BRIDEWELL  AND  BETHLEM, 

AND  OE 

king  Edward’s  schools; 


FOR  THE  YEAR  ENDING  31s t  DECEMBER, 


1868. 


PRINTED  FOR  THE  USE  OF  THE  GOVERNORS. 


* 

CONTENTS. 


BRIDEWELL  HOSPITAL. 

Page. 

APPRENTICES  COMMITTED  TO  BRIDEWELL  ....  6 

LIST  OF  OFFICERS  AND  SERVANTS .  7 

General  Account  of  Receipt  and  Expenditure.  . .  after  7 

.  KINGr  EDWARD’S  SCHOOLS. 

REPORT  .  9 

TABLES— 

Expenditure  in  the  years  1867  and  1868 .  16 

General  return  for  1867  to  1868  17 

Number  of  Inmates  admitted  from  1830  to  1868  .  18 

Report  of  admissions,  discharges,  and  occupations  . .  . .  19 

State  of  the  School .  20 

Degree  of  Acquirements .  21 

WORK— 

The  Shoemaker’s . 22,  23 

The  Tailor’s . 22,  23 

Work  done  by  the  Females  .  24 

Summary  of  Profits  on  Trades,  &c .  25 

Daily  occupation  of  Inmates .  25 

Dietary  Table  .  27 

LIST  OF  OFFICERS  AND  SERVANTS .  29 

BETIILEM  HOSPITAL. 

REPORT— 

Number  of  Patients  admitted .  31 

„  discharged . ' .  31 

„  died .  31 

Increase  in  the  number  of  admissions,  and  decrease  in  deaths 
and  discharges .  31 


IV. 


CONTENTS. 


Bethlem  Hospital.  —  continued. 

Page. 

Number  of  Curables .  22 

„  Incurables  .  32 

,,  Criminals .  32 

All  cases,  under  twelve  months  standing,  admitted .  32 

Attention  directed  to  the  bad  and  hopeless  state  in  which 

Patients  are  taken  to  the  Hospital  .  33 

Inquests  held  during  the  year .  33 

Suicide  of  very  rare  occurrence,  though  impossible  always  to 

conquer  a  suicidal  determination .  33 

The  walls  of  one  of  the  Female  galleries  papered,  and  great 

additional  appearance  of  comfort .  33 

New  Boiler  erected,  owing  to  inconvenience  experiened  from 

want  of  steam  power  .  34 

Additional  Greenhouse  erected  to  supply  plants  for  gratification 

of  Inmates  .  34 

Tailors’  and  Shoemakers’  shops  finished .  34 

Difficulty  in  finding  employment  for  Male  Patients  . .  . .  34 

Appointment  of  Garden  Attendant  works  well  .  34 

Arguments  for  removing  this  Hospital  into  the  country  do  not 
apply,  as  a  large  staff  of  paid  Servants  would  be  required, 

that  are  not  now  necessary . .  . .  34 

The  system  of  having  always  two  resident  Medical  Students 

in  the  Hospital,  elected  every  six  months,  works  well. ...  35 

No  non-resident  Medical  Pupils  taken  during  the  last  year  . .  36 

Great  regret  at  the  loss  by  death  of  the  two  late  Presidents..  36 

Excursions  of  good  effect  to  the  Patients .  36 

Musical  Entertainment  to  the  Patients  t  ^  .  36 

Official  Report  of  the  state  of  the  Hospital  by  Commissioners 

in  Lunacy .  37 

TABLES— 

Patients  admitted  and  discharged  ..  ..  43 

Average  number  of  Patients  in  the  Hospital  attending  Chapel, 

and  under  restraint,  during  the  last  twenty-seven  years  ..  44 

Total  number  of  curablo  patients  admitted  during  100  years, 
ending  the  31st  December,  1868,  with  the  amount  of  cures 
and  deaths  .  44 


CONTENTS. 


Y. 


Bethlem  Hospital.—  continued. 

Pago, 

Annual  admissions,  cures,  and  deaths  of  curable  patients 

during  the  last  forty-eight  years .  45 

Form  of  mental  disease  .  46 

Monthly  admissions,  cures,  and  deaths .  46 

Ages  .  47 

Duration  of  disease  before  admission  .  47 

Degree  of  education .  48 

Religious  persuasion .  48 

Domestic  condition .  49 

Residence .  49 

State  of  general  health  . .  ..  ..  50 

Behaviour .  50 

Suicidal  tendency  .  51 

Number  of  previous  attacks  .  51 

Apparent  or  assigned  cause  of  disease  . .  . .  52 

Occupation  of  curable  patients  admitted  during  1868  . .  . .  54 

„  „  discharged  cured  in  1868  . .  55 

„  „  discharged  uncured  1868  . .  56 

„  „  who  died  during  1868  . .  . .  57 

Particulars  of  patients  who  died  during  1868,  as  reported  to 

Bethlem  Sub-Committee. .  58 

Return  of  employment,  June  30,  1868  .  59 

Females  employed  on  June  30,  1868  59 

Time  in  Hospital  .  60 

Patients  cured  .  61 

Daily  average  number  of  patients  in  the  Hospital  during  the 

year  1868  .  62 

Return  of  the  incurable  patients  now  in  Hospital .  63 

Time  the  incurable  patients  have  been  in  Hospital .  66 

Degree  of  education  of  incurable  patients  in  the  Hospital  ..  66 

Obituary —  Males .  67 

„  Females .  71 

DIETARY  TABLE .  74 

LIST  OF  OFFICERS,  ATTENDANTS,  and  SERVANTS  . .  76 

General  account  of  Receipt  and  Expenditure  for  the  year  1868. 1 
General  account  of  both  Hospitals  .  Rafter  78 


6 


BRIDEWELL  HOSPITAL. 


Apprentices  committed  to  Bridewell  Hospital  by  the 
Chamberlain  of  the  City  of  London  in  1868  : — 

1  for  21  days. 

15  for  14  days. 

1  for  7  days. 

In  seven  of  these  cases,  a  part  of  the  period  for  which 
the  committal  had  been  made,  was  remitted. 

A.  M.  JEAFFEESON, 

Clerk,  Receiver,  Sfc. 


t 


BRIDEWELL  HOSPITAL. 

LIST  OF  OFFICERS  AND  SERVANTS. 

<C  s,  (t, 

1  Surveyor .  125  0  0 

*1  Clerk,  Receiver  and  Accountant .  270  0  0 

fl  Beadle  .  78  0  0 

2  Clerk’s  Assistants,  at  £G0  and  £35 .  95  0  0 

£568  0  0 


*  Lodged  and  furnished  with  coals. 


f  The  Beadle  has  a  suit  of  clothes,  and  a  hat,  with  twenty-one  shillings 
every  year  for  shoes,  and  a  great  coat  every  three  years. 


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


https://archive.org/details/b30305202 


Dr. 


GENERAL  ACCOUNT  OE  RECEIPT  AND  EXPENDITURE  OE  ERIDEWELL  HOSPITAL,  EOR  THE  YEAR  ENDING  31st  DECEMBER,  1868.  Cr. 


1868 
Jan.  1 


RECEIPT.] 


To  Balance  of  Account  audited  to  31st  December,  1867  .. 

To  Rent,  Rent-charges,  Land  Tax,  and  Insurance,  viz. — 

Arrears,  31st  December,  1867,  per  audit  .. 

One  Year’s  Rent,  Land  Tax,  Rent-charges,  &c.,  from  Mich.,  1867,  to  Mich.,  1868. 
Overpaid  , ,  ..  ..  « •  ••  ••  ••  •  • 


Ledger 

folio. 


200 

201 


197 


252 


250 


Received,  viz. — 

Bridewell  Precinct  . . 

Wapping 

Holbom 

Maidstone  Buildings,  Southwark 

Oxfordshire 

Kent 

Witley 

Rent-charges  . . 


Property  Tax  allowed 

Arrears  of  Rent  to  Michaelmas,  1868,  unpaid  31st  December,  1868 


To  Dividends  on  Stock  in  the  Public  Funds,  viz. — 

£  3,200  0  0,  3  per  Cent.  Reduced  Annuities  (half-year) 

40,000  0  0,  New  3  per  Cent.  Annuities 


Tax  £\  4  0. 

15  0  0. 


46  16  0 
1185  0  0 


To  Casual  Receipts, — 

Received  for  Transfer  of  Leases  .. 

Property  Tax  on  Stocks  to  October,  1867 
„  Ditto  from  Mrs.  Jones,  Wapping 

Donation  from  Joseph  Johnson  Miles,  Esq. 

for  Dilapidations  at  Nos.  16  and  17,  New  Bridge  street 
from  Her  Majesty’s  Paymaster-General  for  Costs  and  Damages  in  action  respecting  Bride 
well  Burial  Ground 

Property  Tax  on  Rents  to  Lady-day,  1 867 

for  Sale  of  old  Building  Materials  at  King  Edward’s  School  . 


9  0  0 

1  15  0 

0  3  4 
26  5  0 

100  0  0 

2,896  13  5 
185  0  10 

126  0  0 


To  Received  for  Sale  of  £3200,  3  Per  Cent.  Reduced  Annuities 


3,762  8  7} 


£2,120  19  8 
12,863  2  0 

0  0  6 

£14,984  2  2 


12,879  0  9 


1,231  16  0 


3,344  17  7 


2,952  0  0 


£24,170  2  11§ 


1868 

Ledg. 

Folio. 


221 

223 

227 

225 

229 

229 

231 

233 

235 

237 

240 

241 


243 

245 

247 

295 

296 

255 

257 

259 

261 

263 

265 

267 

269 

271 

273 

275 

277 

279 

279 

281 

283 

285 

287 

291 

293 

250 


EXPENDITURE. 


By  Expenses  attending  Bridewell  Hospital,  viz. — 

Oatmeal,  &c. 

Clothing  and  Bedding 
Coals, 

Soap,  Oil,  Candles,  &c. 

Salaries  of  Surveyor,  Clerk,  &c. 

Wages  of  Beadle 

Furniture  and  Repairs 
Printing  and  Stationery 

Repairs  of  Building,  &c.  ..  ..  .. 

„  of  Houses,  &c. 

Casual  Expenses 

Deductions  from  Rental-— 

Premiums  of  Insurance 

Rent  Charge  to  Vicar  of  St.  Bride’s 

Taxes  and  Rates 
Law  Charges 
Superannuation  Annuities 
Witley  School  Building 
Witley  Chapel  Building  ,, 

Charges  and  Expenses  attending  King  Edward’s  Schools- 

Meat 

Bread  and  Flour 
Potatoes,  Oatmeal,  &c. 

Milk 

Butter,  Cheese,  &c. . . 

Beer  . .  •*  . .  ..  . .  .. 

Tea  and  Groceries  . . 

Clothing  and  Bedding 
Soap,  Oil,  Candles,  &c.  .. 

Coals  and  Firewood  . .  .. 

Medicine  and  Drugs  . . 

Furniture  and  Repairs 

Salaries  of  Chaplain,  Surgeon,  Clerk,  &c.  .. 

Salary  of  Schoolmaster,  &c.  Wages  of  Servants,  &c. 


Rent  and  Taxes 
Printing  and  Stationery 
Repairs  of  Building,  &e. 
Casual  Expenses 
Outfitting  of  Inmates,  &c. 
Superannuation  Annuities 


Paid  for  Purchase  of  £6000,  New  3  per  Cent.  Annuities 


By  Balance 


495  14  0 

78  0  0 


£542  17 
714  1 

79  4 
186  4 
524  13 
14  6  11 

177  11  0 


521  18 
201  14 
436  18 
78  10 
618  18 


860  11 
484  17 


5 

2 


524  13  10 
90  10  11 
858  10  4 
216  16  3 
712  16  9 
45  0  0 


£  s.  d. 
8  118 
2  2  0 
81  9  0 

23  3  0 


573  14  0 
162  10  0 
56  19  6 
601  14  10 
226  17  11 
159  11  7 


705  9  11 
120  0  0 


2,238  19  0 


1,857  19  8 


1,345  8  7 


2,448  8  J 


8.  d. 


1,896  13  6 


825  9  11 

210  10  6 
2,741  19  8 

352  5  0 
233  13  0 
1,438  13  10 


7,890 

15 

4 

5,535 

. 

0 

0 

1  £21,125 

0 

9 

3,045 

2 

£24,170 

2 

11} 

A.  M.  JEAFFRESON, 

Receiver,  fyc. 


We,  whose  names  are  hereunto  subscribed,  have  Examined  and  Audited  the  preceding  Account  for  the  Year  One  Thousand 
Eight  Hundred  and  Sixty-eight,  and  find  the  same  correct,  and  the  Balance  as  specified,  this  Nineteenth  day  of  January, 
One  Thousand  Eight  Hundred  and  Sixty-nine. 

W.  CHARES  HOOD,  Treasurer. 

W.  THORNTON  WEST, 

GEO.  WARE, 

WALTER  D.  CRONIN, 

J.  HARRISON, 

JAMES  FARQUHAR. 


KING  EDWARD’S  SCHOOLS 


CHAPLAIN'S  REPOET,  1868. 


To  the  Eight  Honourable  and  Eight  Worshipful 
the  President,  the  Worshipful  the  Treasurer, 
and  the  Governors  of  King  Edward’s  Schools. 

My  Lords  and  Gentlemen, 

I  cannot  commence  writing  my  Eeport  for  the  past  year, 
without  in  the  first  instance  alluding  to  the  great  loss  the 
Eoyal  Hospitals  of  Bridewell  and  Bethlem  have  sustained 
by  the  deaths  of  our  two  late  Presidents,  Mr.  Alderman 
Copeland,  and  Mr.  J.  E.  J ohnson.  Of  both  these  gentlemen 
it  becomes  me  to  speak  with  the  utmost  gratitude ;  not  only 
for  the  confidence  with  which  they  honoured  me,  and  the 
steady  support  I  always  received  from  them  in  the  discharge 
of  the  duties  connected  with  my  office,  but  for  many  acts, 
also,  of  personal  kindness ; — acts  which  have  left  an  indelible 
impression  on  my  mind,  and,  which  I  should  not  be  doing 
justice  to  my  own  feelings,  if  I  did  not,  now  that  they  have 
passed  away,  thankfully  acknowledge.  Their  removal  has 
cast  a  gloom  over  the  Institutions  with  which  they  had  been 
so  long  and  so  beneficially  connected,  which  will  not  soon  be 
dispelled. 

B 


10 


king  Edward’s  schools. 


But  I  turn  to  the  immediate  object  of  this  Report,  which 
is  to  lay  before  you  “  the  state  and  condition  of  King 
Edward’s  Schools,  and  such  occurrences  therein,”  during  the 
year  1868,  as  I  consider  worthy  of  notice. 

In  the  course  of  that  year,  there  were — 


Admitted.  Discharged. 

Boys .  40  Boys .  35 

Girls .  48  Girls .  42 


88  77 

There  were  remaining  in  the  Schools,  on  the  31st  of 
December  last,  100  boys,  and  98  girls,  making  a  total  of  198 
inmates.  Two  boys  were  admitted  from  the  City  of  London. 

