CENTRAL HEALTH SERVICES COUNCIL

CENTRAL HEALTH SERVICES COUNCIL

1117 Dr. F. S. COOKSEY (London) expressed his concern at the shortage of physiotherapists, a shortage reflected in other fields such as nursing and sc...

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1117 Dr. F. S. COOKSEY (London) expressed his concern at the shortage of physiotherapists, a shortage reflected in other fields such as nursing and school-teaching. Unless a lowering of the standards of training for physiotherapists was to be accepted (a suggestion firmly rejected by many later speakers), there would have to be a continual economy in the prescription of treatment. Dr. Cooksey made a plea for a firm integration of the medicine practised in the physical-medicine department with other hospital services and with the local-authority services and general practitioners.

GENERAL MEDICAL COUNCIL

IN a presidential address at the opening of the council’s 190th session on May 24, Sir David Campbell referred to the use in the British Pharrrzacopceia of the apothecaries system of measurement. The Pharmacopoeia Commission had recommended that a definite decision should now be taken to discontinue the use of the apothecaries system in the British Pharmacopoeia of 1963. Nearly two and a half years had passed since it had become compulsory for every newly qualified man and woman to serve for twelve months as a house-officer before full registration. Similar requirements had already been Dr. C. J. S. O’MALLEY (Watford) stressed the imporin existence in South Africa and most of the provinces of tance of the remedial gymnast in the rehabilitation team Canada, while in New Zealand the introduction of such of doctor, physiotherapist, occupational therapist, and Since was synchronised with our own. social arrangements worker. Dr. R. W. WINDLE (Brighton) qualified stated that mobile centres did not go far to meet the need that time provision had also been made in Hong-Kong, Singapore, and Malaya for the introduction of correfor the peripheral centres in the provinces envisaged by requirements with effect from Jan. 1, 1953. for sponding the number of patients that could be treated Dr. Fell, A start had now been made in introducing similar He and other speakers mentioned the was so small. in Australia. In New South Wales the apparent ignorance of many members of the profession arrangements had been brought into effect as from and lay committees of the proper function of the qualified requirements This would of course mean that 1954. November, and Dr. his department. physical-medicine specialist FRANCIS BACH (London) suggested that joint consulta- practitioners from this country who wished to practise in New South Wales would be asked to produce evidence tion clinics with the neurologist, orthopaedic surgeon, and their experience before they could be registered there. geriatrician went a long way to solve some of the prob- of The New South Wales authorities would not require such lems involved in the efficient decentralisation of open evidence of practitioners who were fully registered here physical-medicine departments. before Nov. 10, 1954. The means provided by the Medical Acts to enable the Local Hydrocortisone by Injection to be kept correct were simple but somewhat Register Dr. J. H. CYRIAX (London) drew attention to the great drastic. The Acts authorised the registrars to write to importance of accurate anatomical localisation of soft- any registered medical practitioner at his registered tissue lesions for the effective use of hydrocortisone, and address to inquire whether he had ceased to practise or he discussed the diagnostic principles concerned. had changed his residence. If no answer was returned to this letter within six months, it became lawful to erase Dr. P. Hu3fE KENDALL (London), discussing the results obtained at Guy’s Hospital, said that in selected cases of the name of the practitioner from the Register. Since 1951 letters had been sent to approximately 50,000 rheumatoid arthritis it had been confirmed that the practitioners. 2659 were untraced and their names were hormone’s chief value appeared to be the production of eventually erased. In the past four years 309 names a remission sufficient to permit more active physiotherapy erased in this way had been restored to the Register. than would previously have been possible. In osteoThe President invited each member of the profession to arthritis hydrocortisone had been of use only in the early ensure that the registered address was correct and afforded case or where symptoms had been aggravated by recent means of communication with him. injury. In acute rotator-cuff lesions of the shoulder, a trustworthy the session the council would be discussing the During results had been good, but the effect on the " frozen medical curriculum. Possibly the council’s recomshoulder " was usually disappointing. Various softmendations had acquired the force of regulations and tissue lesions such as tennis and golfer’s elbow, plantar had thus come to have a restrictive effect on the diversity, fasciitis, De Quervain’s syndrome, and tenosynovitis had and of universities and medical freedom, responsibilities well. In acute articular traumatic effusions responded schools. The President hoped that the council would serious or bone uncomplicated by ligamentous injury, the results were often dramatic even in the presence of’ consider appointing a curriculum committee to consider hoemarthrosis, where hyaluronidase was combined with the whole matter. hydrocortisone after aspiration. CENTRAL HEALTH SERVICES COUNCIL Other speakers described the economic importance of THE Minister of Health has appointed or reappointed hydrocortisone in terms of time saved by patients and the following doctors to the council and standing advisory alike, but they suggested that the neces- committees for the period ending March 31, 1958 : sary associated methods of rehabilitation should not be

physiotherapists forgotten.

The programme included three short films. Dr. Bach introduced one called Grip on the Nation, which had been made for the British Rheumatism Association for exhibition to the public and was concerned with the ‘prevention and treatment of rheumatism. Treatment at hospital, spa, and peripheral clinics, as well as at home, was briefly yet clearly outlined. The second film, NeuroTauscular Transmission in Myasthenia Gravis, was introduced by Dr. Richardson and had been made m colour for presentation at the American Congress on Myasthenia. An animated cartoon was used to demonstrate what happened at the neuromuscular junction during different types of block. Infantile Cerebral Palsy, introduced by Dr. W. F. Durrxnn2 (London), consisted of parts of three separate films, the result of work done by Dr. Dunham in conjunction with Mrs. Eirene Collis, and it demonstrated normal and abnormal reflexes in babies. ’

Central Health Services Co2c7zcil * Sir Stanford Cade, Sir Henry W. P. H. Sheldon, * S. Wand.

Cohen, Prof.

A. J.

Lewis,

Standing Advisory Committees Medical.-* Sir Stanford Cade, Sir Henry Cohen, Prof. A. J. Lewis, H. M. C. Macaulay, W. P. H. Sheldon, * Stanley Thomas, S. Wand. Dental.-Prof. M. A. Rushton, Prof. F. C. Wilkinson. Pharmaceutical.-P. J. Gibbons. Ophthalmic.-Macdonald Critchley, 0. G. Morgan. C. W. Nixon. Maternity and Midwifery.-* Prof. W. Mental Health.-N. H. M. Burke, * T. M. Cuthbert, Prof. A. J. Lewis, * C. A. H. Watts (until March 31, 1956). Denis Williams ; one vacancy. Tuberculosis.-P. M. D’ Arcy Hart, Peter Kerley ; one vacancy. Cancer and Radiotherapy.-Sir Stanford Cade, Sir Ernest Rock Carling, Sir Henry Cohen, Sir Charles Dodds, T-.B..S., Prof. J. S. Mitchell, F.R.s., V. E. Negus, * Sir Clement Price Thomas (until March 31, 1957). * New member.