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Mr. HALL : Would not the Secretary of State agree that thereis a great deal of indignation among Service medical officers atwhat they regard as very shabby treatment by the Government ?Does he not also agree that this decision will not only have an ad-verse effect on recruitment, but will also encourage medicalofficers to leave the Services as soon as they can leave withoutincurring financial liability ?-Mr. HEALEY : Of course, I knowthat the application of the prices and incomes policy is resentedand regretted by many sections of the community, but I do notbelieve that there is any chance of that policy succeeding unlessit is universally applied. For that reason, althbugh there may beunfortunate effects from the application of the policy, it is rightto apply it uniformly all round.

Hospital Facilities for Retired ConsultantsMr. L. A. PAVITT asked the Minister of Health if consultants

who had retired from National Health Service engagementswere permitted to use services, diagnostic equipment, andmaterials purchased by the hospital for their private patients;and what advice was given to hospital administrators in thismatter.-Mr. ROBINSON replied: Retired consultants who holdhonorary contracts may treat their private patients in NationalHealth Service hospitals in accordance with section 5(2) of theNational Health Service Act, 1946. Such patients pay theappropriate charges to the hospital for accommodation andservices provided.

Funds Held by London Teaching HospitalsIn answer to a question Mr. ROBINSON said that the totals

of the funds and investments held by the 26 teaching hospitalsin London at March 31, 1966, were as follows:

Public Health

Deaths from Cancer in 1966LAST year in England and Wales, according to provisional

figures,1 the death-rates from all forms of cancer were 2503 per1,000,000 population for males and 2009 for females; in 1965the rates were 2474 and 1992. The death-rate for cancer of thelung rose for men from 957 per 1,000,000 population in 1965to 966 in 1966, and for women from 170 to 179-an increaseof 9 per 1,000,000 for both sexes. The rate of increase was

practically the same for women as in the previous year, butthere was a slowing in the rate of increase for men, the malerate having been 25 per 1,000,000 higher in 1965 than in 1964.Male deaths from all forms of cancer in 1966 totalled 58,565,of which 22,606 (just under 39%) were certified as due tocancer of the lung. Of a total of 49,577 female deaths fromcancer, 4413 (9%) were ascribed to this cause.1. Registrar General’s weekly return no. 14, 1967. H.M. Stationery Office.

2s.

Notes and News

LONDON REGIONAL-BOARD HOSPITALS ASTEACHING HOSPITALS

THE Minister of Health is being asked to add four hospitalsat present administered by the North West MetropolitanRegional Hospital Board to teaching-hospital groups. It is

proposed that Paddington General Hospital should be added toSt. Mary’s Hospital; National Temperance Hospital to Univer-sity College Hospital; and New End Hospital, Hampstead, andCoppetts Wood Hospital, Muswell Hill, to the Royal FreeHospital. The object of these transfers is that the teachinghospitals shall have enough beds for teaching undergraduates.The existing arrangements for medical students from theMiddlesex Hospital to be taught at Central Middlesex Hospital,and for those from University College Hospital to be taught atWhittington Hospital, are to be extended. Teaching facilitiesfor medical students from the Royal Free Hospital are to beintroduced at the Royal Northern Hospital. If the Minister

approves the proposed transfers of hospitals, the teaching-hospital groups will take over " ultimate district responsibility "from the regional hospital board for certain areas. There willat first be exceptions for certain illnesses (e.g., mental illness)where the teaching hospitals do not yet have adequate resources,but eventually the teaching hospitals will provide a completeservice and accept complete responsibility.The present arrangements for postgraduate medical students

from Hammersmith Hospital to gain experience at St. Charles’sHospital, North Kensington, are to be continued and extended;and Hammersmith Hospital will assist St. Charles’s Hospital tocarry out its district responsibility.These proposals, which have been approved by the regional

hospital board, were made by the Joint Consultative Com-mittee for Inner London Hospitals in the Region. This com-mittee consists of representatives of the regional hospitalboard, the teaching hospitals, the University of London, theInner London Executive Council, and the London BoroughsAssociation.1

