FIRST  ANNUAL  REPORT 


OF  THE  STATE  OF  THE 


UNITED 


FOR  THE 


COUNTY  AND  BOROUGH 


OF 


NOTTINGHAM 


■  ■<$}/ 


- ,^V 

\  hx  >  A  " 


AND  THE 

)ETY-SIXTH  OF  THE  OEIGINAL  INSTITUTION. 


YEAR  185  0. 


NOTTINGHAM  : 

PRINTED  BY  T.  FORMAN,  “GUARDIAN”  OFFICE,  LONG  ROW, 


1857 


3 


OFFICERS  FOR  THE  YEAR  1856. 


W.  II.  BAEEOYf,  Esq.,  M.P.,  Chairman. 


COMMITTEE  OF  YISITOES, 

APPOINTED  BY  THE  JUSTICES  OF  THE  COUNTY  OF 

NOTTINGHAM. 

The  Eight  Hon.  Viscount  Newark,  M.P. 

Sir  E.  S.  Walker,  Knt. 

W.  H.  Barrowr,  Esq.,  M.P. 

J.  T.  Edge,  Esq. 

E.  J.  S.  Eoijambe,  Esq. 

C.  J.  Hill,  Esq. 

E.  Holden,  Esq. 

J.  Y.  Machin,  Esq. 

E.  Milward,  Esq., 

Charles  Paget,  Esq. 

J.  S.  Sherwin,  Esq. 

H.  Sherbrooke,  Esq. 

The  Eey.  J.  X).  Becher. 

The  Eev.  C.  W.  Eyre. 

APPOINTED  BY  THE  COUNCIL  OF  THE  TOWN  OF 

NOTTINGHAM. 

E.  Birkin,  Esq.,  Mayor. 

T.  Cullen,  Esq. 

J.  Eeckless,  Esq. 

J.  Brewster,  Esq. 

V\r.  Eelkin,  Esq, 

J.  L.  Thackeray,  Esq. 

T.  H.  Smith,  Esq. 


Digitized  by  the  Internet  Archive 
in  2018  with  funding  from 
Wellcome  Library 


https://archive.org/details/b30309797 


5 


TO  THE  COMMITTEE  OF  VISITORS 

OF  THE 

COUNTY  &  BOROUGH  LUNATIC  ASYLUM, 
NEAR  NOTTINGHAM. 


Tlie  management  of  the  Institution,  as  far  as  relates  to  the 
Medical  Department,  has  been  already  laid  before  the  Yisitors 
by  the  Medical  Superintendent  at  the  usual  period. 

The  loss  of  the  Visiting  Physician  (the  late  lamented  Dr, 

I  "Williams)  occurred  in  the  middle  of  the  year  ;  but  it  has  not 
been  found  necessary  to  fill  the  vacancy  by  the  election  of  any 
[successor  to  his  office. 

The  Institution  continues  in  the  same  state  with  reference 
to  the  accommodation  afforded  to  the  Voluntary  Subscribers  for 
i  their  Patients,  and  the  Whards  are  not  so  full  as  to  render  the 
"continuance  bf  this  accommodation  inconvenient  at  present. 

Considerable  delay  and  inconvenience  has  arisen  in  the  pre¬ 
paration  of  the  Annual  Financial  Statement,  in  consequence  of 
sgreat  neglect  on  the  part  of  the  late  Clerk,  Mr.  Harrison  ;  and 
[it  has  been  found  necessary  to  call  in  the  assistance  of  the  for¬ 
mer  Clerk,  Mr.  Hart,  by  whom  the  books  have  been  at  length 
(-posted,  and  the  Annual  Account  prepared. 

The  Expenditure  in  the  course  of  the  year  for  ordinary  re¬ 
pairs,  and  other  items  chargeable  to  the  County  and  Borough 
(Funds,  amounts  to  £759  10s.,  to  be  defrayed  in  the  proportions 
j  of  two-thirds  by  the  County  and  one-third  by  the  Borough. 

The  Expenditure  for  the  maintenance,  care,  medicine, 
clothing,  and  other  expenses  of  the  Patients,  amounts  to  £5741 
6s.  8d.,  and  will  be  sufficiently  provided  for  by  the  charges  made 


6 


during  the  year  for  the  paupers  belonging  to  the  County,  the 
Borough,  and  the  several  Unions  and  Parishes,  amounting  in 
the  whole  to  the  sum  of  £4539  19s.  4d.,  and  by  the  further  sum 
of  £1378  14s.,  which  has  been  received  from  the  Voluntary 
Subscribers  for  the  Patients  maintained  on  their  account,  and  by 
the  sum  of  £232  5s.  9d.,  received  for  the  sale  of  pigs  and  other 
miscellaneous  items. 

It  will,  therefore,  be  unnecessary  to  alter  the  weekly  rate  of 
charge  for  the  Pauper  Patients. 

W.  HODGSON  BARROW, 

Chaieman  eoe  the  yeae  1856. 


April  15th,  1857. 


