1
272 logy. Nevertheless, he was always able to maintain within his department an active group of research workers. and to them he gave considerable help and encouragement. Many of us-A. W. Downie, D. T. Robinson, S. T. Cowan, D. G. Evans, H. G. Pereira, N. W. Preston, to mention only a few-will always remember, and be grateful for, the profound and lasting influence which Maitland had on our work, especially on our approach to research." Diary of the Week JANUARY 30 TO FEBRUARY 5 Sunday, 30th MANCHESTER ROYAL INFIRMARY 10 A.M. Dr. Morton I. Grossman (Los Angeles): Clinical Assessment of Gastrointestinal Hormones. Monday, 31st ROYAL POSTGRADUATE MEDICAL SCHOOL, Hammersmith Hospital, London W.12 2 4.30 P.M. Dr. J. D. H. Slater: Renin-angiotensin. Tuesday, lst INSTITUTE OF DERMATOLOGY, St. John’s Hospital for Diseases of the Skin, Lisle Street, London W.C.2 4.30 P.M. Dr. R. S. Wells: Genodermatoses. Wednesday, 2nd ROYAL COLLEGE OF PATHOLOGISTS 5.30 r.M. (Royal Society, 6 Carlton House Terrace, London S.W.I.) Dr. John Paul: Molecular Pathology of Cancer. (Kettle memorial lecture.) ROYAL COLLEGE OF PHYSICIANS, 11 St. Andrew’s Place, Regent’s Park, London NW1 4LE 5.35 P.M. Dr. T. R. C. Fraser: The Metabolic Disorders in Diabetes Mellitus. (Humphry Davy Rolleston lecture.) ROYAL POSTGRADUATE MEDICAL SCHOOL 4 P.M. Prof. S. J. G. Semple: Acid-base Problems in Clinical Practice. INSTITUTE OF DERMATOLOGY 4.30 P.M. Dr. Ronald Marks: Cutaneous/intestinal Relationships. INSTITUTE OF DISEASES OF THE CHEST, Brompton, London S.W.3 5 P.M. Dr. Raphael Balcon: The Investigation of Patients with Coronary Artery Disease. INSTITUTE OF NEUROLOGY, National Hospital, Queen Square, London W.C.1 7 P.M. Prof. John Marshall: Measurement of Regional Cerebral Blood-flow in the Human Subject. (Sandoz Foundation lecture.) INSTITUTE OF ORTHOPEDICS, 234 Great Portland Street, London WIN 6AD 8.15 P.M. Mr. E. O’G. Kirwan: Operative Techniques of Lumbar Spinal Fusions. INSTITUTE OF PSYCHIATRY, De Crespigny Park, Denmark Hill, London S.E.5 5.30 P.M. Prof. M. G. Gelder: Psychotherapy Research, 1972. INSTITUTE OF UROLOGY, 172 Shaftesbury Avenue, London W.C.2 5 P.M. Dr. R. C. B. Pugh: The Pathology of Urothelial Tumours. ROYAL FREE HOSPITAL, Gray’s Inn Road, London W.C.1 5.15 P.M. Dr. H. A. Lee: The Role of Intravenous Nutrition in Clinical Practice. THE MEDICO-CHIRURGICAL SOCIETY OF EDINBURGH 8 P.M. Mr. Peter Edmond: The Infertile Male. UNIVERSITY OF DUNDEE 5 P.M. Dr. M. J. Purves: The Possible Mode of Excitation of Arterial Chemoreceptors. Thursday, 3rd ROYAL POSTGRADUATE MEDICAL SCHOOL 4.45 P.M. Mr. J. M. Rice-Edwards: Raised Intracranial Pressure. INSTITUTE OF LARYNGOLOGY AND OTOLOGY 5.30 P.M. (Royal College of Surgeons, Lincoln’s Inn Fields, London WC2A 3PN.) Dr. L. H. Capel: Airway Resistance in the Upper and Lower Respiratory Tract in Health and Disease. MIDDLESEX HOSPITAL MEDICAL SCHOOL, Mortimer Street, London W1P 7PN 5 P.M. (Windeyer Building.) Dr. D. B. Gower: Role of Cytochrome P450-Control of Steroidogenesis. Friday, 4th ROYAL POSTGRADUATE MEDICAL SCHOOL 11 A.M. Prof. R. Y. Calne: Donor-specific Immunosuppression. INSTITUTE OF LARYNGOLOGY AND OTOLOGY, 330,332 Gray’s Inn Road, London WCIX SEE 5.30 P.M. Dr. Leonard Sinclair: Parents and Children Who do not Communicate. ROYAL COLLEGE OF SURGEONS OF EDINBURGH 3 P.M. Mr. Andrew Logan: The Surgery of the (Esophagus. Notes and News HOUSING THE ELDERLY ONE of the most pressing problems that elderly people have to face is housing, and it is a problem which is liable to recur as they become older and less able to manage with everyday living on their own. Many old people in their 60s and 70s wish to remain in their own homes, and, where possible, and provided help is available, this should always be encouraged. However, for those with no homes of their own, or homes beyond their capabilities, and for those in their 80s and 90s, sheltered housing of various types is needed-and needed now in increasing quantities as the elderly population in Britain grows in numbers and age. Old people’s homes (particularly those run by local authorities) are traditionally thought of as large, grim institutions where the elderly are allowed little privacy or independence. Local-authority homes are, in fact, often overcrowded and have to refuse many applications for admission, both because of long waiting-lists and because they cannot provide the attention that a great many old people, though not requiring hospital care, need; in addition, these homes are often situated in rather isolated places where contact with the local community and visiting by friends and relatives are difficult. Voluntary groups have been quicker than local authori- ties to experiment with different types of housing for the elderly, and there are now a number of voluntary housing associations which try to provide the elderly with accom- modation which is both convenient and congenial and which allows them the maximum possible amount of independence in relation to their age and degree of handi- cap. One such Association is the Bedford Citizens Housing Association, Ltd., which was formed in 1957 with the purpose of housing elderly people of limited means. With loans and grants from Bedford Corporation, the Association over a period of years converted 8 houses into flatlets for old people, with warden supervision in each house. It became evident to the Association that, while the tenants appre- ciated being able to look after themselves in their own rooms, some of them needed more attention than could be given by the wardens, despite the provision of home- helps, meals-on-wheels, and the services of the district nurse. As a result the Association asked for, and eventually obtained, a loan from the borough council with which to build a residential home-not only for the Association’s own tenants, but also for others in the Bedford area who needed such help. The home-Bedford Charter House-was opened in 1970 and provides accommodation for 48 elderly people. The building, which is two-storeyed and has two wings, contains 32 single rooms, for married couples 6 double rooms, and 4 2-roomed suites with bathroom and lavatory. All the rooms have their own ventilated lavatory and wash-basin cabinets and, no doubt as a result, incon- tinence has proved to be no great problem in the home. There are 6 communal bathrooms; all the baths have safety poles, and there are facilities for showering residents while they remain seated in a chair. The walls of the corridors are painted in panels of different colours, so that residents can easily recognise the doors to their own rooms. They are encouraged to bring their own furniture, and as a result the rooms all look different, though basically similar in structure. The residents do, in fact, appear to value their privacy greatly, making full use of their rooms, but also meeting in the lounges when they feel like com- pany. There are two lounges on each floor, and a laundry, sewing-room, library, television-room, hairdressing-room, and hobbies room. All meals and other services are pro- vided, but residents may use electric kettles in their rooms

