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374 Sooner or later we must stop being magpies. Standardisation of form design is a relatively minor matter; curiously enough, one of the most interesting parts of the Walker Report- Appendix B: Methods of Filing-has been ignored. J. H. MITCHELL Director, Medical Records Research Group, University of Glasgow. Ruchill Hospital, Glasgow N.W. SPECIALIST MEDICINE IN THE E.E.C. SIR,-Is it true, as Mr. Hendry implies in the footnote to his article last week (p. 299), that neurology is not recognised as a specialty in any of the six countries of the European Community ? JOHN PENMAN. London S.W.20. ’,‘ This letter has been shown to Mr. Hendry, who writes as follows : " The list given in my article, which omits neurology, is the most up-to-date one available. Agreement by the E.E.C. to the recommended training-periods for recognised specialties is now being sought. This, however, does not preclude the emergence of other recognised specialties."-ED. L. PSYCHIATRIC BEDS 1’JYC:H1A-1-ltlC; HHUS SIR,-I wholeheartedly support Dr. Watt (July 29, p. 263) and Dr. Parnell (last week, p. 304) in their request for a reappraisal for the need for beds in psychiatric hospitals. We need to know now the situation at December, 1966, because it is very probable that the situation is changing. It is a fact that the decrease in the 1954 population is gradually slowing down. Of the patients admitted to this hospital up to December, 1953, and still resident in 1967, we had 673 (383 males, 290 females) in December, 1954, and 488 (284 males, 204 females) in December, 1959, a reduction of 185 (27%); in June, 1967, we had 369 patients (205 males, 164 females), a further reduction of 119 (24%). It would appear that we are losing about 25% of this population every five or six years. (This 25% of course refers to the numbers at the beginning of each five-year period and not to the original numbers present.) It seems to me that this is where Tooth and Brooke went wrong in their forecast. We would expect to have over 270 of this population in 1970 and not none as they forecast in 1961. In addition we are accumulating long-stay patients at the rate of about 30 a year- i.e., of patients admitted in 1960 to December, 1965, we have still resident at July, 1967, 177 (61 males, 116 females). Our hospital population is now almost exactly the same as at 1954, fluctuating around 830, having increased from a low point of 768 in 1959. I see little hope of improvement in the next ten or fifteen years; the overcrowding remains the same as before-20-30% in some wards. We will still not have spaces to put lockers between the beds in some wards. The pressure on accommo- dation has never been so great in my experience, and on occasion elderly senile patients have had to be refused admission because of lack of accommodation. J. J. JUSTICE. St. Mary’s Hospital, Stannington, Morpeth, Northumberland. TRIC THROATS SIR,-Routine throat and eye swabs were taken from 100 European patients with signs and symptoms of trachoma inclusion conjunctivitis (TRIC) of the tarsal conjunctiva. Swabs were cultured at the South African Institute for Medical Research under the direction of Dr. J. H. S. Gear: there were positive cultures from the eye in 31, and from the throat in 23 (with overlap in 12). With few exceptions " virus " was noted after the first passage, thus lessening any possibility that there had been cross-infection. J. GRAHAM SCOTT. Johannesburg. Obituary Mr. SOMERVILLE HASTINGS C.W.B. writes: "Within twelve months of its foundation in 1930, the Socialist Medical Association, of which Somerville Hastings was the first president, affiliated to the Labour Party, and for many years he was the Association’s delegate to the party’s annual conference. At Leicester in 1932 he moved a successful resolution calling for the establishment of a State medical service, and two years later at Southport unanimous approval was given to a motion which became the party’s official policy on a national health service, and which arose from the report of a special committee of which Hastings was a member. When I convened the Spanish Medical Aid Committee, he became vice-chairman, and rendered me invaluable assistance. " He was country born and bred and he loved everything that only the country can provide. He lived simply, but got tremendous satisfaction from flowers, trees, and birds. He was an acknowledged expert on Alpine plants and edible fungi, and I always enjoyed enormously the many weekends I spent with him at his country home on Peppard Common, near Henley- on-Thames, where one found family life at its very best. His wife had just relinquished her chairmanship of the committee of Mile End Hospital, to which she had given a quarter of a century of devoted service, when she died while on holiday in Switzerland. He accepted the position with amazing fortitude, but his family insisted that he should always make his home with them at Peppard, where, despite increasing blindness, he spent in great happiness the remainder of his long life." A memorial service for Sir Eardley Holland will be held at Chichester Cathedral on Wednesday, Aug. 16, at 2.30 P.M. Appointments ANDERSON, D. J. W., M.B. Wales, D.P.H. : deputy M.O.H., deputy principal school M.o., and deputy port M.o., Cardiff. LAINE, J. B., M.B. Lpool, F.R.C.S., F.R.C.S.E. : consultant general surgeon, Wrexham, Powys, and Mawddach hospital group, based at Maelor General Hospital, Wrexham. LUDMAN, HAROLD, M.B. Cantab., F.R.C.S. : consultant surgeon in neuro- otology, National Hospital, Queen Square, London. SARGINSON, JOHN, M.B. Durh., D.P.H. : senior M.o., Leicestershire. South Western Regional Hospital Board: BARTON, J. R. S., M.B. Lond., F.R.C.S.E., D.o.: consultant ophthalmologist, South Somerset clinical area. KENNEY, J. G., M.B., B.sc. Lond., D.M.R.D.: consultant radiologist, South Somerset clinical area. MIDDLETON, G. D., M.B. Durh., M.R.C.P. : consultant physician, Devon and Exeter clinical area (Torquay). Manchester Regional Hospital Board: ASHWORTH, ARNOLD, M.B. Manc., F.R.C.S. : consultant urologist, South Manchester hospital group. BATH, J. C. J. L., M.B., B.sc. Edin., M.R.C.P.E.: consultant physician, Bolton and district hospital group. BROWN, W. G., M.B., B.sc. Wales, M.C.PATH. : consultant pathologist, North Manchester hospital group. GLOVER, F. R., M.c., M.B. Lond., D.P.H. : consultant geriatric physician, Bury and Rossendale hospital group. GRUNDY, W. R., M.B. St. And., D.M.R.D.: consultant radiologist, South Cheshire hospital group. SHAW, E. A., M.B. Edin., F.F.A. R.c.s., D.OBST.: consultant anxsthetist, Salford hospital group. WATSON, KATHLEEN M., M.B. Lond., F.F.A. R.C.S. : consultant anxsthetist, Oldham and district hospital group. North West Metropolitan Regional Hospital Board: KREEL, Louis, M.B. W’srand, M.R.C.P., F.F.R. : consultant radiologist, District Hospital and clinical research centre, Northwick Park. MCCLURE, J. L., M.B. Lond., M.R.C.P., D.P.M.: consultant psychiatrist, St. Bernard’s Hospital, Southall, and Ashford Hospital. UROUHART, R. P. M., M.B. Edin., D.P.M. : consultant child psychiatrist, Uxbridge child guidance clinic, Hayes child guidance clinic, and Hillingdon Hospital. WESTBURY, HARRY, M.B. Lond., M.R.C.P., F.F.R.: consultant radiologist, Harefield Hospital and Mount Vernon Hospital, Northwood.