GENEBAL  STATEMENT  OE  THE  BECEIPTS  AND  PAYMENTS  ON  ACCOUNT  OE  THE 
NOTTINGHAM  COUNTY  AND  BOBOUGH  LUNATIC  ASYLUM, 

From  1st  January  to  31st  December,  185G. 


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10 


DETAILS 


OF  PAYMENTS. 


ORDINAEY  MAINTENANCE. 


PROVISIONS. 


Ale  i . 

Apples 

Arrow  Root,  Sago,  &c. 
Bacon,  579llbs. 


Barley 

•  . 

Bread  ..  1373st.  91bs.  at  2s.  10d., 

in  95 

6 

0 

,,  ..  2677st.  91bs.  at  2s.  6d., 

,£331 

5 

0 

,,  . .  1305st.  41bs.  at  2s.  9d., 

£179 

9 

0 

Rutter,  3028§lbs. 

♦  • 

Chocolate,  4§lbs.  .. 

•  • 

•  » 

Cheese,  41  cwt.  3  qrs.  22llbs. 

•  * 

•  • 

Coffee,  4  cu  t.  0  qrs.  Olbs.  at  96s.  .. 

£19 

4 

0 

,,  5  cwt.  0  qrs.  Olbs.  at  106s. 

£26 

10 

0 

Chicory,  661bs.  at  6d. 

•  • 

•  • 

Currants,  1921bs.  at  10d.  . . 

•  • 

•  • 

Eggs 

•  » 

•  • 

Fish' and  Rabbits 

,  , 

•  • 

Flour,  260  stones  at  3s.  2d. 

£41 

2 

0 

,,  460  stones  at  2s.  9d. 

£63 

5 

0 

,,  184§  stones  at  3s.  . . 

£27 

13 

0 

Hops,  6  cwt.  3  qrs.  14  lbs. 

•  • 

Malt,  42  qrs.  4  st.  at  76s.  . . 

£161 

9 

0 

,,  19  qrs.  1  st.  at  68s.  . . 

£65 

0 

0 

„  21  qrs.  2  st.  at  72s.  . . 

£76 

9 

0 

Barm  . . 

•  • 

•  • 

Lemons  and  Oranges  . .  . . 

•  • 

•  • 

Meat,  2166  st.  lllbs.  at  7s.  9d. 

£839 

10 

0 

,,  683  st.  lOlbs.  at  8s  2d. 

£279 

2 

0 

Milk,  63941  gals. 

•  • 

Oatmeal,  220  stones 

•  • 

Peas,  1  sack 

Potatoes  and  Onions 

•  • 

R aisins,  341bs  . .  . . 

•  • 

Rice,  136  st.  71bs.  at  3s.  6d. 

•  • 

Lump  Sugar  ..  2  cwt  0  qrs.  23jlbs.,  at  62s. 

£6 

17 

0 

,,  2  cwt.  0  qrs.  4|lbs  ,  at  60s. 

£6 

2 

5 

Raw  Sugar  * .  18  cwt.  0  qrS.  Olbs.,  at  48s. 

£43 

4 

0 

>j,  i  i  18  cwt.  2  qrs.  Olbs.,  at  47s.  6d. 

£43 

18 

9 

£  s.  d. 
15  3  0 

l  16  2 

3  19  6 
20  5  9 

7  1  9 


706  0  0 
193  5  4 

0  4  6 

104  5  0 


45  14  0 

1  13  0 

7  19  10 

8  11  5 

2  15  6 


132  0  0 
32  17  0 


302  18  0 

16  0 
16  3 


11  8  12  0 
178  10  0 
25  19  0 
2  2  0 
2  15  6 

1  7  0 

23  17  9 


12  19  5 


87  2  9 


11 


Tea,  per  contract,  6971bs.,  at  3s.  3d.  . . 

£113 

4 

3 

£ 

s. 

a. 

,,  . .  Ub.,  at  5s. 

£0 

5 

0 

>>  . .  11b.,  at  5s.  4d.  . . 

£0 

5 

4 

113 

14 

7 

Tobacco,  I281bs.,  at  3s.  5d. 

£21 

17 

4 

)?  24Sbs.,  at  3s,  6d.  •  . 

£4 

4 

0 

26 

1 

0 

Snuff 

e  e 

0  » 

0 

1 

0 

(Pipes 

•  * 

•  « 

1 

7 

0 

'Treacle 

•  0 

4 

1 

10 

Vinegar,  Salt,  Mustard,  Pepper,  and  Spices 

®  <8 

3  O 

19 

18 

2 

WINES,  SPIRITS,  AND 

PORTER. 

i  Wine 

•  0 

5 

8 

0 

Spirits 

•  0 

•  • 

11 

7 

0 

Porter 

£  9 

e  » 

11 

11 

0 

NECESSARIES,  FUEL,  LIGHTING,  &  WASHING. 


Candles,  Dip,  3241bs. 

