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344 DR. LESLIE CUNNINGHAM A surgical colleague writes : " JI shall always remember Leslie Cunningham as a first-class physician upon whose services I might call with confidence and without hesita- tion at all times. He believed in the closest cooperation between the physician and surgeon : he did not hesitate to advise operation in the appropriate case, nor to seek the views of his surgical colleagues if in doubt. He was exceptionally successful in dealing with difficult post- operative cardiac or pulmonary complications. " Although he practised as a general physician, he had special interests. In his earlier years he had done research for the Liverpool- Cancer Research Organisation, and he published work on the toxic effect of lead and on tissue metabolism. Cardiology, however, had a greater attrac- tion, and one of his earlier appointments was that of medical officer in charge of the cardiographic department at -the Northern Hospital. No doubt the frequent association of thyroid and cardiac disorders led to his closer study of thyroid disease and ultimately to the formation of a thyroid clinic at the Northern Hospital. Hospital commitments and private practice made heavy calls on his time ; for his quiet, helpful, unassuming, and always friendly manner appealed alike to doctors and patients. " He was a good teacher and he was always popular with the students, who realised his worth. Both his house-physician and registrar appointments were highly prized. The high esteem of the nursing staff was well expressed by one of his ward sisters on the day he died : ’]Elow good he was to us and how we shall miss him ! ’ He leaves behind many friends-doctors, nurses, and patients-who will echo these words." Appointments 13ATF,, J. G., M.B. Fdin. : pathologist, St. Mary’s Hospital and Princess Louise (Kensington) Hospital for Children, London. CL-RRIE, J. D., M.B. : asst. psychiatrist, Pewsey Mental Hospital, Wiltshire. DAVIES, G. D., Al.B. Lond., D.-Nr.R. : consultant radiologist, Rhymney and Sirhowy Valleys H.M.c., Wales. DAVIES, I. :B1., M.R.c.8., D.F.M. : consultant psychiatrist, Pen-y-Val Hospital, Wales. GARSO",, R. A., ::BLH,.C.S., D.I.P.: asst. pathologist (s.R.M.o.), Halifax group of hospitals. GRACE, R. F. T., M.D. Edin., M.R.c.P. : assistant (consultant status), department of psychological medicine, National Hospital, Queen Square, London. HOLME, V. P., "’LB., D.OBST. : asst. m.o. (maternity and child Tt’elfare), Coventry. , HOLMES, P. J., : superintendent, Sub-Regional Sana- torium, Ardkeen, co. Waterford. MASTERS, P. L., ::VLD. Lond., D.C.H. : pathologist, St. Mary’s Hos- pital and Paddington Green Children’s Hospital, London. NiCHOL.sox, HOWARD, M.D. Lond., F.R.C.P.: asst. consultant physician, Brompton Hospital, London. PRINCE, G. S., M.B. Dubl., M.R.C.P.I., D.P.M.: part-time psychiatrist (consultant), Woodberry DoBvn Health Centre. THOMAS, ELIZABETH, M.B. Glasg. : asst. rr.o., Flintshire. ZALESKI, 1,V. A., M.B. Polish School of Medicine, Edin. : asst. psychiatrist, Pewsey Mental Hospital, Wiltshire. Manchester Regional Hospital Board: BoL2ow, HAROLD, M.B. Manc., F.R.C.S.: consultant asst. ortho- pædic and accident surgeon, North Manchester hospitals, main duties at Ancoats Hospital. CowLLL, N. A. G., M.CH. Lpool, F.R.C.S.E.: consultant asst. orthopædic and accident surgeon, Preston and Chorley hospitals. CULLEN, C. H., M.CH. Belf., F.R.C.S., F.R.C.S.I.: consultant ortho- pædic surgeon, orthopaedic and accident services in the North Manchester hospitals, and Booth Hall Children’s Hospital. HARRIS. RONALD, M.C., M.D. Leeds, D.PHYS. MED.: consultant physician (rehabilitation and physical medicine), Devonshire Royal Hospital, Buxton. JACK, J. B., M.B. Glasg., F.R.F.P.S., F.R.C.S.: consultant asst. orthopaedic surgeon. Blackburn and district hospitals. LANCELEY, FREDERICK, sr.B. Lpool: asst. venereologist, St. Luke’s Clinic. Manchester. WINSTON, lI. E., M.B. Edin., F.R.r.s.: consultant asst. ortho- pedic surgeon, Bolton and district hospitals. South Western Regional Hospital Board : LINDSAY. IAN, M.B. Edin., F.R.C.S., F.R.C.S.E.: surgical registrar, Bath group of hospitals. MCSWINEY, M. J., M.B. N.U.I.: asst. anaesthetist. Bath clinical area. NEVE, C. R., ir.i3. Lond., F.R.c.s. : senior surgical registrar, Bristol clinical area. NEVIN. H. M., M.A., M.B. Dubl., D.P.H., D.T.::’1. & H. : asst. clinical pathologist, North Gloucestershire clinical area. The Terms and Conditinns of Service of Hospital Medical and Dental Staff apply to all N.H.S. hospital posts we advertise, unless otherwise statecl. Canvassing disqualifies, but candidates may normally visit the hospital by appointment. Notes and News THE SITUATION OF THE MENTAL HOSPITALS OF all patients, those with disorders of the mind might be expected to profit most from rest and quiet; and it is the great misfortune of our mental hospitals that these are the forms of therapy which they are least able to offer. Last year, as the annual report of the Board of Control for 1951 1 tells us, the number of patients in mental hospitals in England and Wales rose to 135,626, a gain of 436 on the previous year. For many years now this figure has been rising, and even our vast service is too small to cope with the demands on it. Accommodation in terms of bedspace, the report says, was for 123,906 patients ; but not all accommoda. tion was in use : 1071 beds were still diverted to other services, 1748 could not be used because there were no nurses to staff them, and 1585 beds were unoccupied because the wards were being put in order. In all there was a deficit of no less than 16,124 beds. Of course this is only a manner of speak- ing, for, in fact, beds must have been found for every one of the 135,626 patients ; and what this meant in terms of over- crowding, noise, and misery only the nurses, spread thinly among them, could fully report. Recruitment in other branches of nursing has reached a peak, but in mental nursing the number of student nurses is still declining, though there has been some increase among trained nurses. Nursing assistants and part-time staff have given some help, but the ratio of male nurses to patients is 1 to 5-5, and of female nurses 1 to 7-1. " The remedy is not yet in sight," says the report, not altogether helpfully, " but the problem ia one which is constantly before all concerned." The need for a solution is all the more urgent because patients are beginning to show a livelier trust in the resources of the mental health service. Many more are being admitted as voluntary patients, though the report notes that practice varies in different parts of the country : a few hospitals receive more than 90% as voluntary patients, while others take almost half their patients under certificate. The social importance of avoiding certification is considerable, and if patients see a psychiatrist before they are admitted to hos- pital, he can explain this to them. Besides, it is easier to treat a cooperative voluntary patient than a resentful certified one. Outpatient centres staffed by the doctors who also treat the inpatients have done much to foster early treatment, and the board find that where outpatient departments are active the voluntary admissions tend to be high. Fortunately such departments are increasing in number : in 1939 there were only some 200, but there are now almost twice as many. With so much gained, and every promise of further advances, we shall be foolish if we forget that mental treatment ’depends finally for success on adequate nursing. The problem of recruiting mental nurses needs special study. PRESCRIPTIONS IN JUNE THE new charges for medicines, dressings, and appliances were introduced on June 1 this year ; and figures issued by the Ministry of Health show that in England and Wales the number of prescriptions declared as having been sub- mitted during that month was 14,416,800, representing a decrease of 15-57% on the number in June, 1951. The number of forms in June this year was 8,545,000, representing a decrease of 20-4% on the number in June, 1951 ; and the number of prescriptions on each form averaged 1-69, com- pared with 1-57 in the previous June. The proportion of forms on which one or more of the prescriptions cost over 5s. net was about 24%, compared with 20% in June, 1951. The estimated average total cost per prescription was about 1½—1½d. higher in June this year than in the previous month, judging by the findings from a 1 % sample of chemists ; the comparable increase between May and June, 1951, was just under ld. YOUNG CONVALESCENTS Dr. Frank Falkner’s account of his inquiry into the care of convalescent children in this country, in the United States. and in Switzerland, which he summarised in our issue of March 29, has now been published in full under the title of The Convalescent Child. Copies may be had from the Department of Child Health, Alder Hey Children’s Hospital, Liverpool, 12. 1. London : H. M. Stationery Office, 1952. Pp. 8. 4d.
Transcript
Page 1: Notes and News

344

DR. LESLIE CUNNINGHAM

A surgical colleague writes : " JI shall always rememberLeslie Cunningham as a first-class physician upon whoseservices I might call with confidence and without hesita-tion at all times. He believed in the closest cooperationbetween the physician and surgeon : he did not hesitateto advise operation in the appropriate case, nor to seekthe views of his surgical colleagues if in doubt. He wasexceptionally successful in dealing with difficult post-operative cardiac or pulmonary complications.

" Although he practised as a general physician, he hadspecial interests. In his earlier years he had done researchfor the Liverpool- Cancer Research Organisation, and hepublished work on the toxic effect of lead and on tissuemetabolism. Cardiology, however, had a greater attrac-tion, and one of his earlier appointments was that ofmedical officer in charge of the cardiographic departmentat -the Northern Hospital. No doubt the frequentassociation of thyroid and cardiac disorders led to hiscloser study of thyroid disease and ultimately to theformation of a thyroid clinic at the Northern Hospital.Hospital commitments and private practice made heavycalls on his time ; for his quiet, helpful, unassuming, andalways friendly manner appealed alike to doctors andpatients. -

" He was a good teacher and he was always popularwith the students, who realised his worth. Both hishouse-physician and registrar appointments were highlyprized. The high esteem of the nursing staff was wellexpressed by one of his ward sisters on the day he died :’]Elow good he was to us and how we shall miss him ! ’He leaves behind many friends-doctors, nurses, andpatients-who will echo these words."

Appointments13ATF,, J. G., M.B. Fdin. : pathologist, St. Mary’s Hospital and

Princess Louise (Kensington) Hospital for Children, London.CL-RRIE, J. D., M.B. : asst. psychiatrist, Pewsey Mental Hospital,

Wiltshire.DAVIES, G. D., Al.B. Lond., D.-Nr.R. : consultant radiologist, Rhymney

and Sirhowy Valleys H.M.c., Wales.DAVIES, I. :B1., M.R.c.8., D.F.M. : consultant psychiatrist, Pen-y-Val.

Hospital, Wales.GARSO",, R. A., ::BLH,.C.S., D.I.P.: asst. pathologist (s.R.M.o.), Halifax

group of hospitals.GRACE, R. F. T., M.D. Edin., M.R.c.P. : assistant (consultant status),

department of psychological medicine, National Hospital,Queen Square, London.

HOLME, V. P., "’LB., D.OBST. : asst. m.o. (maternity and childTt’elfare), Coventry. ,

HOLMES, P. J., : superintendent, Sub-Regional Sana-torium, Ardkeen, co. Waterford.

MASTERS, P. L., ::VLD. Lond., D.C.H. : pathologist, St. Mary’s Hos-pital and Paddington Green Children’s Hospital, London.

NiCHOL.sox, HOWARD, M.D. Lond., F.R.C.P.: asst. consultantphysician, Brompton Hospital, London.

PRINCE, G. S., M.B. Dubl., M.R.C.P.I., D.P.M.: part-time psychiatrist(consultant), Woodberry DoBvn Health Centre.

THOMAS, ELIZABETH, M.B. Glasg. : asst. rr.o., Flintshire.ZALESKI, 1,V. A., M.B. Polish School of Medicine, Edin. : asst.

psychiatrist, Pewsey Mental Hospital, Wiltshire.Manchester Regional Hospital Board:BoL2ow, HAROLD, M.B. Manc., F.R.C.S.: consultant asst. ortho-

pædic and accident surgeon, North Manchester hospitals,main duties at Ancoats Hospital.

CowLLL, N. A. G., M.CH. Lpool, F.R.C.S.E.: consultant asst.orthopædic and accident surgeon, Preston and Chorleyhospitals.

CULLEN, C. H., M.CH. Belf., F.R.C.S., F.R.C.S.I.: consultant ortho-pædic surgeon, orthopaedic and accident services in theNorth Manchester hospitals, and Booth Hall Children’sHospital.

HARRIS. RONALD, M.C., M.D. Leeds, D.PHYS. MED.: consultantphysician (rehabilitation and physical medicine), DevonshireRoyal Hospital, Buxton.

JACK, J. B., M.B. Glasg., F.R.F.P.S., F.R.C.S.: consultant asst.orthopaedic surgeon. Blackburn and district hospitals.

LANCELEY, FREDERICK, sr.B. Lpool: asst. venereologist, St. Luke’sClinic. Manchester.

WINSTON, lI. E., M.B. Edin., F.R.r.s.: consultant asst. ortho-pedic surgeon, Bolton and district hospitals.

South Western Regional Hospital Board :LINDSAY. IAN, M.B. Edin., F.R.C.S., F.R.C.S.E.: surgical registrar,

Bath group of hospitals.MCSWINEY, M. J., M.B. N.U.I.: asst. anaesthetist. Bath clinical

area.

