960 excellent facilities and some find an interest in helping less fortunate companions; and the hospital (some buildings of which, though derelict since the 1939-45 war, were photographed by a national-newspaper as shameful examples of hospital accommodation for the elderly) gains a better reputation in the neighbourhood. Results of this kind of care are easy to assert and difficult to measure, and it is only possible to state that the club seems an important therapeutic tool and that its members, of all categories seem well satisfied. The results are achieved at little cost. The only increase in trained personnel is the club organiser. She had been an experienced organiser of old people’s clubs and without her efforts only a luncheon club might have been achieved. Trained hospital personnel-occupational therapists and physiotherapists-carry on their work elsewhere in the hospital, and their sessions in the club are limited to the day on which the day-hospital patients come. They have, however, great influence on the club’s management. Present difficulties, including insufficient transport to bring house-bound old people to the club, lack of proper day-hospital facilities, and latterly a depleted hospital portering staff, so that sufficient patients’ have not been brought from the wards, are incidental and should eventually be overcome. Basically the club is an example of cooperation between hospital and local authorities and of an economical and effective way of bringing the outside world into
hospital. St. Matthew’s Hospital, Shepherdess Walk, London N.1.
C. P. SILVER.
LISTER’S BIRTHPLACE SIR,-Why spend " a large sum "of money " (April 22, p. 901) to restore property stated to be rapidly decaying... and infested with dry rot " ? Let the house be demolished, and on the site let us have an appropriate monument as a memorial to Lister and his father. A stone column supporting a carbolic spray and a microscope would perhaps be appropriate; and the plinth could be embellished with a motif of thistles and bluebells, to recall the background to Lord Lister’s epoch-making
discovery. Department of Materia Medica and Therapeutics, The University, Glasgow W.2.
STANLEY ALSTEAD.
Appointments BOLT, G. L., M.B. Lond., M.R.C.P. : consultant physician, West Norfolk and King’s Lynn area. BAKER, H. DE C., M.D. Manc., M.C.PATH. : consultant/director in pathology, Norfolk and Norwich area. CONWAY, C. M.,M.B. Lond.,F.F.A. R.C.S.: consultant anesthetist, Westminster Hospital, London. GRAHAM, A. G., M.B. Glasg., F.R.C.S.E. : consultant urologist, Western Infirmary and Royal Hospital for Sick Children, Glasgow.
Sheffield Regional Hospital Board: BUFFIN, J. T., B.M. Oxon., F.R.C.S., D.L.O. : consultant E.N.T. surgeon, United Sheffield Hospitals and Chesterfield Royal Hospital and school clinic.
QuINN, MICHAEL, M.B. N.U.I., D.P.M. : consultant in physical medicine, Mansfield/Chesterfield area. SHEPHERD, P. D. W., M.B. Lond., D.P.M. : consultant psychiatrist, Rauceby Hospital, Sleaford. North West Metropolitan Regional Hospital Board: BRADLEY, J. W. P., B.M. Oxon., F.R.C.S.: consultant surgeon, Hillingdon
Hospital, Uxbridge and District Cottage Hospital, and Harefield Hospital. CASEY, T. A., M.CH. N.U.I., F.R.C.S., D.O.: consultant ophthalmologist, Hillingdon Hospital. COUR-PALAIS, I. J., M.CHIR. Cantab., F.R.C.S. : consultant surgeon, West Middlesex Hospital and associated hospitals. R. J., M.D. Cantab., D.M.R.T.: consultant radiotherapist, Marie DlcxsoN, Curie Unit, Mount Vernon Hospital, Northwood, and associated hospitals. GREEN, ELIZABETH A., M.B. Aberd., D.P.M. : consultant psychiatrist, Cell Barnes Hospital, St. Albans. MOYLETT, T. M., M.B. N.U.I., D.P.M. : consultant psychiatrist, Fairfield Hospital, Arlesey, and Bedford General Hospital. STAUNTON, M. D. M., M.CH. Dubl., F.R.C.S., F.R.C.S.E. : consultant surgeon, Royal London Homreopathic Hospital.
Obituary THOMAS ROWLAND HILL M.D.
Lond., F.R.C.P. Dr. Rowland Hill, physician to the West End Hospital for Neurology and Neurosurgery and a past chairman of the Central Consultants’ and Specialists’ Committee of the British Medical Association, died on April 14 at the age of 64. He qualified from Guy’s Hospital in 1926 and almost at once decided to specialise in neurology. Accordingly he became house-physician at the West End Hospital for Nervous Diseases, and later he was clinical assistant to Dr. C. WorsterDrought both at the West End Hospital and in the neurological department of the Metropolitan Hospital. Afterwards Rowland Hill was appointed medical registrar to the postencephalitic unit of the London County Council at the, then, Northern Hospital. There, in collaboration with Dr. Worster-Drought, who was consultant to the unit, he published several papers on aspects of chronic encephalitis, including one on the treatment of encephalitic parkinsonism with dried extracts of stramonium and other preparations. In due course Rowland Hill was elected to the staffs of the West End Hospital, the Southend General Hospital, the Royal Eye Hospital, King George’s Hospital, Ilford, Oldchurch Hospital, Romford, and Runwell Hospital. His later published work included papers on the diagnosis of spinal injuries, trigeminal neuropathy, and progressive motor neuropathy. During the 1939-45 war he served with the R.A.M.C. in West Africa. With his neurological hospital work and practice he managed to combine a great deal of medicopolitical work. He was a member of the Central Consultants’ and Specialists’ Committee of the B.M.A. from 1948 to 1966, and he was its chairman from 1950 to 1954. An original member of the Joint Consultants’ Committee, he was its vice-chairman from 1951 to 1966. During these years, he was a member of the staff side of Medical Whitley Committee B. He sat on the North East Metropolitan Regional Hospital Board from its inception, and he was chairman of the region’s consultants’ and specialists’ committee. He was also a member of the Committee on the Control of Medical Manpower (1950-55) and of the Platt Working Party on Medical Staffing in the Hospital Service
(1958-61). In 1942 Dr. Rowland Hill married S.R.N., who survives him.
G. C. K. has
sent
the
Janet Sybil Cumming,
following personal lines :
"
Those who were closest to Rowland Hill knew him as a man of humour and of courage. A deep interest in music and literature, a liberal tradition and outlook were leading characteristics. Widely read and witty, he could be an amusing companion. His courage was considerable, and he battled for years against a serious illness, unsparing of self in his efforts to serve the interests of his profession ".
A. T. R. writes of Rowland’s Hill’s work: He first "
medicopolitical
the fore in B.M.A. affairs in 1948 when he honorary secretary of the section of neurology and psychiatry at the Association’s annual meeting. This was a time when the hospitals, voluntary, teaching, and municipal alike, were being absorbed into a single National Health Service. No effective machinery existed for negotiation between consultants and hospital authorities, and ways of seeking and representing consultant opinion had to be sought. Rowland Hill was prominent throughout this formative period, and he was instrumental in negotiating the establishment of the Joint Consultants’ Committee. In all the committees on which he sat Rowland Hill was concerned not only with maintaining high professional standards for established consultants, but also with improving the lot of the more junior members of the hospital
was
came to