•  • 

10 

2 

6 

,,  Mould,  151bs. 

a  « 

0 

14 

0 

Coals  . .  125  tons  9  cwt.  0  qrs.,  at  9s.  6d., 

£59  11 

6 

,,  .  -  63  tons  1  cwt.  0  qrs.,  at  9s., 

£28 

6 

6 

,,  37  tons  11  cwt.  3  qrs.,  at  8s.  6d., 

£15 

19 

3 

,,  . .  106  tons  0  cwt.  2  qrs.,  at  7s.  6d  , 

£39 

15 

2 

143 

12 

5 

Coals,  soft. .  9  tons  19  cwt.  3  qrs.,  at  12s., 

£5 

19 

1 

,,  ..  1  ton  13  cwt.  2  qrs,,  at  10s.  6d., 

£0  17 

7 

„  ..  2  tons  4  cwt.  0  qrs  ,  at  11s.  6d., 

£l 

5 

3 

8 

1 

11 

Cobbles  ,,  148  tons  7  cwt.  3  qrs.,  at  6s.  lid., 

£52 

5 

5 

„  . .  251  tons  0  cwt.  1  qr.,  at  6s.  4d., 

£79 

7 

7 

„  . .  133  tons  8  cwt.  0  qrs.,  at  6s., 

£40 

0 

0 

171 

13 

0 

Cokes,  2  qrs.,  at  2s.  4d. 

«  • 

0 

4 

8 

Chimney  Sweep 

•  • 

3 

0 

0 

Gas  Rent,  5  quarters 

o  • 

107 

3 

7 

Gas  Fittings 

«  9 

2 

11 

3 

Oil  for  Engine. . 

•  « 

5 

3 

6 

Soap,  17  cwt.,  at  28s. 

£23  16 

0 

„  20  cwt.,  at  37s.  6d.  . . 

£37 

10 

0 

61 

6 

0 

White  and  Windsor  Soap,  551bs. 

•  0 

1 

19 

0 

Soda,  13  cwt.  141bs.,  at  8s. . 

9  9 

5 

5 

0 

Starch  and  Blue 

9 

8 

10 

Firewood  and  ]\latclies 

9  • 

1 

18 

9 

Water 

•  8 

27 

13 

4 

Sundries,  as  Blacklead,  Turpentine,  Whiting,  Cotton  Waste, 

Oil,  Sawdust,  &c. 

•  • 

10 

14 

5 

SURGERY  AND  DISPENSARY. 

Drugs 

•  0 

37 

2 

5 

Leeches 

•  a 

0 

6 

C 

Surgical  Instruments 

9  • 

2 

2 

6 

GARDEN  EXPENSES. 

Pigs 

♦  * 

20 

0 

0 

Implements  of  Husbandry 

•  • 

13 

18 

1 

Seed 

vvvt  *  •  •«  •  •  »  • 

•  O 

5 

0 

2 

12 


MISCELLANEOUS 

Advertisements,  Printing,  Postage,  and  Stationery 

•  • 

£  s.  d. 
71  9  3 

Books,  Periodicals,  and  News 

•  • 

•  • 

•  • 

13  4  7 

Patients’  Amusements 

•  e 

•  • 

•  9 

3  8  2 

„  Discharged  on  Trial 

•  • 

0  • 

9  9 

6  16  0 

,,  Escaped 

SALAEXES  AND  WAGES. 

2  10 

£4031  17  8 

Visiting  Physician 

•  » 

0  m 

•  • 

75  0  0 

Resident  Physician  and  Superintendent 

9  9 

•  • 

320  0  0 

Chaplain 

•  • 

9  • 

•  * 

70  0  0 

Clerk 

•  • 

•  • 

,  . 

90  18  6 

Matron 

•  • 

•  • 

60  16  6 

Attendants,  7  Male  and  7  Female 

9  • 

•  . 

302  8  Hi 

Servants,  in-door 

•  • 

76  0  7 

,,  out-door 

,  , 

«  • 

•  • 

26  6  0 

Engineer 

•  « 

»  • 

•  • 

52  0  0 

Occasional 

e  • 

•  • 

•  • 

14  15  101 

Male  Attendants’  Uniform 

•  • 

•  • 

17  10  0 

Female  ditto 

•  • 

•  • 

•  • 

10  11  5 

Male  Attendants,  Night  Duty 

»  0 

a  a 

•  • 

29  6  3 

Brewer 

(  * 

•  9 

•  6 

24  0  0 

Tailor,  at  12s.  per  week 

•  • 

•  • 

31  4  0 

Two  Gardeners 

CLOTHING. 

9  9 

..  56  8  0 

£1257  6  1 

Bonnets  and  Caps 

•  9 

•  • 

9  9 

2  14  0 

Braces  . .  . , 

#  t 

•  * 

9  9 

2  2  3 

Calico  •  •  .  . 

•  • 

•  9 

36  2  11 

Drabbet 

•  • 

9  • 

5  15  0 

Flannel  and  Tweed 

•  • 

25  15  0 

Hats  and  Caps. . 

