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Tiverton, Devon. Sandhurst, Camberley, Surrey. Birkenhead, Merseyside. Smith, Diana A., Flat 2, Arncliffe Thompson, D. R., Old Vicarage, Webster, B. J., 1 Brecon Close, Grange, Harrogate Road, 17. Church Street, Chipping Norton, Peterlee, Co. Durham. Smith, Eizabeth S., 19 Baberton Mains Oxfordshire. Welchew, Kathleen L., 14 Mountain Bank, , EH14. Thompson, Nicholas, Manor Cottage, Ash, Primrose Hill, Bath. Smith, Margaret C., 177 Ledard Road, 55 Shipton Road, Ascott-under- Wharfe, S. M. W., 15 Paignton . Wychwood, Oxon. Avenue, Whitley Bay, Tyne and Smith, Norma H., 7 Adelaide Terrace, Thompson, R. D., 4 Margarita Road, Wear. . Fareham, Hampshire. Whittaker, Anne M., 12 Portland Soloman, Melville, 380 Walkden Thornton, P. W., 59 Linefield Road, Square, Carlisle, Cumbria. Road, Worsley, . Carnoustie, Angus. Wildgoose, A. D., 31 Marlow Way, Staines, J. E., 30 St. Margaret's Drive, Tohill, J. G., The Square, Clavering Park, Whickham, Tanfield Village, Co. Durham. Stewartstown, Tyrone, N. Ireland. Newcastle-upon-Tyne. Starey, C. J. H., Meadowcroft, Tones, B. J., Glenaire, Green Lane, Wilkinson, A. J., 19 Park Road, Horsleys Green, Stokenchurch, High Glusburn, Keighley, W. Yorks. Ipswich, . Wycombe, Bucks. Tregenza, N. J. C., 1 Gurlyn Hill, Wilkinson, A. R., 50 Farmer's Close, Steel, Stephen, 14 Montagu Avenue, Relubbus, Penzance, Cornwall. Witney, Oxfordshire. Newcastle-upon-Tyne, NE3. Turnbull, Marion, 57 Eden Drive, Williams, D. H., 24 Cornfield Close, Stephenson, Geoffrey, 33 Kingswood Sedgefield, Stockton-on-Tees, Llanishen, . Avenue, High West Jesmond, Cleveland. Williams, R. J., 18 Norton Terrace, Newcastle-upon-Tyne. Turner, J. G., Higher Westaway, Glyncorrwg, West Glamorgan. Stewart-Jones, John, 53 Beechgrove, Newton Tracey, Barnstaple, Devon. Wood, M. R. D., 92 Horsley Avenue, Pendre Gardens, Brecon, Powys. Tutton, G. R., 794a Washwood Heath Westburn Estate, Crawcrook, , D. B., St. Triduanas, 66 Road, Ward End, 8. Ryton, Tyne and Wear. Restalrig Road South, Edinburgh. Tweedie, R. J., 12 Locks Close, Wright, D. W., 29 Buchan Drive, Strachan, Ronald, Kinfauns, Deeping St. James, , Athollbank, Perth. Primrosehill Road, Cults, . . Wright, K. J., 24 Trenchard Avenue, Stradling, H. A., 75 Willis Road, Udokang, Mariel J., 108 New Heath West End Road, Ruislip, Middlesex. Haddenham, Bucks. Close, , Nr. Wynroe, Susan I., Nab Top Farm, Street, S. H., 174 Old Road, . Dale Road, Marple, Stockport. Headington, . Ussher, J. H., Little Gormellick, *Zermansky, A. G., 112a Dib Lane, Stringer, L. Judith, 71 Ripplevale Lodge Hill, Liskeard, Cornwall. Leeds! 8. Grove, Islington, , N.1. Waddington, G. E., Medical Centre, Stuart, F. M., 16 Hillview Avenue, HMS Warrior, Northwood, Dumfries. Middlesex. Stuart, I. R., 21 Montague Court, Wagner, Catharine H., 11 Maes Newcastle-upon-Tyne, NE3. Maelwg, Beddau, Pontypridd, Mid PRACTICE ORGANIZATION Stubbings, Susan M., 18 Cherry Tree Glamorgan. ROOM Close, , Devon. Walder, G. P., 8 Shaftoe Way, The current display shows the Mid- Sturton, E. W., Hollybank House, Dinnington, Newcastle-upon-Tyne. dlesbrough Health Centre. This large Skinner Street, Creswell, Worksop, Walker, Christopher, 217 Park Lane, development by the Shopping Centre in Notts. , Wolverhampton. Middlesbrough has many imaginative Summers, R. 0. C., Knight House, Walker, Lynda J., 36 Highfield Drive, features and merits a visit. Wolverley Village, , North Seaton, Ashington, It is intended to mount a series of Worcs. Northumberland. displays over the next year showing Sutherland, D. J., 27 St. Wilfrids Walker, S. A. J., Medical Centre, examples of new or modernised Road, Bessacarr, Doncaster. RAF Wildenrath, BFPO 42. premises and the Practice Organization