NEVE, C. R., ir.i3. Lond., F.R.c.s. : senior surgical registrar,Bristol clinical area.

NEVIN. H. M., M.A., M.B. Dubl., D.P.H., D.T.::’1. & H. : asst.clinical pathologist, North Gloucestershire clinical area.

The Terms and Conditinns of Service of Hospital Medical andDental Staff apply to all N.H.S. hospital posts we advertise, unlessotherwise statecl. Canvassing disqualifies, but candidates may normallyvisit the hospital by appointment.

Notes and News

THE SITUATION OF THE MENTAL HOSPITALS

OF all patients, those with disorders of the mind mightbe expected to profit most from rest and quiet; andit is the great misfortune of our mental hospitals that theseare the forms of therapy which they are least able to offer.Last year, as the annual report of the Board of Control for1951 1 tells us, the number of patients in mental hospitals inEngland and Wales rose to 135,626, a gain of 436 on theprevious year. For many years now this figure has beenrising, and even our vast service is too small to cope with thedemands on it. Accommodation in terms of bedspace, thereport says, was for 123,906 patients ; but not all accommoda.tion was in use : 1071 beds were still diverted to other services,1748 could not be used because there were no nurses to staffthem, and 1585 beds were unoccupied because the wardswere being put in order. In all there was a deficit of no lessthan 16,124 beds. Of course this is only a manner of speak-ing, for, in fact, beds must have been found for every one ofthe 135,626 patients ; and what this meant in terms of over-crowding, noise, and misery only the nurses, spread thinlyamong them, could fully report. Recruitment in otherbranches of nursing has reached a peak, but in mental nursingthe number of student nurses is still declining, though therehas been some increase among trained nurses. Nursingassistants and part-time staff have given some help, but theratio of male nurses to patients is 1 to 5-5, and of femalenurses 1 to 7-1. " The remedy is not yet in sight," says thereport, not altogether helpfully, " but the problem ia onewhich is constantly before all concerned."The need for a solution is all the more urgent because

patients are beginning to show a livelier trust in the resourcesof the mental health service. Many more are being admittedas voluntary patients, though the report notes that practicevaries in different parts of the country : a few hospitalsreceive more than 90% as voluntary patients, while otherstake almost half their patients under certificate. The social

importance of avoiding certification is considerable, and if

patients see a psychiatrist before they are admitted to hos-pital, he can explain this to them. Besides, it is easier totreat a cooperative voluntary patient than a resentful certifiedone. Outpatient centres staffed by the doctors who alsotreat the inpatients have done much to foster early treatment,and the board find that where outpatient departments areactive the voluntary admissions tend to be high. Fortunatelysuch departments are increasing in number : in 1939 therewere only some 200, but there are now almost twice as many.With so much gained, and every promise of further advances,we shall be foolish if we forget that mental treatment ’dependsfinally for success on adequate nursing. The problem ofrecruiting mental nurses needs special study.

PRESCRIPTIONS IN JUNE

THE new charges for medicines, dressings, and applianceswere introduced on June 1 this year ; and figures issuedby the Ministry of Health show that in England and Walesthe number of prescriptions declared as having been sub-mitted during that month was 14,416,800, representing adecrease of 15-57% on the number in June, 1951. Thenumber of forms in June this year was 8,545,000, representinga decrease of 20-4% on the number in June, 1951 ; and thenumber of prescriptions on each form averaged 1-69, com-pared with 1-57 in the previous June. The proportion offorms on which one or more of the prescriptions cost over5s. net was about 24%, compared with 20% in June, 1951.The estimated average total cost per prescription was about1½—1½d. higher in June this year than in the previous month,judging by the findings from a 1 % sample of chemists ; the

comparable increase between May and June, 1951, was

just under ld.YOUNG CONVALESCENTS

Dr. Frank Falkner’s account of his inquiry into the careof convalescent children in this country, in the United States.and in Switzerland, which he summarised in our issue ofMarch 29, has now been published in full under the title ofThe Convalescent Child. Copies may be had from the

Department of Child Health, Alder Hey Children’s Hospital,Liverpool, 12.

1. London : H. M. Stationery Office, 1952. Pp. 8. 4d.

Page 2: Notes and News

345

TUBERCULOSIS ERADICATION AREAS

THE Ministry of Agriculture have declared the followingtwo districts to be tuberculosis eradication areas :Counties of Cardigan and Carmarthen (except the Bettws

Mountain district) and part of Pembrokeshire, in Wales.Counties of Ayr, Dumfries, Kirkcudbright, Renfrew, and Wig-

town, and parts of Argyll and Bute, in Scotland.