•  • 

9  9 

6  17  11 

Handkerchiefs 

•  • 

•  • 

•  • 

5  3  6 

J can  •  •  •  • 

•  • 

•  • 

■  • 

8  12  1 

Muslin 

•  * 

•  • 

13  0 

Print  and  Gingham 

•  • 

•  * 

•  • 

.  27  12  9 

Shawls  . .  *  . 

•  • 

•  • 

•  • 

8  2  0 

Suits  of  Clothes 

•  • 

•  • 

79  11  0 

Shoes 

■  • 

•  » 

•  • 

167  7  4 

Thread,  Needles,  Cotton,  Tape,  &c. 

•  • 

•  • 

30  14  3 

Worsted  and  Cotton  for  Hose 

♦  * 

0  • 

23  9  9 

Sundries 

FUNERAL 

•  »  •  • 

EXPENSES. 

•  • 

10  3  7 

Coffins  i . 

•  • 

9  9 

•  * 

4  16  0 

Bearers 

•  • 

p  m 

♦  • 

3  0  0 

Burial  Fees  . .  . . 

•  * 

•  • 

•  • 

3  0  0 

£452  2  11 

13 


FABRIC  CHARGES. 


Baskets 

•  • 

£ 

i 

s. 

13 

Brushes,  Door  Mats,  Mopping,  &c. 

60 

11 

Matting 

7 

12 

Castings 

11 

4 

Clocks  Cleaning 

1 

4 

Chairs  Repairing 

0 

18 

Cooperage 

ft 

9 

Crockery 

19 

16 

Culinary  and  other  Utensils.  . 

17 

12 

Sheeting  . , 

30 

4 

Waterproof  ditto 

9 

15 

Table  Linen 

20 

8 

Straw  and  Twine  for  Mattresses 

17 

16 

Tick 

11 

15 

Towelling 

11 

14 

Sundries 

6 

12 

Architect 

5 

0 

Blacksmith 

10 

12 

Bricklayer 

26 

16 

Carpenter 

69 

4 

Cartage 

1 

12 

Gravel 

2 

7 

Gas  Tar 

10 

8 

Glazier 

15 

0 

Insurance 

6 

6 

Ironmonger 

14 

6 

Painter 

5 

18 

Emptying  Panterpits 

6 

16 

Plumber 

39 

11 

Stonemason 

9 

0 

Tiles 

1 

15 

Timber 

29 

6 

Whitewasher 

54 

7 

Miscellaneous  .. 

4 

17 

Well  Sinking 

16 

5 

House  Duty 

1 

0 

Law  Charges 

155 

4 

Rates  and  Taxes 

39 

6 

£759 

10 

JNT.B. — The  weekly  rate  of  maintenance  for  Pauper  Patients 
10s.  for  Men?  and  9s.  for  Women. 


d, 

6 

1 

10 

8 

6 

6 

2 

4 

9 

6 

0 

2 

9 

0 

11 

1 

0 

0 

6 

0 

6 

1 

6 

8 

0 

2 

0 

0 

9 

1 

1 

0 

0 

6 

0 

0 

2 

2 

0 

is 


14 


WORK  DONE  BY  FEMALE  PATIENTS. 


ARTICLES  MADE. 


16  Fine  Shirts 
239  Calico  do. 

153  Do.  shifts 
206  Sheets 
134  Bolster  Covers 
156  Day  Caps 
36  Night  do. 

1 1 1  Print  Dresses 
6  Strong  do. 

254  Aprons 

210  Handkerchiefs  made  and 
12  Mattress  Cases  [marked 
2  Blanket  do. 

12  )  Pairs  Hose  knit 
10  Antimacassars  do. 

29  Table  Cloths 
62  Pudding  do. 

22  Flannel  Vests 
74  Do.  Shirts 

18  Bodices 

1 14  Flannel  Petticoats 
98  Tweed  and  Jean  do. 

132  Pairs  Hose  seamed 
4  Habit  Shirts 

19  Window  Blinds 
256  Towels 

4  Pinafores 
4  Drabbets 

2  Men’s  Smock  Frocks 
36  Iron  Holders 
104  Dusters 
8  Strong  Shirts 
96  Bonnet  Trimmings 
16  Ladies’  Caps 
64  Scouring  Cloths 
26  Book  and  Paper  Cases 
12  Pairs  Stays 


ARTICLES  REPAIRED. 


137f  Dozens  Shirts 

50  If  Do.  Pairs  Stockings 

30  Window  Blinds 
31  7  Day  Caps 

99  Night  do. 

56  Do.  Gowns 
33  Aprons 
756  Sheets 
360  Bolster  Covers 
12  Smock  Frocks 
127  Counterpanes 
44  Table  Cloths 
41  Mattress  Covers 
54  Blankets 
228  Petticoats 
149  Flannel  do. 

