'I'HIRTY-FIRfU'  REPORT 

OF  THE 


DERBYSHIRE 


Catmtg 


a 


anger 

FOR  THE  YEAR  1882. 


COMMITTEE  OF  VISITORS. 

Lieut. -Col.  MOSLEY,  Burnaston  House,  Derby  (Chairman). 
T.  W.  EVANS,  Esq.,  M.P.,  Allestree  Hall,  Derby. 

CHAS.  EDMUND  NEWTON,  Esq.,  Mickleover,  Derby. 

N.  C.  CURZON,  Esq.,  Lockington  Hall,  Derby. 

COLONEL  NEWDIGATE,  West  Hallam,  Derby. 

Sir  H.  F.  EVERY,  Bart.,  Egginton  Hall,  Burton-on-Trent. 
W.  EVANS,  Esq.,  Darley  Abbey,  Derby. 

G.  F.  MEYNELL,  Esq.,  Meynell  Langley,  Derby. 

E.  SUTTON,  Esq.,  Shardlow  Hall,  Derby. 

A.  F.  HURT,  Esq.,  Aid erwasley  Hall,  Derby. 

REGINALD  CHANDOS  POLE,  Esq.,  Badbourn,  Derby, 


Treasurer . George  Crompton,  Esq. 

Superintendent  Physician . J.  Murray  Lindsay,  M.D. 

F.R.C.S.E.,  L.S.A. 

Hon.  Consulting  Physician . J.  Hitchman,  M.D.,F.R.C.P. 

Assistant  Medical  Officer  . W.  W.  Horton,  M.B.,  C.M. 

Chaplain . . . . . The  Rev.  Wm.  Findley. 

Clerk  and  Steward . Mr.  John  Langley. 

Housekeeper .  ..Miss  Martin. 

Chief  Attendant  . Mr.  John  Elliott. 

Chief  Nurse  . Miss  Woodward. 

B.  SCOTT  CURREY, 

Clerk  to  the  Committee, 


H^OUR  Committee  herewith  beg  to  present  the  31st  Report 
fl  in  reference  to  the  County  Lunatic  Asylum,  comprising  the 
Annual  statement  of  the  Superintending  Physician,  and  the  usual 
Statistical  Tables  and  Accounts.  They  would  direct  attention  to  the 
general  satisfactory  condition  of  the  Asylum,  as  disclosed  by  the  low 
death-rate  and  high  rate  of  recovery  amongst  the  Patients.  On  the 
recommendation  of  Dr.  Lindsay,  your  Committee  recently  ventured 
to  sanction  the  entire  disuse  of  beer  at  the  Asylum  as  an  ordinary 
beverage,  whereby  a  great  saving  of  expense  will  be  effected,  and  as 
it  is  believed  will  be  the  case  with  perfectly  satisfactory  results. 
The  same  thing  has  been  tried  at  other  Asylums  with  success. 


The  growing  increase  in  the  number  of  Patients  has  rendered 

necessarv  the  addition  of  a  New  Ward  for  36  Male  Patients  for 
which  the  expenditure  was  sanctioned  at  the  last  October  Quarter 
Sessions,  and  which  building  is  now  in  course  of  erection. 


As  you  will  see  from  the  Report,  your  Committee  hope  to  be 
able  shortly  to  advise  the  reduction  of  the  charge  for  maintenance  at 
the  Asylum  by  a  considerable  amount. 

They  have  also  pleasure  in  expressing  their  satisfaction  as 

heretofore,  with  the  arrangements  under  the  energetic  management 
of  Dr.  Lindsay  and  his  staff  of  Officers. 


ASHTON  MOSLEY, 


March,  1883. 


Chaikman. 


Ur  port  of  tljt  Cosirattssiomrs  in  Ihtnaqt. 


Deeby  County  Lunatic  Asylum, 

April  20th,  1882. 

our  Colleagues  last  visited  this  Asylum,  they  at  the 
commencement  of  their  report,  stated  that  the  “ Asylum 
is  practically  full.”  We  find  this  day  that  the  Asylum  is  on  the 
male  side  over  full,  one  Patient  having  to  sleep  on  the  floor.  The 
accommodation  provided  here  is  for  201  men;  there  are  now  204 
on  the  books,  2  Patients  however  being  absent  on  trial.  The 
total  number  on  the  books  of  both  sexes  is  424,  all  the  males  and 
201  of  the  females  are  chargeable  to  the  County,  but  19  women 
belong  as  follows  : — 2  to  out-counties,  15  to  the  Borough  of  Derby, 
and  2  'are  private  Patients.  Now  that  the  question  of  providing 
additional  room  in  the  Asylum  for  the  insane  poor  of  the  County  of 
Derby  has  become  so  pressing,  that  we  feel  sure,  it  cannot  be  post¬ 
poned,  we  must  express  a  hope  that  all  plans  for  the  increased 
accommodation  will  provide  new  blocks  for  the  Epileptic  and  sick 
Patients,  as  well  as  the  much  needed  detached  Hospital.  With 
respect  to  the  remarks  made  by  our  colleagues  with  regard  to  the 
drill  of  attendants  and  nurses  at  the  internal  hydrants,  we  learn 
that  since  that  visit,  occasional  drills  have  been  instituted,  and  now 
all  are  expected  to  know  what  to  do  should  a  fire  break  out  within 
the  building.  We  think  that  internal  hydrants  ought  to  be  placed  in 
No.  8  female  ward.  Tho  water  Closets  at  the  junction  of  wards  2 
and  5  in  each  division,  ha.ve  been  altered,  and  the  present  arrange¬ 
ments  have  much  improved  upon  the  old  closets.  The  visiting  room 
is  small  and  we  learn  is  not  at  all  times  sufficient  for  the  visitors. 
This  might  be  remedied  by,  as  is  the  case  in  some  Asylums,  having 
no  fixed  visiting  day  but  allowing  friends  to  come  within  certain  hours 
every  day.  There  have  been  since  the  lastvisit  84  men  and  21 


4 


women  discharged,  8  of  the  formerand  1 7  of  the  latter  had  recovered, 
and  one  man  left  the  Asylum  having  shown  no  signs  of  insanity 
since  his  admission.  The  deaths  have  been  7  in  the  male  and  8  in 
the  female  division.  Only  one  cause  of  death  calls  for  remark. 
This  was  the  death  of  the  Patient  Samuel  Jacques,  whose  case  was 
noticed  at  some  length  by  our  colleagues  m  the  last  entry.  He 
died  4  days  after  their  visit,  and  the  Coroner’s  Jury  found  that  he 
died  from  injuries  inflicted  by  a  a  Patient,  W.  S.,  who  is  a  violent 
Epileptic.  No  other  Coroner’s  inquest  was  held,  but  the  assigned 
cause  of  death  was  verified  by  post-mortem  examination  in  every 
instance  but  one.  The  Patients  all  appeared  to  us  at  our  visit  to  be 
well  looked  after  by  the  attendants  who  seemed  a  respectable  body. 
There  are  now  20  of  the  male  and  22  of  the  female  sex.  one  woman 
being  on  duty  in  the  male  infirmary.  There  has  been  an  addition  of 
one  attendant  on  each  side  since  the  last  visit,  and  the  wards  in  which 
the  most  turbulent  Patients  are  placed  are  never  left  without  8  atten¬ 
dants.  Three  men  and  7  women  have  not  had  a  year’s  experience  as 
yet  in  the  Asylum.  The  health  of  the  Patients  is  good,  but  6  men  and 
only  2  women  were  in  bed  when  we  passed  through  the  wards,  whilst 
the  medical  records  show  that  16  men,  and  11  women  were  last  week 
taking  medicine.  We  saw  excepting  the  2  men  and  1  woman  absent 
on  leave  every  Patient  on  the  books,  spoke  to  very  many  of  them, 
and  gave  to  all  the  oppoi tunity  of  telling  us  their  wishes  or 
complaints.  They  brought  no  grievance  to  our  notice  calling  for 
remark,  and  though  a  few  urged  that  they  were  unduly  detained  we 
could  not  suggest  that  their  complaint  was  well  founded,  and  we  fear 
that  the  danger  in  an  overcrowded  Asylum  would  rather  be  to  send 
home  a  Patient  too  soon,  than  to  keep  him  after  his  cure  was 
effected.  We  can  speak  in  high  terms  of  the  behaviour  of  the 
Patients  who  were  very  quiet,  and  we  are  glad  to  report  that  this 
orderly  behaviour  seemed  to  us  to  be  the  result  of  contentment  with 
their  lot,  rather  than  of  apathy  or  coercion.  The  dinnep  appeared 
to  be  liked,  and  there  was  no  complaint  of  the  food.  The  use  of 
seclusion  or  mechanical  restraint  does  not  seem  to  have  been  found 


