Report of the Sub-Committee on the ear, nose and throat services in the region : submitted to the Medical Advisory Committee on 25th November, 1943, and by that committee to the Berks, Bucks and Oxon Regional Hospitals Council on 3rd December, 1943.

Date:: [1943?]

Credit: Report of the Sub-Committee on the ear, nose and throat services in the region : submitted to the Medical Advisory Committee on 25th November, 1943, and by that committee to the Berks, Bucks and Oxon Regional Hospitals Council on 3rd December, 1943. Source: Wellcome Collection.

6/8 page 6

$Both undergraduate and port-graduate ophthalmic teaching is carried oat at the Oxford Eye Hospital, but at no other hospital in the region. The Oxford Eye Hospital is also the only hospital in the region where nurses may obtain the ophthalmic certificate. There are orthoptic schools at the Oxford Eye Hospital and the Royal Berkshire Hospital, Reading. PA Leer! OUTLINE OF A REGIONAL: OPHTHALMICGS SE RVICiG Before proceeding to make recommendations with regard to the development on a regional basis of the ophthalmic services of the region, it seems desirable to outline the facilities which ought to be provided in a fully integrated regional ophthalmic service. These are as follows:— 1. Consultation by appointment with an Ophthalmic Surgeon, for all categories of patients, as near as possible to their homes, so as to avoid un- necessary travelling and waiting. 2. In-patient and out-patient treatment for all categories of patients in properly equipped hospitals. | 3. School refraction clinics in suitably equipped premises, preferably organised through the Regional Centre and held in the out-patient departments of hospitals. 4. Orthoptic treatment (1.e., squint training) clinics in association with school refraction clinics. 5. Special apparatus, e.g., magnet, short-wave treatment, operative diathermy, X-ray localisation, ultra-violet light, and slit-lamps at all key hospitals. | 6. Facilities for bacteriological and pathological examinations. 7. Facilities for consultation with other departments, and for dental treatment. 8. Accurately dispensed spectacles at reasonable prices. g. Facilities for fitting and supplying artificial eyes, contact lenses, and prostheses. ro. Facilities for certification of blindness. 11. Trained almoners at all key hospitals and other hospitals where possible, adequate liaison with the National Institute for the Blind, and facilities for the education of partially sighted or blind children and adults. 12. A University Centre for both undergraduate and post-graduate study 3 of ophthalmology, in which could be held scientific meetings, and meetings for the discussion of ophthalmic matters concerning the region. 13. Facilities for research, both at the regional centre and elsewhere in the region. 14. A training school for ophthalmic nurses. 15. A training school for orthoptists. PAR arty ~ RECOMMENDATIONS. 1. Organisation on a Regional basis. The Sub-Committee recommends that the ophthalmic services of the region which at present comprise a number of separate and unrelated units, should be re-organised and extended on a regional basis. This reorganisation would be most easily realisable by the creation of a Regional Ophthalmic Centre at Oxford (The Oxford Eye Hospital), closely linked with the ophthalmic units at the key hospitals at Reading, Windsor and Aylesbury; the development of existing ophthalmic units (or the creation of new ones) at the intermediate$