The  inmates  discharged  during  the  year  have  been  dis¬ 
posed  of  as  follows  : — 


BOYS. 


To  the  Royal  Navy .  19 

To  the  Army  . .  3 

To  Situations  .  7 

Returned  to  their  Friends .  5 

Died .  1 


35 

GIRLS. 


To  Situations .  38 

Returned  to  their  Friends .  4 


king  edward’s  schools. 


11 


The  Girls’  School  in  London  was  examined  by  the  Rev. 
Samuel  Earnshaw,  Chaplain  of  the  Parish  Church,  Sheffield, 
on  Tuesday,  July  28th.  The  Boys’  School  at  Witley,  on 
Tuesday,  August  18th,  by  E.  C.  Tufnell,  Esq.,  one  of  Her 
Majesty’s  Inspectors,  and  I  transcribe  the  Reports  of  those 
gentlemen,  which  I  hope  you  will  consider  eminently  satis¬ 
factory. 

“  Girls'  School ,  July  28th ,  1868. 

“  This  day  I  inspected  the  Dormitories  and  other  Rooms 
occupied  by  the  girls,  and  found  everywhere  the  utmost  order, 
neatness,  and  cleanliness.  In  Reading,  Writing,  Spelling,  and 
the  Elementary  Rules  of  Arithmetic,  the  girls  passed  a  very  satis¬ 
factory  examination,  shewing,  generally,  considerable  intelligence  in 
their  answers.  Their  answers  on  the  Catechism  were  good  ;  the 
discipline  is  good,  and  the  School  is  in  a  very  creditable  state, 
and  the  Mistress  deserves  much  commendation  for  diligence  and 
success. 

“  S.  Earnshaw,  M.A .” 


“  Boys'  School ,  August  18 th,  1868. 

“  Examined  the  School.  At  my  inspection  last  year,  1  had  to 
remark  that  considerable  improvement  was  manifested  in  the 
examination  passed  by  the  children,  beyond  what  they  had  passed 
in  the  previous  years.  I  am  glad  to  be  able  to  state  that  the  im¬ 
provement  continues,  and  that  the  whole  establishment  does,  in 
my  opinion,  much  credit  to  all  concerned  in  its  management. 

“  E.  C.  Tufnell, 

“  II. M.  Inspector  of  Schools.” 


12 


king  Edward’s  schools. 


A  very  interesting  event  in  the  year,  was  the  opening  of 
the  New  Chapel  at  Witley  for  Divine  Service,  on  the  18th  of 
August,  in  the  presence  of  our  late  lamented  President,  Mr. 
Johnson,  the  Treasurer,  several  Aldermen  of  the  City  of 
London,  and  a  large  number  of  Giovernors.  In  the  unavoid¬ 
able  absence  of  the  Bishop  of  the  Diocese  in  consequence  of 
severe  illness,  the  Lord  Bishop  of  Oxford,  —  himself  a 
Grovernor  of  the  Schools, — most  kindly  consented  to  officiate 
on  the  occasion.  His  Lordship  was  attended  by  the  Arch¬ 
deacon  of  Surrey  and  some  of  the  local  clergy,  and  preached 
a  very  eloquent  and  appropriate  sermon.  The  chapel  was 
filled  with  a  very  large  congregation,  comprising  besides  the 
inmates  and  officers  of  the  School,  most  of  the  residents  of 
the  neighbourhood.  It  is  now  used  for  daily  Morning 
Prayer ;  and  on  Sunday  Evenings  when  the  Parish  Church 
is  not  opened,  is  generally  attended  by  a  considerable  number 
of  persons  who  dwell  around  us,  and  who  highly  value  the 
privilege  the  Grovernors  have  liberally  placed  within  their 
reach.  The  chapel  is  enriched  with  two  stained  glass 
windows,  presented  to  the  Grovernors  by  our  two  late  Presi¬ 
dents.  These  windows,  which  are  very  tastefully  designed, 
will  serve  as  memorials  of  our  deceased  friends,  and  will 
testify  to  future  generations  the  lively  interest  they  felt  in 
its  erection. 


You  will  have  observed  that  the  larger  number  of  hoys 
discharged  in  each  year  continue  to  enter  the  lloyal  Navy. 
I  am  happy  to  report  that  our  hoys  still  maintain  the  high 
character  in  the  service,  won  for  the  School  in  former  years. 
The  Commanding  Officer  of  the  Training  Ship  at  Portsmouth 


king  Edward’s  schools. 


13 


assures  me  that  they  are  among  the  best  hoys  he  has ;  and 
the  large  number  who  attend  the  meetings  of  the  Committee 
to  receive  their  rewards,  proves  that  they  do  not  forfeit  this 
character  when  they  have  entered  upon  active  service. 


On  the  17th  of  January  the  Choir  hoys,  assisted  by  some 
personal  friends  of  my  own,  performed  a  selection  of  vocal 
music  in  the  presence  of  a  large  number  of  visitors.  This 
little  entertainment  gave  so  much  satisfaction  and  pleasure 
to  the  audience,  that  we  hope  to  make  it  annual.  It  forms  a 
pleasing  variety  to  the  routine  of  School  work  ;  helps  to 
popularize  the  Institution  in  the  neighbourhood,  and  has  a 
very  beneficial  effect  upon  the  hoys  themselves. 


One  hundred  and  thirty-five  rewards  have  been  paid  by 
the  Committee  during  the  year  to  former  inmates  who 
attended  before  them  with  certificates  of  good  conduct. 

Twenty-three  hoys  and  fifteen  girls  were  rewarded  for 
the  first  time  ;  41  hoys  and  8  girls  for  the  second  time,  and 
39  boys  and  9  girls  for  the  third  and  last  time. 

The  health  of  the  hoys  has  not  been  so  good  as  I  could 
have  wished,  and  we  have  lost  one  by  death.  The  Committee 
are  aware  that  I  have  recently  directed  their  attention  to  this 
fact,  and  means  whereby  the  sanitary  condition  of  the  School 
may  be  improved,  are  now  under  consideration ;  and  I  shall 
probably  he  in  a  condition  to  state  the  result  in  my  next 
Report. 


14 


king  Edward’s  schools. 

I  am  happy  to  say  that  the  moral  conduct  of  both  boys 
and  girls  has  been  as  satisfactory  as  could  fairly  be  expected. 

I  have  only,  in  conclusion,  to  express  my  best  thanks  to 
the  Grovernors  for  their  continued  confidence,  and  to  assure 
them  that  my  best  efforts  will  ever  be  directed  to  promote 
the  happiness  and  welfare  of  the  children  entrusted  to  my 
care,  and  to  maintain  the  discipline  and  good  order  of  the 
whole  Establishment. 

I  remain, 

My  Lords  and  G-entlemen, 

Your  obedient  Servant, 

EDWARD  RUDGffi, 

Chaplain  and  Superintendent. 


Withy ,  January  IBM,  1869. 


TABLES. 


16 


king  Edward’s  schools. 

No.  1. 


Expenditure  in  the  King  Edward’s  Schools  in  the 

Years  1867  and  1868. 


1867. 

1868. 

JE 

s. 

d. 

£ 

s. 

d. 

Meat . 

10 

2 

542 

17 

9 

Bread  and  Flour . 

..  534 

17 

5 

714 

1 

6 

Potatoes,  Oatmeal,  &c . 

..  104 

18 

0 

79 

4 

5 

Milk . 

..  193 

18 

0 

186 

4 

0 

Cheesemongery,  &c . . . 

4 

4 

524 

13 

5 

Tea  and  Groceries . 

..  164 

18 

0 

177 

19 

0 

Beer . 

63 

2 

8 

14 

6 

11 

Total  Cost  of  Provisions.. 

..  2145 

8 

7 

2238 

19 

0 

Clothing  and  Bedding . 

..  800 

8 

8 

521 

18 

2 

Soap,  Oil,  and  Candles  . 

..  241 

15 

2 

201 

14 

8 

Coals  and  Firewood . 

..  521 

15 

6 

436 

18 

0 

Medicine .  . . 

62 

3 

11 

78 

10 

8 

Furniture  and  Repairs . 

..  1164 

0 

10 

618 

18 

2 

Salaries  of  Chaplain,  &c . 

..  867 

17 

1 

860 

11 

5 

Wages  of  Schoolmaster,  Servants,  &c.  .. 

..  489 

9 

11 

484 

17 

2 

Rent  and  Taxes  . 

..  492 

0 

8 

524 

13 

10 

Printing  and  Stationery  . 

..  159 

19 

4 

90 

10 

11 

Workmen’s  Bills  for  Repairs  . .  . 

..  1128 

3 

10 

858 

10 

4 

Casual  Payments  and  Sundries  . 

..  200 

8 

2 

216 

16 

3 

Outfit  of  Inmates,  and  Gratuities  . 

..  652 

18 

4 

712 

16 

9 

Superannuation  Annuities  . 

45 

0 

0 

45 

0 

0 

£8971 

10 

0 

7890 

15 

4 

General  Return,  from  October,  1830,  to  31st  December,  1868. 


KING  EDWARD  S  SCHOOLS. 


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18 


king  Edward’s  schools. 

No.  3. 


Admissions. 


Years. 

Bridewell 

Hospital. 

From  Prisons 
or 

been  in  Prison 

Hospitals. 

Home. 

Total. 

M. 

F. 

T 

M. 

F. 

T. 

M 

| 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

From 

1830 

j 

to 

1839 

-  73 

55 

128 

69 

46 

115 ; 

1 

67 

68 

66 

101 

167 

209 

269 

478 

inclu¬ 

sive. 

J 

1840 

to 

1849 

inclu¬ 

sive. 

1 

> 

-146 

39 

185 

47 

41 

88 

2 

10 

12 

158 

235 

393 

353 

325 

678 

1850 

to 

1859 

inclu¬ 

sive. 

i 

J 

>  40 

11 

51 

287 

77 

364 

1 

1 

2 

612 

432 

1044 

941 

521 

1462 

1860 

•  • 

16 

4 

20 

•  • 

•  • 

•  • 

142 

59 

201 

158 

63 

221 

1861 

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48 

161 

119 

53 

172 

1862 

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104 

52 

156 

111 

53 

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80 

57 

137 

83 

57 

140 

1864 

2 

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• 

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67 

48 

115 

69 

48 

117 

1865 

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76 

54 

130 

77 

54 

131 

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37 

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53 

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1 

2267 

1564 

3831 

GEORGE  H.  HAYDON 

Steward. 


KING  EDWARD  S  SCHOOLS. 

No.  4. 

The  Monthly  Report  from  11th  December,  1868,  to 

8th  January,  1869. 


19 


Number  of  Inmates  remained  last  Report 

Admitted  since . 


Discharged 


"Royal  Navy  . 

Army . . . 

Merchant  Service . 

To  Situations . 

At  request  of  friends . 

At  own  request . 

Absconded . 

Discharged  by  Committee . 

Through  Illness . 


Remaining. 


Occupied  in  trades,  needlework,  domestic  and  ol 
services,  and  attending  school  daily  or  periodically  . . 

Attending  school  only  . 

Absent,  Sick . 

Gate-keepers . 


Monitors. 

M. 

F. 

| - 

•  • 

6 

1 

.. 

1 

2 

.. 

2 

!  ** 

1 

*  * 

6 

1 

i  ! 

•  • 

i 

1  •  * 

•  • 

•  • 

•  0 

i  0  0 

0  m 

1  0  0 

1 

1 

•• 

12 

12 

OCCUPATIONS. 


Tailors  . 

Shoemakers  . 

Hall  . 

Engineers  . . . . 

Garden . 

Needlework  . 

Kitchen . 

Laundry  and  Washing  . .  . 

Household . 

Matron 


Officers’  service  - 

Attending  school 
Gate  Keepers..  . . 


Superintendent  .... 

Storekeeper . 

Schoolmaster . 


M. 

F. 

Total. 

100 

98 

198 

100 

98 

198 

.. 

•  • 

•  • 

•  • 

•  • 

•  • 

«  • 

•  • 

•  • 

•  • 

•  0 

•  • 

•  • 

100 

98 

198 

r 

86 

98 

181 

14 

•  • 

14 

•  • 

•  • 

100 

98 

198 

19 

•  • 

19 

20 

•  • 

20 

4 

•  • 

4 

4 

•  • 

4 

8 

•  , 

8 

•  • 

62 

62 

6 

6 

12 

•  • 

21 

21 

18 

4 

22 

•  • 

2 

2 

2 

2 

4 

2 

•  • 

2 

2 

•  • 

2 

14 

•  • 

14 

1 

1 

2 

100 

98 

198 

State  of  School. 


20 


king  Edward’s  schools, 


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Number  of  Classes. 

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Number  of  Teachers 
in  each  Class .... 

Distribution  of 
Inmates. 

Under  12  years  of  age 
12  to  14  .... 

14  to  16  .... 
Upwards . 

21 


king  Edward’s  schools. 


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EDWARD  RUDGE,  Chaplain-Superintendent. 


22 


king  Edward’s  schools. 

No.  5. 


Dr. 

Shoemaker’s  Account  for  1868. 


WITLEY. 

£  s.  d. 

Stock  on  hand,  Jan.  1st,  1868  .  37  9  4 

Materials  received  during  the  year,  and  petty  cash  paid  . .  103  9  5 


£140  18  9 

Stock  on  hand,  December  31st,  1868  .  20  12  4 


£120  6  5 

Shoemaker’s  Wages  and  Maintenance .  59  3  0 

Allowances  .  15  0  0 

Coals,  Chandlery,  Lights,  and  Sundries  .  8  0  0 


£202  9  5 


Dr. 


No.  6. 


Tailor’s  Account  for  1868. 
WITLEY. 


£  s.  d. 

Stock  on  hand  Jan.  1st,  1868  .  180  6  0 

Goods  received  during  the  year,  and  petty  cash  payments . .  104  16  7 

£285  2  7 

Stock  on  hand,  December  31st,  1868  .  207  11  8 


77  10  11 

Tailor’s  Wages  .  59  3  0 

Allowances .  15  0  0 

Coals,  Chandlery,  Light,  and  incidental  Expenses  ..  ..  10  0  0 

Profit  on  the  year .  121  11  10 


£283  5  9 


king  Edward’s  schools. 

No.  5. 


Shoemaker’s  Account  for  1868. 


Cr. 


WITLEY. 

£  s.  d. 

Shoes  supplied  to  King  Edward’s  Schools,  London  ..  ..  91  4  0 

Shoes  supplied  to  King  Edward’s  Schools,  Witley  ..  ..  85  6  5 

Loss  on  the  year .  25  19  0 

AMOUNT  OF  WORK  DONE. 

Made.  Repaired. 

Boys’  shoes — pairs  .  74  991 

Pairs  of  strings .  240  doz. 

Girls’  boots — pairs  .  288  352 


£202  9  5 


No.  6. 


Cr. 


Tailor’s  Account  for  1868. 


WITLEY. 

Clothes  supplied  to  King  Edward’s  Schools,  Witley  .. 


AMOUNT 

OF  WORK 

DONE. 

Made. 

Repaired. 

Jackets . 

..  169 

709 

Waistcoats  .. 

..  168 

655 

Trousers 

..  193 

1502 

Pairs  of  Braces  . . 

..  1»2 

Blankets 

14 

Hammocks 

•  •  — 

13 

Rugs  . 

.  ,  - 

79 

Caps  . 

•  •  1 

24 

£  s.  d. 
283  5  9 


23 


£283  5  9 


24 


king  edwakd’s  schools. 


No.  7. 


Girls’  Needlework,  1868. 
New  Work, 


s. 

d. 

£ 

8. 

d. 

394  Shirts 

at  0 

6  each 

9 

17 

0 

438  Chemises  and  Nightgowns 

„  o 

4  „ 

7 

6 

0 

356  Petticoats 

„  o 

3  „ 

4 

9 

0 

342  Collars  . . 

>.  0 

1  „ 

1 

8 

6 

200  Pairs  of  Stockings  run  and  marked  0 

2  per  pair 

1 

13 

4 

608  Handkerchiefs  .. 

„  0 

1  each 

2 

10 

8 

726  Aprons  and  Pinafores 

„  0 

2  „ 

6 

1 

0 

253  Gowns  .. 

„  2 

o  „ 

25 

6 

0 

451  Towels  and  Dusters 

„  o 

n „ 

0 

18 

9* 

40  Pairs  of  Boots  bound  .. 

tt  0 

1 2  per  pair 

0 

5 

0 

238  Sheets  and  Table-cloths  . . 

„  0 

1  each 

0 

19 

10 

53  Pillow-cases 

„  0 

2  „ 

0 

8 

10 

24  Pairs  of  Stays  . . 

„  0 

6  „ 

0 

12 

0 

Repairs. 

13,516  Aprons,  Pinafores,  and  Stock¬ 

ings  .. 

„  0 

1  each 

56 

6 

4 

2,898  Shirts 

»  0 

H  » 

18 

2 

3 

2,305  Chemises 

0 

1  „ 

9 

12 

1 

1,531  Gowns 

„  0 

3  tt 

19 

2 

9 

596  Petticoats 

„  0 

li  » 

3 

14 

6 

1,812  Sheets  and  Counterpanes 

»  0 

2  „ 

15 

2 

0 

111  Pillow-cases  .. 

»  0 

H  „ 

0 

13  10* 

96  Caps  .. 

„  0 

1  „ 

0 

8 

0 

£184  17  9 

Estimated  Cost  of  Materials. .  ..  35  0  0 


Profit  on  Girls’  Needlework 


£149  17  9 


king  Edward’s  schools. 


25 


No.  8. 


SUMMAEY  OP  PEOPITS  ON  TeADES  AND  NEEDLEWOEE. 


Profit  on  Girls’  Needlework,  K.E.S.L. 
Ditto  Tailor’s  Account,  K.E.S.W. 


Losses  on  Shoemaker’s  Account,  K.E.S.W. 

Total  Profits . 


£ 

s. 

d. 

149 

17 

9 

12  L 

11 

10 

271 

9 

7 

25 

19 

0 

£245 

10 

7 

KING  EDWARD’S  SCHOOLS, 

* 

No.  9. 

DAILY  OCCUPATION  OF  THE  INMATES. 


Hours  of  Rising. 

Six  o’clock  in  the  summer  months,  and  not  later  than  7  o’clock  in 
the  winter  months. 

After  private  prayer  in  each  dormitory,  washing,  dressing,  &c. 

On  Week-days. 

Until  8  o'clock. — The  Trades-boys  to  be  employed  at  their  Trades, 
and  the  School- boys  in  making  the  beds,  and  sweeping  and  cleaning 
the  dormitories  and  other  apartments  on  the  male  side.  The  girls 
selected  for  employment  in  the  Laundry  and  Kitchen,  and  in  House¬ 
hold  Work,  to  be  engaged  in  their  particular  occupations,  and  the  rest 
in  making  beds,  and  sweeping  and  cleaning  the  dormitories  and  other 
apartments  on  the  female  side. 

From  8  to  9  o'clock. — Prayers,  breakfast,  and  recreation. 

C 


26 


king  Edward’s  schools. 


From  9  ^  1  o'clock  ( except  Saturdays ) — Trades-boys  at  their  trades 
from  9  to  12,  and  in  School  from  12  to  1,  except  three  boys  employed 
as  bakers,  who  shall  attend  School  two  hours  every  afternoon. 

School-boys  in  school  from  9  to  £  before  12  o’clock,  and  in  occu¬ 
pation  from  12  to  1  under  the  Arts-masters,  as  the  Superintendent 
shall  direct. 

Girls  selected  for  particular  employments  to  be  at  their  respective 
occupations  from  9  to  1  o’clock,  as  the  Matron  shall  dix'ect  j  and  on 
alternate  days  at  school  during  the  same  hours. 

From  1  to  2  o'clock — Dinner  and  recreation. 

From  2  to  bo' clock  ( except  Saturdays ) — Trades  boys  at  their  trades. 
School-boys  at  school  from  2  till  5  o’clock,  and  from  5  till  6  o’clock  in 
occupation,  as  the  Superintendent  shall  direct. 

Girls  selected  for  particular  employments  to  be  at  their  respective 
occupations,  and  the  rest  at  needlework,  from  half-past  2  till  5  o’clock, 
and  in  occupation  from  5  till  6  o’clock,  as  the  Matron  shall  direct. 

From  6  to  7f  o'clock — Supper  and  recreation. 

From  7f  to  8  o'clock — Prayer. 

8  o'clock — Bed-time. 


On  Saturdays. 

No  school  to  be  kept,  either  in  the  morning  or  afternoon,  and  no 
trades-boys  to  be  required  to  woi'k  at  their  trades  after  12  o’clock.  The 
inmates  on  this  day  to  be  engaged  in  cleaning  the  establishment, 
assorting  and  distributing  clean  linen,  using  the  bath,  and  in  such 
other  occupations  as  the  Superintendent  and  Matron  shall  respectively 
direct.  The  recreation  of  the  inmates  to  be,  when  the  weather  will 
permit,  in  the  airing  grounds,  and  at  other  times  in  the  day-rooms, 
which  are  to  be  provided  with  suitable  books  for  amusement  and 
instruction. 


On  Sundays. 

Until  8  o'clock — The  inmates  to  be  occupied  in  making  beds,  clanging 
linen ,  and  delivering  u\ o  all  that  is  dirty ,  and  preparing  lor  the  proper 
spending  of  the  day. 

From  8  to  10  o'clock— Breakfast,  and  walking  in  the  airing-grounds, 
when  the  weather  will  permit. 

From  10  to  11  o'clock — In  school-rooms,  reading  the  Lessons  for  the 
day,  repeating  Catechism,  and  answering  questions  on  scriptural 
subjects. 


king  Edward’s  schools. 


27 


From  11  to  1  o'clock — In  Chapel  for  Morning  Service  and  Sermon. 
1  o'clock—  Dinner. 

1§  to  3§  o'clock — In  the  day-rooms  and  airing-courts. 

3£  o'clock— Afternoon  Service  in  Chapel,  and  Sermon. 

7  o'clock — Supper. 

8  o'clock — Bed-time. 


No.  10. 

DIETARY  TABLE. 


Breakfasts. 

Quantities. 
Class  1.  Class  2. 

oz.  oz. 

Daily . 1  Pint  Cocoa,  and  Bread .  6  5 

Butter .  1  1 


Dinner. 


Sunday  ....  Boiled  Beef . 

Bread . . . 

Potatoes  or  other  Vegetables. 

Monday  ....  Baked  Batter  Pudding . 

Bread  . . 

Cheese . 

Tuesday  ....  Mutton,  Boiled  or  Roasted  . 

Bread  . . . . 

Potatoes  or  other  Vegetables. 

Wednesday  .  In  Summer,  Baked  Rice  Pudding..  .. 

In  Winter,  Soup  with  Peas,  Rice, 
Barley  or  Lentiles. 

Bread  . 

Thursday..  ..  Boiled  Suet  Pudding . 

Bread  . 

Cheese . 

Friday . Same  as  Tuesday. 


6  5 

4  4 


8 

4 

1 

6 

4 


8 

4 

1 

5 
4 


7  7 


6  6 

8  8 

4  4 

1  1 


c  2 


28 


king  Edward’s  schools. 


QUANTITIES. 

Class  1.  Class  2. 
oz.  oz. 

Saturdays.. ..  Rice  Milk. 

Bread  .  4  4 

Butter .  .  1  1 

Class  1,  comprises  all  the  boys  abo ve  fourteen  years  of  age. 

Class  2,  all  the  girls,  and  such  boys  as  are  under  fourteen  years  of  age. 
The  Meat  is  reckoned  in  weight  after  it  is  cooked. 


Suppers. 


Daily  . Bread  .  6  6 

Cheese .  1^  1$ 

The  six  Kitchen  Girls  have  Tea  daily,  at  four  o’clock. 

Twenty  Laundry  Girls  have  Tea  on  Monday  and  Tuesday. 

Three  Mangling  Girls  daily. 

Girls  one  pint  of  Cocoa  daily. 


The  Female  Monitors  to  dine  together,  apart  from  the  other  children, 
and  at  a  different  time,  their  dinner  being  cooked  separately,  when 
practicable,  by  the  monitors  themselves  in  rotation,  for  the  purpose  of 
increasing  their  experience  in  cooking  as  practised  in  private  families, 
but  being  in  accordance  with  the  diet  allowed,  except  on  Saturdays, 
when  it  shall  bo  Meat-pie. 


KING  EDWARD  S  SCHOOLS. 


29 


No.  11. 

LIST  OF  OFFICEES  AND  SERVANTS 

KINO  EDWARD’S  SCHOOLS, 

WITLEY.* ** 


furnished) 
*1  Steward  .. 


t  1  Cook 

Grate  Porter 


il 


t  1  Engineer  . 

t  1  Shoemaker  . 

f  1  Tailor  . 

||  1  Hardener  . 20. 

Labourers  (occasionally  employed) . 


)) 


>) 


KINO  EDWARD’S  SCHOOLS, 
LONDON.** 

f  1  Clerk  . 

||  1  Steward’s  Clerk  . 

f  1  Deputy  Superintendent  . 

t  1  Matron . 

f  1  Schoolmistress  . 


f  1  Laundress 
f  1  Assistant  ditto 
f  1  Gate  Portress 


£ 

X. 

d. 

..  450 

0 

0 

0 

0 

0 

0 

0 

0 

..  75 

0 

0 

0 

0 

0 

0 

ek  59 

3 

0 

,  59 

3 

0 

59 

3 

0 

,  59 

3 

0 

52 

0 

0 

..  128 

9 

2 

£1237 

1 

2 

0 

0 

0 

0 

..  100 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

..  32 

0 

0 

6 

10 

0 

£526 

10 

0 

*  Furnished  apartments. 

Neither  boarded  nor  lodged, 
t  Lodged  only. 

**  No  rations. 


- 


■ 

' 


. 


' 


BETHLEM  HOSPITAL. 


REPORT. 


To  the  Eight  Worshipful  the  President,  the 
Worshipful  the  Treasurer,  and  the  Governors 
of  the  Eoyal  Hospital  of  Bethlem. 

My  Lords  and  Gentlemen, 

In  conformity  with  the  regulations  of  my  office,  I  beg 
to  lay  before  you  a  Eeport  of  the  Ilopital  sfor  the  year  1868, 
accompanying  which  I  attach  the  usual  Statistical  Tables. 

During  the  year  208  patients  were  admitted,  178  were 
discharged,  and  23  died. 

As  compared  with  the  year  1867,  there  was  an  increase 
of  four  in  the  number  of  admissions,  a  decrease  of  ten  in 
the  number  of  discharges,  and  a  decrease  of  six  in  the 
deaths. 


32 


BETHLEM  HOSPITAL. 


On  the  1st  of  January,  1869,  246  patients  remained  on 
the  hooks  of  the  Hospital,  classed  in  the  following  order : — 


Males. 

Females. 

Total. 

Curables 

74 

116 

190 

Incurables  .. 

25 

30 

55 

Criminal 

0 

1 

1 

99 

147 

246 

The  208  patients  admitted  were  as  follows : 

Males. 

Females. 

Total. 

78 

130 

208 

The  178  patients  discharged 

were : — 

Males. 

Females. 

Total. 

Cured . 

33 

67 

100 

Uncured 

32 

34 

66 

For  Special  Reasons 

6 

6 

12 

4» 

71 

107 

178 

Twenty-three  patients  died  during  the  year : — 


Males. 

Females. 

Total. 

Curables 

14 

8 

22 

Incurable 

0 

1 

1 

14 

9 

23 

When  it  is  considered  that  the  greatest  possible  elasticity 
of  construction  is  granted  to  the  rules  excluding  admission ; 
and  that  where  the  disease  has  not  existed  twelve  months, 
all  cases  of  insanity,  including  those  of  general  paralysis, 
are  admitted,  only  excluding  those  where  epilepsy  is  a 
form  of  aggravation,  these  results  must  not,  I  think,  ho 
considered  unsatisfactory.  I  cannot  refrain  from  again 


BETHLEM  HOSPITAL. 


33 


calling  attention  to  the  condition  in  which  patients  are 
brought  to  the  Hospital;  since,  in  several  instances,  they 
have  only  been  sent  here  when  the  fatigue  of  the  journey 
counterbalanced  what  little  prospect  of  recovery  might  exist, 
and,  in  some  cases,  when  all  hope  was  past.  One  female 
patient  was  in  a  dying  state  when  brought  here,  and  died 
before  she  could  be  taken  into  the  wards.  A  male  patient, 
on  arrival  at  the  Hospital,  was  found  dead  in  the  cab. 

Three  inquests  have  been  held  during  the  year : — one  on 
a  male  patient,  who  attempted  self-destruction  before  his 
admission;  one  on  a  female  patient,  who  died  so  shortly 
after  admission,  that  some  inquiry  as  to  the  safety  and  pro¬ 
priety  of  her  removal  from  home  was  necessary;  and  the 
third  on  a  male  patient,  who  committed  suicide  by  hanging. 

We  recognize  much  cause  for  gratitude,  that  in  an  Insti¬ 
tution  like  Bethlem  Hospital,  where  lit)  patients  who  have 
evinced  a  suicidal  tendency  are  generally  under  treatment, 
it  is  our  duty  so  rarely  to  report  a  suicidal  act.  At  the 
same  time,  notwithstanding  the  greatest  care  and  caution,  it 
is  impossible  always  to  conquer  a  strong  suicidal  determi¬ 
nation. 

One  of  our  female  attendants  died  during  the  autumn. 
She  had  for  some  time  been  in  weak  health,  though  most 
anxious  to  perform  her  duties  to  the  last. 

The  experiment  has  been  made  this  year  of  papering  the 
upper  half  of  the  walls  of  one  of  the  female  galleries.  The 
effect  gives  a  great  additional  appearance  of  comfort,  and 
will  also,  it  is  expected,  be  found  satisfactory,  from  an 
economical  point  of  view. 


34 


BETHLEM  HOSPITAL. 


Great  inconvenience  having  been  felt  from  the  occasional 
want  of  steam  power,  for  the  supply  of  steam  to  the  Hos¬ 
pital,  a  new  boiler  has  this  year,  by  order  of  the  Governors, 
been  added;  and  now  it  is  impossible  that  there  should  be 
at  any  time  a  deficient  supply  of  the  necessary  quantity  of 
steam  for  cooking,  heating  the  wards,  or  for  working  and 
pumping,  &c. 

A  small  additional  greenhouse  has  been  built  by  the 
workmen  of  the  permanent  staff,  which  will  enable  us  to 
keep  a  more  constant  supply  of  plants  ready  for  the  decora¬ 
tion  of  the  various  Wards,  and  the  gratification  of  their 
numerous  inmates. 

• 

The  workshops  for  the  tailor  and  shoemaker,  mentioned 
in  the  last  Report,  are  now  completed.  It  is  often  difficult 
to  find  employment  for  the  male  patients,  as  they  are  prin¬ 
cipally  received  from  a  class  who  consider  “  working  at  a 
trade  ”  derogatory  to  their  position.  During  the  last  ten 
years,  only  13  tailors  and  11  shoemakers  have  been  admitted. 

The  appointment  of  a  Garden  Attendant  continues  to 
work  well,  and  the  employment  finds  light  occupation  for 
many  who  would  otherwise  be  idle. 

Most  of  the  arguments  that  have  been  brought  forward 
in  favour  of  this  Hospital  being  removed  into  the  country 
do  not  apply ;  for  had  we  more  land,  it  would  only  be  a 
question  of  employing  more  paid  labourers,  since  our  present 
kitchen-garden  and  pleasure-grounds  moro  than  suffice  to 
provide  ample  out-door  work  and  amusement  for  all  who  can 
be  induced  to  assist  in  keeping  them  in  order. 


BETHLEM  HOSPITAL. 


35 


We  have,  for  the  last  three  years,  had  two  Resident 
Medical  Students  elected  (every  six  months)  for  six  months’ 
residence.  The  system  has  worked  well,  and  is,  I  think,  the 
best  way  of  imparting  a  knowledge  of  psychological  medicine 
to  a  limited  number  of  qualified  men.  The  same  plan  has 
been  adopted  at  the  West  Riding  Asylum,  Wakefield;  and 
Dr.  Crichton  Browne,  in  a  letter  published  in  the  “  Asso¬ 
ciation  Journal  of  Psychological  Medicine”  for  January, 
1869,  gives  his  experience  of  such  appointments  : — 

“  After  eighteen  months  experience  of  them,  I  am 
strongly  impressed  with  the  value  of  these  clinical  clerks, 
and  should  not  now  like  to  be  without  them.  They  are  of 
great  service,  not  merely  in  keeping  the  Case  Books,  but  in 
widening  and  extending  that  general  and  unremitting  super¬ 
vision  which  I  believe  to  be  so  important.in  a  large  establish¬ 
ment  like  this,  and  in  helping  on  the  medical  work  in  various 
ways.  It  is  almost  impossible  for  me  to  describe  the  vivify¬ 
ing  influence  which  these  ardent  young  men,  fresh  from  the 
Schools,  exert  upon  the  more  confirmed  medical  officers. 
They  rub  off  the  rust  of  routine,  and  create  a  necessity  for 
vigorous  reading.  They  afford  too,  wonderful  facilities  for 
carrying  out  scientific  investigations  and  careful  treatment, 
while  they  are  themselves  undergoing  the  best  preparation 
for  subsequent  Asylum  appointments,  and  even  for  general 
practice.” 

It  is  gratifying  to  be  able  to  state  that  all  who  have 
been  Resident  Students  at  Bethlem  Hospital  are  now  either 
holding  Asylum  appointments,  or  are  qualified  to  take  im- 
p  u’tant  positions  in  general  practice. 


36 


BETHLEM  HOSPITAL. 


We  have  not  entered  any  non-resident  Pupils  during  tlie 
year,  and  I  do  not  think  the  fact  is  a  matter  for  regret.  A 
visit  through  the  wards  of  an  asylum  once  or  twice  a  week, 
can  he  hut  of  very  little  benefit  either  to  pupil  or  patient. 
Until  a  knowledge  of  psychological  medicine  is  made  com¬ 
pulsory  by  the  Examining  Boards  for  Medical  Degrees,  and 
lectures  on  the  subject  are  delivered  at  the  various  Hospitals 
and  Medical  Schools,  we  cannot  expect  young  men  volun¬ 
tarily  to  come  forward  and  attend  a  course  of  instruction 
that  will  not  he  of  any  service  to  them  in  their  examinations. 

Of  the  deep  loss  the  Hospital  has  sustained  by  the  death 
of  the  two  late  Presidents  during  the  year  just  closed,  it  is 
not  in  my  province  to  refer,  more  than  to  desire  to  place  on 
record  in  my  Annual  Report  the  great  regret  felt  by  all  the 
Officers  at  being  separated  so  suddenly  from  two  gentlemen 
who,  both  as  Presidents  of  the  Hospitals  and  personal 
friends,  had  always  shewn  the  greatest  kindness  and  con¬ 
sideration  towards  them  in  the  performance  of  their  several 
duties. 

The  occupations  and  amusements  of  the  patients  have 
continued  the  same  as  during  former  years.  About  fifty 
again  enjoyed  a  holiday  at  Brighton,  and  excursions  have 
been  made  to  various  places  in  the  neighbourhood  of  the 
Metropolis. 

Mr.  Gteorge  Buckland  voluntarily  gave  a  Musical 
Entertainment  to  the  patients  in  the  summer,  which  was 
the  source  of  great  pleasure  to  a  large  audience,  and  there 
have  from  time  to  time  been  meetings  for  music,  singing, 
and  reading. 


BETHLEM  HOSPITAL. 


37 


Two  of  the  Commissioners  in  Lunacy  paid  an  official 
visit  to  the  Hospital  on  July  6th,  and  left  the  following 
Beport : — 

“  Monday ,  §th  July ,  1868. 

“  Since  this  Hospital  was  visited  on  the  26th  of  April 
in  last  year,  282  patients  have  been  admitted — 106  males, 
and  176  females;  in  the  same  interim,  248  patients  have 
been  discharged — 86  males,  and  162  females ;  and  the  deaths 
have  been  41 — 25  among  the  men,  and  16  among  the  women. 
Of  those  discharged,  130  had  recovered,  11  were  relieved, 
and  107  had  not  improved.  There  were  two  suicides,  par¬ 
ticulars  of  which,  and  of  the  inquests,  were  transmitted  to 
Whitehall ;  and  the  rest  of  the  deaths  were  from  ordinary 
causes,  the  principal  being  general  paralysis  and  other 
diseases  of  the  brain,  exhaustion  after  mania  and  melan¬ 
cholia,  and  phthisis. 

“We  have  seen  to-day,  in  the  several  wards  and  galleries, 
243  patients — in  the  male  division  111,  and  in  the  female 
division  132 ;  there  being  besides,  upon  the  books,  8  males 
and  9  females  at  present  absent  on  leave  ;  some  for  very  short 
periods,  others  with  a  view  to  trial  before  their  discharge. 
There  is  now  only  one  criminal  patient  here;  application 
having  been  made  to  the  Secretary  of  State  for  her  retention, 
on  the  ground  of  her  age  and  blindness.  The  incurable  list 
contains  54  names,  and  there  are  192  classed  as  curable. 

“  There  was  on  the  whole  a  remarkable  freedom  from 
excitement,  even  among  the  least  favourable  cases,  the  excep¬ 
tions  being  one  or  two  women ;  and  the  personal  appearance 


38 


BETHLEM  HOSPITAL. 


and  condition  of  the  patients  generally  we  thought  very 
good.  For  the  most  part  all  were  clothed  well;  and  even 
where  shabbily  dressed,  as  in  a  few  exceptions  in  the  male 
division,  they  were  well  attended  to,  and  not  untidy.  We 
were  pleased  to  see  everywhere  a  most  liberal  provision  of 
amusement  and  occupation  in  the  wards,  of  which  a  consider¬ 
able  proportion  of  the  inmates  seemed  to  be  gladly  availing 
themselves;  and  in  every  part  of  both  divisions  there  are 
evident  indications  of  continued  and  most  praiseworthy  effort 
on  the  part  of  all  engaged  in  the  management  of  the  Insti¬ 
tution  to  obviate  the  old  and  still  existing  inconveniences  of 
its  structure,  and  make  all  possible  addition  to  the  comfort 
of  the  patients.  We  have  made  some  suggestions  to-day  as 
to  a  certain  sort  of  bed  in  some  of  the  single  sleeping-rooms 
(all  of  which,  as  well  as  the  small  associated  dormitories, 
were  in  excellent  order)  which  Dr.  Williams  has  promised 
attention  to  ;  and  referring  to  the  increased  cheerfulness 
introduced  lately  into  some  of  the  galleries,  it  has  given 
us  satisfaction  to  learn  his  intention  immediately  to  try  the 
experiment  of  papering  throughout  one  of  the  female  wards. 

“  The  returns  of  the  employed  shew  some  increase  since 
the  last  visit,  a  suggestion  then  made  for  engaging  a  Gfar- 
dener- Attendant  having  been  acted  on,  and  about  26  male 
patients  were  working  regularly  in  the  grounds.  Altogether, 
78  men  and  73  women  have  now  daily  occupation.  Since 
that  visit  also  the  ground  formerly  given  up  to  the  criminal 
wing  has  been  completely  laid  out  and  planted  with  a  view 
to  out-door  recreation  and  games,  in  which  inmates  of  every 
class  take  part ;  and  the  usual  pleasure  excursions,  open  to 
moro  than  two-thirds  of  nil  the  inmates,  have  been  given  in 


BETHLEM  HOSPITAL. 


39 


addition.  Another  visit  to  the  sea-side,  such  as  was  provided 
last  year  so  liberally,  will  also  he  made  in  the  present 
summer ;  the  same  houses  having  been  already  taken  at 
Brighton,  for,  as  we  hope,  the  same  number  of  50  patients. 

“  The  seclusion  since  the  last  visit  has  not  been  consi¬ 
derable  ;  two  men  have  been  secluded  on  three  occasions, 
and  twelve  women  on  thirty-two  occasions.  The  health 
generally  is  very  good ;  no  one  was  in  bed  in  the  male 
division,  and  in  the  female  division  only  four,  one  for  sup¬ 
posed  affection  of  the  spine,  and  one  brought  here  eight 
days  since  out  of  Devonshire,  in  an  entirely  exhausted  con¬ 
dition.  Twenty  are  entered  as  taking  medicine. 

“  We  have  derived  from  our  present  visit  a  very  favour¬ 
able  impression  of  the  present  state  of  the  Hospital,  and  of 
the  continued  zeal  and  ability  with  which  Dr.  Williams 
discharges  his  important  duties. 

“  Land  has  been  purchased  at  Witley,  near  Grodalming, 
for  the  branch  Convalescent  Establishment.  The  house  is 
built  for  40  inmates,  and  is  expected  to  he  ready  for  occu¬ 
pation  this  summer. 

“  JOHN  FORSTER  j  Commissioners 
“  D.  J.  FORTESCUE  in 

“  JAMES  WILKES  )  Lunacy.” 

My  best  thanks  are  due  to  my  Medical  colleague,  Dr. 
Kempthorne,  and  to  all  the  Officers  and  Servants,  for  their 
cordial  co-operation  in  everything  suggested  for  the  benefit 
of  the  patients. 


40 


BETH  LEM  HOSPITAL. 


It  is  a  source  of  gratification  to  report  that  there  have 
been  very  few  changes  in  the  staff  of  Attendants,  and  that 
such  changes  were  caused  by  resignations.  No  cases  of  dis¬ 
missal  for  misconduct  have  occurred  during  the  year. 

In  conclusion,  I  beg  to  tender  my  best  thanks  to  the 
Committee  and  Governors  for  their  continued  support  and 
encouragement  in  the  discharge  of  my  duties,  and  to  assure 
them  that  all  my  energies  shall  be  devoted  to  promote  the 
welfare  of  this  Institution. 


I  have  the  honour  to  be, 

My  Lords  and  Gentlemen, 

Your  very  obedient  Servant, 

W.  RHYS  WILLIAMS,  M.D. 


Bethlem  Hospital , 

January  20 th,  1869. 


<. 


TABLES. 


;> 


INDEX  TO  TABLES. 


No.  Page 

1  Patients  admitted  and  discharged .  43 

2  Average  number  of  patients  in  the  Hospital,  attending 

chapel,  and  under  restraint,  during  the  the  last  twenty- 
eight  years .  44 

3  Total  number  of  curable  patients  admitted  into  Bethlem 

Hospital  during  100  years,  ending  the  31st  December, 

1868,  and  the  amount  of  cures  and  deaths .  44 

4  Annual  admissions,  cures,  and  deaths,  of  curable  patients 

during  the  last  forty-eight  years .  45 

5  Form  of  mental  disease .  46 

6  Monthly  admissions,  cures,  and  deaths .  46 

7  Ages .  47 

8  Duration  of  disease  before  admission .  47 

9  Degree  of  education . •  .  .  .  .  48 

10  Religious  persuasion .  48 

11  Domestic  condition .  49 

12  Residence .  49 

13  State  of  general  health .  50 

14  Behaviour .  50 

15  Suicidal  tendency .  51 

16  Number  of  previous  attacks .  51 

17  Apparent  or  assigned  causes . 52,  53 

18  Occupation  of  curable  patients  admitted  during  1868  .  .  54 

18  „  ,,  discharged  during  1868  .  .  55 

18  ,,  ,,  discharged  uncured  in  1868  56 

18  ,,  ,,  who  died  in  1868  ....  57 

19  Particulars  of  patients  who  have  died  during  the  year 

1868,  as  reported  to  the  Bethlem  Sub-Committee  ...  58 

20  Return  of  employment,  June  30th,  1868  59 

21  Females  employed  on  June  30th,  1868  .  59 

22  Time  in  Hospital .  60 

23  Patients  cured . 61 

24  Daily  average  number  of  patients  in  the  Hospital  during 

the  year  1868  02 

25  Return  of  the  incurable  patients  now  in  the  Hospital  .  .63,  64,  65 

26  Time  the  incurable  patients  have  hern  in  the  Hospital  .  . 

27  Degree  of  education  of  incurable  patients  in  the  Hospital 

Obituary — Males . 

„  Females .  <  1 


Patients  Admitted  and  Dischaeged. 


BETHLEM  HOSPITAL. 


43 


00 

to 

CO 


bo 

c 

•  H 
- 

- 

a 


*60 

73 

.9 

IN. 

to 

CO 

H 

TJ 

c 

rt 

o 

d 

CO 


a 

o 

0) 

*13 

C 

- 

- 

Es 

•w 

o 

« 


H 

00  05 

CO  o 

<M  Cl 

Tj* 

xf 

©  to  Cl  .  •  •  .CO  to  © 

©  to  •"*  •  •  •  •  Cl  ^ 

^  Cl 

1^ 

t 

xf 

Total. 

b 

132 

131 

263 

I'*  X*  to  •  .  .  ,05  Xf  CO 

to  CO  •  •  .  xf 

^  ! 