Syred, J. R., Tillydown Cottage, St. Wankowski, Adam, 13 Castle Committee would be grateful to receive Mary Bourne, Andover, Hants. Meadow, , Ipswich, Suffolk. any information about such premises so Tait, H. A., 1 Aikman Place, St. Wankowska, Heather C., 13 Castle that they may arrange to display it. Andrews, Fife. Meadow, Offton, Ipswich, Suffolk. A number of displays are available Taylor, D. B. S., Easingwold, 498 *Ward, R. W., The Surgery, Snainton, for loan on application to Mrs J. Mant, Chorley New Road, Bolton, Lancs. Scarborough, N. Yorks. Secretary to the Practice Organization Thakor, R. S., 17 Glossop Street, Watson, R. D., 136 Shinfield Road, Committee, Royal College of General . Reading, Berks. Practitioners, 14 Princes Gate, London Thing, J. R., 72 Yorktown Road, Webb, Sheila J., 9 Ledsham Close, SW7 1PU. MEDICAL NEWS

APPOINTMENTS Dr Metcalfe is 48, married, with three Professor in Family Medicine at the children, and was educated at the Leys University of Rochester, New , and Dr D. H. H. Metcalfe School, . After being returned to Britain in 1972 as Senior Dr D. H. H. Metcalfe, MA, MB, B.CHIR, commissioned in the Royal Tank Lecturer in General Practice in the FRCGP, has been appointed Professor of Regiment he entered general practice in Department of Community Health at General Practice at the University of 1958. the University Medical Manchester. In 1970 he was appointed Assistant School. He was elected a fellow of the 566 Journal ofthe Royal College ofGeneralPractitioners, September 1978 MedicalNews Royal College of General Practitioners appointment. He qualified in 1960, is BUPA in 1975 and has held an honorary now 45 years old, and formerly worked The British United Provident consultant contract with the Trent on the secretariat of the British Medical Regional Authority since 1976. Association. Association in its Annual Report for Dr Metcalfe has been active in the 1977 reports an expansion in the of General Practitioners number of subscribers for private Royal College medical health care with almost for many years. He was elected to the DrFJ.Darby 70,000 Council of the from 1973 to new enrolments for 1977. College Dr F. J. Darby, td, mrcgp, dih, dmj, 1978 and was elected by the Council to has been appointed Deputy Chief QUALIFICATIONSFOR the General Purposes Committee in in 1973. Medical Adviser the Department of SOCIAL WORK DIRECTORS Health and Social Security. He was His publications have included ar¬ Mr Bruce Millan mp, Secretary of State formerly in general practice in War- for announced that he intends ticles in the Journal of the Royal wickshire and joined the Department in , College of General Practitioners on to exercise the powers conferred on him teaching family medicine in the United 1964. Latterly he has been working in by Section 3 (2) of the Social Work and articles in the Journal the Primary Care Division. He took up Scotland Act 1968 to the States, of his new on 1 prescribe Family Practice on referrals from appointment July. minimum qualifications required for family practice in New York State. He appointment to a post of Director of has also published a series in Update on Social Work. This will be the Certificate problem orientated records in general THE ROYAL SOCIETY of Qualification in Social Work of the practice. OF MEDICINE Central Council for Education and Among his most recent publications The Royal Society of Medicine is Training in Social Work or an has been "The recognition of family holding a postgraduate study course for equivalent qualification. and social problems by general prac¬ general practitioners from 23 to 27 titioners" and jointly with Professor October 1978, organized by the Section USEOFCARBELTS James McCormick a paper on the role of General Practice and