31  Flannel  Vests 
15  Drabbets 

701  Print  Dresses 
38  Strong  Sheets 

5  Blanket  Cases 
458  Chemises 

29  Bodices 
4  Pinafores 

6  Pairs  Hose  Footed 
6  Bed  Valances 

6  Pairs  Stays 


REPORT  OE  THE  SUPERINTENDENT 

OF  THE 

COUNTY  &  BOROUGH  LUNATIC  ASYLUM 

AT  SNENTON. 

FOR  .1856. 


TO  THE  COMMITTEE  OE  VISITORS. 

Mb  Chairman,  My  Lord  and  Gentlemen, 

I  have  the  honour  to  present  the  first  Annual  Medical 
Report  of  the  state  of  the  United  Asylum  for  the  County  and 
Borough  of  Nottingham,  and  the  forty-sixth  of  the  original 
Institution. 

On  the  31st  December,  1855,  there  remained  230  Patients, 
viz.  : — 120  men  and  1 10  women.  During  the  year  1856,  45  men 
and  44  women  were  admitted,  together  89,  making  a  total  of  319 
under  care  and  treatment.  The  recoveries  have  been  30,  in 
equal  proportions  of  the  sexes.  Ten  were  discharged  relieved, 
3  not  improved,  17  died,  and  36  were  removed  by  the  Union 
authorities  as  harmless  chronic  Lunatics.  There  now  remain 
120  men  and  103  women. — Total  223. 

The  general  health  of  the  Patients  has  been  good.  There 
has  been  an  absence  of  epidemic  and  endemic  disease,  and 
for  the  long  period  of  16  weeks  and  3  days,  no  death  occurred, 
although  the  Asylum  was  'open  during  the  time  to  all  classes. 
It  will  be  gratifying  to  the  Visitors  to  learn  from  statistics  pub¬ 
lished  in  the  Asylum  Journal  for  January,  1855,  and  based  upon 
Parliamentary  returns,  that  the  annual  rate  of  mortality  at  this 
Institution,  compared  with  that  of  21  other  County  Asylums,  is 


16 


below  the  average,  and  the  number  of  recoveries  above.  During 

the  five  years  over  which  the  returns  extend,  it  has  been 
«/ 

found  that  the  rate  of  mortality  in  the  22  County  Asylums  is 
11.27  per  cent,  per  annum  on  the  average  number  resident,  the 
numbers  ranging  between  6.3  (Hanwell)  and  21.2  ;  and  the 
recoveries  to  42.9  per  cent,  on  the  total  number  of  admissions. 
In  the  mortality  table  the  average  rate  per  annum  for  the  Not¬ 
tingham  Asylum  is  only  7.4  per  cent.  ;  and  in  this  respect  the 
Institution  ranks  next  to  Hanwell,  which  presents  the  most 
favourable  rate.  It  stands  third  on  the  list  of  Asylums  whose 
recoveries  are  above  the  average  ;  its  rate  being  47.4  per  cent. 
During  the  past  year  the  deaths  have  been  at  the  rate  of  7.86 
per  cent,,  thus  approximating  closely  to  the  above  quinquennial 
average.  The  results  indicate  that  the  dietary  is  whole¬ 
some,  and  the  condition  of  the  Asylum  not  unfavourable 
to  health. 

Thom  the  beginning  of  the  year  to  the  17th  March,  the 
Asylum  was  declared  full  as  regards  the  County,  and  during 
this  period  11  cases  from  various  Unions  were  refused  admission, 
thereby  necessitating  their  removal  to  Asylums  and  Licensed 
Houses  at  a  distance.  The  question  of  discharging  the  incur¬ 
able  and  harmless  to  their  respective  Unions  was  again  dis¬ 
cussed,  and  the  Medical  Officers,  at  the  request  of  the  Visitors, 
drew  up  a  revised  list  of  46  Patients  who  might  be  properly 
taken  care  of  elsewhere,  in  addition  to  five  other  Patients  of  this 
class  who  had  been  recently  discharged  to  the  Nottingham 
Poorhouse.  Thirty-one  were  accordingly  removed  in  March  and 
April  to  their  respective  Workhouses.  Before  discharging 
them,  no  restrictions  were  imposed  upon  the  Parish  Officers 
respecting  their  treatment,  but  a  recommendation  was  given  by 
the  Superintendent  that  they  ought  to  be  supplied  with  a  more 
generous  diet,  and  that  they  required  more  care  than  the 
ordinary  inmates.  Of  the  remainder  of  the  cases  of  this  class, 
one  Union  declined  to  receive  a  male  Patient  after  inspection, 
and  another  has  deferred  the  removal  of  their  paupers  up  to  the 
present.  This  experiment  was  partially  carried  out  in  1855, 
when  eleven  cases  were  removed  to  the  Nottingham  Workhouse. 
It  has  had  the  effect  of  keeping  the  Asylum  open  to  new 


17 


applicants,  and  of  permitting  the  transfer  of  Nottingham  and 
Nottinghamshire  Patients  confined  in  other  Asylums  at  higher 
rates ;  but,  on  the  other  hand,  by  reducing  the  average  daily 
number  of  residents,  and  increasing  the  proportion  of  dangerous 
and  refractory,  it  has  been  one  of  the  causes  of  preventing  a 
reduction  in  the  charge  for  weekly  maintenance. 

