmic Clinics or to the Child Guidance Clinic when necessary. |
dac9832c-a7c2-4a51-94ac-8798ea7179dc | HOURS OF OPENING Children who attend the Assessment Centre are collected from their homes in a mini-bus and arrive at about 9.30 a.m. each morning and they are returned home from 4 p.m. onwards. During the day meals are provided at the Assessment Centre for the children. No charge is made for attendance. PATIENTS The Centre is staffed for 20 children. In view of the severity of their handicaps a high staff ratio is essential to ensure that each child receives the necessary care and attention. In addition to children who are admitted to Kingsley Hall the Centre also provides a service for other handicapped children. Children requiring physiotherapy attend the centre from their homes. Groups of children from Kingsley Hall are conveyed to Faircross Physically Handicapped School for hydrotherapy as no pool is available at Kingsley Hall. No. of children attending Kingsley Hall 1970 J F M A H JUN JUL A S 0 N D No. 19 19 l8 |
cc4ef6f6-fe58-4f1a-a8ff-905e6223e21b | 18 18 18 18 17 17 19 19 l8 Admitted 1 0 1 4 0 0 1 0 3 5 1 0 Discharged 1 0 2 4 0 0 1 1 3 3 1 1 Other activities at Kingsley Hall (1970) Children requiring physio-therapy (a) Kingsley Hall 11 (b) Community 5 Hospital visits 33 Ophthalmic clinic 5 Educational Psychologist 2 Reasons for admission to Kingsley Hall (1970) Speech defect 1 Spina bifida 1 Cerebral palsy 2 Autism 1 Hypocalcaemia 1 Developmental retardation 10 Total 16 34 Discharges (1970) Special care unit (Castle School) 2 Junior Training Centre 5 Bentry Special School 1 Partially-sighted school 1 Blind school 1 Left the Area 3 Annie Prendergast Nursery 1 Home (prior to admission to |
7bd07682-0be1-46e3-aa9a-4e5bb0455daf | J.T,C. at 5 yrs. 2 Hunters Hall Infants (maladjusted) 1 Total 17 A review of the children who have attended the Assessment Centre was carried out and preliminary data obtained so far as is shown in the following tables I to 5. It is evident that the Centre has provided assessment counselling and care for severely handicapped children residing in the Borough. The future role of the Centre must be modified in the light of circumstances which prevail with the passage of the Social Services Act. The Health Department which was responsible for the total care of handicapped children will no longer be responsible for the provision of day care (nursery) facilities and in consequence the Assessment Centre will concentrate on its primary functions of assessment, rehabilitation and parent guidance. The provision of nursery care will become the responsibility of the Social Service Department. Table I - Age and Sex Distribution Age in Years -1 1- 2- 3- 4- 5- TOTAL No. |
32c8137e-5d17-4713-83a5-1607c326f852 | Per cent Male 3 12 38 23 30 5 111 61 Female 1 12 18 22 16 2 71 39 TOTAL Number 4 24 56 45 46 7 182 Per cent 2.2 13.2 30.7 24.8 25.3 3.8 100 35 36 KINGSLEY HALL ASSESSMENT CENTRE TABLE 2 - Categories of defect present DEFECT Age Under 1 yr. l - 2 - 3 - 4 - 5 - TOTAL Sex M F M F M F M F M F M F Number Per cent Mental Retardation 1 1 3 3 22 7 8 9 13 11 4 1 83 45.5 Cerebral Palsy - - 1 ? |
67660480-3d72-41c6-be55-9f878fddb8d1 | 5 2 3 5 4 1 - - 23 12.7 Spins Bifida - - 1 2 - 2 3 2 - - - - 10 5.5 Hydrocephalus - - 1 - 2 2 - - - - - - 5 2.8 Other diseases of the C.N.S. |
a73e15bf-93ef-42f3-bd56-4b93e5ec5d96 | - - - - 1 1 1 - 2 1 - - 6 3.3 Hearing Loss Partial - - - 1 - 1 - 1 - - - 9 4.9 Total 1 - - 2 - 1 1 1 - - - - Visual Loss Partial - - 1 - - - 2 - - - - 9 4.9 Total - - - 1 1 1 - - 1 - 1 - Speech Disorder - - - - - - - - 2 1 - - 6 3.3 Social 4 emotional problems 1 - 5 1 6 1 - 1 1 2 - - 19 10.5 Congenital heart disease - - - - 1 - - 1 ? |
d387dab6-c723-40fc-924a-18c023d33043 | - - - 6 3.3 Locomotor defects - - - - - - - - 4 - - 1 5 2.8 Cleft Palate - - - - - - 1 - - - - - 1 0.5 TOTAL Number 3 1 12 12 38 18 24 21 30 16 5 2 182 100.0 Per cent 1.6 0.5 6.6 6.6 20.9 9.9 13.2 11.5 16.5 8.8 2.8 1.1 Children are classified according to the most severe handicapping condition present. TABLE 3 - Aetiology or factors associated with handicap in children admitted to Kingsley Hall. Aetiology or associated factor No. Aetiology or associated factor No. (a) Mental Retardation (d) Hearing Loss Down's syndrome 19 Familial deafness 1 Mosaic Down's syndrome |
92ec3d0d-d0cd-4d8a-81f4-dd476ef2348c | 1 Moebius syndrome 1 Deletion of short arm of chromosome 18 1 Rubella syndrome 3 Postmeningitic deafness 1 Rubenstein - Taybi syndrome 1 Cause unassigned 3 Tay - Sach's disease 1 Rubella syndrome 1 (e) Visual Loss Toxoplasmosis 1 Congenital cateracts 3 Threatened abortion 1 Congenital corneal opacities 1 Antepartum haemorrhage 1 Congenital aniridia 1 Prematurity 7 Hydrocephalus 1 Birth asphyxia 6 Retrolental fibroplasia 1 Birth trauma 3 Retinoblastoma 1 Dysmaturity 1 Cause unassigned 1 Hydrocephalus 2 Pseudohypoparathyroidism 1 (f) Speech Disorder Hypercalcaemia 1 Developmental delay 3 Autism 3 Mental retardation (E.S.N.) |
661d981e-1955-4baf-8605-a105aeadafc1 | l Meningitis 2 Maladjustment 1 Motor accident 1 Motor dysphasia 1 Cause unassigned 29 (b) Cerebral Palsy (g) Locomotor disorders Prematurity 5 Muscular dystrophy 2 Thalidomide 1 Birth trauma 4 Poliomyelitis 1 Birth asphyxia 2 Still's disease 1 Rubella syndrome 2 Arrested hydrocephalus 1 Intracranial haemorrhage 3 Cause unassigned 6 (c) Other diseases of the Central Nervous System Marcus Gunn syndrome (agenesis of 9th & 10th cranial nerve) 1 Epilepsy 4 Inoperable brain tumour 1 37 38 KINGSLEY HALL ASSESSMENT CENTRE TABLE 4 - Duration of stay. |
df28e7f3-6353-49e0-af84-f1b75fe20c15 | DEFECT Duration of stay in months -6 6- 12- 18- 24- 30- 36- Still in Assessment Centre TOTAL Number Cerebral Palsy 3 3 4 1 5 1 2 4 23 Mental Retardation 20 20 16 5 5 1 10 8 83 Spina Bifida 1 - 1 3 - - 4 1 10 Hydrocephalus - - - 1 1 - 1 2 5 Other diseases of the C.N.S. |
c023b0ff-6812-4c90-9bf7-fb2c8b7cd060 | - 1 3 - - - 1 1 6 Hearing Loss 1 - 4 1 1 1 - 1 9 Visual Loss 2 3 2 1 - - 1 - 9 Speech disorders 5 1 - - - - - - 6 Emotional disturbance social problem 11 4 3 1 - - - - 19 Congenital heart disease 2 4 - - - - - - 6 Cleft Palate - - 1 - - - - - 1 Locomotor disorders 2 1 2 - - - - - 5 TOTAL Number 47 37 56 11 12 3 19 17 182 Per cent 25.8 20.3 19.8 6.1 6.6 1.6 10.4 9.4 100 39 KINGSLEY HALL ASSESSMENT CENTRE TABLE 5 - Placement of Children DIAGNOSIS PLACEMENT Assessment Centre Moved Away Died |
84783f95-59a5-48bc-80b9-0176341eead6 | Norma] School Junior Training Centre Special School for Hospital Educationally Sub-normal Physically Handicapped Partially Hearing Deaf Partially Sighted Blind Maladjusted Mental retardation - 36 11 - - - - - - 6 8 11 4 Cerebral palsy 2 - 1 13 - - - - - - 4 2 1 Spina Bifida - 2 - 4 - - - - - - 1 1 2 Hydrocephalus 1 - - - - - - - - - 2 1 1 Other defects of the Central Nervous System 2 - - 2 - - - - - 1 1 - Hearing Partial 1 - - - 2 - - - - - - - - Total - - - - - 5 - - - - 1 - - Visual Partial - - - - - - 4 - - - - - - Total - - - - - - - 3 - - - - 2 Speech 3 - 1 - - |
b9f9127b-6626-4585-956c-ef09699da0a6 | - - - 1 - - 1 - Emotional and Social problems 8 - - - - - - - 2 - - 9 - Heart Defects 3 - - 1 - - - - - - - 1 1 Locomotor Defects 3 - - 1 - - - - - - - 1 - Hare Lip & Cleft Palate 1 - - - - - - - - - - - - TOTAL Number 24 38 13 21 2 5 4 3 3 6 17 28 11 Per cent 13.2 20.9 7.1 11.5 1.1 2.8 2.2 1.6 1.6 3.3 9.4 15.4 6.1 7 Children (3.8%) are awaiting placement in an E.S.N. School. |
8a57bafb-25bc-41f3-9148-126e7a5f52b4 | REPORT OF CHIEF NURSING OFFICER As Chief Nursing Officer, appointed in May of this year, much of my time during the past six months has been spent on the appraisal and assessment of work carried out by staff in the Community Nursing and Health Visiting Service together with other sections for which I am at present responsible, namely - School/Clinic Nurses and Attendants, the Assessment Centre and Play Therapy Groups plus Day Nurseries, Registered Child Minders and Private Play Groups. On paper, an establishment of 196 personnel to cover the above services would appear to be adequate to meet present day demand, but unfortunately, many of these posts are unfilled therefore, I consider that the staff in post should be commended for their efforts in trying under difficult circumstances to maintain a satisfactory service - in particular the Health Visitors, who total eighteen in number against an establishment of forty eight. This is a time of perpetual change and one in which it is essential that we plan to function efficiently by using our limited resources in the most economical way. |
04fbf5ab-fedb-4621-b3ca-d3a590ea5684 | Every year, statistics appertaining to the number of households visited are recorded by each section. These however, do not necessarily provide a complete picture of the numerous duties performed, neither do they illustrate the changing pattern of work required to meet present day demand. District Nurse Section This Branch complements the hospital service not only in dealing with the elderly to relieve the strain on hospital beds, but also in caring for the chronic sick, pre and post operative treatment, administering drugs, antibiotics and cortisone injections, etc. District Nurses can maintain persons in their own homes thus allowing them the feeling of independence essential to their own self respect and well being. A larger District Nursing team with supporting attendants working in conjunction with general practitioners could do much to relieve the over burdened hospital bed situation and also give relief to the Ambulance Service by reducing the number of people being transported to and from hospital for treatment which could well be performed by the fully qualified district nurses. |