necessary,  and  we  notice  that  104  men  and  124  women  are  now  able 
to  be  taken  for  exercise  beyond  the  airing  courts.  The  wards  and 
dormitories  were  in  good  order  and  the  bedding  clean  and 
sufficient,  but  the  upholsterer  should  we  think  have  an  assistant  as 
he  does  not  seem  to  be  able  satisfactorily  to  keep  up  with  the 
Asylum  wants  in  his  department.  The  amusements  for  the  Patients 
are  much  as  formerly,  about  230  in  all  being  usually  present.  The 
Cricket  Ground  has  been  railed  off,  and  a  match  will  shortly  take 
place.  Small  parties  of  Patients  are  taken  when  opportunity  offers 
to  entertainments  in  the  village.  The  average  attendance  at  chapel 
is  240,  and  10  of  each  sex  are  able  to  go  to  the  Parish  Church. 
Fifty  men  are  employed  on  the  farm  and  in  the  garden,  and  70  in 
the  shops  and  wards.  Amongst  the  women  103  work  in  the  wards 
and  sew  or  knit,  whilst  25  are  employed  in  the  laundry.  About 
160  Patients  dine  in  the  Hall,  though  we  did  not  see  them  there  to¬ 
day,  as  the  room  was  required  to  prepare  for  the  dance  to  take  place 
this  evening.  In  addition  to  additions  and  improvements  before 
mentioned  we  may  mention  that  the  sculleries  and  lavatories  in 
No.  8  and  4  female  wards  have  been  improved  by  disconnecting  the 
sink  and  lavatory  pipes  from  the  sewer,  trapping  them  inside, 
delivering  over  an  open  grating  outside,  trapped  below  the  grating 
and  ventilating  the  pipes  by  a  pipe  carried  above  the  roof.  We  are 
pleased  to  learn  that  the  like  is  to  be  done  in  the  male  wards  and  all 
the  lavatory  sink,  bath  and  overflow  pipes  are  being  gradually  dis¬ 
connected  from  the  drains.  Many  minor  matters  in  the  way  of 
renovation  and  decoration  have  received,  or  are  receiving,  attention, 
but  we  ought  specially  to  notice  that  now  it  has  been  found  possible 
to. provide  nearly  all  the  men  with  a  second  shirt  in  the  week.  A 
walk  round  the  fields  has  been  fenced  off  so  as  to  enable  many  Patients 
to  be  taken  for  extended  exercise  who  are  not  fit  to  be  trusted  beyond 
the  Asylum  boundary. 


W.  E.  FEE  RE. 


Commissioners 

IN 

Lunacy. 


W  RHYS  WILLIAMS. 


REPORT  OF  THE  COMMISSIONERS  IN  LUNACY. 


Derby  County  Lunatic  Asylum, 

March  13th,  1888. 

Yesterday  was  given  by  us  to  the  inspection  of  this  Asylum,  and 
in  the  course  of  it  we  visited  every  department,  and  saw  every 
Patient  in  residence. 

The  Asylum  is  in  good  order,  and  we  see  reason  to  believe  that 
its  administration  is  satisfactory.  We  have  found  the  Wards  clean 
and  comfortable,  and  having  the  bright  and  cheerful  aspect  which 
exercises  so  beneficial  an  influence  upon  the  inmates.  The  sanitary 
condition  of  the  Asylum  appears  to  have  been  much  improved  of 
late,  and  we  are  glad  to  learn  that  the  work  of  interrupting  the  direct 
communication  of  waste  pipes  with  the  main  drains  has  been  com¬ 
pleted.  The  result  is  satisfactory,  and  we  did  not  in  any  scullery  or 
water-closet  detect  any  bad  smells,  or  the  presence  of  sewer  gas.  In 
some  of  the  day-rooms  on  the  male  side  the  air  was  rather  close  and 
unpleasant,  owing  to  the  faulty  habits  of  some  patients.  This 
remark  applies  more  especially  to  Wards  2,  8,  and  5.  We  do  not 
know  if  greater  care  and  attention  on  the  part  of  the  Attendants 
would  lessen  the  evil. 

The  patients  in  both  divisions  were  very  quiet  and  orderly  during 
our  stay  in  the  Wards.  We  had  no  complaints  except  on  the  ground 
of  detention,  apparently  quite  justified  in  the  case  of  the  complain¬ 
ants.  The  women’s  dress  is  very  good  and  neat,  but  it  struck  us 
that  in  the  clothing  of  the  males  there  is  some  room  for  improve¬ 
ment,,  The  dress  of  many  of  the  men  was  very  much  worn,  and 
untidy,  and  we  suggest  whether,  for  the  demented  and  dirty  cases, 
such  a  material  as  white  washing  cord  would  not  be  more  suitable  than 
the  cloth  now  in  use.  Since  the  visit  of  our  colleagues  on  April  20th, 
1882,  there  have  been  the  following  changes  -Admitted,  49  males 
and  60  females  ;  total,  109.  Discharged,  84  males  and  38  females, 
of  whom  18  males  and  24  females  had  recovered  ;  and  died,  19  males 
and  15  females. 

The  death-rate  has  been  low.  In  the  year  1882  it  was  8*9  per  cent. 


7 


or  males,  and  7*5  for  females,  or  8-2  for  both  sexes  of  the  average  daily 
number  resident ;  while  for  the  same  year  the  recovery-rate,  in  com¬ 
parison  with  admissions,  was  46*8  per  cent.  Post-mortem  examina¬ 
tion  was  made  in  the  case  of  every  death  but  one.  There  have  been 
two  Coroner’s  Inquests  since  the  last  visit,  one  upon  a  patient  (J. 
S.)  who  hanged  himself  in  a  building  at  the  Farm,  on  the  18th 
August.  He  was  admitted  on  May  19,  1882,  suffering  from  Melan¬ 
cholia,  and  was  treated  as  suicidal,  though  he  had  not  made  any 
attempt  at  self-injury.  He  had,  however,  much  improved,  and  was 
employed  on  the  Farm,  and  his  early  discharge  was  contemplated. 
There  does  not  appear  to  have  been  any  culpable  want  of  care  in  this 
case.  The  other  inquest  was  held  on  the  body  of  a  male  Patient  who 
died  from  exhaustion  the  day  following  his  admission.  He  had  been 
brought  from  his  own  home  at  Belper,  a  distance  of  12  miles,  in  a 
covered  conveyance,  and  reached  the  Asylum  in  a  very  exhausted 
condition,  having  for  some  time  been  refusing  his  food.  It  was  un¬ 
fortunate  that  he  was  not  earlier  removed  to  the  Asylum,  where  his 
life  might  have  been  saved. 

The  causes  of  the  remaining  deaths  do  not  call  for  special  notice. 
According  to  the  Medical  Eecords  there  has  not  been,  since  the  last 
visit,  any  use  of  seclusion  or  of  mechanical  restraint  in  this  Asylum. 
There  are  at  present  under  medical  treatment  21  male  and  22 
female  Patients  ;  and  there  are  45  males  and  48  females  who  suffer 
from  epilepsy,  and  20  males  and  10  females  who  are  considered  to 
be  actively  suicidal. 

The  epileptics  are  over  20  per  cent,  of  the  insane  inmates.  The 
arrangements  for  sleeping  these  two  classes  of  Patients  are  unaltered. 
The  defects  are  mainly  insufficient  space  and  the  absence  of  single 
rooms  opening  out  of  the  dormitories. 

The  Patients  remaining  on  the  books  to-day  number  201  males 
and  230  females,  in  all  481  ;  but  3  of  each  sex  are  absent  on  trial 
with  a  view  to  discharge,  and  there  are  vacancies  for  8  Patients  on 
the  male  and  4  on  the  female  side. 

