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This study examines the background to the establishment of the school medical service in 1908 and looks at the full range of economic, social and political factors which influenced its subsequent development. It also uses information taken from the reports of individual School Medical Officers to examine the history of child health in Britain between 1908 and 1974. Finally, it considers the part played by the school medical service in the establishment of the National Health Service and shows how the extension of free medical care to the whole population affected the development of school medical provision after 1945.