After Oct. 1 all herds in these areas will be tested and reactorswill be slaughtered, with payment of compensation. Whenbovine tuberculosis has been eradicated, they will be declaredattested areas.

STATISTICS OF CAUSES OF DEATH

THE World Health Organisation Centre for Classification ofDiseases has prepared a booklet 1 designed to indicate thedifficulties encountered in maintaining continuity of statisticsof causes of death, and to show how those difficulties may beovercome. Rearrangements of the International List, changesin the form of death certificate, and the many different waysin which the principal cause of death may be selected fortabulation from several causes stated on the certificate haveall made it increasingly difficult to compare figures accurately.These difficulties are partly illustrated in a section devoted tostatistics of diabetes, where it is shown how the rigid rulesused in the past for selecting the principal cause placed toomuch weight on diabetes as the cause of death-an emphasisout of proportion to its actual significance as a fatal disease.These rules necessarily produced statistics of diabetes whichcould not be compared with those of countries which relied onthe opinion of the certifying doctor as to the principal causeof death. This publication is intended to help those whoprepare and study the trends in death-rates from separatecauses. Methods of preserving the continuity of statistics ofmortality-rates are discussed and examples of possiblesituations given.

HOSPITAL FOR TROPICAL DISEASES, LONDONATTENTION was lately drawn in Parliament 2 to the help

which this London hospital now offers to patients with

tropical diseases in whatever part of the country they live.Since it moved last year into its new building in St. PancrasWay, N.W.I, its accommodation includes 68 beds, an out-patient department, and pathological laboratories. It isintended that the hospital, as part of the National HealthService, should be a consultative centre for the specialisedtreatment of tropical diseases, and any general practitionerin any part of the country can send a patient direct to thehospital, where there is a comparatively short waiting-listfor inpatient treatment. The Ministries of Health andPensions are particularly anxious that these facilities shouldbe known to Servicemen and pensioners.

TREATMENT OF RABIES

A NEw development in the treatment of rabies was describedat a conference sponsored by the World Health Organisationand held at the Pasteur Institute in Coonoor, Southern India.3A serum, prepared from the blood of horses whose immunityto rabies virus has been raised by repeated vaccination, isunder trial in Iran. It is being given to people who havebeen attacked by rabid wolves. Incidentally, it seems that abite from one of these animals is more often the cause of afatal infection than the bite of an infected dog. Hitherto,treatment has involved daily vaccination for 2-3 weeks witha vaccine usually obtained from the brain of an infectedsheep. But the method is not altogether satisfactory ; forone thing, the use of the vaccine occasionally promotes theformation of demyelinating antibodies which may cause

paralysis. Though no results of the trial have yet beenreported, there are good hopes that the serum may prove asimpler and safer means of reducing the mortality of rabies,which is responsible for about 3000 deaths every year inIndia alone. The serum is not yet available commercially.

University of OxfordOn Aug. 2 the degree of B.M. was conferred on C. T. M.

Wilson and E. H. Jellinek.

1. Comparability of Statistics of Causes of Death according to theFifth and Sixth Revisions of the International List. W.H.O.Geneva. Pp. 59. 2s. 9d. Obtainable from H.M. StationeryOffice, P.O. Box 569, London, S.E.1.

2. See Lancet, 1952, i, 1263.3. New York Times, Aug. 7, 1952, p. 7.

University of LondonAt recent examinations the following were successful :M.D. Branch I (medicine).-M. W. Arthurton, D. W. Barritt,

D. C. Beatty, Brian Creamer, F. E. Dische, D. D. Gellman, E. W.Hughes, C. B. Ingor-Willey, A. H. Levy, Joyce J. P. Lomas,Mohamed Ajawad Macan-Markar, D. Y. Mackenzie, R. G. Moore,P. W. Nathan (mark of distinction), James Parkyn, M. G. Philpott,A. E. A. Read, I. P. Ross, G. W. Scott, H. T. N. Sears, D. G. H.Sylvester, Alfred Wiener (mark of distinction and university medal),Eirian Williams, T. C. P. Williams.M.D. Branch II (pathology).-J. V. Dacie, L. R. Davis, J. H. O.

Earle, H. V. J. Fernando, Harry Greenburgh, T. D. S. Holliday,A. C. Hunt, Margaret P. Jevons, B. W. Meade, W. D. Ratnavale,J. H. Shore, J. M. Talbot, Phyllida M. M. Thornton, J. R. B.Williams, T. B. Williamson.M.D. Branch III (psychological medicine).-A. A. Baker, R. A.