Of  the  47  chronic  cases  discharged  during  the  years  1855  and 
1856,  six  have  been  returned;  all  of  them  hopeless  cases  of 
Dementia,  characterized  by  harmless  incoherency  and  inability 
to  take  care  of  themselves. 

The  admissions  have  been  more  numerous  than  usual :  21 
were  transfers  from  Mickleover  and  Leicester ;  the  remaining 
admissions  were  generally  of  a  confirmed  character,  the  majority 
being  incurable.  Of  the  present  number  of  Patients  in  the 
Asylum,  206  may  be  deemed  incurable.  The  necessity  of  send¬ 
ing  cases  for  treatment  in  the  early  stages  of  the  disease,  with¬ 
out  waiting  for  the  supervention  of  dangerous  acts,  cannot  be 
urged  too  frequently  upon  the  parochial  authorities,  as  the  con¬ 
trary  practice  has  the  effect  of  converting  the  Asylum  into  a 
house  of  detention,  instead  of  a  hospital  for  the  cure  of  the 
insane. 

Of  the  89  admissions,  17  had  been  previously  confined 
here :  6  were  chronic  cases  before  referred  to,  and  2  were  pri¬ 
vate  Patients  removed  by  their  friends  contrary  to  medical  opi¬ 
nion,  and  brought  back  again  after  a  short  interval.  Of  the 
others,  various  periods  had  elapsed  before  re-admission,  2  having 
been  absent  from  the  Asylum  more  than  a  quarter  of  a  century 
each. 

The  recoveries  were  30  ;  the  deaths  17.  The  register  of 
deaths  presents  but  little  material  for  comment :  one  was  a  sui¬ 
cide.  A  young  man,  whose  father  had  also  committed  suicide, 
destroyed  himself  by  hanging  a  few  days  after  admission.  The 
treatment  most  recently  recommended  was  adopted  towards  him. 
He  was  sent  into  the  garden  for  recreation  and  employment 
under  supervision.  Sedative  medicines  were  also  administered. 
Having  occasion  to  go  to  the  water-closet,  it  was  noticed  that  he 
was  a  few  minutes  longer  than  usual  there.  When  called  for 
he  was  found  in  the  sitting  position  on  the  floor  dead,  his 


18 


neckerchief  tied  in  a  noose  round  his  neck,  and  fastened  to  the 
hasp  inside. 

It  is  the  opinion  of  the  most  experienced  physicians  that 
Patients  with  a  determined  suicidal  tendency,  whether  treated 
on  the  Restraint  or  Non-Restraint  system,  will,  in  spite  of  the 
most  vigilant  attention,  occasionally  find  means  and  opport  unity 
of  effecting  their  own  destruction. 

The  comfort  and  tranquillity  of  the  Patients  have  been 
increased  by  regular  walks  in  the  kitchen  garden,  in  addition 
to  the  ordinary  airing  grounds  ;  by  a  plentiful  supply  of  books 
and  periodicals  ;  and  by  an  additional  stock  of  .furniture  in  the 
various  galleries. 

In  consequence  of  frequent  applications  by  the  public  for 
attendants  and  nurses  to  wait  upon  insane  persons  outside,  per¬ 
mission  was  obtained,  at  the  suggestion  of  one  of  the  Visitors, 
for  persons  of  respectable  conduct  desirous  of  qualifying  them¬ 
selves  for  such  offices  to  be  instructed  in  these  duties  in  the 
Asylum. 

The  Commissioners  in  Lunacy  visited  the  Asylum  on  the 
10th  June,  and  made  the  following  report  on  the  condition  of 
the  Patients  : — 

“We  were  well  satisfied  with  the  dress  and  personal  con- 
“  dition  of  the  Patients.  The  several  galleries,  rooms,  beds, 
“  and  bedding  were  very  clean  and  in  the  best  order,  and  the 
“  atmosphere  throughout  was  pure.” 

The  medical  treatment  of  the  Patients  and  the  superin¬ 
tendence  of  the  Asylum  having  this  year  wholly  devolved  upon 
me,  I  beg  to  assure  you  that  it  will  be  my  earnest  endeavour  to 
promote  the  recovery  of  the  insane,  and  to  conduct  the  manage¬ 
ment  of  the  Asylum  to  the  satisfaction  of  the  Visitors. 

W.  PIIILLIMORE  STIFF,  M.B., 

SUPEKINTENDENT  AND  RESIDENT  PHYSICIAN. 


January  2 1st,  1857. 


19 


MEDICAL  STATISTICS 


FOR  THE  YEAR  ENDING  DECEMBER  31,  1850. 


Table  showing  the  general  results  of  the  Year. 


Patients  remaining  December  31st,  1855 

*  •  • 

Males. 