To  meet  the  demand  for  room  in  the  male  division,  a  new  block 
to  hold  36  Patients — -plans  for  which  were  duly  sanctioned — has 


8 


been  begun  and  will  be  finished,  it  is  expected,  by  the  end  of  this 
year.  There  are  here  18  female  Patients  belonging  to  the  Borough 
of  Derby,  whose  removal  will  afford  some  additional  room  in  the 
female  division,  but  it  is  obvious  that  extension  on  that  side  cannot 
long  be  delayed,  and  we  hope  it  may  be  in  the  form  of  a  suitably- 
arranged  ward  for  epileptic  and  suicidal  cases.  The  above  18 
cases  are  the  only  ones  not  belonging  to  Derbyshire  Unions  or 
Parishes,  other  than  the  Borough.  The  present  rate  for  maintenance 
is  10s.  9d.  per  week,  shortly  to  be  reduced  to  10s.  3d.,  with  3s. 
per  week  additional  charge  for  the  Borough  Patients.  We  have 
made  the  usual  inquiries  respecting  Divine  Service,  employment, 
&c.,  and  find  that  the  present  statistics  on  these  heads  vary  very 
little  from  those  given  in  recent  entries  by  Commissioners. 

The  amusements  provided  for  Patients  appear,  from  a  number  of 
programmes  laid  before  us,  to  have  been  numerous  and  varied.  The 
dinners  provided  on  both  days  of  our  visit  have  been  inspected  by 
us,  and  they  were  good  ;  but  that  of  yesterday — good  soup,  with 
bread — is  never  very  popular  in  Asylums.  On  January  1st  the  use 
of  beer  was  discontinued  here,  both  for  Patients  of  all  classes  and  for 
Attendants,  and  Servants,  and  the  change  seems  to  be  accepted  with¬ 
out  complaints.  The  Attendants  now  receive  a  money  allowance  in 
lieu  of  beer,  that  for  women  being  £2  15s.  and  for  males  £3  5s. 
per  annum.  The  strength  of  the  Staff  is  the  same  as  last  year. 
Of  the  Attendants  now  here,  seven  of  each  sex  have  entered  the 
service  within  twelve  months. 

The  improvements  to  be  noticed  in  addition  to  those  already  referred 
to,  include  a  better  supply  of  hot  water  to  baths  and  sculleries  in  the 
female  division,  and  some  further  appliances  for  treating  with  an  out¬ 
break  of  fire. 

A  Cottage  adjacent  to  the  .Asylum  has  been  rented  for  12  months, 
to  supply  accommodation  for  male  patients  if  required  before  the  new 
block  is  finished.  It  will  accommodate  7  patients  and  an  Attendant. 

C.  S.  BAGrOT,  Commissioners 

in 

ROBERT  NAIRNE,  Lunacy. 


0 


BURTON-ON-TRENT. 

3rd  February,  1882. 

We,  the  undersigned  Guardians  of  the  Burton-on-Trent  Union, 
have  this  day  visited  the  Patients  in  the  Mickleover  County  Lunatic 
Asylum,  and  inspected  the  whole  of  the  Wards,  and  have  great 
pleasure  in  testifying  to  the  very  efficient  management  and  excellent 
sanitary  arrangements,  and  have  pleasure  in  stating  that  the  Inmates 
appear  to  be  exceedingly  well  cared  for,  and  wish  to  express  our 
thanks  to  Dr.  Lindsay  and  the  Officers  for  the  courtesy  and  attention 
we  have  received. 

Signed  by  the  Vice-Chairman,  (Mr.  John  A.  Bindley),  two 
Members,  and  the  Clerk  of  the  Board. 


MANSFIELD. 

March  28th,  1882. 

Deputed  by  the  Mansfield  Board  of  Guardians  to  visit  the 
Derbyshire  County  Asylum,  we  have  been  conducted  through  it  to¬ 
day  by  Dr.  Murray  Lindsay. 

The  management  of  the  Asylum,  as  we  expected  to  find  it,  appears 
to  be  excellent,  and  from  our  inspection  of  the  Inmates  from  the 
Mansfield  Union  we  are  satifised  that  every  care  is  taken  of  them. 

We  have  to  thank  Dr.  Murray  Lindsay  and  other  Officers  for 
their  kind  attentions  to  us. 

Signed  by  the  C  hairman,  (Rev.  H.  Cottingham),  the  Vice- 
Chairman,  a  Member,  and  the  Clerk  of  the  Board. 

SHARDLOW. 

March  31st,  1882. 

We,  as  a  Committee  of  the  Shardlow  Board  of  Guardians 


10 


have  visited  the  Asylum  to-day,  and  wish  to  say  how  pleased  we  are 
with  everything  we  have  seen. 

The  Patients  from  our  Union  appear  to  be  comfortable  and  well 
cared  for  in  every  way. 

The  general  arrangements  of  the  Institution  are  very  good. 

We  desire  to  acknowledge  the  great  courtesy  of  Dr.  Lindsay  who 
personally  conducted  us  through  the  Asylum. 

Signed  by  the  Chairman,  (Mr.  Sidney  Wells),  two  Members,  and 
the  Deputy  Clerk  of  the  Board. 


HAYFIELD. 

June  14th,  1882. 

A  Deputation  from  the  Board  of  Guardians  of  the  Hayfield 
Union,  have  this  day  visited  the  Lunatic  Asylum  at  Mickleover,  and 
have  pleasure  in  recording  the  pleasure  afforded  them  by  the  order 
and  cleanliness  of  the  Institution,  and  the  apparent  comfort  of  the 
Inmates,  and  also  the  courtesy  of  the  Medical  Officer  Dr.  Lindsay. 

Signed  by  the  Chairman,  (Mr.  William  Taylor),  the  Vice-Chairman, 
and  two  Members  of  the  Board. 


BAKE  WELL. 

Juue  15th,  1882. 

A  Deputation  of  the  Bakewell  Board  of  Guardians,  has  this  day 
visited  the  Derby  County  Asylum,  .and  inspected  the  Inmates 
belonging  to  their  Union. 

They  desire  to  express  themselves  very  much  satisfied  with  every¬ 
thing  they  have  seen,  and  with  the  general  arrangements. 

The  Patients  appear  to  be  well  cared  for  and  satisfied  with 
their  treatment. 

The  Deputation  are  much  indebted  to  Dr.  Lindsay  and  Mr. 
Langley,  for  their  courtesy  in  showing  them  everything  connected 
with  the  Asylum,  and  to  the  other  Officials. 


11 


They  were  also  shown  the  arrangements  for  extinguishing  fire, 
which  appear  to  be  most  satisfactory,  and  they  wish  also  to  express 
their  thanks  for  the  trouble  which  was  taken  in  affording  them  an 
opportunity  of  witnessing  the  trial  of  the  machine. 

Signed  by  the  Chairman,  (Lord  Edward  Cavendish),  seven 
Members,  and  the  Clerk  of  the  Board. 


CHESTERFIELD. 

21st,  September,  1882. 

We,  the  undersigned,  being  a  Deputation  from  the  Chesterfield 
Board  of  Guardians,  have  this  day  visited  the  County  Asylum,  and 
have  personally  inspected  the  Institution  and  the  Patients  chargeable 
to  this  Union. 

We  have  great  pleasure  in  bearing  testimony  to  the  efficiency  and 
management  of  the  Institution,  and  the  attention  bestowed  on  the 
Inmates,  and  beg  to  thank  Dr.  Lindsay  for  his  kindness  in  explaining 
the  arrangements  and  conducting  us  over  the  Establishment. 

Signed  by  the  Chairman,  (Mr.  Fredk.  Barber),  and  two 
Members  of  the  Board. 


TO  THE  COMMITTEE  OF  VISITORS  OF  THE  DERBY 

COUNTY  ASYLUM. 


Gentlemen — 

I  beg  to  submit  the  Thirty-First  Report  of  the  Asylum 
for  the  year  1882. 

On  1st  January,  1882,  the  Asylum  contained  480  Patients. 
The  Admissions  during  the  year  have  been  118,  the  Discharges 
88,  and  the  Deaths  85 ;  leaving  425  Patients  in  the  Asylum  at  the 
close  ot  the  year,  which  shows  a  decrease  of  5  upon  the  number 
remaining  at  the  end  of  the  previous  year. 