CO 

to 

d 

.  1 
s  | 

to  CO 

© 

CO 

co  ci  to  •  •  •  •  x*  d 

COCO*  •  ••»—«  05 

CO 

Criminals. 

H 

t—i  s 

- 

fa 

s 

- 

•  •••  •  •••  •  M 

- 

?! 

•  •••  •  •  ••  •• 

Incurables. 

b 

55 

1 

56 

•  •  •  •  •  •  •  *““*  •  to 

•  •••  •  ••  •  io 

to 

to 

fa 

30 

1 

r»* 

CO 

•  •  •  •  •  •  a  H  •  o 

•  •••  •  ••  •  CO 

rH 

CO 

s' 

tO 

d 

to 

CM 

••••  •  •••  •  to 

•  •••  •  •••  •  d 

25 

Curables. 

182 

208 

©  ' 
05 
CO  ! 

©  to  Cl  .  •  ,  .  d  to 

©to  H  ,  .  .  .  d  oc 

3Q0 

fa 

101 

130 

231 

£>  2!  ®  •  •  •  .co  T*  <n 

to  n  .  .  .  — 

CO 

d 

05 

to 

g 

-<  00 

CO  t>* 

05 
to  ' 

<  , 

£2  2 50  •  •  •  •  ^  c*  (N 

CO  CO  •  •  •  »  i*H 

Total. 

H 

©  to 

© 

d  to 

1 

<£i 

CO 

rH  05  Cl  d  N  CO  CO  •—«  »OCO 

00  to  to  05  05  Cl  CO 

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to 

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O  to  U)  CO  CO  CO  CO  o 

CN  o  m  u)  re  m 

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05 

CO 

© 

to 

Criminals. 

©  to 

iO  CO 

In. 

to 

CO 

In 

139 

3  ! 

1 

496 

6 

140 

1 

to 

CO 

1^ 

9 

114 

123 

"  •  .  O)  M 

w  •  U)  (M 

123 

S3 

41 

622 

663 

53  co  •  .  .  In*  to  to  .  . 

©••  •  CO  r— 1  •  • 

^  -T?  r—i 

CO 

to 

to 

Incurables. 

o>  o> 

to  m 

Oi 

308 

CI  Tf«  to  **H  .  r— <  o  *  to 

^  ^  •  to  .  to 

CO 

© 

CO 

fa 

**  05 

'f  d 

© 

Cl  Tf  o  •  -H  •  .  CO  .  o 

CO  d  •  .  .  CO  .CO 

© 

1^ 

*5 

28 

110 

CO 

CO 

o  .  <0  .  .  m  C*  .  U) 

— '  IN  .  .  JN.  .  IM 

CO 

CO 

Curables. 

b 

81 

10641 

Cl 

Cl 

© 

S  2  d  -Hto  toK 

to  05  CO  05  to 

to  d 

d 

d 

1^ 

© 

b 

52 

6432 

6484 

<£<p<N<©  u)  .  M  »>.  Tf< 

co  •-* 

X* 

CO 

Xf 

to 

i 

05  05 

ci  © 

Cl 

4238 

S  S  2  «  .  o>  MO 

w  .  o>  ao 

d  ^  ^ 

4238 

C  ns  t^aj 

§  °.S’°  S3 

o  d  « 

^  T5  ^  TJ  73  ; 

o  >  °  >,£  «-« 

C  •!*  «  O  m  tj 
t;  £  IS  a  im  2  o. 
cw-SgocogTJ 
*  *-  <"«  8.2 
WQ 


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Q  •- 

•  CO 

« ..  i  g 

*>2  Srt 
a  .  g  *3 

*2  d 

.S“c” 

cJ-2  o  ° 
S  S  «  5j 

«  wO^ 


D  2 


44 


BETHLEM  HOSPITAL. 

No.  2. 

Average  Number  of  Patients  in  the  Hospital,  attending  Chapel,  and 
under  restraint,  during  the  last  Twenty-eight  years. 


During 

the 

Years 

Number 

of 

Patients. 

Sunday  Chapel 

Attendance. 

Weekly  average  of 

Patients  under  restraint. 

1841 

to 

> 

382 

*113,  or  29  per  cent. 

2  per  cent. 

1850 

1851 

to 

► 

345 

166,  or  48  per  cent. 

None. 

1860  J 

1861 

344 

192,  or  55  per  cent. 

None. 

1862 

327 

180,  or  55  per  cent. 

None. 

+1863 

333 

177,  or  53  per  cent. 

None. 

+1864 

263 

131,  or  49  per  cent. 

None. 

1865 

255 

126,  or  49  per  cent. 

None. 

1866 

254 

120,  or  47  per  cent. 

None. 

1867 

242 

112,  or  46  per  cent. 

None. 

1868 

244 

115,  or  46  per  cent. 

None. 

Average  Daily  Number  of  Patients  employed. 

Males .  85 

Females .  73 


Males .  85 

Females .  73 


158 

*  Attendance  partially  suspended  during  the  enlargement  of  the  Chapel, 
f  Criminals  being  removed  during  the  Years  1863  and  1864. 


No.  3. 

Total  Number  of  Curable  Patients  admitted  into  Bktiilem  Hospital 
during  One  Hundred  Years,  ending  the  31st  December,  1868,  with 
the  amount  of  Cures  and  Deaths. 

Total  number  of  Patients  admitted  19,707. 

Discharged  cured  .  8,809  or  44.69  per  cent. 

Died  .  1,385  or  7.02  per  cent. 


BETHLEM  HOSPITAL 


45 


No.  4, 


Annual  Admissions,  Cures,  and  Deaths  of  Curable 
Patients  during  the  last  Forty-eight  years. 


Admitted 

Cured. 

Died. 

^  ears. 

M. 

i  F‘ 

T. 

M. 

!  F. 

T. 

M. 

I 

- 

F. 

j  T. 

From 

—> 

1821 

to 

1830 

-  686 

995 

1681 

303 

488 

791 

37 

40 

77 

inclu- 

sive. 

-> 

1831 

5 

to 

1840 

S  983 

1462 

2145 

463 

816 

1279 

58 

62 

120 

inclu- 

sive. 

J 

1841 

to 

1850 

►  1191 

1855 

3046 

639 

1008 

1647 

76 

94 

170 

inclu- 

sive. 

J 

1851 

1 

to 

1 

1860 

>  784 

1311 

2095 

426 

732 

1158 

68 

72 

140 

inclu- 

sive. 

1861 

60 

106 

166 

27 

67 

94 

6 

9 

15 

1862 

71 

92 

163 

32 

48 

80 

6 

4 

10 

1863 

64 

103 

167  1 

36 

56 

92 

5 

t 

12 

1864 

71 

116 

187 

33 

49 

82 

5 

6 

11 

1865 

83 

102 

185 

40 

60 

100 

8 

10 

18 

1866 

80 

107 

00 

r—i 

49 

70 

119 

9 

8 

17 

1867 

83 

121 

204 

35 

73 

108 

17 

10 

27 

1868 

78 

131 

209  : 

33 

67 

100 

14 

9 

23 

4234 

6501 

10735  | 

2116 

3534 

5650 

309  331 

640 

46 


BETHLEM  HOSPITAL. 


No.  5. 

Forms  of  Mental  Disease. 


Admitted. 


Acute  Mania  . . 
Chronic  Mania 
Recurrent  Mania 
Acute  Melan-  1 
cholia  . .  . .  J 
Dementia  .... 
Insanity  of  ' 
Pregnancy, 
Parturition, 

&  Lactation 
General  Paralysis 
Mania  with  1 
Epilepsy  ..  / 


Discharged. 


Cured. 

Uncured. 

Died. 

M. 

F. 

T. 

|  M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

32 

56 

88 

118 

34 

52 

6 

8 

14 

3 

2 

5  1 

,  . 

3 

3 

.  . 

•  • 

7 

9 

16 

,  t 

2 

2 

3 

5 

8 

2 

4 

6 

•  • 

1 

1 

28 

46 

74 

13 

15 

28 

7 

6 

13 

5 

3 

8 

6 

3 

9 

6 

6 

12 

•  • 

•  • 

•  • 

•  « 

12 

12 

•• 

14 

14 

1 

1 

•  • 

•  • 

•  • 

7 

3 

10 

!  6 

3 

9 

5 

1 

6 

2 

2 

1 

•* 

1 

1 

78 

130 

208 

33 

67 

100 

32 

34 

66  , 

14 

8 

22  1 

No.  6. 

Time  of  Admission  and  Discharge  of  Curable  Patients. 


Admitted. 

Discharged 

Cured. 

Uncured. 

Died. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

January  . .  . . 

n 

s 

15 

22 

1 

6 

7 

3 

1 

4  ! 

1 

•  • 

1 

February  . .  . 

9 

12 

21 

6 

5 

11 

2 

4 

6 

2 

1 

3  | 

March . 

12 

12 

24 

2 

5 

7 

1 

2 

3 

4 

•  • 

4 

April  . 

4 

13 

17 

4 

5 

9 

5 

4 

9 

1 

•  * 

1 

May . 

8 

16 

24 

2 

8 

10 

6 

1 

7 

•  • 

2 

2 

June . 

8 

5 

13 

6 

5 

11 

4 

4 

1 

1 

July . 

9 

10 

19 

2 

7 

9 

3 

2 

5  1 

. . 

1 

\ 

August . 

6 

7 

13 

2 

4 

6 

2 

4 

6  I 

4 

1 

5 

September  . . 

3 

9 

12 

3 

8 

11 

4 

2 

6  1 

•  • 

1 

1 

October  .... 

6 

10 

16 

2 

6 

8 

1 

4 

5 

•  • 

1  *  * 

•  • 

November  . . 

3 

10 

13 

2 

5 

7 

1 

5 

6 

•  • 

1 

1 

December  . . 

3 

11 

14 

1 

3 

4 

4 

1 

5 

1 

1 

9 

78 

130  208 

33 

67 

loo 

32 

34 

66 

14 

8 

22 

BETHLEM  HOSPITAL. 


47 


\ 


No.  7. 

Ages. 


Admitted. 

Discharged. 

Cured 

Uncured. 

Died. 

.  .  . 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

1  T> 

M. 

F. 

T. 

Under  15  years 

1 

•  • 

1 

L 

From  15  to  20 

8 

11 

19 

1 

5 

6 

3 

1 

'  4 

•  • 

1 

1 

—  20  to  25 

6 

13 

19 

3 

13 

16 

5 

6 

11 

•  • 

•  • 

•  • 

—  25  to  30 

14 

21 

35 

2 

9 

1 1 

5 

3 

8 

,  # 

•  • 

•  • 

—  30  to  35 

10 

24 

34 

4 

16 

20 

3 

6 

9 

2 

2 

—  35  to  40 

8 

9 

17 

5 

3 

8 

,  . 

2 

2 

4 

2 

6 

—  40  to  45 

9 

10 

19 

11 

7 

18 

3 

5 

8 

2 

2 

4 

—  45  to  50 

9 

17 

26 

2 

5 

7 

3 

7 

10 

1 

,  , 

1 

—  50  to  55 

3 

12 

15 

2 

3 

5 

4 

3 

7 

# 

2 

2 

—  55  to  60 

4 

5 

9 

3 

4 

7 

4 

1 

5 

2 

1 

3 

—  60  to  65 

3 

3 

6 

•  • 

2 

2 

2 

•  • 

2 

1 

•  • 

1 

—  65  to  70 

2 

4 

6 

1 

—  70  to  80 

1 

1 

2 

1 

•  • 

1 

78 

130 

208 

33  1 

67  | 

100 ; 

32 

34 

1 

66 

14 

8 

22 

No.  8. 


Duration  of  Disease  before  Admission. 


Admitted. 

Discharged. 

Cured. 

Uncured. 

Died. 

M. 

F. 

T. 

M. 

!  F. 

T 

!  L' 

1 

M. 

F. 

T 

M. 

F. 

T. 

Under  1  month 

19 

27 

46 

18 

22 

40 

11 

8 

19 

2 

4 

6 

—  2  —  .. 

14 

27 

41 

4 

8 

12 

1 

3 

4 

4 

1 

5 

—  3  —  .. 

9 

26 

35 

4 

13 

17 

6 

3 

9 

•  • 

a  # 

•  • 

—  4  — 

17 

14 

31 

3 

7 

10 

4 

9 

13 

3 

1 

4 

—  5  —  .. 

9 

6 

15 

2 

6 

8 

3 

2 

5 

2 

2 

4 

—  6  —  .. 

1 

6 

7 

L. 

3 

3 

1 

•  • 

1 

—  7  — 

4 

10 

14 

•• 

6 

6 

•  • 

3 

3 

1 

•  • 

1 

8  —  .. 

2 

3 

5 

i 

I . . 

1 

2 

2 

4 

—  9  — 

1 

2 

3 

•  • 

L 

•  • 

2 

#  # 

2 

1 

•  • 

1 

—  10  —  .. 

1 

5 

6 

i 

i 

2 

•  • 

1 

1 

•  • 

•  • 

—  11  — 

1 

2 

3 

1 

1 

Not  stated  .... 

2 

2  < 

•  • 

i 

1 

2 

2 

4 

1 

•  • 

1 

00 

130 

208 

33 

L, 

<#7i 

mo 

1 

32 

34 

66 

14 

1 

8 

22 

48 


BETHLEM  HOSPITAL. 


No.  9. 

Degree  of  Education. 


Admitted. 

Discharged. 

Cured. 

Uncured. 

Died 

# 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

Superior  .... 

4 

10 

14 

4 

3 

7 

1 

2 

3 

1 

2 

3 

Good  . 

40 

52 

92 

11 

37 

48 

21 

12 

33 

10 

3 

13 

Moderate  . . . 

26 

46 

72 

1 

13 

20 

33 

6 

14 

20 

2 

3 

5 

Indifferent  . . 

8 

22 

30 

5 

7 

12 

4 

6 

10 

1 

•  • 

1 

78 

130  208 

33 

67 

! 

100 

32 

34 

66 

14 

8 

22  1 

No.  10. 


Religious  Persuasion. 


Discharged. 

Cured. 

Un  cured. 

Died. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T.  | 

i 

99 

162 

ts 

CM 

49 

1 

76 

28 

23 

51 

10 

8 

18 

•  • 

3 

i 

•  i 

1 

.  • 

1 

1 

•  • 

.  • 

6 

10 

2 

6 

8 

.. 

1 

1 

1 

1 

6 

6 

1 

1 

2 

1 

1 

2 

3 

6 

1 

5 

6 

5 

5 

.  • 

6 

7 

1 

4 

5  i 

3 

1 

4 

•* 

5 

7 

• 

1 

"i 

«  • 

•  • 

•  • 

l 

l 

1 

l 

•  • 

«  • 

•  • 

1 

1 

1 

1  : 

. . 

1 

1 

1 

1 

I  •  • 

,  « 

• 

.  • 

•  • 

1 

1 

•  , 

1 

i  1 

2 

4 

1 

1 

•  • 

•• 

130 

208 

33 

67 

100 

32 

34 

66 

14 

8 

22 

Admitted. 
M. 