06db26b8-cebf-4217-81f0-5fa680df5133 | With the pressure of work in out patient departments and traffic congestion on the roads, a wider use of her skills would do much to provide a more personal and satisfactory service to the Community. District Midwifery Section A marked change in the functions of a district midwife has occurred in recent years caused by the steadily decreasing number of home confinements and the resultant large additional number of home visits to mothers and their babies being discharged from hospital after forty-eight hours still requiring a midwife's care. These mothers in the past, would have received at least ten days of hospital in-patient treatment. 40 Midwives now assist in modern screening methods for the detection of abnormalities in the new born child, e.g. phenylketonuria. This requires extra visits to the home. Participation in health education - in conjunction with the Health Visitor - for expectant mothers is another widening aspect. |
64820ece-54c3-4d30-829a-032e4cdc4b03 | Closer liaison in ante natal clinics with general practitioners in group practice has also enlarged the horizon of the midwives work, all of which improves the service to the community. Midwifery is an essential service and the right of an expectant mother wishing to have a home confinement must be respected as must that of the midwife who wishes to continue to work on the district doing the job for which she has been trained. Health Visiting Section I have already mentioned the deplorable situation regarding the number of staff available to cover the very wide functions for which the Health Visitor has a statutory responsibility. As a highly skilled person she is to date - the only all purpose family visitor fully qualified to give all members of the public guidance on positive physical and mental health. She is prominent in the field of preventive medico-social medicine and acts as liaison officer between doctors, hospitals, social workers, etc., and her families. |
6d6e7ac7-10bc-4001-a033-2bc39b7897b3 | A small number of less qualified staff assist, very ably, in some aspects of the work and if this serious shortage of staff persists, it will be essential to increase the number of ancillary workers who, with special in-service training, will be able to assist the health visitors still further in their work. Current Events during 1970 In June, discussion took place - at the request of a Paediatrician for one health visitor to commence a weekly Paediatric Liaison session at Oldchurch Hospital, its aim being to provide a better understanding between hospital and home background and an improved hospital after-care service for the families involved. We hope at some future date to extend this type of service. Long standing departmental problems necessitated the reorganisation of staff at the local Chest Clinic. Each health visitor is now responsible for the after-care of families under surveillance on her area, the clinic duties being performed by clinic nurses. |
ee17da2f-ebce-4af8-84f9-38437db3d74e | Extra nursing attendants have been appointed to relieve the district nurses of simple nursing duties thus allowing them more time for cases requiring the skills of a trained nurse. This is one area of work where there is a further need for expansion. From June to December, health visitors completed sixty four medicosocial assessments on families for whom medical priority certificates had been received for re-housing. Research teams requested information to assist their studies on deaths among asbestos workers and on one-parent families. Health visitors play an important role in this kind of enquiry. Students from numerous organisations spent a considerable amount of time in the various departments observing techniques and visiting with staff to learn the basic principles of preventive medicine carried out by each section. 41 Several staff attended refresher courses and specific study day conferences applicable to their sphere of work. In addition, two members of staff attended middle management courses in preparation for anticipated changes to come. |
a00da112-be8e-419b-9158-9d0fbb3e5dc5 | Two health visitors and one district nurse retired with between them, an aggregate of eighty years valuable service to the community - a sad loss to the Department and public alike. Lastly, and by no means least, a great deal of thought and planning has been given to implement the Mayston Report on Management Structure of the Local Authority Nursing Services. Plans have been put to the appropriate Committees for their approval and acceptance the outcome of which is still awaited. My staff and I look forward with hopeful enthusiasm to improved reorganisation in 1971. STATISTICS Midwifery Service Deliveries attended by Domiciliary Midwives - 1970 Doctor present at delivery Doctor not present at delivery Cases delivered in hospital and attended by Domiciliary Midwives on discharge before 10th day. |
3f4333ec-71d4-4db1-a92c-f301fb378a97 | 7 275 1,571 Home Nursing Service Total number of persons nursed during the year 1,918 Number of persons who were aged under 5 at first visit 9 Number of persons who were aged 65 or over at first visit 771 Health Visiting Service Cases Visited by Health Visitors Number of Cases Children born in 1970 2,177 " " " 1969 1,880 " " " 1965-68 4,794 8,851 42 Cases visited by Health Visitors (contd.) |
737e3f40-0aa9-4a95-8551-18c4be85b8a8 | Number of Cases Persons aged 65 or over 304 Mentally disordered persons 87 Persons discharged from hospitals (excluding maternity patients) 26 Number of tuberculous households visited 85 Number of households visited on account of other infectious diseases 31 Homes visited by tuberculosis visitors 459 43 CHILDREN'S DEPARTMENT Medical Reports on all children boarded out into foster homes during the year were perused by the Deputy Medical Officer of Health who brings to the notice of the Children's Officer any important medical aspects that require observation or treatment. CYTOLOGY SERVICE 1970 The total number of patients seen in 1970 was 1,941 the best we have had so far and more than double the number of last year. It could be attributed to a successful campaign we launched in an effort to try and reach as many of our female employees as possible. The campaign succeeded in combining the mass approach with individual attention. The former was obtained via the pay envelopes, where an individual letter was enclosed explaining the advantages and limitations of the cytology test and the procedure. |
d6b96e5e-e0b8-4dd7-93e4-2b8f0735cc64 | At the foot of the letter there was the address to contact if the test was desired. The number of suspect smears was 13 and after investigation 5 proved to be malignant. Let us first consider the 5 positive in more detail:- Table I Age Social Class Parity Papanicolaou Classification Outcome 40 III 2 Grade 3 Hysterectomy 47 IV 2 Grade 2 1969 Cervicitis 1970 Early Carcinoma -hysterectomy 51 III 3 Grade 5 Invasive carcinomahysterectomy 40 III 3 Grade 4 Cone biopsy; carcinoma in situ hysterectomy 36 III 1 Grade 3 cone biopsy carcinoma in situ 3 smears negative 44 A closer look at the remaining 8 cases is perhaps just as relevant:Table II Age Social Class Parity Papanicolaou Classification Outcome 46 III 2 Grade 3 Cone biopsy negative 60 IV 4 Grade 3 Dilation and curet -tage. Cone biopsy negative. |
2f896deb-f4fa-4fee-b069-499a11d4b84f | 28 III 2 Grade 4 Suspected carcinoma, cone biopsy. Dyscrasia Under close surveillance 42 II 1 Grade 2 Repeat smear negative (Hospital) 24 III 3 Grade 2 5 months pregnant, should be seen again in 6 months 2 more cases Grade II and III and 1 Grade II had moved out of the area and could not be traced. Table II shows Two Grade III had cone biopsy (l also had a dilation and curettage and proved negative. One Grade II had a smear repeated in hospital, it was found to be negative but will be followed up. One Grade IV (suspected carcinoma) had a cone biopsy, findings showed Dyscrasia. Because of her very young age, (28 years) she has been kept under close surveillance instead of a more radical approach. |
dad6db89-5375-4e99-9de1-e14d26b92e38 | Another very young woman aged 24 years Grade II was 5 months pregnant at the time which could have accounted for some atypical findings and was recommended by the pathologist to be seen again in 6 months. Other gynaecological conditions revealed during the session are as follows Fibroids 10 Ovarian Cyst 3 Erosion 18 Cervical Polypus 34 Leukoplakia 1 Vaginal prolapse 1 Dilation and curettage 4 (irregular bleeding) Vaginal discharge and cervicitis 18 Trichomonas vaginalis 31 Monilia infection 15 45 There has also been a case of intra epithelial - carcinoma of the vagina which came to light in one of our patients whose cervical smear was negative but who was referred to the gynaecologist for post menopausal bleeding. Inflammatory changes were noted in 321 women most of them are to return for a repeat smear in 1 year. |