Of  the  425  Patients  remaining  in  the  Asylum  on  31st  December 
last,  408  (198  Males  and  210  Females)  belong  to  the  County, 
showing  an  increase  of  10  (7  Males  and  3  Females)  upon  the 
number  of  Derbyshire  Patients  remaining  at  the  close  of  the 
previous  year.  There  are  now  only  13  Patients  (all  Females) 
belonging  to  the  Borough  of  Derby,  a  decrease  of  12  compared  with 
the  previous  year,  the  number  of  Borough  Patients  having  been 
gradually  diminished  b}7  the  necessary  removal  of  Borough  Male 
Patients  in  order  to  make  room  for  County  Cases,  and  by  the 
discharge  or  death  of  some  of  the  Borough  Female  Patients. 
There  are  2  Out-County  Female  Patients,  and  2  Private  Female 
Patients,  making  up  the  total  of  425  on  31st  December. 

Comparing  the  Admissions  of  the  last  two  years  we  find  that 
all  the  Admissions  during  the  past  year,  with  one  exception,  a 
Male  Criminal  Lunatic  belonging  to  Lincolnshire  sent  bj7  warrant 
of  the  Secretary  of  State,  viz.:  117  (62  Males  and  55  Females) 


IB 


were  from  the  Comity;  compared  with  146  (67  Males  and  79 
Females)  in  1881,  which  shows  a  decrease  of  29  (5  Males  and 
24  Females)  in  the  number  of  Derbyshire  Admissions.  During  the 
previous  8  years  there  had  been  an  annual  increase  in  the  number 
of  Derbyshire  Admissions,  but  for  the  past  year  there  has  been  a 
very  considerable  and  so  far  unaccountable,  but  probably  only 
temporary  decrease,  especially  in  the  number  of  Female  Admissions. 

At  the  close  of  the  year  the  total  accommodation  amounted  to 
432  Beds,  201  for  Men  and  231  for  Women,  of  which  number  there 
were  7  vacant  beds,  8  in  the  Male  and  4  in  the  Female  division. 

The  necessity  referred  to  in  the  Report  of  the  previous  year,  ot 
making  further  provision  for  Male  Lunatics  belonging  to  the  County 
has  been  urgently  brought  under  the  notice  of  the  Committee  by  the 
pressure  for  room  which  they  endeavoured  to  meet  by  the  removal 
of  Chronic  Imbecile,  and  harmless  cases  to  Workhouses  so 
as  to  make  room  for  the  current  cases  of  insanity,  recent,  violent, 
acute,  and  curable  cases.  By  this  means  the  Committee  endeavoured 
and  hoped  to  delay  as  long  as  possible  incurring  the  expense  of 
building  additional  accommodation  for  Male  Patients,  but  from  the 
experience  of  the  past  year  showing  the  unwillingness  on  the 
part  of  Boards  of  Guardians  and  Workhouse  Authorities  to  assist 
the  Committee  in  arrangements  calculated  to  be  more  economical  to 
the  ratepayers  and  better  for  the  occurring  cases  of  insanity,  it  is 
very  evident  that  relief  to  the  Asylum  accommodation  from  this 
source  cannot  be  relied  upon.  Several  of  the  Chronic  and  Imbecile 
Patients,  quite  harmless  in  the  Asylum,  who  were  discharged  to 
Unions  have  been  sent  back  to  the  Asylum  on  the  ground  that  they 
were  too  troublesome  in  the  Workhouses,  and  required  more  super¬ 
vision  than  the  limited  arrangements  of  the  Workhouse  enabled  them 
to  get.  The  experience  of  the  past  year  only  tends  to  confirm  my 
opinion  that  Workhouses,  as  at  present  conducted,  with  their 
inadequate  paid  Nursing  Staff,  deficient  arrangements,  and  in¬ 
sufficient  Supervision,  are  not  the  most  suitable  places  for  the  care 


14 


and  treatment  of  even  harmless  Chronic  and  Imbecile  Asylum  Patients 
who  often  deteriorate  in  mental  and  physical  condition,  habits, 
and  conduct  when  removed  from  the  better  diet,  exercise,  discipline, 
more  frequent  supervision,  and  better  surroundings  of  the  Asylum  to 
the  Workhouse. 

The  necessity  of  otherwise  providing  additional  accommodation, 
which  could  no  longer  be  deferred,  has  now  been  met,  plans  for  an 
additional  block  to  accommodate  86  Male  Patients  and  4  Attendants 
having  been  prepared  by  the  County  Surveyor,  were  approved  by  the 
Lunacy  Commissioners,  and  sanctioned  by  the  Home  Secretary  on 
27th  June.  A  sum  of  £8,450  (including  £600  for  furniture,  fittings, 
bedding,  &c.,)  was  granted  by  the  Court  of  Quarter  Sessions  on  17th 
October,  tenders  were  invited  for  the  building,  and  the  lowest 
tender  of  Mr.  George  Hewitt,  of  Leicester  and  Derby,  amounting 
to  £8,090  was  accepted.  The  contractor  is  now  at  work  excavating 
the  foundations,  and  it  is  hoped  the  New  Ward  will  be  ready  for 
occupation  by  the  end  of  the  year. 

To  meet  the  pressure  for  room  for  Male  Patients,  and  to  provide 
temparary  accommodation  pending  the  completion  of  the  New  Ward, 
A  Cottage  near  the  Asylum  estate  has  been  rented  for  a  year,  which 
is  capable  of  accommodating  7  Male  Patients  and  1  Attendant. 

With  regard  to  accommodation  for  Female  Patients,  it  is  hoped 
that  the  17  available  beds  in  the  Female  division  will  meet  the 
requirements  for  some  time,  although  probably  not  very  long. 

Had  the  Admissions  of  Female  Patients  continued  at  the  same 
rate  for  the  past  year  as  in  the  previous  year  1881,  the  Female 
division  would  have  been  full  of  Derbyshire  Cases,  and  it  would 
have  been  necessary  ere  this  to  consider  the  question  of  providing 
additional  accommodation  for  Female  Patients.  The  unexpected 
decrease  in  the  number  of  Female  Patients  admitted  during  the 
past  year,  has  fortunately  so  far  enabled  the  Committee  to  delay 
incurring  the  expense  of  erecting  an  additional  building  for  Female 
Patients,  but  in  all  probability  it  cannot  be  much  longer  deferred. 


15 


Of  the  425  Patients  remaining  in  the  Asylum  at  the  close  of  the 
year,  not  more  than  41  (19  Males  and  22  Females),  or  9.6  per  cent, 
are  deemed  curable;  and  as  many  as  84  (48  Males  and 41  Females) 
are  Epileptics,  being  about  a  fifth  of  the  total  number  of  Patients, 
which  is  a  large  proportion  of  this  unfavourable  class  compared  with 
other  County  Asylums,  Sussex  for  example,  where  the  proportion  of 
Epileptics  is  only  about  half  that  at  Derby  Asylum. 

With  reference  to  the  Ages  of  the  Patients  remaining,  Table  VIII. 
will  show  that  205,  or  very  nearly  half  the  total  number  of  Patients 
resident  on  81st  December,  were  in  advanced  years,  from  45  to 
82  years  of  age,  as  many  as  78  being  upwards  of  60  years  of  age. 
This  has  an  important  bearing  upon  the  prospective  mortality. 

Admissions. — The  Admissions  of  the  past  year  have  been  118, 
being  a  decrease  of  29  (5  Males  and  24  Females)  compared  with  the 
previous  year.  This  is  so  far  fortunate,  for  the  decrease  in 
Admissions  has  compensated  to  some  extent  for  the  accumulating 
number  of  those  remaining,  due  to  the  considerably  diminished 
mortality  of  the  past  year,  otherwise,  the  resources  of  the  Female 
division  would  have  been  severely  taxed,  and  the  pressure  for  room 
would  also  have  affected  that  side. 

All  the  Admissions  were  County  Cases,  with  the  exception  of  a 
Male  Criminal  Lunatic  sent  from  Derby  Gaol  by  warrant  of  the 
Secretary  of  State,  about  whose  case  a  correspondence  took  place 
between  the  Committee  of  Visitors  (who  objected  to  his  admission 
on  the  ground  of  not  being  a  Derbyshire  Case),  and  the  Home 
Secretary,  who  subsequently  granted  afresh  warrant  for  his  removal 
to  the  Lincolnshire  Asylum,  his  place  of  settlement  being  Spilsby, 
in  that  County.  Two  other  Male  Criminal  Lunatics  sent  from 
Broadmoor  Criminal  Asylum  and  Derby  Gaol  by  warrant  of  the 
Secretary  of  State  were  amongst  the  Admissions  of  the  year.  As  a 
rule  such  Patients  are  not  desirable  Inmates  of  a  County  Asylum^ 
and  it  is  to  be  regretted  that  the  State  does  not  make  suitable 
provision  for  them  at  Broadmoor  or  elsewhere. 


16 


The  youngest  Patients  admitted  were  an  Idiot  girl  12  years  of 
age,  and  a  boy.  15  years  of  age,  a  Congenital  Imbecile,  a  healthy, 
strong,  and  mischievous  youth  for  whom  a  Lunatic  Asylum  is 
assuredly  not  the  best  place,  and  for  whose  admission  to  Earlswood 
Idiot  Asylum  his  friends  had  twice  made  application  unsuccessfully. 

In  the  Report  of  the  previous  year  reference  was  made  to  the 
fact  that  there  is  no  Idiot  or  Imbecile  Asylum  available  where  young 
Pauper  Idiots  and  Imbeciles  belonging  to  Derbyshire  might  derive 
the  benefit  of  Special  training  and  education,  a  want  which  it  is 
unquestionably  very  desirable  to  meet. 

The  unfavourable  nature  of  a  large  proportion  of  the  Admissions 
as  regards  prospect  of  recovery,  may  be  seen  on  reference  to 
Table  VII.  which  shows  that  in  fall v  two-thirds  of  the  cases 

•j 

Admitted  the  attack  of  insanity  had  lasted  upwards  of  3  months 
prior  to  Admission,  for  it  is  well  known  that  insanity  is  much  more 
curable  if  treated  in  the  earlv  stages.  As  rnanv  as  16  were  aged, 
from  60  to  81,  three  of  whom  at  the  ages  of  78,  78,  and  80  only 
survived  their  removal  to  the  Asylum  7  weeks,  2  months,  and  3 
months  respectively.  11  were  affected  with  General  Paralysis,  and 
1 1  were  Epileptics. 

Many  were  Admitted  in  very  bad  health  and  exhausted  condition 
suffering  from  Confirmed  Brain  disease,  advanced  General  Paralysis, 
Heart  disease,  Cancer,  and  other  Maladies,  8  of  whom  (in  addition 
to  the  three  aged  Patients  above  referred  to)  succumbed  to  their 
diseases  within  a  few  months  of  Admisssion.  Judging  from  the 
number  of  aged,  infirm,  fatuous,  and  other  Imbecile  and  greatly 
debilitated  Patients  sent  here  the  conclusion  is  unavoidable  that  the 
Asylum  is  too  often  made  use  of  simply  as  an  Infirmary,  and  in 
some  cases  taken  advantage  of  merely  as  a  final  resting  place, 
thereby  increasing  the  Asylum  death-rate.  Were  it  not  for  the 
operation  of  the  4s.  Treasury  capitation  grant  paid  to  the  Unions? 
it  is  more  than  probable  that  some  at  least  of  these  cases  would  be 


17 


taken  care  of,  and  nursed  in  Workhouse  Infirmaries,  as  they  ought 
to  be,  instead  of  in  all  probability  shortening  their  days  by  removal 
to  the  Asylum. 

With  reference  to  the  effect  of  the  Government  grant  of  4s.  the 
experience  of  this  Asylum  has  fully  borne  out,  and  is  in  accord 
with  the  opinion  of  the  Lunacy  Commissioners,  who  in  their  last 
published  Report  to  the  Lord  Chancellor  (36th  Report  for  1881) 
make  the  following  important  observations.  “In  our  experience 
there  is  now  frequently  a  tendency  to  send  to  the  Asylum  Patients 
who  might  be  sufficiently  cared  for  in  Workhouses.  We  have  no 
doubt,  indeed,  that  the  effect  of  'the  Parliamentary  Subvention  of 
4s.  a  week  allowed  to  Boards  of  Guardians  for  everv  insane  Patient 
maintained  in  an  Asylum,  has  in  many  instances,  tended  to  promote 
the  removal  to  Asylums,  and  has  prevented  the  return  back  to 
Workhouses  from  Asylums,  of  Patients  who  could  with  slightly 
more  liberal  provision,  in  the  way  of  food  and  supervision, be  adequately 
dealt  with  in  Workhouses.  The  rate  of  maintenance  in  County 
Asylums  is  in  many  districts  so  moderate  that,  deducting  the  4s. 
subvention,  the' cost  to  the  Guardians  is  less  than  if  the  insane 
person  were  retained  in  the  Workhouse.  One  of  the  consequences 
has  been  an  increased  demand  for  County  Asylum  accommodation, 
and  an  increased  burden  on  the  County  Rate,  though  there  has  been 
by  means  of  the  subvention,  some  relief  of  local  charges  as  regards 
the  poor  rate.” 

Frequent  applications  continue  to  be  received  for  the  admission 
of  private  patients,  which,  however,  cannot  be  met,  owing  to  want 
of  room,  and  the  absence  of  any  separate  accommodation  for  this 
class.  These  applications  show  that  there  is  a  want  of  suitable  pro¬ 
vision  to  meet  the  case  of  the  Lower-Middle  Class,  whose  friends 
are  able  and  willing  to  pay  a  moderate  sum,  but  whose  means  do 
not  enable  them  to  pay  the  charges  in  private  Asylums.  There  can 
be  no  doubt  that  Pauper  Asylums  are  to  a  certain  extent  misused, 
unavoidably,  perhaps,  in  the  present  state  of  the  law,  and  for  the 
reason  just  given,  by  patients  being  sent  through  the  Union  Autho- 


18 


rities  to  the  Asylum  as  Paupers,  whose  relatives  or  friends  are  quite 
able  to  pay  12s.,  14s.,  or  16s.  a  week,  and  even  more,  for  their 
maintenance,  and  who  ought  more  properly  to  be  Private  Patients. 

In  connection  with  this  subject,  attention  is  directed  to  the 
following  Report,  presented  by  the  Asylum  Committee  to  the  Court 
of  Quarter  Sessions  at  last  meeting. 

“  Your  Committee  submit  as  a  subject  worthy  of  consideration  the 
growing  necessity  of  some  provision  being  made  throughout  the 
county  for  the  care  of  middle-class  patients.  There  are  numerous 
cases  in  which  the  friends  of  patients  rather  above  the  pauper  class 
would  be  glad  to  pay  a  somewhat  higher  rate  than  is  charged  at  the 
pauper  asylums,  were  there  any  institutions  adapted  for  the  purpose, 
and  they  would  there  get  the  additional  advantages  for  which  they 
paid  ;  whereas  now,  such  persons  being  introduced  into  the  Asylum 
through  the  Unions,  pay  the  same  amount  as  pauper  patients  only. 
The  result  therefore  is,  that  they  contribute  to  fill  up  the  accommo¬ 
dation  designed  for  bond  fide  pauper  patients,  and  render  necessary 
enlargements  of  the  building,  which  is  a  thing  which  ought  not  to 
exist,  and  is  an  additional  argument  in  favour  of  the  establishment 
of  middle-class  institutions  of  some  description  to  which  we  have 
above  alluded.” 

With  regard  to  the  condition  as  to  marriage  in  the  admissions, 
Table  IX.  shows  a  greater  disproportion  between  the  number  of 
single  and  married,  in  favour  of  the  single,  as  compared  with  the 
previous  year. 

With  reference  to  the  principal  causes  of  insanity  in  those  ad¬ 
mitted,  histories  of  the  cases  more  or  less  complete  having  been 
obtained  in  all  except  three  cases,  Table  X.  shows  that  hereditary 
predisposition  was  ascertained  in  nearly  36  per  cent.,  a  considerably 
higher  proportion  than  the  previous  year,  when  it  was  25  per  cent. 
In  35  per  cent.,  also  a  higher  proportion  than  the  previous  year, 
there  had  been  previous  attacks  of  insanity  ;  and  intemperance  was 
assigned  as  the  cause  in  1Q'5  per  cent.,  about  the  same  proportion 
as  the  two  previous  years. 


19 


With  regard  to  the  occupations  of  those  admitted,  Table  XII 
shows  that  Colliers,  Agricultural  and  General  Labourers  form 
the  predominant  class  amongst  men,  and  amongst  the  women, 
domestic  servants,  wives  of  colliers  and  general  labourers  constitute 
the  largest  class. 