Church  of 
England 
Roman  Ca-  \ 
tholic  . .  J 
Wesleyan . . 
Baptist. .  . . 
Independent 
Dissenter  . . 
Lutheran  . . 

Jew . 

Unitarian  . . 
Episcopalian 
Chinese.  . . . 
Plymouth  1 
Brethren  J 
Calvinist  . .  . . 
Not  Stated  .. 


63 

3 

4 

3 

1 


78 


BETHLEM  HOSPITAL 


49 


No.  11. 

Domestic  Condition. 


Admitted. 

Discharged. 

Cured. 

Uncured. 

Died. 

1 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

Married  , .  . . 

42 

72  114 

19 

30 

49 

17 

17 

34 

10 

3 

13 

Single . 

32 

47 

79 

13 

35 

48 

14 

14 

28 

4 

3 

7 

Widowed .... 

4 

11 

15 

1 

2 

3 

1 

3 

4 

.. 

2 

2 

i 

00 

I 

130|208 

33 

67 

100 

32 

34 

66 

14 

8 

Ul 

22 

No.  12. 


Residence. 


A  rlrmtipH 

Discharged. 

Cured. 

Uncured. 

Died. 

M. 

F.  T. 

\1. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

London  } 

Postal  Dis*  > 
trict.  j 

57 

73130 

24 

45 

69 

19 

21 

40 

10 

5 

15 

Provinces. .  . . 

21 

57  78  ; 

9 

22 

31 

;  13 

13 

26 

4 

3 

7 

78 

130  208 

! 

33 

G7 

100 

32 

i 

34 

66 

14 

s 

22 

50 


BETHLEM  HOSPITAL. 


No.  13. 


General  Health. 


Admitted. 

Discharged. 

Cured. 

Uncured. 

Died. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

Good  . 

30 

28 

58  , 

14 

18 

32 

15 

11 

26 

,  # 

•  • 

•  • 

Bad . 

48 

102 

150 

19 

49 

68 

17 

23 

40 

14 

8 

22 

78 

130 

208 

33 

67 

100 

32i 

34 

66 

14 

8 

22 

No.  14. 
Behaviour. 


Discharged. 

IvUi 

Cured. 

Uncured. 

Died. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

| 

M. 

F. 

T. 

Dangerous  / 
or  violent  C 

27 

45 

72 

18 

22 

40 

15 

10 

25 

8 

1 

9 

Not  danger-  \ 
ousor  violent  J 

51 

85 

136 

15 

45 

60 

17 

24 

1 

41 

6 

m 

/ 

13 

78 

130 

1 

208 

33 

67 

100 

32 

34 

66 

14 

1 

8 

22 

BETHLEM  HOSPITAL.  51 


No.  15. 

Suicidal  Tendency. 


Admitted. 

Discharged. 

Cured. 

Uncured. 

Died. 

M. 

1 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

Suicidal  .... 

31 

44 

75 

15 

17 

32 

10 

16 

26 

5 

1 

6 

Non-Suicidal 

47 

86 

133 

18 

50 

68 

22 

18 

40 

9 

7 

16 

78 

130 

1 

208 

33 

67 

100 

32 

34 

66 

14 

8 

22 

No.  16. 

Number  of  Previous  Attacks. 


Admitted.  : _ Discharged^ 


/WIU  HILU/ 

Cured. 

Uncured. 

Died. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T.  ! 

1 

First..  . 

.  64 

80 

144 

24 

47 

71 

24 

27 

51 

11 

7 

18  ! 

Second. 

27 

33 

4 

6 

10 

5 

4 

9 

2 

1 

3 

Third  . 

.  2 

10 

12 

2 

7 

9 

2 

•  • 

2 

1 

•  • 

1 

Fourth 

.  1 

5 

6 

1  *  * 

3 

3 

1  1 

2 

3 

•  • 

•  • 

• 

Fifth . . 

4 

4 

1 

2 

3 

•  • 

1 

1 

•  • 

•  • 

•  • 

Sixth 

.  1 

1 

2 

r 

1 

1 

Several 

3 

7 

2 

1 

3 

•  • 

78 

130  208 

33 

67 

100 

32 

34 

66 

14 

8 

22 

52 


BETHLEM  HOSPITAL. 


No.  17. 


Apparent  or  Assigned  Causes. 


Admitted. 

Discharged. 

Cured. 

Uncured. 

Died. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M.  F. 

!  T. 

PSYCHICAL. 

Mental  anxiety . 

11 

6 

17 

7 

4 

11 

6 

5 

11 

3 

1 

4 

Mental  work  . .  ....  . . 

5 

1 

6 

4 

1 

5 

4 

4 

Religious  excitement. . 

7 

3 

10 

2 

4 

6 

3 

2 

5 

1 

•  • 

1 

Pecuniary  embarrass- 

ments . 

6 

2 

8 

5 

1 

6 

2 

2 

4 

2 

•  • 

2 

Love  affairs . 

•  • 

3 

3 

1 

2 

3 

1 

3 

4 

,  , 

.  , 

•  • 

Domestic  circumstances 

3 

16 

19 

1 

3 

4 

2 

3 

5 

1 

1 

2 

Fright  and  Shock  .... 

2 

7 

9 

.  . 

3 

3 

1 

1 

2 

1 

1 

2 

Spiritualism  . 

1 

•  • 

1 

1 

•  • 

1 

• 

•  • 

PHYSICAL. 

Intemperance  ...... 

7 

1 

8 

4 

•  • 

4 

.  # 

2 

2 

•  • 

1 

1 

Dyspepsia  and  Hypo- 

2 

I 

3 

1 

1 

1 

1 

2 

2 

2 

2 

Organic  disease  of  the 

3 

4 

7 

General  ill  health  .... 

5 

9 

14 

,  # 

5 

5 

1 

1 

2 

Blow  on  head  . 

2 

,  a 

2 

1 

•  • 

1 

1 

•  • 

1 

•  • 

•  •  ! 

• 

E  nilensv 

1 

1 

*  * 

Venereal  excess . 

1 

,  , 

1 

Climacteric  . 

8 

8 

1 

1 

3 

3 

•  i 

Uterine  disturbance  . . 

4  • 

23 

23 

8 

8 

*  , 

2 

2 

Pregnancy  —  parturi- 

tion  and  lactation  . . 

•  • 

20 

20 

13 

13 

•  i 

1 

1 

BETHLEM  HOSPITAL. 


53 


No.  17 — continued . 


Apparent  or  Assigned  Causes. 


Admitted. 

Cured. 

Discharged. 

Uncured. 

Died. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T 

1  •  1 

Previous  attacks  .... 

' 

5 

8 

13; 

•  e 

3 

\ 

3 

1 

1 

2 

| 

Hereditary . 

5 

9 

14! 

1 

2 

3 

1 

2 

s 

r* 

1 

1 

No  cause,  apparent  or 

assigned  . 

8 

9 

17 

5 

17 

22 

8 

6 

14 

6 

3 

9 

78 

130 

208 

33 

67 

100 

32 

34 

66 

j 

14 

: 

8 

22 

Cases  where  hereditary 

tendency  has  ex- 

isted,  with  other 

causes  . 

11 

I15 

26 

4 

5 

9 

2 

4 

•  • 

1 

•  • 

1 

54 


BETHLEM  HOSPITAL 


No.  18. 


Occupation  of  Curable  Patients  admitted  during  1868. 


MALES. 

Commercial  Travellers  ... .  2 


Silversmith .  2 

Butcher .  1 

Grocers .  3 

Servants .  6 

Lithographer .  1 

Schoolmaster .  1 

Tailor .  1 

Painter  .  1 

Engraver  .  1 

Civil  Service  . .  2 

Licensed  Victuallers .  3 

Carpenters .  4 

Ironmonger  .  1 

Clerks .  12 

Bakers  .  2 

Pianoforte  maker  . .  1 

Gardeners . 2 

Mason  .  1 

Drapers .  5 

Mechanics .  4 

Student  .  1 

Clergyman .  1 

Farmers .  4 

Warehouseman .  1 

Tobacconist  .  1 

Photographers  .  2 

Labourer  .  1 

Compositor  .  1 

School-boys  .  3 

Auctioneer .  1 

Chemists  .  2 

Surgeon .  1 

Not  stated .  3 


78 


FEMALES. 


Wives  and  daughters  of 

professional  men . 

Wives,  widows,  and  daugh¬ 
ters  of  clerks,  tradesmen, 

and  farmers . 

Wives,  widows,  and  daugh¬ 
ters  of  servants,  me¬ 
chanics,  and  labourers.. 

Servants  . 

Milliners . 

Housekeepers . 

Governesses . 

Shopworn  an . 

Matron . 

Not  stated  . 


}13 

►  54 

►  21 

14 

3 

3 

11 

1 

1 

9 


130 


BETHLEM  HOSPITAL 


55 


No.  18 — continued . 


Occupation  of  Curable  Patients  discharged  Cured  during  1868. 


MALES. 


Clergymen .  2 

Clerks .  5 

Share-dealer .  1 

Architect  .  1 

Surgeon .  1 

Commercial  Traveller  ....  1 

Butcher .  1 

Watchmakers .  2 

Masons .  2 

Tailors  .  2 

Servants .  4 

Carpenter  .  1 

Labourers .  2 

Warehouseman .  1 

Compositor .  1 

Baker .  1 

Drapers .  2 

School-boy .  1 

Accountants  .  2 


33 


FEMALES. 

Wives,  widows,  or  daugh-"^ 
ters  of  professional  men  ) 
Wives,  widows,  or  daugh¬ 
ters  of  clerks,  tradesmen,  »  26 

and  farmers . 

Wives,  widows,  or  daugh-  ‘ 
ters  of  servants,  me-  ►  13 
chanics  and  labourers  . . 
Housekeepers 
Governesses  . 

Milliners  . .  . 

Servants  . .  . 


67 


C7*  tO  G>  CO 


56 


BETHLEM  HOSPITAL. 


No.  18. — continued. 


Occupation  of  Curable  Patients  discharged  Uncured  during  1868. 


MALES. 


FEMALES. 


Clerks . 

Farmers . 

Tailors  . ,-.... 

Labourers . 

Clergyman . 

Pawnbroker  . 

Watchmaker . . 

Servants  . 

Pianoforte  maker  .... 
Veterinary  Surgeon  . . 

Steward . 

Engineer . 

Butcher . 

Hatter . 

Saddler . 

Licensed  Victuallers  . . 

M  echanic  . 

Draper  . 

Corrector  of  Press..  .. 
Not  stated . 


8 

2 

2 

2 

1 

1 
1 

2 
1 
1 
1 
1 
1 
1 
1 


1 

1 

1 


32 


Wives,  widows,  and  daugh- 1  . 

ters  of  professional  men  J 
Wives,  widows,  and  daugh-  \ 
ters  of  clerks,  tradesmen,  >  11 

and  farmers . ) 

Wives,  widows,  and  daugh-  \ 
ters  of  servants,  me-  >  4 
chanics,  and  labourers. .  ) 

Servants  . 

Milliners . 

Shopwoman . 

Governess. . . 

Professional  singers 


OeOHNN 


BETHLEM  HOSPITAL. 


57 


No.  18. — continued . 

Occupation  of  Curable  Patients  who  Died  during  1868. 


MALES. 


Grocer  .  1 

Preacher .  1 

Schoolmaster . 1 

Horse  dealer .  1 

Pianoforte  maker .  1 

Tailors  .  2 

Commercial  Traveller  ....  1 

Accountant . 1 

Ironmonger  .  1 

Policeman .  I 

Engraver  .  1 

Officer  in  Army .  1 

Clerk .  1 


14 


FEMALES. 

Wives,  widows,  and  daugh-  ) 
ters  of  professional  men  j 
Wives,  widows,  and  daugh-  ] 
ters  of  tradesmen,  far-  >  4 

mers,  and  clerks . ) 

Wives,  widows,  and  daugh- ) 
ters  of  labourers,  me-  ?  I 
chanics,  and  servants  . .  ) 
Governess .  1 


8 


E 


58 


BETHLEM  HOSPITAL. 


No.  19. 

Particulars  of  Patients  who  have  Died  during  the  Year  1868, 
as  reported  to  the  Bethlem  Sub-Committee. 


Sex. 

Age. 

Condition. 

Admitted. 

Died. 

Cause  of  Death. 

Time  in 
Hospital. 

1 

Male . . 

36 

Curable 

Jan. 10,  186“ 

January  6 

General  paralysis 

1  year. 

2 

Male . . 

66 

>5 

Dec.  5,  1867 

January  10 

Pneumonia 

5  weeks. 

3 

Male . . 

60 

March  6,  1868 

March  27 

Pvoemia 

3  weeks. 

4 

Male.. 

44 

99 

March  27,  1867 

April  20 

General  paralysis 

13  mths. 

5 

Male . . 

37 

99 

March  7,  1868 

April  26 

Strangulation  by 

hanging 

6  weeks. 

6 

Male . . 

58 

99 

April  3,  I867 

April  26 

Paralysis 

1  year. 

7 

Male . . 

31 

99 

Aug.  30,  1867 

April  26 

General  paralysis 

8  weeks. 

8 

Male  . . 

64 

March  1,  1 867 

Mav  11 

Acute  tuberculosis 

15  mths. 

9 

Male  .. 

76 

99 

Feb. 27,  1868 

May  6 

Senile  decay 

2  mths. 

10 

Male.. 

30 

99 

Oct.  7,  IS67 

May  31 

Organic  disease  of 
brain 

6  mths. 

11 

Male . . 

40 

Feb. 8.  1868 

June  14 

Aneurism  of  aorta 

4  mths. 

12 

Male.. 

38 

99 

June  26,  1867 

June  18 

General  paralysis 

1  year. 

13 

Male  . 

36 

99 

Aug.  31,  1868 

September  19 

Disease  of  bladder 

20  days. 

14 

Male . . 

46 

99 

Aug.  1,  1 867 

October  7 

General  paralysis 

14  mths. 

15 

Female 

36 

99 

Dec.  24,  1867 
July  29,  1867 

January  17 

Apoplexy 

24  days. 

16 

Female 

18 

99 

February  10 

Tubercular  menin¬ 
gitis 

7  mths. 

17 

Female 

40 

99 

Nov.  17,  1864 

March  9 

Atrophy  of  brain 
and  paralysis 

3^  years 

18 

Fema’e 

40 

99 

Feb. 29,  1868 

May  21 

Phthisis 

3  mths. 

19 

Female 

42 

99 

Sept.  26,  1868 

October  6 

General  paralysis 

10  days. 

20 

Female 

52 

)) 

May  6,  1868 

November  6 

General  paralysis 

and  pycemia 

6  mths. 

21 

Female 

63 

99 

Aug.  2,  1863 

December  17 

Atrophy  of  brain 

5 £  years. 

22 

Female 

43 

99 

July  17,  1868 

July  23 

Renal  disease 

6  days. 

23 

Female 

61 

Incurable 

May  15,  1834 

May  19 

Mitral  disease 

34  years. 

BETHLEM  HOSPITAL 


59 


No.  20. 

Return  of  Employment,  June  30th,  1868. 