30d15866-2169-4b04-9349-d7e62f51efa9 | Breast examination revealed 6 suspect findings and the patients were referred to a surgeon for consultation. VACCINATION AND IMMUNISATION Measles During the year a total of 2,002 children were vaccinated against measles and further details are given in the following table. The effect on the incidence of measles continues to be satisfactory although there was an increase in the number of children notified. MEASLES NOTIFICATIONS - 1959 - 1Q7O Dagenham Borough Council Barking Borough Council 1959 2,038 896 1960 23 36 1961 1,965 1,112 1962 214 135 1963 1,045 861 1964 701 131 London Borough of Barking 1965 2,158 1966 1,039 1967 1, |
0b17f8dc-26d3-4d15-a125-f20017fecb6f | 630 1968 175 1969 207 1970 304 VACCINATION AGAINST MEASLES 1970 Year of birth Primary Vaccination 1970 1 1969 707 1968 723 1967 219 1963- 1966 316 others under age 16 36 Total all ages 2.002 46 The following statistics relate to persons protected at council clinic or by general practitioners during 1970: VACCINATION AGAINST SMALLPOX Age at date of vaccination or re-vaccination Vaccinated Re-vaccinated Under 1 year 6 - 1 year 978 4 2-4 years 265 151 5-15 years 97 862 Total all ages 1,346 1,017 WHOOPING COUGH IMMUNISATION Year of Birth Primary Immunisation Children who received a booster dose 1970 24 - 1969 1, |
86161246-44e4-4d58-97f1-6a436acd7c47 | 258 48 1968 333 381 1967 39 104 1963-66 31 297 Others under age 16 1 22 Total all ages 1,686 852 DIPHTHERIA IMMUNISATION Year of Birth Primary Immunisation Children who received a booster dose 1970 24 - 1969 1,258 49 1968 334 388 1967 40 124 1963-66 131 1,903 Others under age 16 28 138 Total all ages 1,815 2,602 TETANUS IMMUNISATION Year of Birth Primary Immunisation Children who received a booster dose 1970 24 - 1969 1,258 49 1968 334 391 1967 40 128 1963-66 150 1,933 Others under age 16 320 671 Total all ages 2,126 3, |
9cdb0d4e-f4fe-4efe-ba0d-b36a6c31278d | 172 47 POLIOMYELITIS VACCINATION Year of Birth Primary Immunisation Children who received a booster dose 1970 24 - 1969 1,159 51 1968 442 378 1967 55 106 1963-66 160 1,880 Others under age 16 46 381 Total all ages 1,886 2,796 B.C.G. VACCINATION B.C.G. vaccination is a safe and very effective method of protecting the individual against tuberculosis. Extensive trials in England and Wales have shown that it provides 80% protection against subsequent tuberculous infection. The protection is long lasting and remains substantial for 10 or more years after vaccination. During 1970, 1,664 children were given B.C.G. vaccine, an increase of 403 over 1969. 100 pupils had a grade 2 or more reaction to Heaf testing and were referred to the Consultant Chest Physician for further investigation. |
aaf4e7ac-b619-4e77-b60f-2c8f52cddc94 | It is now our policy to vaccinate children showing Grade 1 response to Heaf testing as it is more than probable that their response to the Heaf test is due to mycobacteria other than tuberculosis. This is a marked increase in the number of acceptances of this vaccination and can be attributed to the use of a new technique of injecting by a jet of air on the skin instead of by needle. In addition 274 contacts of tuberculosis were vaccinated by the Chest Physician. RUBELLA VACCINATION Year of Birth No. Vaccinated 1963 - 66 1 Others under Age 16 140 Total all ages l4l Late in 1970 the Department commenced its programme to immunise girls aged 11 to 14 years against rubella. In order to obtain a maximum acceptance the Health Education Officer and her staff took part in a series of talks and discussions with the older children in this age group. By the end of the year l4l girls had been immunised. |
ea9437ea-f591-4b4b-be5e-536bb95b79c3 | This programme of immunisation of girls should, in the years ahead, lead to a declining incidence of children handicapped by the rubella syndrome which includes defects of hearing and vision and also defects of the heart. 48 FAMILY PLANNING SERVICE The Family Planning Association continued to provide services at our clinics and an additional centre was opened at Ford Road Clinic in April 1970. The following sessions are now held in the Borough Annie Prendergast Clinic - Wednesday, 6.30 p.m. - 8.00 p.m. Central Clinic - Monday, 7.00 p.m. - 8.30 p.m. Five Elms Clinic - Tuesday, 7.00 p.m. - 8.30 p.m. Five Elms Road. Ford Road Clinic - Monday, 7.00 p.m. - 8.30 p.m. Thames View Clinic - 4th Tuesday in the Month 2.30 p.m. - 4.00 p.m. |
ffefa02a-81ba-410c-a60b-5d82ccb0f321 | In addition the domiciliary family planning service continued, for those special cases where more intensive care is required. 49 PREVENTION OF ILLNESS. CARE AND AFTER-CARE REPORT OF THE GERIATRIC LIAISON OFFICER A greater understanding of Local Authority services for the elderly has I feel been of great help to the General Practitioners and hospital staff, thus enabling a continued and co-ordinated service on patients leaving hospital. Home assessment visits continued to advise on the care of the elderly and the follow-up observation of patients discharged from hospital., these forming a major part of my work. Cases Visited 1970 No. of Cases Referred by Geriatric Consultants on discharge from hospital 213 Referred by General Practitioners 14 Referred by Consultant Physicians on discharge from hospital 129 Miscellaneous Referrals 390 Revisits to cases 709 Total visits made 1,455 Geriatric Clinic - Porters Avenue Clinic The number of attendances of our geriatric courses in 1970 were 44. |
c2f445f4-2cf5-4c95-aa4f-d5590a4c9c1d | 37 clients asked for a medical examination but since 2 were already under hospital investigation, only 35 were examined. Their ages ranged from 63 to 73 years. Marital State of those examined Female Male Married and living with spouse 18 8 Widow or widower living alone 7 1 Widow or widower living with relations 1 0 26 9 Medical History 13 patients had been attending their General Practitioners regularly. 9 had not consulted their General Practitioner for more than a year. This group is really interesting since they underline the 'raison d'etre' of the clinic. Only 1 was really healthy and in good condition. Another 2 could be considered fairly well if one disregarded their gross obesity, one 20% and the other 35% overweight. The latter patient also had very bad varicose veins which were the reason for consulting her General Practitioner one year ago. The remaining 6 patients were hypertensive, 4 severely so. One with a B.P. |
d86f5bf6-15b4-4d09-a9f2-5f7fb2255986 | of 210/105 and with hypertensive heart disease; another with a B.P. of 210/70 and with complete heart block; the third one with a B.P. of 230/40 and with hypertensive cerebral symptoms; and the fourth with a B.P. of 205/100, grossly obese (50%) and, had hypertensive heart disease 50 Obesity: 27 Gross Moderate Mild Underweight (Over 20%) (10% - 20%) (under 10%) 15 4 8 3 Hypertension: 15 patients exhibited symptoms 3 seemed to be reasonably well controlled. 7 showed hypertensive heart disease. Other heart conditions: 2 seemed to have ischaemic heart disease, 1 was ? Aortic insufficiency and 1 was in cardiac insufficiency with arrhythmia. Lungs: No one seemed to suffer from any severe lung condition. |
79e96bad-dbef-45e8-95b7-56e99698be3c | Locomotor Disabilities: 6 patients were suffering from severe and 3 from a mild form of arthritis. 5 had very deformed feet. 1 had an operation for Hallux Valgus. 1 male had a mild form of Dupuytran contraction. Deafness: 5 patients were very deaf. Only 2 had properly working hearing aids. 1 refused to wear an aid and 1 was referred to hospital as in need of a hearing aid, 6 showed moderate deafness but felt that they managed very well without help. Anaemia: Of the 35 blood samples taken only 1 showed a mild degree of anaemia. Vision: No one had intact vision, they all had to wear glasses. There were 3 suffering from cataracts, 1 from glaucoma and another had been blind in one eye since infancy. 2 were found to have unusual eye diseases and were under investigation at Moorfields Hospital. |
e3200f3b-8f6c-4c32-ab9e-839fb75186d6 | Miscellaneous conditions: 2 elderly males had inguinal hernias and had been wearing trusses for years. They were in rather good condition so it was not quite clear why they did not have the operation in the first place. Only 3 patients gave the indication of having suffered or were suffering from anxiety neurosis and depression. NATIONAL ASSISTANCE ACT. 1948 Section 47 For the first time since 1966 it became necessary to secure the removal to hospital of a patient, age 89 years, not receiving adequate care and attention at home and not being able to care for herself, who could not be persuaded to enter hospital voluntarily. She was admitted to St. Georges Hospital, Hornchurch, and after receiving treatment was transferred to "The Willows" where she has since remained as a voluntary patient. 51 LOAN OF SICK-ROOM EQUIPMENT Patients being nursed at home may, on medical recommendation, be loaned a wide variety of equipment to assist in their care. |