Discharges. — 88  were  discharged,  of  whom  51  were  recovered, 
12  were  discharged  to  the  care  of  their  relatives  or  friends,  12  males 
were  transferred  to  other  Asylums,  12  miles  were  removed  to 
Workhouses,  and  1  male  was  discharged  not  insane.  The  note¬ 
worthy  feature  in  the  discharges  is  the  much  larger  number  of 
removals,  24  males  in  all,  to  other  Asylums  and  Workhouses  during 
the  past  year,  compared  with  2  in  1881,  due  to  the  necessity  to 
make  room  for  male  patients.  Among  those  transferred  to  other 
Asylums  are  included  8  male  patients  belonging  to  the  Borough  of 
Derby,  being  the  last  of  the  Borough  male  patients. 

All  the  male  patients  now  in  the  Asylum  are  County  cases.  By 
the  removal  of  chronic,  imbecile,  and  harmless  male  patients  to 
Workhouses,  the  Asylum  has  been  able  to  receive  all  occurring 
County  cases,  to  some  of  whom  it  would  certainly  have  been  neces¬ 
sary  to  refuse  admission,  had  it  not  been  for  these  removals,  the 
pressure  for  male  accommodation  being  so  great  that  at  one  time  the 
male  division  contained  as  many  as  7  in  excess  of  the  proper 
number.  By  this  arrangement,  no  inconvenience  or  increased  ex¬ 
pense  was  caused  to  the  Unions  by  having  to  make  provision  else¬ 
where  for  their  male  lunatics,  for  all  cases  have  been  received,  and 
none  refused  admission.  Three  of  the  chronic  and  imbecile  harm¬ 
less  male  patients  removed  to  Workhouses  have  been  sent  back  to 
the  Asylum,  where  they  have  given  no  trouble  whatever  since  their 
return,  the  Union  Authorities,  however,  not  considering  them  proper 
cases  for  the  Workhouse,  and  declining  to  keep  and  take  care  of 
them. 

The  recoveries  are  at  the  rate  of  46*8  per  cent,  on  the  admissions 
(excluding  transfers  from  other  Asylums),  82*7  per  cent,  for  men, 
and  61*5  per  cent,  for  women,  being  9  per  cent,  higher  than  the 


20 


recovery-rate  of  1881,  a  higher  rate  than  for  the  previous  six  years, 
and  6  per  cent,  higher  than  the  average  recovery-rate  in  County  and 
Borough  Asylums  for  1881,  as  given  in  the  last  published  report  of 
the  Lunacy  Commissioners. 

Taking  the  recove ry-rate  for  the  past  year  in  14  other  Asylums 
in  the  surrounding  Midland  and  Northern  Counties,  and  comparing 
it  with  Derby,  we  find  that  this  Asylum  stands  third  highest  in  the 

list. 

The  recovery-rate  of  the  past  year  may,  therefore,  be  considered 
gatisfactory. 

Deaths. — The  deaths  amount  to  35,  or  at  the  rate  of  8*2  per 
cent,  on  the  daily  average  number  resident,  being  4-7  per  cent,  less 
than  the  death-rate  of  the  previous  year,  which  was  12*9  per  cent. 
Calculated  on  the  total  number  under  treatment  during  the  year,  the 
death-rate  is  6*3  per  cent,  in  1882,  compared  with  9*7  per  cent,  in 
1881. 

If  we  take  again  the  same  list  of  14  Asylums  in  the  Midland  and 
Northern  Counties,  and  compare  their  death-rate  for  1882  with 
Derby,  we  find  that  this  Asylum  has  the  lowest  death-rate,  whether 
calculated  on  the  daily  average  number  resident,  or  on  the  total 
number  under  treatment  during  the  year,  the  difference  between  the 
highest  and  lowest  death-rates  in  these  15  Asylums  amounting  to 
nearly  5  per  cent. 

The  death-rate  of  the  past  year  has  been  unusually  low,  a  lower 
rate  than  for  the  previous  16  years,  and  lower  than  any  year  in  the 
history  of  the  Asylum  with  the  exception  of  1856,  when  it  was  7*1 
per  cent.,  and  1865,  when  it  was  8T  per  cent,  on  the  daily  average 
number  resident,  the  latter  being  only  a  fraction  less  than  the  death- 
rate  of  the  past  year. 

Low  as  the  death-rate  has  been,  it  might  have  been  still  lower  had 
the  Workhouses  taken  their  fair  share  in  nursing  aged,  fatuous,  in¬ 
firm,  and  other  greatly  debilitated  patients,  with  advanced  diseases 
presenting  no  possibility  of  cure,  and  who  died  within  a  few  months 

of  admission. 


21 


A  third  of  the  total  mortality  is  made  up  of  the  year’s  admissions, 
12  of  those  admitted  having  died  during  the  year,  10  within  six 
months  of  admission,  some  of  whom  might  surely  have  been  nursed 
and  taken  care  of  in  Workhouse  Infirmaries,  under  proper  arrange¬ 
ments.  11,  being  nearly  a  third  of  the  mortality,  were  in  advanced 
years,  from  64  to  81  years  of  age. 

The  average  age  at  death  was  51  years.  In  1881  it  was  49. 

With  regard  to  the  causes  of  death,  ascertained  by  post-mortem 
examination  in  all  except  two  cases,  the  chief  cause  of  death,  after 
Cerebral  Diseases,  was  General  Paralysis  The  diseases  of  the 
nervous  system  account  for  24  deaths,  being  rather  over  two-thirds 
of  the  total  mortality.  Comparing  last  year’s  mortality  with  the 
previous  year,  there  has  been  a  decrease  in  the  number  of  deaths 
from  General  Paralysis,  Pulmonary  Consumption,  Inflammatory 
aflections  of  the  Lungs,  and  Heart  Disease. 

Among  the  deaths  is  included  a  case  of  suicide  by  hanging. 
There  was  an  inquest  m  the  case  of  J.  S.,  who  committed 
suicide  by  hanging  himself  with  a  rope  in  one  of  the  Farm  buildings, 
having  been  daily  emplo}7ed  at  the  Farm  for  the  previous  two  months. 
He  had  greatly  improved,  and  was  visited  by  his  wife  a  few  days 
before  his  death,  who  thought  him  so  much  better  that  she  spoke  of 
applying  for  his  discharge  at  the  next  meeting  of  the  committee. 
The  verdict  of  the  Coroner’s  Jury  was  to  the  following  effect : — That 
the  deceased  J.  S.  “  destroyed  himself  by  hanging  himself  with  a 
rope  at  the  Mickleover  Asylum  on  the  17th  day  of  August,  1882, 
not  being  of  sound  mind  at  the  time.” 

The  general  health  of  the  Asylum  during  the  past  year  has  been 
good,  no  infectious  or  epidemic  diseases  having  occurred. 

During  the  year  deputations  from  six  Boards  of  Guardians, 
Burton-on-Trent,  Mansfield,  Shardlow,  Hayfield,  Bakewell,  and 
Chesterfield,  visited  the  Patients  in  the  Asylum  chargeable  to  their 
Unions.  It  is  worthy  of  note  that  this  is  the  largest  number  of 


22 


annual  visits  by  Boards  of  Guardians  for  many  years,  certainly  for 
the  last  eleven  years. 

A  birth  has  to  be  recorded  as  one  of  the  events  of  the  year.  A 
Patient  admitted  on  18th  February  gave  birth  to  a  healthy  female 
child  five  days  after  admission.  It  does  seem  a  pity  in  such  a  case 
so  near  confinement  that  the  little  stranger  should  not  have  had  the 
benefit  of  being  born  elsewhere  than  in  the  Asylum.  The  child  was 
subsequently  removed  by  the  Patient’s  husband. 

Necessary  additions  have  been  made  to  the  Fire  Brigade  appliances, 
viz.,  corridor  wheel  pumps,  wheel  hose-reel,  lamps  for  the  fire  engine, 
and  hand-lamps  for  the  firemen. 

In  the  report  for  1881  reference  was  made  to  a  reduction  of  the 
Maintenance  Charge,  which  the  Committee  were  enabled  to  effect 
from  the  beginning  of  that  year,  of  3d.  per  Patient  per  week,  viz., 
from  11s.  to  10s.  9d.  The  Committee  are  again  enabled  still  further 
to  reduce  the  Maintenance  Charge,  to  take  effect  from  1st  April, 
1883. 