MALES. 


Galleries. 

I _ 

|  Gardener. 

Mason. 

Plasterer. 

Bricklayer. 

Plumber. 

i  Painter  and  Glazier. 

:  Carpenter. 

Engineer  &  Smith. 

Tailor. 

Shoemaker. 

,  Knitting  and  Glove 
Making. 

|  Household  Work. 

Reading,  Writing, 

Drawing,  &c. 

Lace  Making. 

c 

V 

JS 

o 

Straw  Platting. 

c 

<D 

P< 

o 

o 

O 

Baker. 

Mattress  hi  akin g. 

Engraver. 

BlanketQuilting. 

Brush  Making. 

Total. 

M. 

1 L 

9 

11 

1 

21 

M. 

21  3 

7 

4 

,  , 

14 

M. 

3  3 

1 

6 

18 

28 

M. 

4  3 

8 

8 

•  • 

1 

20 

M.I. 

l|.. 

M.I. 

*: 

:: 

1 

*  * 

•  * 

1 

2 

•  • 

1 

9 

1 

• 

•  • 

31 

41 

•  • 

2 

..l.  l  i|..L 

I..|  85 

Employed... 85.  |  Unemployed. .  27. 

In  Hospital....  112. 


No.  21. 


FEMALES  EMPLOYED  ON  JUNE  29th,  1868. 


Curables 

Incurables 

Criminals 

Total. 

Needle  Work . 

29 

6 

i 

•  # 

34 

Fancy  do . 

6 

3 

1 

10 

Laundry  and  Household  Work  ..  .. 

16 

5 

•  • 

21 

Music,  Reading,  &c.  . . 

8 

3 

•  • 

11 

59 

16 

1 

76 

Total  employed  . .  . . 

59 

16 

1 

76 

Ditto  unemployed  . .  . . 

43 

14 

•  • 

57 

Patients  in  Hospital . 

-  ■  _ 

102 

|  * 

30 

133 

No.  22. 

Time  in  Hospital. 


60 


BETHLEM  HOSPITAL. 


Months. 

Total. 

H 

100 

12 

22 

99 

h 

r>»  to  I  oo 

34 

S 

33 

6 

14 

09 

CO 

12. 

and 

upwards. 

•—*  r-i  .  tN 

23,  and 

upwards. 

05 

* 

<o  l  l  O) 

- 

S 

40  r-t  I  IO 

CO 

iH 

<o  :  :  : 

22. 

tv 

io  !  !  . 

-  :  :  : 

© 

H 

* 

. 

* 

<N  r->  i 

09 

. 

• 

. 

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M. 

iH  pH  •  • 

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CO  I  I  I 

d 

09 

1 

. 

* 

. 

09 

:  1 

M. 

. 

~ 

00 

E< 

CO  •—*  *  •— < 

05 

. 

• 

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i  !  ! 

s 

. 

-H  rH  •  —< 

05  CO  I 

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IN 

s 

co  09  •  ! 

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to 

13 

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l%» 

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rH 

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05  .  .  09 

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40  40  •  N 

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Cured  . 

For  special 
reasons. . .. 

Disqualified. . 

Died . j 

U ncured  .... 

No.  23. 

Patients  Cured. 


BETHLEM  HOSPITAL.  61 


Daily  Average  Number  of  Patients  in  the  Hospital,  during  the  Year  1868. 


62  BETHLEM  HOSPITAL. 


1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

13 

14 

15 

16 

17 

18 

19 

20 

21 

22 

23 

24 

25 


BETHLEM  HOSPITAL.  63 

No.  25. 


the  Incurable  Patients  now  in  Bethlem  Hospital. 


Sex. 

Age  when 
Admitted. 

Date  of  Admission. 

Male . 

48 

26th  January,  1827. 

Male . 

20 

16th  September,  1831. 

Female  . 

25 

28th  March,  1834. 

Male . 

26 

5th  February,  1836. 

Female  . 

20 

4th  March,  1836. 

Female  . 

48 

29th  July,  1836. 

Female  . 

30 

13th  January,  1837. 

Male . 

34 

20th  July,  1838. 

Male . 

37 

29th  February,  1840. 

Male . 

26 

20th  March,  1840. 

Male . 

26 

27th  March,  1840. 

Female  . 

26 

22nd  May,  1840. 

Male . 

27 

24th  June,  1840. 

Female  . 

48 

20th  November,  1840. 

Male . 

28 

15th  Januarj,  1841. 

Male . 

31 

30th  April,  1841. 

Female  . 

35 

22nd  June,  1842. 

Female  . 

31 

22nd  March,  1844. 

Female . 

36 

21st  June,  1844. 

Male . 

28 

19th  July,  1844. 

Male . 

21 

20th  September,  1844. 

Female  . 

34 

13th  December,  1844. 

Male . 

29 

20th  December,  1844. 

Male . 

29 

28th  February,  1845. 

Female . 

38 

7th  March,  1845. 

I 


I 


» 


64 


BE1HLEM  HOSPITAL. 


Return  of  Incurable  Patients — continued. 


No. 

Sex. 

Age  when 
Admitted. 

Date  of  Admission. 

26 

i 

Male . 

46 

1  '  -  '  | 

13th  June,  1845. 

27 

Female  . 

29 

10th  October,  1845. 

28 

Male . 

50 

21st  November,  1845. 

29 

Male . 

32 

2nd  July,  1847. 

30 

Male . 

28 

14th  February,  1848. 

31 

Male . 

28 

14th  February,  1848. 

32 

Female  . 

26 

3rd  January,  1851. 

33 

Female  . 

40 

4th  July,  1851. 

34 

Female  . 

41 

18th  July,  1851. 

35 

Female  . 

48 

16th  July,  1852. 

36 

Male . 

30 

6th  August,  1852. 

37 

Female  . 

35 

13th  August,  1852. 

38 

Male . 

56 

29th  April,  1853. 

39 

Male . 

31 

27th  October,  1854. 

40 

Male . . 

36 

27th  October,  1854. 

41 

Female  . 

29 

15th  December,  1854 

42 

Female . 

49 

22nd  December,  1854 

43 

Female  .... 

42 

22nd  June,  1855. 

44 

Female  .... 

31 

21st  November,  1856. 

45 

Female 

27 

9th  January,  1857. 

46 

Male . 

41 

6th  March,  1857. 

47 

Female  . 

20 

1 1th  December,  1857. 

48 

Female  . 

40 

11th  December,  1857. 

49 

Male  ........ 

32 

21st  May,  1858. 

50 

Female  ...... 

43 

18th  February,  1859. 

BETHLEM  HOSPITAL. 


65 


Return  of  Incurable  Patients — continued. 


No. 

Sex. 

Age  when 
Admitted. 

Date  of  Admission. 

51 

Female  . 

44 

11th  March,  1859.- 

52 

Female  . 

23 

29th  April,  1859. 

53 

Female  . 

25 

27th  May,  1859. 

54 

Female  . 

63 

30th  May,  1860. 

55 

Female  . 

43 

12th  June,  1868. 

66 


BETHLEM  HOSPITAL. 


No.  26. 


Time  the  Incurable  Patients  have  been  in  the  Hospital. 


Males. 

Females. 

Total. 

Upwards  of  30  years  . 

! 

•* 

1 

—  20  —  . 

8 

8 

16 

1 5  ri  •  •  •  •  • 

8 

4 

12 

—  10  —  . 

6 

6 

12 

5 

2 

12 

14 

25 

30 

55 

No 

.  27. 

Degree  of  Education  of  Incurable  Patients  in  the  Hospital. 

Males. 

Females. 

Total.  J 

Good  . 

9 

16 

25 

Moderate . 

9 

9 

18 

Imperfect . 

4 

3 

7  ! 

None  . 

2 

•  • 

2 

Not  ascertained . 

1 

2 

3 

25 

30 

55 

OBITUARY.— MALES.— 1868. 


BETHLEM  HOSPITAL 


67 


OBITUARY.— MALES.— 1868. 


68 


BETHLEM  HOSPITAL. 


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74 


BETHLEM  HOSPITAL. 


DIETARY  TABLE. 


Breakfast. 

Every  Day..  Males  ..  Tea,  with  7  oz.  of  Bread  and  Butter. 
Females..  „  6  ditto 


Dinner. 


Sunday  ....  Males  {  5 free  fronfbonf  }  4  nz •  Brea'1'  2lb-  Vegetables,  1  pt.  Beer. 

Females..  5,,  „  4 

Monday  ....  Males  . .  G  „  Roast  M  utton,  4 
Females..  5  „  „  4 

Tuesday  ....  Males  .  6  „  Boiled  Mutton  4 
Females..  5  „  „  4 

Wednesday. .  Males  . .  6  „  Roast  Beef,  4 


99 


99 


X 

2 


3 

4 


1 

2 


5) 


99 


Females  .  5  „  „  4 


3. 

4 


99 


X 

2 


X 

2 


i 

l 

i 


Thursday .  Same  as  Monday. 

Friday  .  Same  as  Tuesday. 

Saturday,  ..  Males  ..  16  oz.  Meat  Pie,  4  oz.  Bread,  1  oz.  Cheese,  1  pt.  Beer. 

Females..  14  „  „  4  „  i  „ 


Supper. 

Sunday,  Monday,  Tuesday,  1  ,,  .  0  ,,  ,  . 

Thursday,  and  Friday  '  }  Males  "  San,e  as  Uiaakfasl- 

Wednesday  and  Saturday..  ..  Males  ..7  oz.  Bread,  2  oz.  Cheese,  I  pint  Rce^. 

Every  Day . Females..  Same  as  at  BieaKfa^t. 


BETHLEM  HOSPITAL. 


75 


Patients  in  employment  in  the  Grounds,  Workshops,  or  Laundry,  to  be  allowed 
4  oz.  of  Bread,  1  oz.  of  Cheese  or  f  oz.  of  Butter,  and  f  a  pint  of  Beer  for 
Luncheon,  and  f  a  pint  of  Beer  in  the  Afternoon. 

Every  Patient  to  be  allowed  If  oz.  Tea,  8  oz.  of  Sugar,  8  oz.  of  Butter,  and 
If  pints  Milk  weekly. 

On  Christmas  Day  the  Dinner  to  be  Roast  Beef  and  Plum  Pudding. 

On  New  Year’s  Day,  a  Mince  Pie  to  be  added  to  the  usual  fare. 

On  Good  Friday,  a  Bun. 

On  Easter  and  Whit  Monday,  6  oz.  of  Roast  Veal  to  be  allowed  instead  of  the 
usual  Meat  for  the  day. 

The  Dinners  to  be  further  varied  by  the  occasional  substitution  of  Pork  and 
Bacon,  when  Peas  and  Beans  are  in  season  ;  and  also  by  the  occasional  substitution 
of  Fish,  and  Fruit  Pies,  when  Fish  and  Fruit  are  plentiful  and  good. 

The  Sick  to  be  dieted  at  the  discretion  of  the  Resident  Physician. 

The  Attendants  to  have  at  all  times  the  means  of  obtaining  Gruel  for  such 
Patients  as  may  require  it. 

The  above  to  be  considered  maximum  allowances,  and  all  quantities  uncon¬ 
sumed  are  to  be  taken  in  diminution  of  the  next  supply  from  the  Stores  of  the 
Hospital. 


76 


BETHLEM  HOSPITAL. 


No.  29. 

BETHLEM  HOSPITAL. 

LIST  OF  OFFICERS,  ATTENDANTS,  AND  SERVANTS. 


PRINCIPAL  OFFICERS. 


£  s.  d. 

*1  Resident  Physician .  600  0  0 

*1  Assistant  Medical  Officer .  300  0  0 

fl  Chaplain . 200  0  0 

fl  Surveyor .  125  0  0 

*1  Clerk,  Receiver,  and  Accountant . 300  0  0 

*1  Steward  .  350  0  0 

*1  Matron . 180  0  0 


£2055  0  0 


*  Lodged  only. 


f  Neither  boarded  nor  lodged. 


BETHLEM  HOSPITAL. 


77 


No.  30. 

OTHER  OFFICERS,  ATTENDANTS,  AND  SERVANTS, 


MALES. 


*1  Steward’s  Clerk 

•  •  •  •  ••  •• 

£. 

50 

s. 

0 

d. 

0 

*2  Receiver’s  Clerks  (£60  and  £35) 

95 

0 

0 

*1  Organist 

•  •  ••  ••  •• 

25 

0 

0 

l  Chapel  Clerk  . . 

•  •  ••  »  •  •• 

5 

0 

0 

fl  Under  Store-keeper 

•  •  ••  ••  c  • 

56 

0 

0 

+1  House  Porter,  (a  great  coat 

once  in  three  years)  , . 

40 

0 

0 

fl  Assistant  ditto  (a  great  coat  once  in  three  years)  .. 

29 

0 

0 

||  1  Gate-keeper,  (a  great  coat  once  in  three  years) 

43 

0 

0 

f  1  Cutter  of  provisions  . . 

•  •  ••  ••  •• 

37 

0 

0 

fl  Cook  .. 

•  •  ••  ••  •• 

41 

0 

0 

fl  Assistant  ditto  . . 

•  •  ••  •  •  •  • 

29 

0 

0 

I  Head  Attendant  (boarded  and  lodged,  and  suit  of 
clothes  nnd  hat  . . 

62 

0 

0 

fl  Attendant  (D.H.) 

at  £42  per  annum 

42 

0 

0 

f 4  Attendants 

at  £40  per  annum  each 

160 

0 

0 

fl  Do. 

£36  per  annum  .. 

36 

0 

0 

f2  Do. 

£35  per  annum  each 

70 

0 

0 

fl  Do. 

£34  per  annum  . . 

34 

0 

0 

fl  Do. 

£31  per  annum  . . 

31 

0 

0 

fl  Do. 

£29  per  annum  . . 

29 

0 

0 

f3  Do. 

£26  per  annum  each 

78 

0 

0 

fl  Do. 

£25  per  annum 

25 

0 

0 

Carpenter 

35s.  per  week 

91 

0 

0 

*11  Do. 

. .  30s.  per  week 

78 

0 

0 

*3:1  Plumber  .. 

. .  30s.  per  week 

78 

0 

0 

*jl  Engineer  .. 

40s.  per  week 

104 

0 

0 

*£1  Bricklayer.. 

..  30s.  per  week 

78 

0 

0 

*3:1  Painter 

30s,  per  week 

78 

0 

0 

*1  Window  Cleaner,  &c. 

..  30s.  per  week 

78 

0 

0 

*2  Stokers,  &c. 

. .  27s.  per  week  each 

140 

8 

0 

*3:1  Labourer  .. 

. .  25 s.  per  week 

65 

0 

0 

*J1  Gardener  .. 

. .  30s.  per  week 

78 

0 

0 

*£4  Assistant  Gardeners 

. .  20s.  per  week  each 

208 

0 

0 

*3:1  Mattress  maker  .. 