120 

Fem. 

110 

Total. 

230 

„  Admitted  during  1856 

«  •  • 

•  •  • 

45 

44 

89 

Total  under  treatment 

•  ♦  • 

•  •  • 

165 

154 

319 

Males. 

Fem. 

Total. 

Discharged  recovered  ... 

15 

15 

30 

Ditto  relieved  ... 

2 

8 

10 

Ditto  not  improved 

3 

0 

3 

Dead 

11 

6 

17 

Harmless  chronic 

14 

2*2 

36 

45 

51 

96 

45 

51 

96 

Bemaining  December  31st,  1856 

•  •  « 

•  •  « 

120 

103 

223 

Classification  of  Patients  in  the  Asylum. 


Males. 

Fem. 

Total 

Pirst  Class 

0 

1 

1 

Second  Class 

16 

14 

30 

Paupers  of  the  County  ... 

83 

62 

145 

Criminal  of  the  County... 

0 

1 

1 

Paupers  of  the  Town 

18 

24 

42 

Criminal  of  the  Town 

1 

0 

1 

Borough  of  Newark  Patients  ... 

2 

1 

3 

120 

103 

223 

Daily  average  number  of  Patients 


0  •  • 


216.17. 


20 


Table  showing  the  probable  causes  of  Disorder  in  the  Admissions 

during  1856. 

Physical. 


Moral. 

Pear  of  Poverty  ...  ..  2 

Domestic  Anxiety  ...  3 

Domestic  Affliction  ...  4 

Over  Study  ...  ...  3 

"Religious  Excitement  ...  7 

Loss  of  Money  ...  ...  2 

Irritable  Temper...  ...  1 

Bright  ...  ...  ...  2 

Excitement  ...  ...  1 

Embarrassed  Circumstances  1 

20 


Hereditary  (sole  cause) ...  16 
Intemperance 
Lactation 
Childbed  ... 

Previous  Illness  , 

Debility  ... 

Physical  Injury  . 

Congenital 
Epilepsy  ... 

Typhus  ... 

Disease  of  the  Brain 


Not  assigned 


3 

2 

2 

5 

1 

5 

3 

9 

2 

3 

51 

12 

89 


Hereditary  Predisposition  ascertained  in  6  other  cases. 


Table  showing  the  length  of  Residence  of  Patients  who  have 

Recovered. 

Under  one  month 

Males. 

0 

Fern. 

1 

Total. 

1 

„  two  months 

4 

1 

5 

three  months 

2 

1 

3 

„  four  months  ...  ...  .., 

0 

3 

3 

„  six  months 

1 

3 

4 

„  seven  months 

3 

1 

4 

„  eight  months 

2 

1 

3 

„  ten  months 

1 

2 

3 

„  one  year  ... 

0 

1 

1 

„  six  years  ... 

0 

1 

1 

„  seven  years 

1 

0 

1 

„  thirteen  years 

1 

0 

1 

Table  showing  the  Causes  of  Death. 

Apoplexy...  - 

15 

Males. 

2 

15 

Fem. 

0 

30 

Tot. 

2 

Asthma  ... 

0 

1 

1 

Bronchitis 

L 

0 

1 

Epilepsy  ... 

1 

1 

2 

Exhaustion,  Maniacal  ... 

1 

0 

1 

Heart,  Disease  of 

1 

2 

3 

Phthisis  ...  ,« 

1 

2 

3 

Paralysis  General 

2 

0 

2 

Suicide  by  Hanging 

1 

0 

1 

Ulceration  of  Bowels 

1 

0 

1 

11 

G 

17 

21 


Above 


ft 


if 


20 

30 

40 


jt 

a 


50 

60 


Table  showing  the  Ages  at  Death . 


and  under  30  years  ... 

Males. 

0 

Fens. 

2 

Total. 

2 

it  d0  ,5  ...  ... 

4 

0 

4 

jj  50  55  ...  ...  ... 

4 

2 

6 

„  60  55  . . 

1 

1 

2 

70 

55  '  55  ...  ... 

2 

1 

3 

11 

6 

17 

Table  showing  the  le7igth  of  Residence  oj  Patients  who  have  Died. 


Under  one  month 

three  months 
four  months 
„  six  months 

„  two  years 

„  three  years 

„  seven  years 

„  eight  years 

„  eleven  years 

„  fifteen  years 

„  seventeen  years 
„  twenty  years 


Males. 

Fem. 

Total. 

2 

2 

4 

1 

0 

1 

1 

0 

1 

1 

1 

2 

1 

1 

2 

0 

1 

1 

1 

0 

1 

1 

0 

1 

1 

0 

1 

1 

0 

1 

0 

1 

1 

1 

0 

1 

11 

6 

17 

Statistics  relating  to  Private  Patients  ( the  numbers  included  in  the 

foregoing  Tables. ) 


Total 


Discharged  Relieved  ... 
„  Believed 

„  Not  Improved 

„  Dead 


Bemaining  December  3  ist,  1856 


Males. 