NEW CENTRE FOR PRIMATE RESEARCH

PSYCHOLOGY is sometimes said to bridge the gap between thearts and the sciences. In Britain, unhappily, this is far fromtrue. The experimental psychologists tend to concern them-selves with the perceptual and learning systems of the brain,which are amenable to objective (and often quantitative)investigation, whereas the woolly world of human emotion haslong been considered the realm of the social psychologists,whose approach is essentially subjective. Such a dichotomy isto be deplored, and the activities planned for the PrimateBehavioural Research Centre at the Institute of Psychiatry,which is to be opened next Monday, should help to bring abouta rapprochement that is long overdue. The centre has beeriset up specifically for the experimental investigation ofbehavioural mechanisms in subhuman primates which haverelevance for human behaviour. Dr. R. P. Michael, thedirector of the new centre, describes its broad aims as the studyof the physiology of " love " and " hate " mechanisms in

primates. Ethological studies in rhesus monkeys and baboonswill be prominent in the programme and will include theidentification of signals used in agonistic, grooming, and sexualbehaviour, and the effects of spacing and group structure onsexual and social dominance. Studies of this sort are vitallyimportant, for all aspects of group interaction have a bearing

Iupon the expression of that most dangerous of human instincts I- aggression. A subject which has aroused considerableinterest recently, and one that is surrounded by a good deal ofconfusion, is the part played by external chemical messengers(pheromones) in sexual behaviour in man and monkeys.Research in this largely unexplored area should sweep away a Ifew cobwebs. Monkeys are useful for psychological research Ibecause their behaviour can be viewed with a detachment not

I

1. See Fairley, J. Lancet, Feb. 11, 1967, p. 323.

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possible with human subjects. The application of techniquesinvolving the implantation of telemeters for the continuousmonitoring of electrical activity of the brain, and experimentalintervention with hormones, drugs, and neurological lesionscan confidently be expected to produce some importantcontributions to psychiatry.The primate behaviour centre is the first of its kind in the

United Kingdom, but primate behaviour has long been arespected discipline in the U.S.A., and much of the 84,000which has gone into establishing the new centre has beencontributed by the U.S. National Institute of Mental Health.The Wellcome Trust, the Bethlem-Maudsley Research Fund,and the University Grants Committee have also given generousfinancial help.

THE COMPUTER COMETH

THE computer, not the distinguished guest, dictated the paceat a ceremony at the Royal Postgraduate Medical School onApril 14. The chief medical officer of the Ministry of Healthobeyed the computer’s taped injunction " Please cut me ",typed in his surname, denied being J. B. Godber (the M.p. forGrantham), and was correctly identified as his brother, SirGeorge of that ilk; he received, from the computer, a scroll tomark his opening of the Medical Computer Centre for theschool and Hammersmith Hospital. Plans for the centre,outlined by Prof. J. D. P. Wootton, indicated that in futureman would be more in charge. Increasing requests for

laboratory work have contributed to a rapid increase in thenumber of tests carried out in Professor Wootton’s departmentof chemical pathology (26,000 in 1950, 102,000 in 1960, andabout 250,000 per annum at present), and this trend willcontinue. Indeed, with modern laboratory equipment ProfessorWootton considers the routine screening of every patient, " nomatter what his complaint ", to be feasible. Such a mass ofdata will put great strain on the arithmetic powers of laboratorystaff, on hospital records, and on interpretation; and thecentre’s N.C.R.-Elliott 4100 ’ will certainly lighten this load.Individual planning for radiation treatment-at present a

laborious, manual task-is another of the ideas for the newcentre. The financial aspects, which will be of interest to

regional boards who may be thinking of developing computersystems in their hospitals, are complex. The National Researchand Development Corporation financed the installation of theE60,000 system and Elliott Automation are to repay the loan-while servicing the computer, advising on its use, and hiringout time to outside users (at E20-E25 per hour). Another

project, which could soon have a wide application, is the planfor allowing the computer to store and " edit " patient-records : many case-records at Hammersmith Hospital havelong been unmanageable and attempts to prepare summaries atintervals in a patient’s hospital progress have not always beensuccessful.

A NOVEL REHABILITATION CENTRE

THE Wolfson Medical Rehabilitation Centre for patientsincapacitated by disease or injury of the brain admitted itsfirst patients in February. The centre, which is in the groundsof Atkinson Morley’s Hospital at Wimbledon, is to work inclose association with the department of neurosurgery ofSt. George’s Hospital; it has accommodation for 48 inpatientsand 50 day-patients. The occupational-therapy departmenthas a specially designed kitchen, bathroom, and bedroom,where patients are taught to overcome their handicaps in dealingwith everyday work in the home. They can be taught weaving,printing, and typewriting; and there is a heavy workshopequipped with lathes, fretsaws, and a wide range of hand andpower tools. The centre has three gymnasia and a walkinggallery for helping patients to regain the use of their limbs, ahydrotherapy pool, and a games room. A physiotherapydepartment and suites of consulting-rooms complete the unit.This is believed to be the first centre in this country speciallydesigned and built for this type of rehabilitation. Its establish-ment was made possible by a grant of f,250,000 from the

Wolfson Foundation, and other donations from Sir JamesMartin and the Billy Butlin Charitable Trust. The centre wasto be officially opened this week by the Duchess of Kent.

EXPANSION OF LEEDS MEDICAL SCHOOL

THE University Grants Committee has given Leeds Univer-sity Medical School E615,000 for immediate expansion so thatthe intake of students may be increased from 80 to 130 byOctober, 1970. The programme includes a new building,costing S520.000, of which more than half will be occupied bythe department of physiology and the remainder by the depart-ments of biochemistry and genetics. Space thus vacated in thepresent buildings will be used to expand the departments ofanatomy and pharmacology, the medical library, the schooladministration, and student common rooms.

Sir Roger Stevens, the vice-chancellor, announcing the newscheme, said that the long-term plan for a new medical centredepended on the complete rebuilding of the Leeds GeneralInfirmary. Meanwhile the interim plan would provide additionalpreclinical facilities which must be matched by an increase inclinical teaching, and extra facilities for this would be providedat St. James’s Hospital, where new building plans were alreadyapproved. The long-term scheme remained a " prominentfeature of the development programme ".

University of LondonThe title of professor of anaesthesia has been conferred on

Dr. B. R. Simpson, in respect of his post at the LondonHospital Medical College.

Professor Simpson, who is 44, was educated at Queen Elizabeth’sSchool, Barnet, and the London Hospital Medical College. After

qualifying in 1949 he held house-

appointments there, and subsequentlytook up anaathetic appointments inthe Nuffield department of anxs-thetics at Oxford, before becoming aNuffield research assistant in the

University of Oxford. During 1961-1962 he was assistant professor ofanaesthesia at McGill University. Hetook up his present appointment asconsultant anaesthetist to the LondonHospital in 1963. He took the D.OBST.in 1951 and the D.A. in 1955. He waselected F.F.A. R.C.S. in 1958, and thedegree of D.PHIL. Oxon. was con-

ferred on him in 1965. His publishedwork includes papers on the cerebraleffects of anaesthesia on old people,intensive therapy, the treatment of postoperative pain and theprevention of postoperative pulmonary complications, the relation-ship between cardiac output and body-size, and the effects ofanaesthetic agents on an isolated canine-liver perfusion preparation.

University of Newcastle upon TyneMr. L. B. Fleming has been appointed reader in surgery,

Dr. C. B. Ferry senior lecturer in pharmacology, and Dr. J. H.Walker senior lecturer in public health.

Royal College of Surgeons of EnglandProf. Erik Husfeldt, of Copenhagen, Prof. Fritz Linder, of

Heidelberg, and Prof. Francis D. Moore, of Harvard MedicalSchool have been admitted to the honorary fellowship. SirArthur Porritt has been admitted to the court of patrons andto the honorary fellowship in the faculty of anaesthetists. Dr.W. D. Wylie has been elected dean and Dr. C. F. Scurr vice-dean of the faculty of anaesthetists.The following prizes and medals have been awarded:John Hunter medal and prize for 1964-66 to Prof. J. M. Yoffey;

Jacksonian prize to Mr. Rodney Sweetnam; Colyer gold medals toSir Robert Bradlaw and Prof. M. A. Rushton; James Berry prize for1964-66 to Prof. J. P. Shillingford; Victor Bonney prize for 1964-66to Mr. S. A. Way; Hallett prizes to Dr. C. G. C. Gaches and Dr.K. C. Markwick.