3871c8ef-1e80-4b86-88c3-ed9d8026b46a | Bulky items are delivered to patients' homes, smaller articles are collected from the health department by relatives. 2297 articles were loaned during the year and 3530 items were out on loan at the year's end. In addition, non-returnable items for incontinent patients were supplied in considerable quantity. 37,000 disposable incontinence pads were issued and 69 patients were supplied with waterproof pants or knickers with disposable linings. Ripple beds were also loaned through hiring arrangements with manufacturers; this being the most economical way of obtaining these items in view of their high cost and maintenance charges. MEDICAL EXAMINATION OF STAFF The medical invigilation of new entrants to the Council's service, and the review of cases absent from duty owing to illness continued during the year. Generally the physical condition of candidates for appointment is satisfactory. During the year 1045 health questionnaires were submitted for scruitiny. |
a8e498e9-ed72-426e-a270-3759b85d1c8d | 635 candidates were approved without further enquiry and 38 were accepted after satisfactory reports had been received from general practitioners or hospital consultants. The following examinations were carried out:- No. of persons medically examined 512 No. of persons found to be unfit 4l No. of persons accepted conditionally 50 No. of persons examined in connection with sickness payments 64 No. of persons examined for other authorities 3 No. of persons examined by other authorities 17 No. of Chest x-rays arranged in connection with medical examinations 376 In addition 80 students were medically examined in connection with entry to teacher training colleges, and a further 86 who had completed their course of training at the Barking Regional College were re-examined prior to entry to the teaching profession. CONVALESCENCE Arrangements were made for 24 persons recommended a recuperative holiday by general practitioners or medical officers to go sway for a period, usually of two weeks. |
2c29f549-738c-4e58-bf37-ec7a29644131 | 52 HOME HELP SERVICE (1) General As a result of my recommendation of 28th October, 1969 towards a variation in the establishment of the Home Help Service and following consideration by Domiciliary and Nursing Sub-Committee on 12th May 1970, and Establishment Committee on 29th June, 1970, approval was given to dispense with the two posts of Assistant Organiser, to increase the number of Organisers and Clerks to three. As a result of this decision it was possible to effect re-organisation of the service within the Borough on a three area basis from October. The effect of this re-organisation was not too apparent in the remaining two months of the year, but I am satisfied that this will give rise to a better return in routine visiting by Organiser's and a resultant supervision of service provided. |
fd1b4a84-2c0f-43b8-9ab6-d1dabe41c17a | (2) Case Loads (a) Fluctuation from month to month continued, and throughout the year the following cases were served:- Aged over 65 years 1906 Chronic Sick 241 Mentally Disordered 6 Maternity 15 Others 23 2191* *This figure shows an increase of 204 over the previous year. Requests received during the year 1091 Cases not proceeded to during the year (for varying reasons) 248 (b) To assess the needs of new requests and to "follow up" and supervise existing cases, organising staff visited as follows:- Investigation visits 1237 Routine visits 3548 Others 601 5386* *of this figure 767 were "non effective" Total effective visits 4619 (c) Night Attendance provided for one case only. (3) Recruitment of Labour Although the number of Home Helps was increased by 17, it was again necessary to restrict the recruitment of labour having regard to need for overall economy. |
943bd3d8-32dd-424f-9e00-2430791b0308 | 53 Wastage and replacement for the year was as follows:- Terminations of employment (for varying reasons) 78 Commencement of employment 95 At the close of the year the labour force stood at 249 (4) Training Due to financial restriction and the demand for service, no training courses for Home Help's were sanctioned. (5) Social Activities The monthly meeting of the Social Club continued to be held, but, unfortunately, with a diminishing attendance, and the value thereof is questionable. The only event which can be looked upon as a success was a Christmas Party held on Wednesday 2nd December, at which we were pleased to welcome the Mayor and members of Domiciliary and Nursing Sub-Committee. ADAPTATIONS OF HOMES TO INSTALL ARTIFICIAL KIDNEY MACHINES Patients suffering from chronic renal failure who are suitable for treatment at home may have their homes adapted by the local health authority to enable the necessary equipment to be installed and operated in hygienic conditions. |
bdaee42b-a31f-4c5f-85ac-cb8708b7687c | During the year two homes were adapted - a private house and a Greater London Council house. In the latter case the patient had not been discharged from hospital by the year's end. Another patient whose home was adapted in 1968 died in hospital during the year. Three patients were having treatment in their own homes at the end of the year. REHOUSING ON MEDICAL GROUNDS As in previous years my Department has continued to act as adviser to the Housing Department where applicants have put forward medical grounds in their claims for rehousing. As almost half the cases require a visit from at least one and sometimes two or more members of staff as well as enquiries to hospital or family doctor, it will be seen from the statistics given below that this often difficult task continues to require a considerable amount of time from the staff of the Health Department. |
f9cf45c3-8a92-4ca7-9894-627f0a8b9e2b | Statistics Total number of applications 316 Number recommended for rehousing 110 54 VENEREAL DISEASE Contact Tracing This Borough being conveniently situated for travel to Central London, has patients attending special clinics at most of the major London Hospitals as well as the local centre at Oldchurch Hospital. The Deputy Superintendent Health Visitor is the designated person that special clinics can approach regarding contact tracing in the Borough but requests for assistance are rare. It is understood that in most instances the staff employed by the Hospital Service can cope with the work involved without additional assistance from this authority. Health Education The risk to health of sexually transmitted disease is included as a subject by the Health Education Section in their general health education syllabus for schools, and in talks to adult groups that request it. TUBERCULOSIS I am indebted to Dr. F. Macken, Consultant Chest Physician, for the following report:- Since the opening of Barking Hospital we have had two centres running in the Borough. |
7e330adc-8d57-440f-92b8-a52869c1b7f2 | One in the Out-patients' Department at Barking Hospital and the other in the old Five Elms Clinic:- Five Elms Clinic Number of sessions 311 New patients 2,031 Total attendances 6,348 Barking Hospital Number of sessions 208 New patients 1,082 Total attendances 2,941 Totals Total number of sessions 519 Total new patients 31113 Total attendances 9,289 Infections Fresh cases of tuberculosis 60 Total notifications, including transfers into the area 73 55 On the 1st October 1970 our Clinic Health Visitors were removed from Five Elms and since this time we have been dependent on the co-operation of the area Health Visitors, according to the addresses of our patients. With 3 Clinic Nurses and with the aid of the Health Visitors we find contact tracing and case finding is satisfactory. Tuberculosis continues to be a problem which cannot be ignored, although chronic bronchitis and carcinoma of lung account for most of our deaths. |
9d62cbcc-5b28-4409-9c55-6d726ae909c9 | It is a pity that the Government is so mealy-mouthed in the anti-Smoking campaign. The figures for carcinoma cases run alarmingly parallel with our tuberculosis notification figures and we continue to use Dagenham Hospital for the nursing of those cases which become unmanageable at home, which is most valuable. |
b2523ebd-eefb-416e-bf6e-34ad8820452a | Notifications and Deaths New Cases Deaths Pulmonary Meninges and CNS Other Total Pulmonary Non Pulmonary M F M F M F M F M F Under 5 years 1 2 - - - - 3 - - - - 5 - - 5 - - 3 1 9 - - - - 15 - 12 9 - - 3 3 27 - - - — 45 - 9 2 - - 1 2 14 5 2 - - 65 & upwards 4 3 — — - - 7 4 - - - Totals 26 21 - - 7 6 60 9 2 - - Transferred Cases Into Borough Out of Borough Net Increase 13 13 nil Tuberculosis Visiting No. of cases No. of Households No. |
04933ab0-0b89-444a-8d4f-c8e53c0ec704 | of Home on Register Involved Visits made 453 401 876 Free Milk On the recommendation of a Chest Physician additional supplies of milk are made available to patients suffering from tuberculosis, and 43 patients were so assisted during the year. 56 MASS X-RAY SERVICE Unit 6A of the service visited several factories and the Thames View Estate during the year and I have received the following report from the Medical Director:- BARKING Location Male Female Total Thames Ply Ltd. 151 ^5 196 Remploy 192 48 240 Thames View Estate 175 269 444 Lyons Maid 149 85 234 Wm. Warne Ltd. 545 166 711 Total Number X-rayed 1,212 613 1,825 Requiring further investigation 12 13 25 Groups attending General public 179 269 448 Organised groups 1,033 344 1,377 Pulmonary Tuberculosis Requiring close clinic supervision 1 - 1 Requiring occasional clinic supervision 3 - 3 Presumed healed, |