A  pension  of  £30  a  year  was  granted  by  the  Court  of  Quarter 
Sessions,  on  27th  June,  to  William  Axon,  a  very  meritorious 
attendant,  who  for  many  years  had  charge  of  the  Infirmary  Ward, 
where  he  faithfully  and  efficiently  performed  very  trying  and  onerous 
duties  until  his  health  broke  down,  and  it  became  necessary  for  him 
to  resign  on  account  of  ill-health.  He  only  lived  to  enjoy  his  well 
earned  pension  about  three  months,  and  the  pension  has  lapsed  by 
his  death,  which  took  place  on  23rd  September. 

An  improvement  has  been  effected  with  regard  to  a  change  of 
linen  for  Male  Patients,  all  the  men’s  shirts  being  now  changed  twice 
a  week,  in  place  of  once  a  week  as  formerly. 

The  weekly  associated  entertainments  continue  as  heretofore,  and 
seed-cake  is  now  given  to  the  Patients  on  these  evenings,  which  they 
seem  to  relish  and  appreciate. 


28 

The  most  important  event,  perhaps,  of  the  past  year  has  been  the 
decision  of  the  Committee,  on  the  recommendation  of  their  Medical 
Officer,  to  discontinue  entirely  the  use  of  beer,  which  is  no  longer 
an  article  of  ordinary  diet  for  Patients,  Attendants,  and  Servants. 
The  new  arrangement  took  effect  from  1st  January.  1883. 

.  ,  *  * 

Working  Patients  as  heretofore  get  some  extra  diet,  the  Attendants 

and  Servants  receiving  a  liberal  money  allowance  as  compensation  in 
place  of  beer.  It  is  greatly  to  their  credit  that  all  the  Female 
Attendants  and  Servants,  on  being  asked,  and  the  large  majority  of 
the  Male  Attendants  preferred  a  money  allowance  to  beer. 

On  7th  October  last  the  Medical  Superintendent  brought  the 
question  of  the  disuse  of  beer  under  the  notice  of  the  Committee, 
and,  at  a  subsequent  meeting,  the  suggestions  contained  in  his  report 
were  approved  and  adopted  lay  the  Committee. 

To  show  how  general  the  disuse  of  beer  is  becoming  as  an  article 
of  ordinary  diet  in  Pauper  Asylums,  it  may  be  stated  that  in  18 
Pauper  Asylums  beer  has  been  discontinued  as  an  article  of  ordinary 
diet,  the  last  convert  to  the  disuse  of  beer  being  the  Devon  County 
Asylum,  and  at  another  Count}7  Asylum  (Oxfordshire)  the  question 
is  at  present  under  the  consideration  of  the  Committee.  At  the  last 
new  Asylum  opened  (Birmingham  Borough  Asylum,  Piubery  Hill, 
near  Bromsgrove)  beer  has  not  been  included  in  the  ordinary  diet- 
In  a  few  years  it  will  probably  be  found  that  in  the  majority  of 
English  Pauper  Asylums  beer  will  not  be  given  as  an  article  of 
ordinary  diet,  the  minority  at  present  giving  no  beer  will  soon,  I 
believe,  be  converted  into  a  majority. 

I  am  of  opinion — an  opinion,  I  believe,  shared  by  many  Asylum 
Medical  Superintendents — that  the  small  allowance  (half-a-pint)  of 
Asylum  beer  of  the  quality  (about  6d.  per  gallon)  given  to  Patients 
contains  so  little  nutritive  or  stimulant  property  as  not  to  be  entitled 
to  serious  consideration  from  a  strictly  medical  point  of  view.  It 
cannot  now-a-days  be  maintained  that  beer  is  necessary  for  the  pur¬ 
poses  of  health,  nor  can  it  be  shown  that  beer  has  formed  part  of 


24 


the  daily  diet  of  most  of  the  Derbyshire  Patients  prior  to  admission 
to  the  Asylum,  for,  as  far  as  my  inquiries  have  gone,  it  would 
appear  that  the  large  majority  of  Patients,  especially  Females,  had 
not  been  accustomed  to  the  daily  use  of  beer  prior  to  admission. 
The  most,  therefore,  that  can  be  said  in  its  favour  is  that  it  may  be 
an  agreeable  and  so  far  wholesome  beverage  (certainly  better  than 
bad  or  tainted  drinking  water),  but  a  luxury  that  may  be  done 
without. 

To  my  mind  the  chief  objections  against  its  use  are  of  a  domestic 
and  disciplinary  nature  connected  with  the  working  of  the  establish¬ 
ment.  It  is  frequently  wasted  altogether,  given  away  to  or  taken  by 
other  Patients  of  gluttonous  and  intemperate  habits,  who  thus  get 
more  than  their  allowance,  and  it  is  often  the  source  of  loss  of  time 
and  of  diverse  troubles  from  misuse  and  quarrelling.  In  short,  the 
supposed  advantages  from  its  use  are  not  proportionate  to  its  cost, 
and  are  more  than  counterbalanced  by  the  disadvantages  attending 
its  use  and  misuse. 

I  am  not  disposed  to  attach  undue  importance  to  the  question  of 
the  use  ot  beer  from  a  temperance  point  of  view,  although  I  believe 
every  Asylum  Medical  Officer  of  experience  must  admit  that  even 
from  this  standpoint  something  can  be  said  against  its  use,  for  it  is 
a  practical  and  important  point  to  bear  in  mind  that  its  abuse  must 
also  be  considered,  the  excessive  use  of  even  light  beer  being  attended 
with  disadvantages,  whilst  its  daily  though  moderate  use  no  doubt 
tends  to  keep  up  and  encourage  the  drink-craving  in  thoso  of  intem¬ 
perate  habits — the  rock  on  which  many  have  been  wrecked  prior  to 
their  reception  into  the  Asylum,  intemperance  having  been  in  a  con¬ 
siderable  proportion  of  cases  a  partial  factor  at  least  in  the  causation 
of  their  insanity. 

The  financial  or  economic  aspect  of  the  question,  although  of 
secondary  importance  to  the  health,  welfare,  and  interests  of  the 
Patients,  is  also  worthy  of  consideration. 

In  carrying  out  the  new  arrangement  of  the  entire  disuse  of  beer 
I  was  prepared  to  encounter  some  difficulties,  but  in  reality  I  have 


25 


met  with  none,  and  it  appears  to  work  very  smoothly  and  satisfac¬ 
torily  ;  in  fact  better  than  I  had  anticipated  at  so  early  a  stage,  for 
I  never  had  any  doubt  of  its  ultimate  success. 

In  accordance  with  a  growing  conviction  entertained  by  the 
Medical  Officers,  the  use  of  stimulants  in  the  treatment  of  disease 
and  of  the  Sick  in  this  Asylum  has  been  greatly  diminished  for  the 
last  year  or  two,  more  reliance  being  now  placed  on  milk,  arrowroot, 
beef  tea,  and  other  nutritious  articles  of  food.  The  amount  of 
stimulants  has  now,  I  think,  been  reduced  to  a  minimum.  On  31st 
December  there  were  no  stimulants  (beer,  wine,  or  spirits)  on  the 
Sick  diet  lists  for  Female  Paiients,  and  for  Male  Patients  the  quantity 
on  sick  diet  lists  was  very  moderate,  viz.,  four  ounces  port,  four  ounces 
brandy,  and  two  ounces  gin.  On  the  same  day,  at  the  morning  visit  of 
the  Medical  Officer,  there  were  no  Female  Patients  confined  to  bed, 
and  in  the  Male  division  six  Patients  were  in  bed,  which  shows  the 
favourable  state  of  the  general  health  of  the  inmates  at  that  time. 

Amongst  the  additions,  alterations,  and  improvements  during  the 
year  may  be  mentioned — 

(1)  The  removal  of  the  dark,  confined,  and  badly-ventilated  w.c.’s 
in  the  junctions  of  Nos.  2  and  5  Male  Wards,  the  conversion  of  these 
places  into  properly-ventilated  store  closets  for  clothes  (much 
wanted),  and  the  construction  of  improved  and  properly- ventilated 
w.c.’s  in  the  adjoining  commodious  Lavatories,  similar  to  the  altera¬ 
tions  and  improvements  carried  out  the  previous  year  in  the  corre¬ 
sponding  wards  of  the  Female  division. 

