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Milestones - the magazine of the Royal College of Paediatrics and Child Health - spring 2023

Page 23

MEMBERS

HISTORY TAKING: FROM WHITECHAPEL WITH LOVE FUN FACT #1: Mental health care was publicly funded for 100 years before the NHS was founded. Fun Fact #2: Not

Dr Richard Daniels Paediatric Registrar (OOP) Humbl @DrRDaniels

for children. The first child hospital opened in Paris in 1802, but the earliest precursor of CAMHS was set up in 1927. Prior to this, children were treated in a hospital ward or adult

asylum. 2023, meet 1923, meet 1823. The East London Child Guidance Clinic opened in Spitalfields under the guidance of Dr Emmanuel Miller, a polymath whose academic qualifications included multiple degrees in natural sciences,

Dr Ashish Patel ST8 Paediatric Nephrology & Sim Fellow Birmingham Children’s Hospital @DrKidneyAsh

AFTER A NUMBER OF REQUESTS, we are kicking off 2023 with a savoury bake. My guilty pleasure in life is carbs, with bread being one of my firm favourites. It might be easier to pick it up at the supermarket but honestly it is worth the effort baking bread at home. The texture is unbelievable, it tastes delicious plus it makes your house smell amazing. One of the simplest bread bakes to get started with is focaccia. The dough is easy enough and then you can flavour it how you wish – rosemary, garlic, tomatoes, olives, go wild! Perfect when dipped in olive oil and balsamic vinegar, trust me, it will all be gone by the end of the day.

Focaccia INGREDIENTS

psychology and the conjoint qualification of MRCS and (eventually) FRCP, as well as being a renowned artist. Established as a charitable endeavour by the Jewish Healthcare Organisation in the basement of Jews’ Free School (JFS), most of its patients were referred by schools for

Dough 500g strong white bread flour 8g fine salt 10g fast-action dried yeast 30ml olive oil, plus extra for oiling 370ml water

behavioural issues, learning difficulties or developmental delay. Ironically, referrals for phobias, anxiety and depression were rare. Children from all backgrounds were eligible for treatment. It was staffed by a psychiatrist, a psychologist and a social worker – this

Topping Your choice! (I went for olives and cherry tomatoes) 150ml olive oil Sea salt flakes Oregano

troika engaged a novel model tackling the ‘mental attitude’, enabling the child to develop resilience to the hardships faced in East End life, with remarkable success, given the limited tools available. The data from this clinic was fascinating and provided threads for nascent psychiatric research. Many children had a parent previously treated in an asylum and 30% were found to have normal or higher intelligence. Unfortunately, the clinic closed in 1939 when JFS was evacuated outside London. It reopened after WW2 in the London Jewish Hospital as part of the new NHS.

Instructions 1. Add all your ingredients for the dough into a large mixing bowl. I cheat and use my stand mixer with a dough hook to mix and knead the dough for around 10 minutes. You can do this by hand on a lightly oiled surface, kneading until soft and elastic (about 10 minutes). 2. Place the dough in the bowl, loosely cover it with cling film and allow it to prove at room temperature for two hours until it has doubled in size. 3. Lightly oil the base of a shallow

rectangular baking tin (30x20cm roughly), tip the dough into the tin and stretch it to fit the dimensions of the tin. 4. Drizzle with olive oil and make firm indentations all over the surface of the dough. Cover in cling film and allow to prove for 90 minutes. 5. Add your toppings, pressing them firmly into place and distributing them equally across the dough surface. 6. Drizzle with more olive oil, and sprinkle with oregano and sea salt flakes. 7. Bake the focaccia in your preheated oven at 190°C (fan assisted)/210°C non-fan assisted for 20 minutes or until golden brown. Drizzle with more olive oil when you take it out of the oven and then leave to cool. Enjoy!

Milestones SPRING 2023 23


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