Hunter, E. J. Rich, J. D. Richardson, Ebben Roderic-Evans.1j,1.D. Branch IV (midwifery and diseases of women).—A. C.

Barthels, D. P. Cocks, G. M. Evans, C. M. Flood, G. T. Hammond.M.D. Branch V (hygiene).-L. J. Clapham, N. R. E. Fendall,

Kathleen M. Harding, G. R. Holtby, Mary M. E. Rutter, J. F.Skone, M. D. Warren.M.D. Branch VI (tropical medicine).-J. R. Harries.31. S. Branch I (surgery).-J. W. P. Gummer, R. E. Horton,

P. G. Large, K. W. Martin, A. J. H. Rains.M. S. Branch III (ophthalmology).—H. N. Reed.D.M.R. (diagnosis).—A. T. Broadbridge, R. J. Callander, David

Datt, J. J. Geere, Victor Roseverne.D.M.R. (therapy).-K. A. Newton, R. C. S. Pointon, L. C. Robson,

Jean K. M. C. Wilson.

Mr. H. A. B. Simons, PH.D., has been appointed to thereadership in physics at the Royal Free Hospital School ofMedicine from Oct. 1.

University of BirminghamDr. P. H. Davison has been appointed clinical lecturer in

medicine. The title of research fellow has been given toDr. C. N. D. Cruickshank of the department of experimentalpathology.On July 5 the following degrees were conferred :M.D.-F. G. W. Marson, H. W. Pooler..M..B., Ch.B.—Christine C. Wade (with second-class honours) ;

J. G. Ball, Geoffrey Baum, W. G. C. Bearcroft, Graham Beaumont,L. A. W. Bellamy, Beatrice W. Boulton, *P. A. Bramley, Iona M.Brereton, J. R. Brown, Michael Cooke, N. F. D. Cooper, G. H. C.Daley, O. W. Deacon, Dennis Dean, J. M. Dolphin, H. A. Ellis,Lucy M. Ellis, D. I. Ferguson, H. W. Goldfarb, R. N. Gunness,R. J. Halpin, Joan E. Hancock, Kenneth Harrison, R. C. Hartley,.Margaret A. Hartshorne, Betty D. Heap, Laurence Henry, E. R.Hitchcock, B. D. Hodge, Jane C. Iles, Barry Ingham, G. H. Jeavons,Thelma D. Johnson, Olive G. Jones, Edward Kinnear, R. C. Lambert"*Judith M. Leather, C. G. Lloyd. Patricia M. Lumb, Ursula R..Mindelsohn, J. -T. F. Morrall, G. A. I. Namsoo, Cecile E. Needham;Kathleen M. Neville, C. D. Oakley, J. R. Owen, J. S. B. Preece,G. J. Rice, *E. J. Rix, D. P. W. Roberts, G. G. Roberts, C. R.Salisbury, J. L. Skinner, E. A. Smith, Jean G. Smith, J. H. Smith..A. T. Spencer, K. A. Tomlinson, Meriel F. Underwood, D. H.Wadelton, Desmond Watton, H. E. Wells, Cleon White, GeorgeWhite, H. E. Wilson, R. G. Woodwards, Howard Young.

* In absentia.

Institute of PsychiatryA two-year postgraduate course in psychiatry will begin

on Oct. 6 at the Maudsley Hospital, Denmark Hill, London,S.E.5. Further particulars may be had from the dean of theinstitute at the hospital.

_

Chartered Society of PhysiotherapyThe annual congress of this society is to be held at

St. Pancras Town Hall, Euston Road, London, N.W.I,from Sept. 18 to 21. The speakers will include Dr. T. F.Main, Dr. J. B. Mennell, Dr. A. T. Richardson, Mr. R. GuyPulvertaft, Dr. Ian Curwen, Mr. Terence Cawthorne, Dr.William Morton, and Dr. W. S. C. Copeman. Furtherparticulars may be had from the secretary of the society,Tavistock House (South), Tavistock Square, London, W.C.I.

Committee on Venereal and Treponemal InfectionsAt their recent meeting in London this expert committee

of the World Health Organisation elected Dr. G. L. M.