585ad8a1-b5d3-4cd4-b0a5-c135764ed06c | discharged 1 5 6 Group in which significant tuberculosis was discovered:- Requiring close clinic supervision- organised groups 1 - 1 Among other abnormalities discovered were:- Non malignant tumour - 1 1 Congenital abnormalities of the heart and vascular system 1 - 1 Pneumoconiosis (including 2 asbestosis) 2 1 3 Bacterial and virus infection of lung - 1 1 Bronchiec tasis 1 - 1 Pulmonary fibrosis (not TB or industrial) 1 1 2 Other abnormalities 1 2 3 Did not attend for further investigation 1 1 2 Did not attend for repeat miniature film 1 - 1 DAGENHAM Location Samuel Williams Ltd, |
436f44ee-0712-4c3c-a7e7-90e67a16861a | 507 76 583 Staffords Bakery 121 180 301 Total number x-rayed 628 256 884 57 Male Female Total Requiring further investigation 5 5 Pulmonary tuberculosis Requiring immediate treatment 1 1 Requiring occasional clinic supervision 1 1 Among other abnormalities discovered were:- Bacterial and virus infection of lung 1 1 Pulmonary Fibrosis (not TB or industrial) 1 1 Other abnormalities 1 1 58 CHIROPODY SERVICE 1970 was another difficult year for the Chiropody Service. Mrs. Morgan the domiciliary chiropodist who resigned in 1969 could not be replaced despite numerous advertisements, and Mr. Fenton, who for many years had looked after the feet of residents in the Council's Old People's homes resigned in June and again no replacement could be found. The existing staff undertook additional sessions to keep the service going but the old folk were required to wait longer than is desirable between treatments. |
b013ba3d-08f0-4010-b17e-c3b49a2a13f7 | Notwithstanding the difficulties 21,566 treatments were provided compared with 20,378 in 1969. TREATMENTS FOR THE YEAR 1970 CLINIC Children Adults Total Sessions -5yrs. 5-lbyrs. O.A.P. Others A/N P/H Central 110 1,617 64 — 10 1,805 359 Julia Engwell 2 25 2,410 - - 29 2,466 438 Porters Avenue - 22 2,773 3 2 3 2,803 464 Greatfields 1 6 2,168 - - - 2,175 360 Thames View 2 23 555 - - - 580 90 Ford Road 3 71 2,608 - - 67 2,749 490 Annie Prendergast 7 18 2,752 2 2 150 2,931 484 Oxlow Lane 29 21 2, |
694401ad-7ffa-4a2c-9ace-5977b99594a4 | 779 4 — 2 2,835 429 Total 48 296 17,662 73 4 261 18,344 3, ll4 OLD PEOPLE'S HOMES Greys Court — - 63 - - - 63 10 Mayesbrook - - 137 - - - 137 18 The Lawns - - 133 - - - 133 17 Saywood Lodge - - 125 - - - 125 16 Riverside - - 124 - - - 124 16 Total - - 582 - - - 582 77 Domiciliary West - - 1,196 - - - 1,196 298 East - - 1,384 - - - 1,384 346 Louise Graham House - - - - 60 60 10 .Grand Total 48 296 20,824 7? |
c8e84074-af8b-4532-a14e-051d99c41e8b | 4 ?21 21,566 3.845 59 MENTAL HEALTH SERVICE Castle School An important event in the service this year was the completion and opening of The Castle School and Training Centre new premises in Goresbrook Road, Dagenham, in June. After many years of "make do and mend" in the old Castle School, the new environment was a delight to both staff and children. The usual outings and visits of observation were made during the year and in May a very enjoyable holiday at Pontins Holiday Camp at Camber Sands, was had by 20 children in the care of 8 staff. At the end of the year 75 children were on roll, including 11 needing special care. attendances were made during the year. Education of Mentally Handicapped Children The Education (Handicapped Children) Act, 1970 received the Royal Assent on 23rd July 1970. |
de0cd786-5c62-4c27-99d1-100e069231e8 | It made provision for the Secretary of State for Education and Science to appoint a day from which Section 57 of the Education Act, 1944 would be repealed, severely mentally handicapped children would no longer be classified as "unsuitable for education at school", and local health authorities would cease to have power to provide training for such children. Staff of local health authorities engaged in training these children would transfer to the Education Service, together with the appropriate premises, etc. Education authorities were requested to send their proposals for establishing special schools to the Department of Education and Science and the designation of the newly built Castle School as a Special School for Educationally Sub-normal Children was formally approved as from the Appointed Day (1st April, 1971)* Responsibility for the health of the children will remain within the Health Department, but will become the responsibility of the School Health Service instead of the Mental Health Service. |
8f0588c3-c866-458a-bc3a-842462b0c811 | In fact the same medical officer who has the responsibility for the day to day invigilation of the children at Castle Training Centre will be the School Medical Officer for Castle Special School. Close co-operation and planning between the Health and Education Departments will be essential to ensure the smooth transfer of functions from one Department to the other so that the interests of the children are in no way impaired. 60 HOLIDAY PLAY CENTRE A Holiday Play Centre for our sub-normal trainees was again held this year at Castle School from Monday to Friday for the two weeks, 17th - 28th August, 1970- As the Centre was held in the new Castle School building with better facilities and we were able to recruit several of the staff who assisted in 1969, it was decided to include the younger more severely handicapped children who had not been invited in previous years. The Centre was attended by 58 trainees - adults and children the largest number ever, but was nevertheless successful due to the energies of the staff recruited. |
466cfcaa-af52-4c74-95f4-3835096f6c07 | The majority of the staff were student teachers who found that helping to run the Centre was not only stimulating but provided them with valuable experience. OSBORNE WORKSHOP The installation of the time improvement to the running of the routine, the signal for meals and improvement in work programmes. clock and buzzer has made a great Centre. The clocking in and out tea-breaks, has led to a marked Work from outside contractors has been delivered and collected each morning during peak periods, leading to as much as six different jobs being assembled at once. The four fly presses have been in operation continuously. The trainees handling these press jobs well. Counting of stock has been by weight control and in some cases they have handled this side of the work as well. However, the amount of stock carried in the workshop has led to problems with less amount of working space, incoming and outgoing work requiring separation, unsold completed work needing storing space also. |
322868a1-bd12-4feb-9553-a0b27ed10056 | Our work from outside sources only fell off in the late summer and winter period, but at this time we were able to switch over to sales of work material and this has enabled us to continue a high level of payment. To date we have handled seven different press jobs and twelve assembly jobs. A new contract recently has been for 800 plastic disposable aprons weekly. The plastic is delivered in ½ cwt. rolls. The cutting, stapling, punching and bundling into packets of 100 pieces has provided satisfactory work for the higher grade trainees. Two more trainees have been placed in open employment. Only one from the eight employed has returned. The fortnightly social evening has progressed slowly with poor parent attendance, but the trainees have taken full advantage of the Club and really enjoy themselves. Raffles, dancing and bingo being the main attraction. 61 Wages to trainees have moved up since some new prices were negotiated with the companies, and a system of holiday payments has now been introduced. |
de5c1454-aa90-4871-8967-ea500d418531 | In the Spring 1970 trainees were taken on a very successful week's holiday at the Gunton Hall Holiday Camp near Lowestoft. At the end of the year 25 trainees were on roll and 4,669 attendances had been made during the year. Shortage of Hospital Facilities for the Mentally HandicappedO wing to overcrowding and staff shortages at South Ockendon Hospital the Secretary of State closed the Hospital for admissions and extreme difficulty was experienced during the year in containing certain difficult cases in the community. After fruitless negotiations with the North East Metropolitan Regional Hospital Board a deputation of Members and Officers waited upon the Secretary of State who promised to look into the matter and a scheme was evolved for additional facilities to be made available at Barking Hospital to relieve pressure on South Ockendon Hospital. Louise Graham House This newly built establishment provided a home for 21 mentally handicapped persons during the year and also offered short term care to cover emergency situations in the homes of other cases. |
276c08d1-e743-4457-826d-6d83378ce6e9 | Some difficulty was experienced as the building is in the Gascoigne Re-development Area and demolitions were going ahead all around it. Dust, dirt and noise made demands on the patience and good humour of the staff as well as the extra work in keeping the premises to a good standard of cleanliness. Porters Avenue Day Centre During the year the Day Centre continued its work with the mentally ill members of the community. This work keeps many of its members out of hospital, and at the same time gives relief to families in the community. In February the Centre's Occupational Therapist commenced maternity leave and this reduced all attendance to part-time only. This situation continued for six weeks and regrettably some difficulties were experienced both by mentally ill members and their families until the services of a locum occupational therapist were obtained. In July optimal attendance figures were seriously exceeded, and this resulted in a lengthy waiting list. During August the 62 Centre's Occupational Therapist returned to take up her duties and the locum left to become Supervisor in another Day Centre. |
