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MAJORITY REPORT. 
ments, defects of vision, defects of teeth, enlarged tonsils and 
adenoids and crippling defects. 
45. The School Medical Service thus keeps the whole school 
population under constant medical supervision, brings to the 
notice of parents defects from which their children are suffering 
and urges the necessary remedies. Further, it provides certain 
definite forms of treatment itself. Hach Authority has a School 
Medical Officer in charge of the work, with one or more medical 
assistants for the ordinary duties. In addition the Authorities 
employ specialist officers, either whole-fime or part-time, for 
certain branches of the work, such as dentistry, care of the eyes, 
and operative treatment. 
MEDICAL SERVICE OF THE Poor. 
46. Coming now to the Poor Law Medical Service, we find 
that the regulations of the Central Authority require that every 
Board of Guardians shall provide an outdoor medical service and 
an institutional medical service for the destitute poor. 
For the former purpose there is appointed in each district 
a medical officer, whose duty it is to attend, and supply 
medicines to, all poor persons requiring medical attend- 
ance within the district at the order of the Guardians 
or the Relieving Officer. These medical officers are general 
practitioners and are usually on the insurance panel. For the 
purpose of institutional medical service there is the staff of 
medical officers and nurses attached to the workhouse infirmaries. 
There are at present in England and Wales 635 Boards of 
Guardians managing 629 workhouses, 597 of which include at 
least some accommodation for the sick. There are also 71 
separate institufions for the sick and 16 institutions for defec- 
tives. The total number of Poor Law beds provided expressly 
for physical or mental infirmity may be taken as roughly 129,000, 
of which 37,000 are in separate hospitals and infirmaries and 
13,000 in separate institutions for mental cases. The total 
number of persons suffering from sickness, accident or bodily 
infirmity in receipt of Poor Law medical relief on 1st January, 
1925, was about 310,000. The estimated expenditure by Boards 
of Guardians in 1923-24 on persons suffering from bodily 
infirmity was about £7,000,000, of which over £6,000,000 was 
borne by the rates, the remainder being met from the small 
Exchequer grant and other receipts. 
MEDICAL INSPECTION IN FACTORIES. 
47. The arrangements for medical inspection in factories and 
workshops are made directly by the Home Office, and Local 
Authorities have no place in the scheme. From Sir T. Legge’s 
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