approved under It has been estimated that 30 of only per the Royal College of General Section 63. cent of occupants of front seats of cars Practitioners, both recently published in The title will be "New Perspectives: wear seat belts when the ear is in this Journal. Second Forum for General Prac¬ motion. titioners" and the topics will include Threats to Vision, The Art of the ROAD ACCIDENTS Consultation, Hearing and Balance, Recent Advances in Dermatology, Pain The estimated cost of treating victims of Relief and the Care of the Dying, road accidents was between £50m and Alcoholism, Self Care, and Damage £55m during 1977/78. About 40 per done Doctors. cent of serious injured casualties trav- by elled ear. Victims of road accidents Further information can be obtained by from the Conference Secretary, Royal occupied 1 . 4 per cent of hospital beds. Society of Medicine, 1 Wimpole Street, Reference London W1M 8AE. Hansard (1978). Parliamentary answer, Social Services. TRANSFEROF MEDICAL GRAVES MEDICAL RECORDS AUDIOVISUAL LIBRARY About three million patients change of the facilities available at Holly doctors each in and House, , the new home of year Graves Medical Audiovisual is and about 450 staff of family prac¬ Library, titioner committees deal with the a large seminar room for students, well com¬ transfer of medical records at a appointed with colour television DrD.H.H. Metcalfe salary with U-matic videocassette cost of about £938,000 a year. plete Sony machine, Kodak Carousel slide pro- DrA.P. Fletcher Reference jector with audiocassette player, and 16 mm film projector with sound and an Dr A. P. Fletcher, ph.d, mb, bs, has been British MedicalJournal (1978). 1,1493. overhead appointed Chief Scientific Officer at the projector. Department of Health and Social Tape-slide programmes may be Dr Fletcher is 48 and took requested from the librarian, who will Security. up advise on programmes from her stock his appointment on 3 July 1978. NATIONAL ACCESS FOR THE DISABLED WEEK of over one thousand titles on medical Dr lan T. Field and paramedical subjects. A national campaign is being organized This educational facility is much Dr lan T. Field, mb, bs, Senior Medical by the Silver Jubilee Committee on appreciated by local general prac¬ Officer at the Department of Health Improving Access for the Disabled and titioners and it is envisaged that other and Social Security has been appointed is being Ied by the Minister for the medical groups, such as nurses from the head of the International Health Branch Disabled, Mr Alf Morris. local school of nursing, and and Chief Medical and Health Services The aim is to draw attention to the physiotherapists, will make use of the Adviser to the Ministry of Overseas need to improve access for disabled seminar room in the future. Development. Dr Field will be pro- people to all kinds of buildings, from Overseas doctors are always welcome, moted Senior Principal Medical Officer shops and theatres to pubs and football but arrangements for visiting the (Under Secretary) on taking up his new grounds. Library should first be made with the Journal ofthe Royal College ofGeneralPractitioners, September 1978 567 MedicalNews

Administrator by telephoning Chelms- FAMILY PRACTITIONER says that childbirth would endanger her ford (0245)83351. COMMITTEES physical or mental health. A medical certificate will be after more New The Minister of Mr Roland required tape-slides State, than 90 days and girls under the age of The following tape-slides are now Moyle, has given information about the 18 must the a or number of have approval of parent available on loan or for sale: complaints investigated by guardian for an abortion. family practitioner committees in the Reference Basic Pharmacokinetics by Dr Stephen last five years. (See Table 1.) H. Curry, 77-93. (1978). 