c54cdcd1-4d44-46a7-ab42-87564ea3a2bf | The waiting list did not decrease until November/December. The major problem experienced within the Centre during the year has been the difficulty of having to cope with several different types of mentally ill patients at the same time. Referrals fall into four groupings:- 1. Adolescents 2. Adult neurotics 3. Adult psychotics 4. Elderly mentally infirm Facilities and staffing have proved inadequate when tackling this problem. It appears that in many cases this problem reflects the lack of preventative measures available to the community in the past. This applies particularly to groups 1 and 2 above. The proposed annexe to the Day Centre will help resolve its internal management problem where these groupings are concerned. During the year the need of a hostel or similar accommodation for the mentally ill has become apparent. Looking ahead, at least one third of Centre members will have the need in the event of loss of parent(s) or spouse. |
cee50eda-889b-445d-935b-830d74eff5d2 | Centre Report In October 1970 Centre staff completed a report covering the previous two and a half years of Centre activity. This report contained statistics, information, and recommendations useful for future policy. Visiting Groups The Centre was visited again in February by students and lecturers from the Chiswick Polytechnic. The function and aim of the Centre was described by Centre staff, questions were dealt with, and afterwards the visitors freely intermingled with all centre members. The centre is also visited from time to time by social workers and students from Warley Hospital. Holiday for Centre Members Centre members who had not been on holiday for many years spent one week at Westgate-on-Sea, Kent. The holiday was organised by the Dagenham Association for Mental Health in conjunction with the Borough's Health Department. One member of the Day Centre staff participated alongside voluntary workers from the Association. This was a pilot scheme and proved very successful. A family consisting of husband, wife and two children took part. |
d3b4af61-262b-4383-96f4-25444fb1525b | Outings Five outings were arranged for members through the year. One day trip to the seaside, two London theatre performances, a barge sailing trip into the North Sea, and one country coach tour. 63 Town Show Centre members designed and made the Dagenham Association for Mental Health Town Show exhibit. This exhibit was awarded a diploma. Remuneration for the work is made over by the Association to the Day Centre. Jumble Sales Two jumble sales were organised at the Centre to augment the Amenities Fund. This fund helps finance social activities (e.g. teas, ice creams, beach expenses, etc.) during outings. Xmas Party The Centre had a well attended Christmas Party, and this was the occasion for the first visit of the Director of Social Services. Gifts, and speeches by Centre members were the order of the day. There was a large Christmas tree, the hall was decorated and a discotheque provided the music. |
5ec75d15-cad5-4366-a892-dc13e711696b | Voluntary Associations Annually the Borough Council makes a contribution to the local voluntary associations, viz. the Dagenham Association and the Barking Association for Mental Health. The Dagenham Association holds monthly meetings with speakers to stimulate a public interest in mental health and gives financial aid to the mentally ill within the Borough. They have also set up a pre-school play group for the children of mentally ill parents which operates each morning at St. Elizabeth's Church Hall, Wood Lane, Dagenham. The Barking Association holds a weekly club for the mentally sub-normal and their relatives, arranges a Christmas party to which our trainees are invited, and has a holiday bungalow at Clacton for self-catering holidays for the families of the sub-normal. Westfield Psychiatric Social club This club meets on one evening per week at the Porters Avenue Day Centre to assist in the rehabilitation of the mentally ill under the guidance of the mental welfare officers. |
2c3ff9fd-0823-4c38-a092-8597bd528922 | The club had to be closed in May 1969 owing to an acute shortage of Mental Health Social Workers, and was re-commenced in January 1970 when the staffing position had improved. 64 WORK OF THE MENTAL WELFARE OFFICERS During the year 412 patients were referred to the Mental Health Service. Referred by Mentally 111 requiring Mentally Handicapped Community Care Services Assessment/ Social Reports re Hospital Admission Investigation passed to other agencies Community Care Services General Practitioners 40 53 16 2 Hospitals on discharge 74 6 1 3 Hospitals after or during out-patient or day treatment. 38 13 2 2 Local Education Authority 1 - - 28 Police and Courts 1 6 2 1 Other sources, e.g. neighbours, relatives. Ministry of Social Security and other social and welfare agencies, inward transfers from other areas. |
3ccfdfa7-dfea-43fc-a570-525ff4aef60d | 73 12 26 12 TOTALS 227 90 47 48 Mentally Mentally ill Sub-Normal Number of Persons receiving community care at the end of the year 217 395 Number of persons attending day centres 39 217 Number receiving residential care 8 42 Number of admissions for temporary residential care to relieve the family 4 33 During the year the following admissions to mental hospital were dealt with by the department:- Informal 40 Compulsory 64 Via Court 4 65 Adult Training Centre The Adult Training Centre has continued during the year in its task of providing training in important areas of social life to enable those attending the Centre to play a useful part in their homes and to learn simple tasks within their capabilities which not only provides useful occupation but also produces a small "wage packet" each week. |
a1d34b25-be20-4008-b09e-d79681bb77eb | In May 1970 73 Trainees were taken to Cliftonville accompanied by 16 staff for a weeks holiday in a group of hotels run by the Surrey Road Hoteliers Association, This was a new venture, in previous years the group had gone to a holiday camp at St. Mary's Bay and the change of venue was appreciated. The usual outings were made to places of interest and Trainees made visits of observation to industrial undertakings as part of their training programme. During 1970, 19t864 attendances were made at the Centre and 109 Trainees were on roll at the end of the year. ResidentialAccommodation The Maisonettes in Blake Avenue, Barking and Terling Road, Dagenham providing places for the rehabilitation of patients discharged from hospital after mental illness continued to be occupied during the year under the supervision of the Mental Welfare Officers. |
2c1845bc-268b-413a-8e5e-4f21001eb26d | This form of provision is proving a useful form of sheltered accommodation for patients who require support and assistance to live within the community but do not require in-patient hospital care. 66 SCHOOL HEALTH SERVICE There are 63 primary schools in the Borough. In September 1970, the Local Education Authority brought into effect plans for comprehensive secondary education. The number of secondary schools was reduced from 23 to 12 comprehensive units. Most schools still occupied a number of separate premises which did not make any easier the task of administering the School Health Service. We also have two special schools. The Bentry Special School caters for educationally sub-normal pupils and Faircross Special School for delicate and physically handicapped pupils. A unit for partially hearing pupils is established at Eastbury Infant's School. |
aa7e17a3-2d6f-47af-990c-7a60e5e167ea | At the end of the year, numbers on roll were as follows:- Primary schools 16,493 Secondary schools .. •• 11,368 Special schools 300 Total 28,l6l SCHOOL CONSULTATIVE CLINICS Minor ailments sessions at which a doctor was present were held at the following clinics:- Annie Prendergast Friday a.m. Becontree Avenue Monday and Thursday a.m. Central Monday, Tuesday and Thursday 9-9.30 a. Five Elms Monday p.m., Friday a.m. Ford Road Monday a.m., Friday a.m. Julia Engwell Monday to Friday 9 - 9.30 a.m. Leys Monday p.m. Marks Gate Friday a.m. Oxlow Lane Wednesday a.m. Porters Avenue Monday, Wednesday and Friday 9 - 9.30 A total of 1,487 pupils were seen during the year. |
7087f485-b74e-4a06-9b55-88f0845c00db | SCHOOL MEDICAL INSPECTIONS Routine school medical inspections are carried out on:- (a) pupils entering primary school, (b) pupils in their last year at primary school, and (c) where considered necessary on pupils in their last year at secondary school. In addition, pupils entering the Borough from other areas and children found to require observation or treatment are followed up as necessary. Particular attention is paid to pupils at the special schools. Number of special inspections 1,917 Number of re-inspections 1,703 3,620 67 Periodic Inspections Age Groups Inspected (by year of birth) No. of Pupils Inspected 1966 and later 157 1965 1,167 1964 952 1963 149 1962 85 1961 75 1960 629 1959 1,636 1958 687 1957 61 1956 168 1955 and earlier 386 6, |
