Papurau Newydd Cymru

Chwiliwch 15 miliwn o erthyglau papurau newydd Cymru

Cuddio Rhestr Erthyglau

16 erthygl ar y dudalen hon

£2,000 -6 AFTER CARE " SCHEME.

Newyddion
Dyfynnu
Rhannu

£2,000 -6 AFTER CARE SCHEME. To Be Further Considered by Breconshire Committee. Protest Against Government Policy of Intimidation. At a meeting of the Breconshire Education Authority at Brecon, on Friday, an important scheme for the nursing and medical and dental treatment of school children, prepared by Dr. Bridge (late medical officer) and approved by bis successor(Dr.Colstori Williams), was pot forward by a special sob-committee. POINTS OF THE SCHEME ASSISTANT MEDICAL OFFICER, A DEN- TIST, AND NURSES REQUIRED. Dr. Bridge, dealing first with the relations that should exist between the attendance officers and a school medical servioe, recom- mended that the attendance officers should furnish weekly lists of absent children, stating cause of absence and forwarding medical certificates wbfre Bach bad been given, and that there should be visiting stations in certain areas, where attendance officers could refer children for examination by the school medical officer. Next Dr. Bridge recommended the appoint- ment of an assistant medical officer chiefly for school work, able to examine and prescribe for children with defective vision additional experience in diseases of the ear, nose, and throat would be of advantage. He suggested that the assistant officer should be allowed to assist at operations on school ohildren, e.g., operations for adenoids and tonsils. Many practitioners bad mentioned the difficulty experienced in obtaining the assistance of an anaesthetist. Although willing themselves to operate they were not able to ask a fellow practitioner to give an anesthetic without a fee. Ultimately the committee might find that the visiting centres would prove advan- tageous as clinics where such operations could be performed. Thirdly, Dr. Bridge strongly urged the appointment of a school dental surgeon. The visiting centres would again prove of ereat value as clinics where such treatment might be given. The committee would necessarily have to provide the expenses of conveyance of children to these oentres for treatment. As to the travelling expenses of the school medical officer, the doctor suggested it was most desirous to allow the actual expenses incurred, rather than a fixed sum. Should the officer not incur the full sum allowed, the loss would fall on the committee, and vice versa. It was not advised that the dental officer should undertake routine inspections of dental conditions except in the large centres of population. Having settled on a scheme of operation, it would be possible for the medical inspector to refer all suitable oases to the centres. This would reduce travelling expenses and Bave much time. Visiting centres and school clinics should be situated, as a preliminary measure, at Bryn. mawr, Ystradgynlais, Hay, Talgarth, Bniltb, and Crickhowell. The Welsh National Memorial Association bad branch dispensaries in these places, which might be conveniently used, by arrangement. As a centre for Brecon the Welsh National Memorial Association bad a very well-equipped iostitate, and failing this the medical ( ffieer's offices might temporarily be used until a further extension of the scheme of treatmeat came under consideration. For each extension Dr. Bridge recommended the r '^ability of making arrangements with the i con Infirmajv to utilise the out-patient d HfmelJt. The same arrangement might also bp found useful at the Builth Cottage Hospital. He also mentioned the advantage of X Ray treatment of ringworm, and the possibility of coming to au arrangement with the Brecon Infirmary for the use of the installation to be provided there shortly. Appliances for assistant medical officer and dentist would include instruments required in dental and eye work, and were largely initial outlays. He strongly recommended that spectacles should be provided free of cost. Two schemes for school nurses were sub- mitted. The present provision of district nurses was so limited that he bad been reluc- tantly compelled to suggest another scheme. Scheme A provided for whole-time nurses who would undertake only such other work as came within the province of work under local authorities. The Local Government Board was desirous of the County Council putting into operation the Notification of Births Act, and to carry out this Act effectively it was necessary to have a system of visiting carried cut by nurses competent to give advice on infant care and feeding, etc. It would be a great advan- tage to have nurses who would combine this work with other duties, such as that of school nurse and health visitor. It was possible to combine these duties with that of district nursing where district nurses were folly certificated and trained, and with this'in view an alternative Scheme (B) was suggested but the work of district nurses seemed to preclude visiting schools at a distance from the nursing centre. With regard to Scheme A, the provision of a proportion of tht- payment of the nurses (estimated at X80 salary and X20 expenses), depended upon the co-operation of the local authorities in providing for health visiting. Scheme B Dr. Bridge did not regard as likely to be a satisfactory one under present conditions. Nursing associations did not appear to regard with favour the work of school nursing in connection with district nursing, where funds bad to be raised by voluntary subscriptions, and seemed anxious to confine the nurses to the school or schools in the immediate neighbourhood of the place where they acted as district nurses. Whatever system of school nursing was adopted, a superintendent nurse was essential. The office should be combined with that of inspector of midwives. The present arrange- ment by which this inspection was performed by the Sooth Wales Norsing Association was not, Dr. Bridgp thought, a desirable one. The amonut paid by the County Council, £68. would g" a considerable way to provide for sacb an appointment. ESTIMATED COST OF THE SCHEME. School Medical Officer-Salary £ 333 Assistant Medical Officer-Sarary 250 School Dentist—Salary 300 Travelling Expenses of Assistant Medical Officer and Dentist 250 Tisiting Centres-Rent 35 Apparatus for Dentist and Assistant Medical Offioer 120 Appliances for School Children 50 Travelling Expenses of School Children to Centres 75 Norses under Scheme A 335 Offioe and Clerical Expenses 150 Soperintendent Nurse 75 Total £ 1,973 ALTERNATIVE. Horses under Scheme B 270 I Total £1.908 SUB-COMMITTEE'S APPROVAL. The sub-committee, in their report, stated that they