McElligott (Gt. Britain) chairman, and Dr. M. Soetopo(Indonesia) vice-chairman. Since the committee last met in1949, over 5 million people have been tested and over 2 milliontreated in demonstration and mass control campaignssupported by W.H.O. and UNICEF. -

Medical Women’s FederationThe federation is to hold a congress in London from Oct. 31

to Nov. 2, to celebrate the 35th anniversary of its foundation.During the congress Dame Hilda Lloyd will deliver theChristine Murrell lecture, on Domiciliary Midwifery. Therewill also be a discussion on the Care of the Chiid in theNational Health Service. Application for tickets should bemade to the secretary of the federation, Tavistock House(North), Tavistock Square, London, W.C.I.

Page 3: Notes and News

346

Increased Family AllowancesArrangements for paying the increased family allowances

to more than three million families are announced by theMinistry of National Insurance. The allowance goes up from5s. to 8s. a week from Sept. 2 at an extra cost to the Exchequerof E39 million a year.

King’s College Hospital, LondonMessrs. Boots Pure Drug Company have renewed for a

further seven years the deed of covenant under which theyhave, since 1945, paid 1000 a year to the diabetic researchfund of this hospital. This subscription has enabled a newtechnique to be developed for the estimation of insulin inplasma.Medical Conference in JerusalemA conference of Jewish doctors was opened in Jerusalem

on Aug. 10. The programme includes a discussion on medicalproblems arising from the mass immigration of Jews toIsrael. The British delegation of 30 doctors is headed byDr. Eustace Chesser.

London Hospital Old Students’ DinnerNotices of this dinner, which is being held on Oct. 9, have

now been sent to all Old Londoners whose addresses areknown. Anyone who has not received a notice should write tothe secretary, London Hospital Medical College, Turner

Street, E.I.

Society for the Study of AddictionThe society will meet at 8 P.M. on Aug. 26 at 11, Chandos

Street, London, W.l, when Dr. Francis T. Chambers, jun.,of the Philadelphia Hospital Institute will deliver a lectureon the Analysis and Comparison of Three Treatment Measuresfor Alcoholism : Antabus, the Alcoholics AnonymousApproach, and Psychotherapy.New Blood-transfusion CentreOn Aug. 7 Mr. lain Macleod, the Minister of Health, opened

the new North London Blood Transfusion Centre at Deans-brook Road, Edgware, Middlesex. The centre has beenbuilt by the North West Metropolitan Regional HospitalBoard, at a cost of £45,000, out of their normal capitalallocation. Till now the North London Blood TransfusionCentre was at New Barnet where it used a converted first-aidpost as temporary premises. Mr. Macleod made a specialappeal to young people to join the National Blood TransfusionService. If the future of the service is to be safeguarded,"he said, the younger generation must play their part toan even greater extent than they do at present." The

importance of blood-transfusion in modern medicine, headded, was shown by the steady increase in the number ofdonations, which in England and Wales had now reachedsome 600,000 a year.National Ophthalmic Treatment Board Association

This association held its 23rd meeting on July 18. It was

reported that a great deal of work has been done by themedical appointments subcommittee in dealing with appoint-ments to N.O.T.B. medical eye centres, and monthly meetingshave been necessary. After a discussion of the report of theCrook Committee, it was agreed that certain recommendationsshould be made by the representatives of the association at theOphthalmic Group Committee meeting on July 19 to ensurethat the proper functions of ophthalmic opticians were clearlydefined and to emphasise the great care needed in the com-position of the proposed General Optical Council. The reporton Future Eye Services was re-examined in the light of theCrook report, and, apart from the strengthening of two of theparagraphs, this report is being submitted unchanged to theOphthalmic Group Committee. The need for an early upwardrevision of the sight-testing fee is to be emphasised.The following is an extract from a Ministry of Health letter

in reply to a point raised by the association :"We have always advised Ophthalmic Services Committees that

there is nothing in any of the regulations made under the NationalHealth Service Acts to prevent a general medical practitionerfrom supplying a patient with the name of either an ophthalmicmedical practitioner or an ophthalmic optician provided that noattempt is made to conceal from the patient the fact that thepatient has a free choice in selecting an ophthalmic medical practi-tioner or ophthalmic optician to test his sight.

4’ As you know, the statement on the back of Form o.s.c.1 clearlyinforms the applicant that for the purpose of having his sight testedhe may present his medical recommendation to any ophthalmicmedical practitioner or to any ophthalmic optician who has under-taken to provide supplementary ophthalmic services under theKational Health Service."

Consultants’ PrescriptionsIn Northern Ireland the Hospitals Authority has decided

that consultants shall not issue prescriptions to outpatientsreferred to them by general practitioners. In a letter to

hospital management committees, described in the Irishedition of the Sunday Express (Aug. 3), the authority gives thefollowing reasons for its decision : (1) the issue of prescriptionsby consultants tends to deny the practitioner his right todecide whether he will accept the consultant’s advice ; (2) thispractice has proved wasteful ; and (3) occasionally it dis.

courages patients from visiting their doctors on return fromhospital. According to the Sunday Express, some consultantshave pointed out that the new arrangement may cause

hardship to patients coming from remote districts.

A Health Centre for Sheffield ?A further attempt is to be made to organise a health centre

in Sheffield. The proposal was turned down in 1950 by thelocal medical committee, on the ground that they could notguarantee that the centre would be fully manned by them.Last April the Ministry of Health was approached by Sheffield’stown clerk with a request to convene a conference of allinterested parties " to survey the problem anew, and withoutany reference to what has previously transpired." The citycouncil was anxious to see the scheme working, and felt thatcircumstances were now different. At the Ministry’s request,the executive council sought the comments of the localmedical committee, which asked in what way the circumstanceswere different and more favourable. The town clerk repliedthat the city council had watched later developments in

establishing health centres, some of which had been approvedby the Minister. The council hoped that the further experiencegained by the Minister might-help in Sheffield if a conferencewere convened. The local medical committee have now

expressed their willingness to take part in the conference,while not agreeing that circumstances are more favourable.The executive council has also decided to join a conference,

proposed by Sheffield regional hospital board, of representa-tives of local authorities, executive councils, and hospitalmanagement committees, to discuss coordination of all thebranches of the National Health Service.

The address of the Medical Practices Committee is now 3, DeansYard, Westminster, London, S.W.1 (tel.: Abbey 2357-5&).The British Standards Institution (24, Victoria Street, London,

S.W.1) has prepared a draft standard for theatre-stretcher trollevs(CO3318), and comments on it should reach the institutionbefore Sept. 12. A revised standard for density bottles (B.S.733:1952) has been published.

Births, Marriages, and Deaths

BIRTHSGOULDING.—On July 31, at Guy’s Hospital, London, to Molly

(nee Fowler), wife of Dr. Roy Goulding-a son.HARLAND.—On Aug. 5, at Kachhwa, India, to Dr. Grace Harland

(nee Mellows), wife of the Rev. R. P. Harland-a daughter.LORD.-On Aug. 7, at the County Infirmary, Louth, to Reda (née

Williamson), wife of Dr. W. J. H. Lord-a son.MARRACK.—On Aug. 2, at the London Hospital, to Pat (née

Franklin), wife of Dr. David Marrack-a daughter.NORMAN.-On Aug. 7, at 27, Welbeck Street, London, to Elisabeth

(nee Roosegaarde Bisschop), wife of Dr. A. P. Norman-a son.

STEIN .-On Aug. 5, at Old Court Clinic, W.5, to Lore (neeRachwalsky), wife of Mr. Gerard Stein, F.R.C.s.-a son.

MARRIAGESABERNETHY—DENNIS.—On July 25, Barclay Chivas AbernethY,

M.B., of Aberdeen, to Isobel Ellen Dennis, M.s.R., of Aberdeen.BUTCHER—BORDER.—On Aug. 9, at West Wickham, Kent,

Anthony Sidney Fairbank Butcher, M.B., to Peggy ElizabethBorder, s.R.N.

CAMERON—BURG.—On Aug. 2, at Braunton, Devon, MichaelCameron, M.B., to Enid Mary Burge. -

MEASDAY—RANDALL.—On Aug. 9, at Woldingham, Surrey, BrianMeasday, M.B., to Jean Margaret Randall, M.B.

DEATHSBANNISTER.—On Aug. 5, at Morwenna, Lidden, Penzance.

Marmaduke Bannister, M.D. Lond., formerly of Blackburn,aged 86.

GRUNBAUM.—On Aug. 2, Lionel Grunbaum, M.A., M.B.CMnb..M.R.C.P., of Clifton Hill, London, N.W.8.

LEE.-On Aug. 9, at Muswell Hill, William Edward Lee, M.D. Lond.,F.R.c.s., aged 81.

MCWHAN.—On Aug. 6, at Cheeklaw House, Duns, Berwickshire,Andrew Alexander McWhan, M.B., B.sc. Glasg., D.P.H.

MUNRO.—On Aug. 4, at Denham Leys, Quainton, Bucks, JohnDouglas Ross Munro, M.D. Edin., aged 82, late of Nantmch,Cheshire.


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