The following were elected fellows without examination:Prof. H. A. Harris, Dr. E. C. Zorab, Surgeon Captain G. S. Irvine,

Dr. M. Damanski, Dr. Thomas Lodge, and Dr. M. Vitali.

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The following were elected fellows in the faculty ofanxsthetists without examination:

Dr. Mary T. Burnell, Prof. M. S. Chayen, Dr. Eric Courtin,Dr. L. T. Shea, Prof. Pritam Singh.A diploma of fellowship was granted to A. K. Anand and a

diploma of fellowship in the faculty of anxsthetists to A. Gupta.A diploma of membership was granted to M. I. H. Kassim.The following diplomas were granted, jointly with the Royal

College of Physicians:D.A.-J. D. Henville.D.P.M.-P. V. Hunt, A. Liakos.D.I.H.-W. F. Dummer.D.O.-Bidhan Prokash Acharyya, Roland Enyina Asobie, B. F. Beveridge,

Vinayak Ramchandra Bhalerao, Yacoob Gulam Mohamed Bham, KhalidMaqsood Chaudhry, Hector Bryson Chawla, Maqbool Ahmad Cheema,Honora Clemesha, W. E. Clifford-Jones, Christos Frangoulis, KrishanChandra Gupta, Rajendra Gupta, John Chrysostom Gwasaze, W. J.Heffernan, J. B. M. Holroyd, Nasir Uddin Humayun, Syed Anwar Hussain,D. V. Ingram, Deirdre M. Lee-Own, R. J. Marsh, P. L. Meyer, ElisabethA. W. Millis, G. J. T. Moore, J. G. Muir, Atul Narain, Jennifer S. E.Neil-Dwyer, D. A. Owen, Indreshwar Narain Raizada, Muhammad KhalilRana, Ronald Thuraisingam Rasanayagam, M. G. Ross, Ain GunnarSaareste, Carmela Sarvesvaran, Shri Niwas Sharma, J. R. Strong, GhulamHussain Surhio, C. J. Tallents, Giinther Hans Joachim Teichler, Man KinWang, H. P. Williams, Ying Fai Yung.D.M.R.D.-Husham Hassan Abboudi, Moukhtar Bohsali, G. C. Boyes,

Gert Stephanus Buitendag, P. R. Camm, J. M. C. Davies, WickramasuriyaJayawardena Kirikankanange Merl Methsiri De Silva, Sidney Gentin,M. D. Greenhill, Kwang Mui Kho, I. A. Kirk, J. C. Kotze, J. D. Laird,Jeanette Li, M. J. Lipton, Panayotes Makrides, Solly Manasewitz, MusaMuhammed Musa Mouti, P. D. Mowat, Rahman Muksuder, M. NasimUddin, P. J. O’Sullivan, J. G. Paterson, Prabhat Shankar Rastogi, ArminEgon Schrader, P. G. Small, J. S. Soutar, B. S. Torrance, D. W. C. Watt.D.M.R. T.-Abdul Wahab Mohammed Hasan Al-Kurwi, Brojeswar Basu,

Rabindra Nath Das, Kamalaldin Dehshiri, Mahmoud Zaky Enan, DorothyR. Gordon, S. R. Harris, H. M. Jones, Ghulam Mohammed Memon,G. A. ’Paraskevas, Digambar Vinayak Prabhu, R. D. H. Ryall, BehramMerwanji Sethna, Kishen Shanker.D.Phys.Med.-Hasan Majeed Al-Haris, Abdul Hamid-Rashid

Al-Tikriti, W. J. Cahill, L. J. Goldfine, J. D. Jessop, E. H. Kerkin, J. G. P.Williams.D.T.M. & H.-N. J. M. Bebb, P. J. Blackburn, Alan Broughton, A. P.