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374

Sooner or later we must stop being magpies. Standardisationof form design is a relatively minor matter; curiously enough,one of the most interesting parts of the Walker Report-Appendix B: Methods of Filing-has been ignored.

J. H. MITCHELLDirector,

Medical Records Research Group,University of Glasgow.

Ruchill Hospital,Glasgow N.W.

SPECIALIST MEDICINE IN THE E.E.C.

SIR,-Is it true, as Mr. Hendry implies in the footnote to hisarticle last week (p. 299), that neurology is not recognised asa specialty in any of the six countries of the EuropeanCommunity ?

JOHN PENMAN.London S.W.20.

’,‘ This letter has been shown to Mr. Hendry, who writesas follows : " The list given in my article, which omits neurology,is the most up-to-date one available. Agreement by the E.E.C.to the recommended training-periods for recognised specialtiesis now being sought. This, however, does not preclude theemergence of other recognised specialties."-ED. L.

PSYCHIATRIC BEDS1’JYC:H1A-1-ltlC; HHUS

SIR,-I wholeheartedly support Dr. Watt (July 29, p. 263)and Dr. Parnell (last week, p. 304) in their request for a

reappraisal for the need for beds in psychiatric hospitals. Weneed to know now the situation at December, 1966, becauseit is very probable that the situation is changing. It is a factthat the decrease in the 1954 population is gradually slowingdown. Of the patients admitted to this hospital up to December,1953, and still resident in 1967, we had 673 (383 males, 290females) in December, 1954, and 488 (284 males, 204 females) inDecember, 1959, a reduction of 185 (27%); in June, 1967, wehad 369 patients (205 males, 164 females), a further reductionof 119 (24%). It would appear that we are losing about 25%of this population every five or six years. (This 25% of courserefers to the numbers at the beginning of each five-year periodand not to the original numbers present.) It seems to me thatthis is where Tooth and Brooke went wrong in their forecast.We would expect to have over 270 of this population in 1970and not none as they forecast in 1961. In addition we are

accumulating long-stay patients at the rate of about 30 a year-i.e., of patients admitted in 1960 to December, 1965, we havestill resident at July, 1967, 177 (61 males, 116 females). Our

hospital population is now almost exactly the same as at 1954,fluctuating around 830, having increased from a low point of768 in 1959.

I see little hope of improvement in the next ten or fifteenyears; the overcrowding remains the same as before-20-30%in some wards. We will still not have spaces to put lockersbetween the beds in some wards. The pressure on accommo-dation has never been so great in my experience, and onoccasion elderly senile patients have had to be refused admissionbecause of lack of accommodation.