Fem. 

Total. 

*  * 

.  t  < 

•  •  • 

19 

15 

34 

aly 

•  *  • 

... 

6 

12 

18 

•  • 

•  •  • 

. .. 

25 

27 

52 

Males. 

Fem. 

Total. 

3 

3 

6 

1 

6 

7 

2 

0 

2 

3 

3 

6 

9 

12 

21 

9 

12 

21 

•  «  • 

«  •  • 

16 

15 

31 

22 


PAUPER  DIETARY. 


BREAKFAST.  males. 

EE  MALES. 

1  Milk  Porridge 

Tea  or  Coffee  1  pt. 

or  Coffee,  with 

Butter  for  every 

Fvery  Day.  t  4oz.  of  Butter 

12  Patients  4  oz. 

for  12  Patients  llpt. 

Bread  ...  ...  6  oz. 

j  Bread  . 7  oz. 

DINNER. 


Sunday 

and 

Wednesday . 


Friday. 


Monday 

and 

Thursday. 


Tuesday. 


1  Cooked  Meat  free 

from  Bone  ...  6  oz. 

"Bread  . . 4  oz. 

Vegetables  ...  16  oz. 
Beer...  ...  I  pt. 
Meat  in  Pie,  free 
from  Bone  ...  5  oz. 

Y  Pie  Crust . 10  oz. 

Potatoes,  sliced..  12  oz. 
j  Beer  ..  ...  ...  I  pt. 

1  Pea  Soup,  or  Irish 

„  Stew  . II  pt. 

}  Bread  . 6  oz. 

Cheese  ...  ...  1  oz. 

Beer . \  pt. 

Rice  Pudding  ...16  oz. 

Bread  . 6  oz. 

Cheese  .  !  oz. 


5  oz. 
4  oz. 
12  oz. 
I  pt. 


4  oz. 
8  oz. 
8  oz. 
I  pt. 


1  pt. 
5  oz. 

1  oz. 

1  pfc. 

12  oz. 
5  oz. 
1  oz. 


J  Beer . 1  pt. 


1 

Suet  Pudding. ..16  oz. 

- - 12  OZ. 

Treacle  Sauce  ...  2  oz. 

— - 11  OZ. 

Saturday. 

y  Bread  . 6  oz. 

- — - -  5  oz. 

Cheese  .  1  oz. 

— -  1  oz. 

Beer  . 1  pt. 

-  -1  pt. 

SUPPER. 


Fvery  Day. 


1  Bread  ...  ...  6  oz. 

Cheese  . 1  oz. 

Beer . |  pt. 

-  Or  Milk  Porridge 

or  Tea . 1 1  pt. 

Butter  for  every 
J  12  Patients  ...  4  oz. 


Bread . 5  oz. 

Butter  for  every 
12  Patients..  4  oz 

Tea  . 1  pt. 


Irish  Stew  made  of  Shins  of  Beef,  Scotch  Barley, 
Yegetables,  Herbs,  Ac. 

Beer,  14  Gallons  to  the  Bushel. 


23 


THE  FOLLOWING  OFFICERS 

ARE  APPOINTED 

FOE  THE  CUBBENT  YEAB,  ]857. 


B.  BIBKIN,  Esq.,  Chairman. 


COMMITTEE  OF  VISITOBS, 

APPOINTED  BY  THE  JUSTICES  OF  THE  COUNTY  OF 

NOTTINGHAM. 

The  Bight  Hon.  Viscount  Newark,  M.P.. 

Sir  E.  S.  Walker,  Knt. 

W.  FI.  Barrow,  Esq.,  M.P. 

A.  Boddam,  Esq. 

J.  T.  Edge,  Esq. 

J.  Handley,  Esq.,  M.P. 

C.  J,  Hill,  Esq. 

B.  Holden,  Esq. 

B.  Milward,  Esq. 

Charles  Paget,  Esq.,  M.P. 

J.  S.  Sherwin,  Esq. 

H.  Sherbrooke,  Esq. 

The  Bey.  J.  Dc  Becher. 

The  Bey.  T.  C.  Cane. 


APPOINTED  BY  THE  COUNCIL  OF  THE  TOWN  OF 

NOTTINGHAM. 

B.  Birkin,  Esq. 

J.  Brewster,  Esq. 

T.  Cullen,  Esq. 

W.  Felkin,  Esq. 

W.  Page,  Esq. 

J.  Beckless,  Esq. 

J.  L.  Thackeray,  Esq. 


24 


OTHER  OFFICERS. 


Treasurer . H.  SMITH,  Esquire. 

Ebsidekt  Physician  and  j  ^  p  STIFF  M  B 
Superintendent  )  5 

Consulting-  Surgeon . W.  WEIGHT,  Esquire, 

Chaplain . Key.  W.  H.  WYATT. 

Clerk  . Mr.  SAY  BY. 

Matron . MISS  MATTHEWS. 

Storekeeper...  . Mr.  TIPPET. 