8116c456-e53b-43e1-b5e9-3cd4a79be740 | 152 Pupils found not to warrant medical inspection 845 PUPILS FOUND TO REQUIRE TREATMENT Age Groups Inspected (by year of birth) Individual Pupils found to require treatment For Defective Vision (excluding squint) For any other condition Total Individual Pupils 1966 and later 1 7 8 1965 13 86 85 1964 18 48 61 1963 2 7 8 1962 — - - 1961 2 5 7 1960 38 118 136 1959 74 182 228 1958 26 56 75 1957 1 3 3 1956 2 9 10 1955 and earlier 22 30 49 Total 199 551 670 General Condition of Children Out of 6,152 pupils examined, only three were considered to be of unsatisfactory general condition. |
b8021084-b315-45b6-9997-7b36c50fc54c | INFESTATION WITH VERMIN During the year 16,037 pupils were examined, and 177 found to require treatment. CONVALESCENT TREATMENT Pupils who are recommended convalescent treatment on medical advice are sent away for periods of up to four weeks. 39 cases were recommended treatment during the year. 68 DEFECTS FOUND BY MEDICAL INSPECTION Defect or Disease Periodic Inspections Special Inspections Treatment Observation Treatment Observation Skin 183 179 75 88 Eyes: (a) vision 196 497 95 114 (b) squint 20 34 4 4 (c) other 10 28 5 2 Ears: (a) hearing 13 177 49 172 (b) otitis media 12 50 8 2 (c) other 9 28 4 3 Nose and throat 48 291 44 57 Speech 23 89 45 43 Lymphatic glands 2 3A5 - 2 Heart |
1a71cd9a-2fa3-4ef9-9f51-c910ac1da5c1 | 10 118 3 60 Lungs 23 145 7 99 Developmental: (a) hernia 8 10 1 5 (b) other 21 121 27 113 Orthopaedic: (a) posture - 38 4 29 (b) feet 61 126 6 37 (c) other 9 59 80 164 Nervous system: (a) epilepsy 4 19 l 17 (b) other 8 65 34 78 Psychological: (a) development 7 88 17 70 (b) stability 8 174 28 126 Abdomen 5 71 2 10 Other 87 171 96 173 EMPLOYMENT OF CHILDREN 90 pupils were examined for fitness for employment out of school hours and certificates were granted. DISEASES AND DEFECTS OF EAR, NOSE AND THROAT A Specialist Ear, Nose and Throat Consultant attends weekly at Central Clinic. |
62b7e7c4-e5fd-401e-be76-524d0fe19412 | Pupils known to have been treated Received operative treatment (a) for diseases of the ear 18 (b) for adenoids and chronic tonsillitis 158 (c) for other nose and throat conditions 3 Received other forms of treatment 195 69 Total number of pupils in schools who are known to have been provided with hearing aids:- (a) in 1970 11 (b) in previous years 71 ORTHOPAEDIC AND POSTURAL DEFECTS An Orthopaedic Consultant attends monthly at Leys Clinic where a wholetime physiotherapist is also in attendance. Pupils known to have been treated (a) at clinics or out-patient departments 86 (b) at school for postural defects 12 EYE DISEASES, DEFECTIVE VISION AND SQUINT Ophthalmic Specialists of the Regional Hospital Board attended weekly at Central, Porters Avenue and Becontree Avenue Clinics. |
d252b1bb-9504-48ad-abac-b62327862c3b | Pupils known to have been treated (a) External eye diseases and other (excluding errors of refraction and squint) 24 (b) Errors of refraction (including squint) 1,191 (c) Number of pupils for whom spectacles were prescribed 644 DISEASES OF THE SKIN (excluding uncleanliness) Pupils known to have been treated Ringworm: (a) scalp - (b) body Scabies 1 Impetigo 14 Other (plantar warts, etc.) 942 957 70 SPEECH THERAPY The Speech Therapists report as follows: The work has continued as normally, with no outstanding changes. As usual, cases of articulatory defects far out number any other disorder found in the speech of this Borough's School and pre-school children. Even so, one would like to feel that eventually a special Diagnostic Unit might be available to give help, advice and referral to the more specifically speech-handicapped child that one occasionally comes across. |
30036940-c024-4efa-a818-3f91bff4b0a2 | Cases of language disorder and poor linguistic ability are slightly higher than in previous years. The Speech Therapy Service is still understaffed, two full-time Therapists coping with the work which should be carried by three Therapists. Our student-trainee Therapists are therefore invaluable to us in the service they render. There are now eight Speech Clinics operating in the Borough, as follows:- Miss Symes Five Elms Clinic Leys Annie Prendergast Marks Gate 0x1ow Lane Miss Delaforce Castle School Training Centre Julia Engwell Clinic The Bentry School SPEECH THERAPY STATISTICS Miss Symes Miss Delaforce Total no. of Treatments 1,864 1,190 Total no. |
ac6502a0-e72e-4375-b0a8-f2ef73fe05c9 | of Attendances 452 656 Number of new Patients 71 95 Category of Defect: Articulatory 49 67 Language Disorder 8 10 Stammer 8 18 Disorder of Resonance 1 - Cleft Palate 3 - Other Defect 2 - Number of patients discharged during year 61 80 Reasons: Speech normal 41 32 Left district/transfer to another clinic etc. 5 4 Non-attendance, left school etC. 9 40 Discharge at Parent's request 3 4 No further progress likely 3 - Number of patients on Register at end of year 89 150 71 CHILD GUIDANCE CLINIC I am indebted to Dr. S. Fahmy, Consultant Psychiatrist for the following report:- During this year there were no changes in the administration or staffing of the Clinic even though the call on the services continued on approximately the same level as in previous years. |
d11f548c-b6ba-4597-99b1-7f17ad324b67 | As stated in a previous report, the staff working on the psychiatric part of the Clinic remains at one consultant (7 sessions a week) and secretarial assistance. As the number of new referrals kept a steady average of 11 - 13 per month and as the initial diagnostic assessment takes anything from 4-8 hours of clinical work, one had to choose between (a) making assessments and refraining from under-taking any intensive or regular treatment or (b) taking on treatment cases that could be managed by one therapist and allowing an everlengthening waiting list. Since both alternatives appeared unsatisfactory, the compromise actually taken left much to be desired, particularly with regard to the treatable responsive cases who could not be taken on and also for the number of crisis situations that could have been materially helped if seen on demand. |
54a2c863-2e0d-4553-bfd5-3c1a33cc0e6a | This situation, though marginally allayed by the ready co-operation and help offered by educational psychologists and remedial teachers, would not be expected to improve until the required auxiliary staff (2 experienced social workers and a child psychotherapist) are found and encouraged to work in this Clinic. The attached tables covering the four quarters of the year indicate the current call on the psychiatric services. The total number of adolescents referred is levelling with 5-12 year referrals. Unfortunately the majority of the former are referred for anti-social behaviour that has reached the Courts or else on account of school refusal. In both cases the nature and circumstances of first contacts undermine any therapeutic endeavour that could be theoretically exploited, given a different set up i.e. more therapists and workers. Hence, the services were confined to advice, support and consultations offered to different agents and authorities. In this respect credit is owed to the devoted work of social workers who, despite their case load, have seldom rejected requests for help for these distressed and distressing children and their families. |
f7131939-a064-4b80-86f6-0587fb738d85 | In view of this demand, the psychiatrist's time in the Clinic and the absence of staff to whom some work could be delegated, a number of projects and work with institutions e.g. schools, nurseries, play groups etc., had to be postponed for the time being. Needless to add, that in addition to the cases actually referred, a much greater number of children and families are in distress and do not receive much help because they do not disturb others around them (or else because of the passivity or insensitivity of the environment). However, these "silent" disturbances frequently erupt in adolescence or later. This is an area of prophylactic psychiatry which can hardly be approached before improvement of staff shortage. 72 This report has concentrated on the clinical (therapeutic and prophylactic) work that has actually been undertaken with a stress on the needs that have not been met. In other respects i.e. |
d586b84c-1649-4472-a815-cc99af1defdd | the provisions and co-operation of educational psychologists, remedial teachers, secretarial assistance, it has been gratifying to see ever ready co-operation. Were it not for the willing, conscientious hard work of the senior secretary, the working of the Clinic would not have been as smooth as it has actually been. CHILD GUIDANCE SERVICE Statistics 1970 Quarter Ended (a) Cases on the books at end of quarter. 31.3.70 30.6.70 30.9.70 31.12.70 (i) Waiting first Appointment. 47 46 47 48 (ii) Seen at regular intervals. 19 31 33 32 (iii) Others seen for re-assessment or surveillance 119 102 101 95 TOTAL 185 179 181 175 (iv) Cases included in (iii) but will not been seen again unless requested. 28 19 18 17 (b) Cases referred during quarter. B G B G B G B G Under 5 yrs. |