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logy. Nevertheless, he was always able to maintain withinhis department an active group of research workers. and tothem he gave considerable help and encouragement. Manyof us-A. W. Downie, D. T. Robinson, S. T. Cowan,D. G. Evans, H. G. Pereira, N. W. Preston, to mentiononly a few-will always remember, and be grateful for, theprofound and lasting influence which Maitland had onour work, especially on our approach to research."

Diary of the Week

JANUARY 30 TO FEBRUARY 5

Sunday, 30thMANCHESTER ROYAL INFIRMARY

10 A.M. Dr. Morton I. Grossman (Los Angeles): Clinical Assessmentof Gastrointestinal Hormones.

Monday, 31stROYAL POSTGRADUATE MEDICAL SCHOOL, Hammersmith Hospital,

London W.12 24.30 P.M. Dr. J. D. H. Slater: Renin-angiotensin.

Tuesday, lstINSTITUTE OF DERMATOLOGY, St. John’s Hospital for Diseases of the

Skin, Lisle Street, London W.C.24.30 P.M. Dr. R. S. Wells: Genodermatoses.

Wednesday, 2ndROYAL COLLEGE OF PATHOLOGISTS

5.30 r.M. (Royal Society, 6 Carlton House Terrace, London S.W.I.)Dr. John Paul: Molecular Pathology of Cancer. (Kettlememorial lecture.)

ROYAL COLLEGE OF PHYSICIANS, 11 St. Andrew’s Place, Regent’s Park,London NW1 4LE

5.35 P.M. Dr. T. R. C. Fraser: The Metabolic Disorders in DiabetesMellitus. (Humphry Davy Rolleston lecture.)

ROYAL POSTGRADUATE MEDICAL SCHOOL4 P.M. Prof. S. J. G. Semple: Acid-base Problems in Clinical Practice.

INSTITUTE OF DERMATOLOGY4.30 P.M. Dr. Ronald Marks: Cutaneous/intestinal Relationships.

INSTITUTE OF DISEASES OF THE CHEST, Brompton, London S.W.35 P.M. Dr. Raphael Balcon: The Investigation of Patients with

Coronary Artery Disease.INSTITUTE OF NEUROLOGY, National Hospital, Queen Square, London

W.C.17 P.M. Prof. John Marshall: Measurement of Regional Cerebral

Blood-flow in the Human Subject. (Sandoz Foundationlecture.)