19May,p.6. Part One discusses the principles of Reference pharmacokinetics as related to HOME CONFINEMENT prescribing without mathematics. Part Family Practitioner Services (1978). 5,113. Two considers the principles with A Gallup poll has been reported mathematics. 38 slides. 44 minutes. covering 1,054 people which shows that ABORTION IN ITALY 82 per cent of women and 75 per cent of A Surgical Approach to the Nature of On 18 May 1978 the Italian parliament men think that facilities for home births Shock by Mr lan Massey, 77-84. Part of approved a Bill legalizing abortion for should be available. Only 10 per cent of the Basic Science Series of tape-slide the first time in the 's history. men and 12 per cent of women thought programmes produced for the Royal The new law permits abortion on that they should not. College of Surgeons of England. 48 demand in the first 90 days of However, in 1974 only 28,425 babies slides. 54 minutes. pregnancy for any woman over 18 who were born at home compared with 689,578 in hospital. Reference Table 1. Complaints investigated by family practitioner The Guardian (1978). 12 May. committees, 1973-77. LONDON TEACHING 1973 1974 1975 1976 1977 Total HOSPITALS The Government has published a Doctors discussion document which proposes Number of complaints that the management of the 12 London investigated 508 434 545 587 596 2,670 postgraduate teaching hospitals should Number of complaints bereorganized. 98 65 substantiated* 92 81 85 421 GENERAL MEDICAL Percentage substantiated 19.3 15.0 16.9 13.8 14.3 15.8 COUNCIL Ophthalmic medical The General Medical Council has practitioners and opticians* agreed to proposals to change its rules Number of complaints of procedure for its disciplinary investigated 10 20 14 54 committee. It will in future be possible Number of complaints for any party or witness at disciplinary substantiated* 2 5 1 11 6 25 proceedings to apply for the press and public to be excluded from the hearing. Percentage substantiated 50.0 50.0 16.7 55.0 42.9 46.3 Even if no such application is made the Chemists committee may itself exclude the press Number of complaints and public if it thinks that to do so is 60 38 40 52 58 "in the interests of justice or desirable, investigated 248 having regard to the nature either of the Number of complaints case or of the evidence to be given". substantiated* 40 29 27 42 52 190 The changes will be discussed with or¬ Percentage substantiated 66.7 76.3 67.5 80.8 89.7 76.5 ganizations representing medical prac¬ Dentists titioners and must be approved by the Number of complaints Privy Council before implementation. investigated 252 236 272 266 277 1,303 JOINT COMMITTEE ON Number of complaints POSTGRADUATE TRAINING substantiated* 112 125 125 144 130 636 FOR GENERAL PRACTICE substantiated 44.4 53.0 45.9 54.1 46.9 48.8 Percentage The Joint Committee on Postgraduate Total Training for General Practice and the Number of complaints Royal College of General Practitioners investigated 824 718 863 925 945 4,275 have approved the vocational training Number of scheme at Newham. complaints The following vocational training substantiated 252 224 245 278 273 1,272 schemes have been re-approved: Hemel Percentage substantiated 30.6 37.0 28.4 30.0 28.9 29.8 Hempstead, Chertsey, Chelmsford, Dewsbury. These schemes are recog¬ *By finding that there had been a breach of the terms of service. nized by the Royal College of General **The figures for ophthalmic medical practitioners and opticians have been grouped Practitioners for the purpose of the together because separate statistics are not maintained. MRCGP examination. 568 Journal oftheRoyal College ofGeneralPractitioners, September 1978