Grimbly, Bashir Ahmad Memon, M. A. P. Naughton, Amalendu Roy.D.C.H.-Aida H. Abdou, Munawar Ahmad, Patricia Ainsworth, Abiola

Olusegun Ajayi, Abdulla Al Raschied, Dabaye Atieke Amaso, H. A.

Armstrong, Jacqueline R. Ashby, Kalim-Ud-Din Aziz, J. G. Baker,I. A. H. Barker, D. G. Barton, A. G. Boohene, Judith D. Brown, W. B. B.Buie, Caroline A. M. Cargill, G. G. V. Cawley, A. P. Cole, Nicola M.Connolly, N. E. Corbett-Jones, Rajpal Kumar De Silva, Muriel A. Filer,Sebastian Freudenberg, Cynthia M. Gabriel, J. R. T. Gabriel, MichaelGotnall, Anita J. Greatrex, Jane Hargreaves, Rosalind M. Hensel, John Hood,Hazra Ismail, Norma A. Johnson, Chulani Tissa Kappagoda, SamsonBukulubuzibu Tirusonidha Kintu, Sylvia E. Lawson, Ann M. Lewis,B. W. Lewis, Wai Ying Lui, Margaret G. McDermott, Suresh ChandraDolatrai Mehta, Sheikh Muhammad Moinuddin, S. J. Mount, K. A. Naylor,Manel Padmini Panditharatne, Navaratnam Paramaesvaran, M. G. 0.Parrish, Farouk Partow, Chandrakant Prabhudas Patel. Isabel M. S. Price,A. C. Robertson, J. C. Robertson, Ramesh Kumar Sachdeva, Mary C.Sanderson, Georghios Christou Sawa, R. T. Shipman, C. H. Smith,Diana Smith, C. N. Storrs, Shyan-Chu Sun, Naranjan Singh Surdhar,R. M. Sykes, Kim Leong Tan, Margaret A. Thomson, Pamela M. Thwaites,Cuthbert Tamunoowunari Wari Toby, Edith M. Wheeler, Elizabeth McC.White, Judith A. Wilson, Chap Yung Yeung, Paul Cheung Kong Yue.

Family Planning AssociationLord Florey has become president of this Association in

succession to the late Lord Brain.

Fourth Conference on Dental AnaesthesiaThis conference is to be held at the Institute of Dental

Surgery, Eastman Dental Hospital, Gray’s Inn Road, LondonW.C.1, on Thursday and Friday, June 8 and 9. Tickets maybe had from the secretary of the conference at the Institute.

Dr. J. R. Hampton has been awarded a Radcliffe travellingfellowship.

Dr. D. Stark Murray has been awarded one of the NATO researchfellowships for 1967-68. He is to study medical care in the Atlanticcommunity.An anxsthetic teaching meeting will be held at the Royal Post-

graduate Medical School, Ducane Road, London W.12, on Saturday,April 29, at 9.30 A.M. The subject will be anaesthesia for neurosurgery.

CORRIGENDUM. Radiation Therapy in Chronic GranulocyticLM<sMM.&mdash;We regret that in the letter by Dr. Korbitz and Dr.Reiquam (April 8, p. 794) the penultimate sentence duplicated,erroneously, an earlier sentence.

Diary of the Week

APRIL 23 To 29Monday, 24thROYAL POSTGRADUATE MEDICAL SCHOOL, Ducane Road, London W.12

4 P.M. Prof. R. B. McDonnell: Genetics in Gastrointestinal Disorders.POSTGRADUATE MEDICINE 1967

11.19 P.M. (Grampian Television) and 11.22 P.M. (Scottish Television):Diagnostic Techniques in Neurology.

MANCHESTER MEDICAL SOCIETY9 P.M. General Practice. Prof. W. I. N. Kessel: Alcoholism.

Tuesday, 25thROYAL POSTGRADUATE MEDICAL SCHOOL

4 P.M. Prof. R. B. Welbourn: Cushing’s Syndrome.INSTITUTE OF CHILD HEALTH, 30 Guilford Street, London W.C.1

5.30 P.M. Prof. Sergio Nordio (University of Genoa): Aspects ofVitamin-D Action.

POSTGRADUATE MEDICINE 19671.15 P.M. (Tyne Tees Television): Depression and Alcoholism.