INSTITUTE OF ORTHOPEDICS, 234 Great Portland Street, LondonWIN 6AD

8.15 P.M. Mr. E. O’G. Kirwan: Operative Techniques of LumbarSpinal Fusions.

INSTITUTE OF PSYCHIATRY, De Crespigny Park, Denmark Hill, LondonS.E.5

5.30 P.M. Prof. M. G. Gelder: Psychotherapy Research, 1972.INSTITUTE OF UROLOGY, 172 Shaftesbury Avenue, London W.C.2

5 P.M. Dr. R. C. B. Pugh: The Pathology of Urothelial Tumours.ROYAL FREE HOSPITAL, Gray’s Inn Road, London W.C.1

5.15 P.M. Dr. H. A. Lee: The Role of Intravenous Nutrition in ClinicalPractice.

THE MEDICO-CHIRURGICAL SOCIETY OF EDINBURGH8 P.M. Mr. Peter Edmond: The Infertile Male.

UNIVERSITY OF DUNDEE5 P.M. Dr. M. J. Purves: The Possible Mode of Excitation of Arterial

Chemoreceptors.

Thursday, 3rdROYAL POSTGRADUATE MEDICAL SCHOOL

4.45 P.M. Mr. J. M. Rice-Edwards: Raised Intracranial Pressure.INSTITUTE OF LARYNGOLOGY AND OTOLOGY

5.30 P.M. (Royal College of Surgeons, Lincoln’s Inn Fields, LondonWC2A 3PN.) Dr. L. H. Capel: Airway Resistance in theUpper and Lower Respiratory Tract in Health and Disease.

MIDDLESEX HOSPITAL MEDICAL SCHOOL, Mortimer Street, LondonW1P 7PN

5 P.M. (Windeyer Building.) Dr. D. B. Gower: Role of CytochromeP450-Control of Steroidogenesis.

Friday, 4thROYAL POSTGRADUATE MEDICAL SCHOOL

11 A.M. Prof. R. Y. Calne: Donor-specific Immunosuppression.INSTITUTE OF LARYNGOLOGY AND OTOLOGY, 330,332 Gray’s Inn Road,

London WCIX SEE5.30 P.M. Dr. Leonard Sinclair: Parents and Children Who do not

Communicate.ROYAL COLLEGE OF SURGEONS OF EDINBURGH

3 P.M. Mr. Andrew Logan: The Surgery of the (Esophagus.

Notes and News

HOUSING THE ELDERLY

ONE of the most pressing problems that elderly peoplehave to face is housing, and it is a problem which is liableto recur as they become older and less able to manage witheveryday living on their own. Many old people in their60s and 70s wish to remain in their own homes, and,where possible, and provided help is available, this shouldalways be encouraged. However, for those with no homesof their own, or homes beyond their capabilities, and forthose in their 80s and 90s, sheltered housing of varioustypes is needed-and needed now in increasing quantitiesas the elderly population in Britain grows in numbers andage. Old people’s homes (particularly those run by localauthorities) are traditionally thought of as large, griminstitutions where the elderly are allowed little privacy orindependence. Local-authority homes are, in fact, oftenovercrowded and have to refuse many applications for

admission, both because of long waiting-lists and becausethey cannot provide the attention that a great many oldpeople, though not requiring hospital care, need; inaddition, these homes are often situated in rather isolatedplaces where contact with the local community and visitingby friends and relatives are difficult.

Voluntary groups have been quicker than local authori-ties to experiment with different types of housing for theelderly, and there are now a number of voluntary housingassociations which try to provide the elderly with accom-modation which is both convenient and congenial andwhich allows them the maximum possible amount ofindependence in relation to their age and degree of handi-cap. One such Association is the Bedford Citizens HousingAssociation, Ltd., which was formed in 1957 with thepurpose of housing elderly people of limited means. Withloans and grants from Bedford Corporation, the Associationover a period of years converted 8 houses into flatlets for oldpeople, with warden supervision in each house. It becameevident to the Association that, while the tenants appre-ciated being able to look after themselves in their ownrooms, some of them needed more attention than could be

given by the wardens, despite the provision of home-helps, meals-on-wheels, and the services of the districtnurse. As a result the Association asked for, and eventuallyobtained, a loan from the borough council with which tobuild a residential home-not only for the Association’sown tenants, but also for others in the Bedford area whoneeded such help.The home-Bedford Charter House-was opened in

1970 and provides accommodation for 48 elderly people.The building, which is two-storeyed and has two wings,contains 32 single rooms, for married couples 6

double rooms, and 4 2-roomed suites with bathroom andlavatory. All the rooms have their own ventilated lavatoryand wash-basin cabinets and, no doubt as a result, incon-tinence has proved to be no great problem in the home.There are 6 communal bathrooms; all the baths have

safety poles, and there are facilities for showering residentswhile they remain seated in a chair. The walls of thecorridors are painted in panels of different colours, so thatresidents can easily recognise the doors to their own rooms.They are encouraged to bring their own furniture, and asa result the rooms all look different, though basicallysimilar in structure. The residents do, in fact, appear tovalue their privacy greatly, making full use of their rooms,but also meeting in the lounges when they feel like com-pany. There are two lounges on each floor, and a laundry,sewing-room, library, television-room, hairdressing-room,and hobbies room. All meals and other services are pro-vided, but residents may use electric kettles in their rooms