J. J. JUSTICE.

St. Mary’s Hospital,Stannington,

Morpeth, Northumberland.

TRIC THROATS

SIR,-Routine throat and eye swabs were taken from 100European patients with signs and symptoms of trachomainclusion conjunctivitis (TRIC) of the tarsal conjunctiva. Swabswere cultured at the South African Institute for MedicalResearch under the direction of Dr. J. H. S. Gear: there werepositive cultures from the eye in 31, and from the throat in 23(with overlap in 12). With few exceptions " virus " was notedafter the first passage, thus lessening any possibility that therehad been cross-infection.

J. GRAHAM SCOTT.Johannesburg.

Obituary

Mr. SOMERVILLE HASTINGS

C.W.B. writes:"Within twelve months of its foundation in 1930, the

Socialist Medical Association, of which Somerville Hastingswas the first president, affiliated to the Labour Party, and formany years he was the Association’s delegate to the party’sannual conference. At Leicester in 1932 he moved a successfulresolution calling for the establishment of a State medicalservice, and two years later at Southport unanimous approvalwas given to a motion which became the party’s official policyon a national health service, and which arose from the report ofa special committee of which Hastings was a member. WhenI convened the Spanish Medical Aid Committee, he becamevice-chairman, and rendered me invaluable assistance.

" He was country born and bred and he loved everythingthat only the country can provide. He lived simply, but gottremendous satisfaction from flowers, trees, and birds. He wasan acknowledged expert on Alpine plants and edible fungi, andI always enjoyed enormously the many weekends I spent withhim at his country home on Peppard Common, near Henley-on-Thames, where one found family life at its very best. Hiswife had just relinquished her chairmanship of the committeeof Mile End Hospital, to which she had given a quarter of acentury of devoted service, when she died while on holiday inSwitzerland. He accepted the position with amazing fortitude,but his family insisted that he should always make his homewith them at Peppard, where, despite increasing blindness, hespent in great happiness the remainder of his long life."

A memorial service for Sir Eardley Holland will be held at

Chichester Cathedral on Wednesday, Aug. 16, at 2.30 P.M.

Appointments

ANDERSON, D. J. W., M.B. Wales, D.P.H. : deputy M.O.H., deputy principalschool M.o., and deputy port M.o., Cardiff.

LAINE, J. B., M.B. Lpool, F.R.C.S., F.R.C.S.E. : consultant general surgeon,Wrexham, Powys, and Mawddach hospital group, based at MaelorGeneral Hospital, Wrexham.

LUDMAN, HAROLD, M.B. Cantab., F.R.C.S. : consultant surgeon in neuro-

otology, National Hospital, Queen Square, London.SARGINSON, JOHN, M.B. Durh., D.P.H. : senior M.o., Leicestershire.

South Western Regional Hospital Board:BARTON, J. R. S., M.B. Lond., F.R.C.S.E., D.o.: consultant ophthalmologist,

South Somerset clinical area.

KENNEY, J. G., M.B., B.sc. Lond., D.M.R.D.: consultant radiologist, SouthSomerset clinical area.

MIDDLETON, G. D., M.B. Durh., M.R.C.P. : consultant physician, Devonand Exeter clinical area (Torquay).

Manchester Regional Hospital Board:ASHWORTH, ARNOLD, M.B. Manc., F.R.C.S. : consultant urologist, South

Manchester hospital group.BATH, J. C. J. L., M.B., B.sc. Edin., M.R.C.P.E.: consultant physician,

Bolton and district hospital group.BROWN, W. G., M.B., B.sc. Wales, M.C.PATH. : consultant pathologist,

North Manchester hospital group.GLOVER, F. R., M.c., M.B. Lond., D.P.H. : consultant geriatric physician,

Bury and Rossendale hospital group.GRUNDY, W. R., M.B. St. And., D.M.R.D.: consultant radiologist, South

Cheshire hospital group.SHAW, E. A., M.B. Edin., F.F.A. R.c.s., D.OBST.: consultant anxsthetist,

Salford hospital group.WATSON, KATHLEEN M., M.B. Lond., F.F.A. R.C.S. : consultant anxsthetist,

Oldham and district hospital group.North West Metropolitan Regional Hospital Board:

KREEL, Louis, M.B. W’srand, M.R.C.P., F.F.R. : consultant radiologist,District Hospital and clinical research centre, Northwick Park.

MCCLURE, J. L., M.B. Lond., M.R.C.P., D.P.M.: consultant psychiatrist, St.Bernard’s Hospital, Southall, and Ashford Hospital.

UROUHART, R. P. M., M.B. Edin., D.P.M. : consultant child psychiatrist,Uxbridge child guidance clinic, Hayes child guidance clinic, andHillingdon Hospital.

WESTBURY, HARRY, M.B. Lond., M.R.C.P., F.F.R.: consultant radiologist,Harefield Hospital and Mount Vernon Hospital, Northwood.