were quite satisfied that one medical officer would be on able to discbarge the additional innprction work the Board of E ncation would require as from Aptil 1st, 1915, apart from actual treatment. The complete scheme was estimated to cost approximately £ 2,000, and aseuming the maximum erant of 50 per cent, was obtained, the nett cost to the county would be £ 1,000. V- The present expenditure on medical inspection was approximately PA50, so that the additional expenditure involved would be about JE550. The sub committee were confident that the scheme proposed would materially improve the attendance, and the additional grant that would result was an important factor to be considered. Whilst they realised the desirability of co-operation with the nursing associations, they agreed with the Medioal Officer that Scheme B for nursing was im- practicable at the present time. Scheme A utilised existing associations wherever possible, and did not preclude the extension of the arrangement in future. They strongly recom- mended the adoption of the Medical Officer's proposals, with Scheme A for nursing. The Chairman (Archdeacon Bevan) moved the adoption of the report and recommend- ations. He said the committee had tried to suggest such a scheme as would enable them to gain agraot of possibly 50 per cent. from the Board of Education. The scheme had been prepared by Dr. Bridge in consultation with Dr. Colston Williams, whom they oordially welcomed at that the first meeting of the Education Authority be bad attended. (Hear, bear). Dr. Williams came to Brecon in order .to go over the details, and it was on the joint responsibility, so to speak, of Dr. Bridge and Dr. Williams that these proposals were put before the sub committee. Professor Joseph Jooes seconded the motion. Mr A. Beckwith, having explained that short notice prevented his attending the meeting of the sob-committee, asked how many members of it were present when the recommendations were approved. The Secretary (Mr A Leonard) gave the names, showing that six members out of ten attended. BOARD OF EDUCATION POLICY CONDEMNED. Mr Beokwith pointed out that this was a very big question for Breconshire-an agricul- tural county already very heavily charged. This scheme, be said, would mean another heavy addition to their education expenditure. He deprecated the manner in which the matter was presented to them by the Board of Education. He believed every education authority in the county bad applied for some relief from the Imperial Exchequer in regard to the burdens of education. The Exchequer gave a grant that grant was banded over to tbe Board of Education, wbo immediately used it as c lever for making tbe local authorities spend more money. (Hear, bear). They would have to spend JE500 or f.600 more than they were spending now on the school medical service to qualify for the grant of 50 per cent. of the total expenditure to which the Chairman had referred. Thus there was no relief at all in the matter, and in view of the unfortunate position in which they were placed as an education authority, it behoved them to examine this matter very carefully. They were told that this scheme of after care would increase the average attendance at the schools. He thought that was an extremely doubtful proposition. (Hear, bear). The likelihood was that it would decrease it. In his review of the year (reported in another column) the Chairman had asked what was the good of their having a high class education if the children were not in a physical condition to make use of it. A STRONG POINT. That meant that more children would be kept away from school, because they were not physically fit for education. (Hear, hear). He would move as an amendment that the report be referred back lor further consider- ation in consultation with their new Medical Officer, and that a final report be brought up its April. There were several points in the report which should be at once eliminated, but be did cot wish to dwell on them, if the Chairman could tell them that there was no reason against delaying the final decision until April, The Rev. Rees Evans seconded the amend- ment, confessing that be had not been able to study the scheme sufficiently to vote that day. Mr Owen Price, as a member of the sub- committee, thought it would be an advantage to have the scheme well considered. He did not think that many members of the authority bad yet been able to study it thoroughly and realise the large expenditure it involved. Whether they woald get the full 50 per cent. grant was not quite clear, and there were several points that wanted clearing up, par- ticularly that relating to the employment of the nurses. POSTPONEMENT TILL APRIL. The Chairman said they were paying jE838 per annum as their share of the medical officer's salary and a faither sum for his clerk, aud obey had nut had a penny back. It they adopted a scheme which satisfied the Board of Education they would get back not only half the additional expenditure, but half their pre- sent expenditure and it was in order that they DtJbt get back half the expenditure in the present year that they were anxious not to delay this scheme too long. He did not, bow- ever, know that any great difficulty would be caused if they adjourned the matter until April. He thought the experience in Scotland did not at all bear out the suggestion that a system of this kind operated against attend- ance. The experience in that country, be believed, bad shown that where there was an effective scheme there was a marked improve- ment in attendance. (Hear, bear). Mr Beckwith Can you give the figures ? The Chairman Dr. Bridge mentioned five per cent. Mr Beckwith I mean comparative figures. ,The Chairman We can get them by April. Mr Idris Davies: Does this scheme depend upon what is done by the local aa borities ? Mr Conway Lloyd and Mr Beckwith Yes. Mr Idris Davies Is it not necessary to con- sult tbem. Mr Conway Lloyd I move that we put this scheme before the local authorities and get their opinion on it. Professor Jones seconded. It was then agreed to refer the whole report back to the special sub-committee and to con- sult the local authorities who are invited to co-operate. It was also decided to strengthen the sub committee, and Miss Adelaide Williams, Captain Partridge, and Messrs Conway Lloyd, W. S. Miller, Idris Davies, Ernest Jones, T. P. Jones, D. T. Jeffreys, H. A. Christy and Juo. Watkins were added. It was further agreed that the Chairman, the Medical Officer, and the Secretary should attend the meetings of the local authorities when the matter is considered by them, if possible.

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