Brighton Education Committee, Report of Canteen Joint Branch Sub-Committee, July 17, 1907. There were, of course, also the cases of "necessitous" children who did not appear on medical grounds to be suffering from malnutrition, but who, from the economic circumstances of the parents, were unable to obtain sufficient food. Children to whom the provision of a mid-day meal would be a convenience, and whose parents were able and willing to pay the cost, should also be provided for. (_Ibid._) Footnote 204: We have not been able to ascertain exactly what happens to these children on the "watching" list. In 1910 the School Medical Officer reports that they "are examined at intervals by the school doctor, and their progress is noted, the [Canteen] Committee taking such action as is recommended. Enquiries are also carried out by the school nurse, under the supervision of the school doctor, as to the nature of the meals given at home in these cases." (Report on the Medical Inspection of School Children in Brighton for 1910, p. 134.) These home visits by the school nurse are no longer paid. Footnote 205: In 1911, out of 1,050 children who received free meals, 54 were not examined, 550 were recommended by the school doctor on medical grounds, 446 were fed solely on economic grounds. (_Ibid._ for 1911, p. 119.) In 1912, out of 1,070 children fed, 69 were not examined, 422 were recommended on medical and 579 on economic grounds. (_Ibid._ for 1912, p. 122.) At Heston and Isleworth, the Canteen Sub-Committee decided in 1911 to obtain from the School Medical Officer a report on the state of each child before determining whether it required school meals.[206] At Lancaster also all children who are recommended for free meals are seen by the School Medical Officer.[207] Footnote 206: Report of the Chief Medical Officer of the Board of Education for 1911, p. 277. Footnote 207: Report of School Medical Officer for Lancaster for 1911, p. 26. But these cases are exceptional. In 1909 "the number of Local Education Authorities who left the final selection in the hands of the School Medical Officer, or acted exclusively upon his recommendation or required every application to be endorsed by him," was, so far as the information of the Board of Education extended, less than a dozen.[208] In 1911 Sir George Newman writes, "it is true that in the majority of cases the School Medical Officer takes some part ... in the work connected with the provision of meals, but the number of cases in which he exercises all the functions ... appropriately devolving upon him are very few indeed."[209] In the great majority of towns, though the School Medical Officer may recommend for school meals children whom he finds suffering from malnutrition in the course of medical inspection, the greater number of children are selected on the "poverty test." Footnote 208: