Selective medicals at school entry

This paper describes a selective procedure for use at school entry based on information from pre-school surveillance, parental questionnaires and class reviews. The pilot study in use over two years shows that the number of new conditions found at age 5 are relatively few in number and the extra time available can be used more appropriately for those with health problems affecting school progress. The job satisfaction for both nurses and doctors is increased and the parents are more fully involved with their child's health and progress. The introduction of a new computerised Child Health System and Parent Held Record will further enhance this system.