MEDICINE TODAY1.15 P.M. (B.B.C.2) : Osteoporosis.

MANCHESTER MEDICAL SOCIETY5.30 P.M. Odontology. (Dental Hospital, Manchester.) Prof. W. A. S.

Alldritt: Repair and Regeneration of Alveolar Bone FollowingPeriodontal Treatment.

Wednesday, 26thROYAL COLLEGE OF SURGEONS OF ENGLAND, Lincoln’s Inn Fields, London

W.C.25 P.M. Mr. B. L. Dowling: Gall-bladder.

ROYAL POSTGRADUATE MEDICAL SCHOOL2 P.M. Dr. W. B. Robertson: Uterine-arterial Lesions as a Model for the

Study of Vascular Disease.INSTITUTE OF DISEASES OF THE CHEST, Brompton Hospital, London, S.W.3

5 P.M. Dr. K. M. Citron: Principles of Chemotherapy of Tuberculosis.POSTGRADUATE MEDICINE 1967

1.10 P.M. (Scottish Television): Diagnostic Techniques in Neurology.(Repeat of Monday’s programme.)

Thursday, 27thROYAL COLLEGE OF SURGEONS OF ENGLAND

5 P.M. Mr. J. B. McFarland: Clinical Place of Gastric Hypothermia.(Hunterian lecture.)

ROYAL POSTGRADUATE MEDICAL SCHOOL4 P.M. Prof. M. D. Milne: Renal Tubular Disorders.4 P.M. Dr. D. G. Melrose: Heart-lung Machines.

INSTITUTE OF DISEASES OF THE CHEST6 P.M. Dr. H. J. L. Marriott: Dysrhythmic Dilemmas.

WESTMINSTER MEDICAL SCHOOL, Horseferry Road, London S.W.15.15 P.M. Dr. P. W. M. Copeman: Porphyria.

UNIVERSITY OF ABERDEEN5 P.M. (University Medical Buildings, Foresterhill, Aberdeen.) Prof.

J. C. Goligher: Surgical Aspects of Ulcerative Colitis and Crohn’sDisease of the Large Intestine.

UNIVERSITY OF ST. ANDREWS5 P.M. (Queen’s College, Dundee.) Dr. J. M. Rushforth: Application of

Computers in Medical Science.

Friday, 28thMEDICAL SOCIETY FOR THE STUDY OF VENEREAL DISEASES, 11 Chandos

Street, London W.17.30 P.M. Dr. Thorstein Guthe (W.H.O.): Rise and Fall of Trepone-

matoses.

AppointmentsBowEs, J. B., M.B. Lond., F.F.A. R.C.S.: consultant anaesthetist, United Bristol

Hospitals and Cossham-Frenchay hospital group.CRAIG, W. S. R., B.M. Oxon., M.R.C.O.G., D.OBST.: senior registrar in obste-

trics and gynaecology, Mulago Hospital, Uganda.DE BEAUX, J. L. M., M.B. Madras, F.R.C.S., D.T.M.& H. : consultant surgeon,

Dr. Gray’s Hospital, Elgin.MoRRis, J. L., M.B. W’srand, F.F.R., D.M.R.D.: consultant radiologist, The

London Hospital.Ross RUSSELL, R. W., M.D. Cantab., D.M. Oxon., M.R.C.P.: consultant

physician (neurologist), City Road branch, Moorfields Eye Hospital,London.

SMITH, J. R., M.B. Glasg., F.R.C.S.E. : consultant surgeon, Dr. Gray’s Hospital,Elgin.

TUBBS, 0. N., M.B. Cantab.: surgical registrar, Queen Elizabeth Hospital,Barbados.

South West Metropolitan Regional Hospital Board:BpowNB, D. W., M.R.C.S., D.T.M. & H., D.P.H.: consultant venereologist,

Chichester and Graylingwell hospital group.NEwMAN, R. L., M.D. Lond.: consultant pathologist, Fountain and

Carshalton hospital group.PRovAN, D. H., M.B. St. And., D.M.R.D.: consultant radiologist, Redhill

and Netheme hospital group.