• .  27s.  per  week 

70 

4 

0 

*1  Tailor  (suit  of  clothes  and  h 

"1)  . .  27s  per  week 

70 

4 

0 

*1  Assistant  ditto 

. .  20s.  per  week 

52 

0 

0 

|)l  Shoemaker 

. .  per  annum 

75 

0 

0 

*1  Assistant  ditto 

..  26s.  per  week 

67 

12 

0 

£2428 

8 

0 

*  Neither  boarded  nor  lodged. 

t  In  addition  to  board  and  lodging,  have  each  a  suit  of  clothes,  a  hat, 
and  two  working  blouses. 

X  Occasionally  employed  at,  or  for  King  Edward's  Schools. 

||  Lodged  only,  with  a  suit  of  clothes  and  a  hat. 


78 


BETHLEM  HOSPITAL. 


FEMALES. 


6  Attendants 

1  Do. 

2  Do. 

1  Do.  .. 

2  Do. 

2  Do. 

2  Do. 

3  Do. 

1  Work-woman 
I  Night  Watch 
1  Do. 

1  Housemaid 
1  Assistant  ditto 
1  Laundrymaid 
1  Do. 

1  Portress  at  K.  E.  S.  Gate 
1  Students’  Servant 


£25  per 
£22  per 
£21  per 
£20  per 
£19  per 
£18  per 


annum  each 
annum 
annum  each 
annum 
annum 
annum  each 
annum  each 
annum  each 


£  d* 
180  0  0 

29  0  0 

50  0  0 

22  0  0 
42  0  0 

40  0  0 

38  0  0 

54  0  0 

25  0  0 

22  0  0 

19  0  0 

21  0  0 

20  0  0 

30  0  0 

18  0  0 

6  10  0 
210  0 


£637  10  0 


The  wages  of  male  attendants  commence  at  £25  per  annum,  and  they 
increase,  if  their  conduct  he  satisfactory,  £1  yearly  afterwards,  until 
they  become  £35  per  annum,  after  which  no  further  increase  is  allowed. 
Female  attendants  commence  at  any  amount  not  exceeding  £18  per  annum, 
and  after  they  increase,  with  like  restriction,  £1  yearly,  until  they 
become  £25  per  annum,  after  which  no  further  increase  is  allowed. 
Attendants  in  charge  of  a  Ward  are  allowed  £5  per  annum  extra. 


x 


Batten  &  Davies,  Printors,  Clapham.  S.\'\ 


Dr. 


GENERAL  ACCOUNT  OP  RECEIPT  AND  EXPENDITURE  OP 


1868 

Janl 


RECEIPT. 


To  Balance  of  Account,  audited  to  31st  December,  1867 
Rent— Land  Tax — Rent-charges  and  Insurance — viz. 

Bethlem — Arrears,  31st  December,  1867,  ».  ..  ..  £2,222 

One  Year’s  Rent,  Land  Tax,  &c.,  from  Mich.,  1867,  to  Mich.,  1868..  10,624 


To  Received,  viz. 


£12,846  14  6 


Liverpool  Street,  Liverpool  Buildings,  &c. 

..£  129 

6 

4 

Bishopsgate  Street,  Without 

,  . 

337 

2 

4 

Piccadilly,  Duke  Street,  and  Jermyn 

Street 

..  4,130 

19 

9 

Ormond  Mews 

•  • 

26 

7 

2 

Lime  Street,  Lime  Street  Square,  &c. 

•  • 

..  2,187 

16 

2 

Fowkes  Court,  Tower  Street 

294 

0 

6 

Gardner’s  Terrace,  &c.,  Mile  End 

144 

16 

8 

St.  George’s  Fields 

#  # 

581 

13 

9 

Moorgate 

s  . 

122 

0 

0 

Shepherd’s  Bush  .. 

121 

4 

4 

Waltham  Cross  .. 

#  . 

224 

7 

0 

Kent 

%  # 

..  1,856 

5 

8 

Lincolnshire 

333 

11 

5 

Rent  Charges 

•  • 

86 

2 

2 

£10,575 

13 

3 

Property  Tax  allowed 

•  » 

200 

11 

1 

Allowed 

•  • 

2 

14 

0 

Bad 

s  . 

0 

2 

0 

Amount  allowed,  having  been  received  in  Interest 
from  Great  Eastern  Railway  in  1867,  and  from 
Metropolitan  Railway  in  1868,  by  Property  in 
Liverpool  Street,  &c.  taken  by  those  Railways  635 
Arrears  of  Rent  to  Mich. ,1868,  unpaid  31st  Dec., 

1868  ..  ..  ..  ..  1,432 


Ledg, 

Folio 

300 
303 

303 

304 

305 

301 

191 


380 

286 


354 


£12,846  14  6 

Incurables — Arrears  31st  December,  1867  ..  .. 

One  Year’s  Rent  of  Estate  in  Lincolnshire  to  Michaelmas,  1868 


To  Received,  viz. 

Wainfleet  St.  Mary 

Wainfleet  All  Saints,  Claxby,  Mumby,  &c. 


Property  Tax  allowed 

Allowed 

Out  Rent 

Arrears  to  Mich.,  1868,  unpaid  31st  Dec.  1868 


Tithe  Rent-charge,  Wainfleet  St.  Mary 

One  Year  to  Michaelmas,  1868  .. 

To  Received — 

To  Dividends  on  Stock  in  the  Public  Funds,  viz. — 


3,245  9  6 
6,568  15  5 


£9,814  4  11 


£4,753 

12 

6 

1,622 

7 

0 

£6,375 

19 

6 

130 

7 

2 

0 

8 

0 

2 

16 

0 

!  3.304 

14 

3 

£9,814 

4 

n 

624  4  0 


£38,000 

23,000 

18,000 

3,000 

454 

21,000 


0 

0 

0 

0 

10 

0 


0 

0 

0 

0 

0 

0 


3  per  Cent.  Consols 

New  3  per  Cent.  Annuities — Half-year— Tax  £8 
Ditto  ditto 

Bank  Stock  ..  ••  ••  *•  , 

3  per  Cent.  Consols  (in  Chancery)— Tax  £0.  6s.  10cf. 
New  2\  per  Cent.  Stock..  ,,  £6.  11s.  3d. 


12  6 


1,140 

336 

270 

240 

13 

518 


0 

6 

0 

0 

10 

9 


due 


To  Casual  Receipts — Bethlem. 

Received  for  Transfer  of  Leases  ..  ••  •• 

Property  Tax  on  Rents,  to  March,  I860  .. 

„  Stock  to  October,  1867 . . 

i  Year’s  Interest  from  Metropolitan  Railway. 

25th  Dec  ,  1867,  less  Rents  received  .. 

Donation  from  Joseph  Johnson  Miles,  Esq. 

For  Sale  of  Timber  at  Barfreston 
From  Great  Eastern  Railway  Company  for  Property  in 
Liverpool  street,  &c.  taken  by  them  as  per  award . . 


»> 

5) 

9» 


1 

160 

14 

743 

26 

65 


0 

2 

3 

10 

0 

0 


61,050  0  0 


To  Casual  Receipts— Incurables.  r  •  •  ,  Patients 

Received  of  Government  on  Account  of  Criminal  Patients 

,  Property  Tax  on  Rents  to  March,  1866  .. 

Sermon  at  Christ’s  Hospital 
for  Sale  of  Wood  at  Wainfleet 

”  Ditto  Chalk  at  Mumby 

for  Sale  of  £5000.,  New  3  per  Cent.  Annuities 

To  Balance  against  the  Hospital 


115  7  2 
2  2  0 
100  11  6 
15  0  0 


Total. 


£  s.  d. 

2,014  12  3| 


10,575  13  3 


6,375  19  6 


624  4  0 


2,518  2  1 


62,060  2  3 
325  0  0 


233  0  8 
4,718  15  0 


89,732  8  6 


Bethlem. 


£  s.  d. 

2,014  12  3£ 


89,445  9  0i 

286  19  5£ 


10,575  13  3 


2,518  2  1 


62,060  2  3 


4718  15  0 


81,887  4  10| 
697  5  n 


Incurables. 


6,375  19  6 


624  4  0 


325  0  0 


233  0  8 


7558  4  2 


82,584  10  6  7,558  4  2 


BETHLEM  HOSPITAL,  EOB  THE  YEAH  ENDING  31st  DEC.,  1868. 


Cr. 


1868 


Ledg 

Folio 

313 

314 

315 
317 

316 
319 
322 

324 

326 

327 

329 

328 

330 

331 


334 

357 

338 

355 

341 

359 

348 

348 

346 

349 

363 

361 


381 

382 


393 

384 

391 

386 

388 

390 

227 

353 

354 


EXPENDITURE. 


By  Provisions  for  Patients  and  Household,  viz. 

Meat .. 

Beer  .. 

Bread  and  Flour 
Rice,  Oatmeal,  &c. 

Milk  .. 

Cheese,  Bacon,  Butter,  &c. 

Tea  and  Groceries 

Clothing  and  Bedding 
Soap,  Oil,  and  Candles 
Medicine,  &c.  . . 

Wine,  Spirits,  &c. 

Coals  and  Firewood 
Washing 

Salaries  of  Officers,  Wages  of  Servants,  &c. 

Taxes,  &c.,  on  the  Hospital 
Repairs  of  Buildings,  &c, 

Printing  and  Stationery 
Furniture  and  Repairs 
Books,  &c. 

Incidental  Expenses 

Superannuation  Annuities 
Premium  on  Life  of  Mr.  N.  Nicholls 

Law  Charges  . .  . .  •  • 

Deductions  from  Rental — 

Premiums  of  Insurance  . . 

Repairs  of  Houses,  &c.  ..  •• 

Convalescent  Establishment  Building,  Witlev 

Lincolnshire. 

Salaries — 

Curate  and  Agent 

School  at  Wainfleet — Salaries  of  Master  and  Mistress 
Sundries 

Plantations  ..  ..  .. 

Sea  Bank  ..  ..  •• 

Deductions  from  Rental — 

Premiums  of  Insurance,  &c. 

Casual  Expenses 
New  Buildings  and  Repairs 
Taxes  and  Rates 

Quit-Rent 

Paid  for  Purchase  of  Land  in  Lincolnshire  .. 

Paid  for  Purchase  of  £64,688  Us.  9 d.,  3  per  Cent.  Consols  (in  Chancery) 


Balance 


£1,961 

4 

7 

964 

19 

10 

979 

1 

0 

401 

18 

10 

242 

6 

0 

S67 

5 

10 

596 

4 

6 

969 

7 

11 

409 

0 

2 

189 

17 

0 

484 

19 

4 

1,059 

11 

6 

950 

15 

0 

1,186 

7 

5 

2,914 

19 

1 

275 

1 

3 

1,620 

9 

0 

43 

10 

0 

605 

1 

8 

541 

8 

0 

119 

0 

0 

229 

13 

•  • 

2 

1,283 

8 

2 

130 

0 

0 

13 

16 

5 

110 

4 

9 

23 

7 

0 

59 

15 

3 

107 

19 

9 

825 

15 

2 

208 

9 

6 

A.  M.  JEAFFRESON, 

Receiver,  fyc. 


We,  whose  names  are  hereunto  subscribed,  have  Examined  and  Audited 
the  preceding  Account  for  the  Year  One  Thousand  Eight  Hundred  and  Sixty- 
eight,  and  find  the  same  correct,  and  the  Balance  as  specified,  this  Nineteenth 
day  of  January,  One  Thousand  Eight  Hundred  and  Sixty-nine. 

W.  CHARLES  HOOD,  Treasurer. 
JOHN  HARRISON, 

W.  THORNTON  WEST, 

WALTER  D.  CRONIN, 

JAS.  FARQUHAR, 

GEO.  WARE. 


Total. 


Bethlem.  Incurables. 


£  s.  d. 


£  s.  d. 


6,013  0  7 


4,063  10  11 
3,970  15  10 


6,645  8  5 

5,126  9 

660  8  0 

660  8 

376  4  0 

376  4 

1,513  1  4 

1,513  1 

3,021  17  3 

3,021  17 

400  0  0 

•• 

143  16  5 

•  * 

1,335  11  5 

12  6 

•  • 

538  1  10 

•  • 

51,050  0  0 

61,050  0 

7,773  7  2 


3,063  3  7 


89,732  8  6  82,584  10  6 


£  *.  d. 


f  Crim.  Lunatics 
\  325  0  0 


1,978  4  4 


907  12  3 


1,518  19  3 


400  0  0 

143  16  5 


1,335  11  5 

12  6 
538  1  10 


£89.732  8  6  £82,584  10  6 


7,147  18  0 
410  6  2 


£7,558  4  2 


GENERAL  ACCOUNT  OE  BOTH  HOSPITALS,  1868, 


Bridewell  Hospital — Balance  in  favor  of  the  Hospital.. 
Bethlem  Hospital — Balance  against  the  Hospital 

Cash  at  Bankers,  Messrs.  Glyn  &  Co. 

Less  Cheques  paid,  not  appeared  .  • 


£3,045  2  2\ 

286  19  H 


£2,840  12 
82  10 

£2,758  2 


INCURABLE  FUND. 

Debt  and  Interest  31st  December,  1867  ..  ..  ss  ..  ..  £25,210  9  3 

One  Year’s  Interest  on  Debt,  at  4  per  cent.  ..  ..  ..  ..  ..  ..  695  8  3 

£25,905  17  6 

Excess  of  Receipts  over  Expenditure  ,  .  . .  _  410  6  2 

£25,495  11  4 


BRIDEWELL  HOSPITAL. 


Rent — Rent-charges  and  Insurances 
Deductions 


INCOME,  1869. 


Dividends  on  Stock  in  the  Public  Funds,  viz. — 

£46,000  0  0,  New  3  per  Cent.  Stock 


Net  Annual  Income 


£12,888  18  6 
705  9  11. 

-  12,183  8  7 

1,380  0  0 

-  1,380  0  0 

£13,563  8  7 


BETHLEM  HOSPITAL. 


INCOME,  1869. 

Curables — Rent,  Land-Tax,  Rent-charges,  and  Insurances  . .  ..  ..  £10,625  13  11 

Incurables — Rent,  Rent-charges,  and  Insurances  ..  ..  ..  7,203  4  8 

£17,828  18  7 

Deductions  ..  ..  ..  ..  289  8  6 


Dividends  on  Stock  in  the  Public  Funds,  viz. — 


£38,000 

0 

0, 

3  per  Cent.  Consols  . . 

•  • 

..  £1,140 

0 

0 

18,000 

0 

o, 

New  3  per  Cent.  Stock 

•  • 

540 

0 

0 

3,000 

0 

0, 

Bank  Stock.. 

•  • 

240 

0 

0 

21,000 

0 

0, 

New  2\  per  Cent.  Stock 

•  • 

525 

0 

0 

454 

10 

o, 

3  per  Cent.  Consols  (in  Chancery) 

•  « 

13 

12 

8 

64,688 

14 

9, 

ditto  ditto 

•  • 

1,940 

13 

2 

Interest  from  Metropolitan  Railway  on  £40,000  at  4  per  Cent. 

..  1,600 

0 

0 

17,539  10  2 


5,999  5  10 


Net  Annual  Income  ..  £23,538  16  0 


A.  M.  JEAFFRESON, 

Receiver ,  tyc. 


1 9th  January ,  1869. 