af64410d-0859-4c4e-a939-38d5450bb0fe | 1 1 - 3 1 1 3 - 5-12 yrs. 9 4 18 2 12 3 13 7 12 - 18 yrs. 13 11 6 3 11 5 12 3 TOTAL 23 16 24 8 24 9 28 10 (c) Cases closed,during quarter. (i) Treatment complete and case closed 12 25 21 27 (ii) Other treatment cases closed 4 6 2 4 (iii) Cases closed no treatment received. 6 7 8 13 TOTAL 22 38 31 44 (d) Treatment carried out during quarter and cases awaiting treatment. (i) By Psychiatrist. Individuals seen. 91 100 120 115 Interviews. 153 167 135 153 Appointments offered and not kept. 53 39 47 47 (ii) By Educational Psychologists. Individuals seen. |
26080cd1-9822-49ec-ac83-5105c240ae69 | 64 73 46 47 Interviews. 99 96 63 63 Appointments offered and not kept. 17 20 12 8 73 HANDICAPPED CHILDREN FAIRCROSS SCHOOL Mr. Holdsworth the Headmaster reports as follows "We celebrated our 4th Birthday with a party in January. The entire festivities were organised by the prefects, head boy and head girl. Class 3 were entirely responsible for refreshments, and they provided a first class buffet meal. The Infants' Party was the responsibility of Class 2 and a very happy time was spent by all. In the year academic progress has been good. The C.S.E., results are very gratifying, as are the R.S.A. Grades I & II, and the passes gained in the I.P.S., Typewriting Examinations pay tribute to the hard work of the children and staff. Despite a long period of absence due to industrial action by bus drivers, these results are very gratifying indeed. |
fc9d6666-cfda-4272-be64-31694ab3c438 | This past year we have suffered several break-ins and much damage ensued and loss incurred. It has been arranged by kind permission of Mr. Ager, Principal, Rush Green College, that the more able children will be able to attend the College on a part-time basis, to undertake courses of study which we are unable to offer here. A very successful School Journey lasting 8 days was undertaken to Swanage, Dorset. This was organised and led by Mr. R. D. Norman, Deputy Headmaster. Mrs. L. Maybanks, Welfare Assistant for the past 26 years retired on the 10th July. A real friend of the children and staff, she will be truly missed. We wish her a long and happy retirement. The year closed with the customary Christmas activities. Visits to other Schools' concerts, a film show and Carol Service, to which we invited the senior citizens of the Borough." I am also grateful to the Senior Physiotherapist, Mrs. |
1931ef24-20ba-415c-9fd0-04a6dfa8bfa4 | A. D. Walker for the following report on her work at the school during the year:- "1970 was a very enjoyable year as far as the Physiotherapy Department was concerned. We had 37 children listed for regular treatment, each child to attend two or three times a week, and we grouped them as in the following table DEFECT No. of Children REMARKS Boys Girls (a) Spina Bifida 2 5 All have Hydrocephalus 3 have two long calipers 4 have long calipers with pelvic band 1 walks without sticks 1 walks with a rolator 4 walk with dumpers 1 walks with Canadian crutches 74 DEFECT No. |
8801cba7-9afe-4502-bf54-1449bff334df | of Children REMARKS Boys Girls (b) Cerebral Palsy 6 3 6 walk without aid 2 walk with rolators 1 walks with walking frame (c) Hemiplegia 6 - - (d) Asthma 3 5 3 have frequent severe asthma attacks 5 have moderately severe to mild asthma (e) Muscular Dystrophy 2 2 All confined to wheel chai (f) Congenital dislocation of hip 1 (g) Cystic Fibrosis 1 (h) Perthes Disease 1 - - In the Department we have got one full-time and one part-time physiotherapist. In May we were very lucky to get an ancillary helper, Mrs, Daniels. She has proved to be of great help both in the Department and in the Hydro-therapy pool. In June we were approached by the Enfield College of Technology on whether or not we needed any mechanical aids for the children. This was to be the diploma work for one of their students. |
3613135f-bd1e-4f09-bb3f-97211d0baa43 | We had some very interesting discussions deciding how a suitable walking frame for spastics could best be designed. A few weeks before Christmas the walking frame was handed over and it seemed to do exactly what we wanted, but of course 1971 will show how much real benefit, if any, it will give our children. The co-operation with the hospital staff concerning the children has been of great value also in 1970. During 1970 our Physiotherapy Department was extended and we now have a small ante-room. This has been in constant use for postural drainage treatment, rest for children after epileptic fits etc. Our Department is adequately equipped. My sincere thanks to the school and to the administrative staff for the co-operation they have given me in 1970." 75 BENTRY SCHOOL I have received the following report from Mr. Hurton the Headmaster:- "At present there are 205 children on the school roll. Of these thirteen receive Speech Therapy, whilst ten children suffer from hearing loss and come under the care of Mrs. |
b3a9de90-24db-486e-bd9f-595bca8e63dd | Savage, peripatetic teacher of the deaf, who visits the school every Thursday afternoon. In addition we have seven children under sedation, two cerebral palsy children and four who are slightly physically handicapped. There are also eight children whose vision is impaired and who wear glasses for their school work. However, the largest group of dual defect children in the school are those with behaviour difficulties so severe as to be classified as maladjusted. These facts underline the acute need for an Educational Psychologist to spend one session per week at the school. The Summer Term was most successful and the school took part in the Dance, Music, Speech and Drama Sections of the Barking Schools Festivals with conspicuous success. The School Sports were a great success and many parents attended. The "Open Evening" was attended by many parents and their obvious goodwill towards the school is much appreciated by the Staff and myself. |
1ba0e848-a403-4282-a313-e6d6d14b5d47 | Of the twenty children who left during the year, two were transferred to Comprehensive Schools, two to Training Centres, and the remainder were recommended for "Open Employment" and have been successful in obtaining jobs in the locality. This December, the School Pantomime was "Aladdin" and ran for three evenings. It was well supported by parents and friends of the school." 76 HANDICAPPED PUPILS REQUIRING EDUCATION AT SPECIAL SCHOOLS - IJfO Blind Part Sighted Deaf Part Hearing Physically Handicapped Delicate Maladjustec Educationally Sub-normal Epileptic Speech Defect Total Number of children newly assessed in the year . |
273e1609-5c9d-451f-b5ea-578202823eaf | 2 3 10 5 19 1 1 41 Number of children placed in Special Schools in year 2 1 - 2 4 9 5 19 2 1 45 Number of children requiring places in Special Schools - - - - 1 5 4 12 1 - 23 Number of children included above whose parents had refused consent to their admission - - - - - 1 - - - - 1 Number of children on Registers of Special Schools at 21at January 1971 6 15 - 22 57 67 27 218 4 1 417 Number of children receiving tuition at home or in hospital, etc. - - - - - - - - - - - INCIDENCE OF CONGENITAL ABNORMALITIES The notification and classification of congenital abnormalities apparent in children at birth continued during the year, |
61ea8f76-05f9-47da-84e8-9c38cb10dc7c | the following defects being noted in 30 babies:- Central Nervous System Anencephalus 1 Hydrocephalus 2 Spina bifida 4 Eye and Ear Accessory auricle 2 Alimentary System Cleft Lip 1 Cleft palate 1 Rectal and Anal Atresia and Stenosis 1 Urino-genital System Hypospadias, |
f1bdc096-276d-4738-ab12-311fc89c1451 | epispadias 1 Limbs Polydactyly 2 Syndactyly 1 Talipes 8 Unspecified limb malformations 1 Other Systems Other unspecified malformations of muscles skin and fascia 1 Pigmented naevus 2 Exomphalos Omphalocele 1 excluding umbilical hernia Other Malformations Down's syndrome (mongolism) 3 Other syndromes specified due to chromosomal abnormality 1 78 DENTALS E R V I C E S I am indebted to the Principal Dental Officer for the following report:- SCHOOL DENTAL SERVICE The School Dental Service was able during 1970 to provide full dental treatment for any school child in the Borough receiving education from the local authority including those in special schools. The percentage of the school roll inspected in 1970 was 83% compared with 79% 1969. |
e8b4454f-9397-4a1c-bce1-8a7eaad74e01 | The number of courses of treatment commenced in 1970 was 5,024 and the number of these completed was 3,953, this gives a completion rate of 78% compared with 67% in 1969. CONSERVATION AND ORTHODONTIC TREATMENT There were 6,429 fillings in permanent teeth and 3,931 in deciduous teeth, a total of 10,360. The amount of orthodontic treatment carried out during the year was very satisfactory, 49 new cases were commenced and 34 completed; eight children were referred to the Dental Consultant at Whipps Cross Hospital. DENTAL HEALTH EDUCATION Dental Hygiene kits were distributed to all new school entrants in 1970, this experiment was most successful. I would like to thank all the teaching staff in Infant Schools for their co-operation, the Nursing Staff and Health Visitors have also helped in this field of dental work during the year 1970. STAFFING We began the year 1970 with a full staff. |
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