(2)  Sanitary  improvement  in  the  Sculleries  of  No.  7  Male  and 
Female  Wards,  the  boarded  floors,  which  were  in  a  very  bad  state 
and  greatly  decayed,  have  been  taken  up,  the  pipes  under  the  floor 
connected  with  the  sewer  which  weie  open  at  the  joints  and  not 
cemented, have  been  removed,  the  sewer  has  been  closed  up,  and  the  rat 
communication  with  the  sewer  effectually  closed,  the  floor  filled  up 
with  concrete,  and  tiles  substituted  for  the  boarded  floors.  The 
waste  pipes  from  baths,  lavatories,  and  sinks  have  been  discon- 


26 


nected  from  the  sewer  and  made  to  deliver  outside  over  open 
gratings. 

(3)  Alterations  and  sanitary  improvement  of  the  w.c.’s  leading 
from  the  large  dormitories  in  Nos.  3  and  4  Male  Wards,  by  the 
substitution  of  better  glazed  earthenware  pans,  with  a  larger  flush  of 
water,  in  place  of  the  old  enamelled  iron  pans,  and  ventilation  of 
the  soil  pipes,  by  means  of  pipes  carried  18  inches  above  the  slates 
of  roof,  perforated  zinc  panes  having  also  been  fixed  in  the  windows. 

(4)  Improvement  and  increase  in  the  hot  water  supply  to  the 
baths  and  sculleries  in  the  Female  Wards,  by  removing  the  hot 
water  cylinders  from  under  the  roof  over  the  bath-rooms,  fixing 
them  over  the  boilers  in  the  basement,  and  by  an  alteration  and 
enlargement  of  the  pipes.  This  will  greatly  facilitate  supervision 
and  repairs,  besides  preventing  the  repeated  boiling  over  of  the  hot 
water  vessels,  and  consequent  damage  to  the  ceiling  of  bath-rooms. 

(5)  Alteration  and  sanitary  improvement  of  2  privies  adjoining 
the  Vegetable  House,  by  abolishing  the  cesspool,  and  substituting 
w.  c.’s  emptying  into  the  sewer,  and  the  addition  of  a  new  urinal. 
Advantage  was  taken  of  this  alteration  to  effect  another  improve¬ 
ment  at  the  Engineer’s  and  Plumber’s  Cottages,  the  sink  waste 
pipes  from  which  are  now  emptied  into  a  drain  properly  trapped, 
connected  with  the  sewer,  which  is  ventilated,  instead  of  into  the 
cesspool,  which  has  been  abolished. 

(6)  Enclosing  the  Cricket  Ground  in  front  field  by  a  galvanized 
iron  wire  fence. 

(7)  Improvement  of  the  dark  junction  passages  in  No.  2  and  5 
Male  and  Female  Wards,  by  the  insertion  of  thick  glass  panels  in 
the  doors,  thereby  admitting  more  light,  and  rendering  the  passages 
more  cheerful. 

(8)  Alteration  and  improvement  of  the  drains  at  the  Farm,  in 
connection  with  the  Steward’s  Cottage,  the  stables,  cow-house,  pig¬ 
geries,  etc.  The  old  liquid  manure  tank  in  the  upper  yard  has  been 
filled  up  and  abolished,  and  a  new  liquid  manure  tank,  capable  of 


27 


containing  2,200  gallons,  has  been  excavated  and  built  in  the  west 
field,  an  emptying  pipe  carried  from  the  bottom  of  the  tank,  36  yards 
down  the  field,  and  at  the  end  of  the  pipe  a  place  has  been  made  so 
that  the  liquid  manure  cart  can  be  backed  up  and  filled  by  opening 
a  valve. 

Six-inch  sanitary  pipes  have  been  laid  from  the  lower  yard  to  the 
tank,  connecting  up  all  drains  from  stables,  cow-house,  piggeries, 
and  soil  drain  from  the  Cottage,  the  sewer  being  ventilated  by  four- 
inch  sanitary  pipes  laid  from  the  Cottage  into  the  garden,  20  yards 
rom  Cottage,  sanitary  trap  fixed  outside  kitchen,  disconnecting 
drain  from  inside,  and  making  sink  waste  pipe  to  deliver  outside  on 
top  of  trap.  New  surface  drains  have  also  been  laid  from  upper  to 
lower  Farm-yard  to  prevent  rain-water  going  into  manure  tank,  as 
had  been  the  case  previously. 

To  remedy  the  damp  state  of  the  walls  at  the  Steward’s  Cottage, 
a  damp  course  of  blue  bricks  has  been  put  all  round  the  house,  there 
having  been  no  damp  course  previously. 

The  repairs  and  alterations  required  in  an  Institution  of  such  age 
and  size  as  this  must  necessarily  be  considerable,  but  in  all  proba¬ 
bility  the  expenditure  under  these  headings  will  in  future  be  less 
than  of  late  years,  for  the  simple  reason  that  the  sanitary  improve¬ 
ments,  structural  and  other  defects,  urgently  calling  for  remedy, 
have  been  mostly  carried  out  and  attended  to,  leaving  comparatively 
little  to  be  completed.  If  these  sanitary  and  other  improvements 
have  contributed  in  any  measure  to  the  health  and  welfare  of  the 
Patients,  and  to  the  diminished  mortality  of  the  past  year,  the  out¬ 
lay  incurred  has  surely  been  money  well  spent. 

Amongst  those  who  have  kindly  given  entertainments,  thereby 
contributing  to  the  happiness  and  enjoyment  of  the  patients,  we 
have  to  thank  Mr.  W.  H.  Orme,  and  friends  from  Derby,  for  a  very 
pleasant  musical  and  dramatic  entertainment ;  Mr.  Field  Baldwin, 
Mr.  W.  Kelley,  and  friends  from  Derby,  and  the  Derby  Rifle 
Volunteer  Band,  for  very  enjoyable  Concerts.  We  have  also  to 
thank  Mr.  P.  A.  Paget  for  kindly  admitting  a  large  party  of  52 


28 


patients  (30  males  and  22  females)  to  his  entertainment  at  the  Corn 
Exchange,  Derby.  Our  thanks  are  also  due  to  Mr.  John  Coleman, 
Park  Nook,  for  a  liberal  supply  of  evergreens  for  the  decoration  of 
the  Wards  at  Christmas,  and  to  a  lady  for  the  very  thoughtful  gift 
of  a  large  box  of  oranges  for  distribution  among  the  Patients  at 
Christmas.  To  Captain  Cockcraft  we  are  again  indebted  for  much 
valuable  help  at  our  weekly  and  other  musical  and  dramatic  enter¬ 
tainments,  whose  kind  services  the  Patients  will  now  greatly  miss, 
owing  to  his  removal  from  our  locality. 

On  20th  April,  the  Asylum  was  inspected  by  two  of  the  Commis¬ 
sioners  in  Lunacy,  whose  Report  is  appended. 

I  have  pleasure  in  acknowledging  the  assistance  I  continue  to 
receive  from  my  colleague,  Dr.  Horton,  in  the  Medical  Work  of  the 
Institution,  and  in  the  preparation  of  the  Statistical  Tables,  as  well 
as  the  kind  services  he  so  willingly  renders  by  devoting  his  musical 
and  dramatic  abilities  to  the  happiness  and  amusement  of  the 
Patients. 

My  acknowledgments  are  also  due  to  Mr.  Langley,  the  Steward, 
who  is  assisted  by  his  son  ;  to  the  Chief  Attendants,  Housekeeper, 
and  Engineer,  for  their  able  services  and  co-operation  in  their 
respective  departments. 

Other  information  of  a  Statistical  and  Medical  nature  will  be 
found  in  the  Statistical  Tables  appended,  being  the  new  Tables  of 
the  Medico-Psychological  Association. 

In  conclusion,  I  beg  to  thank  the  Chairman  and  Committee  of 
Visitors  for  their  valuable  aid  and  kind  support  in  the  management 
of  the  Asylum,  which  I  believe  continues  fairly  to  fulfil  its  function, 
the  cure  and  care  of  the  Insane  Poor  of  the  County  of  Derby. 


I  have  the  honour  to  be, 

Gentlemen, 

Your  obedient  Servant, 

J.  MURRAY  LINDSAY,  M.D. 


Mickle  over, 

February,  1883. 


MEDICAL  STATISTICS. 


STATISTICAL  TABLES 

OF  THE 

Jitatoto-  psjitljalagical  ^ssoriatioit. 


1882. 


80 


TABLE  1. 

Showing  the  Admissions,  Re- ad  miss  ions,  Discharges,  and  Deaths 
during  the  Year  ending  81st  December,  1882. 


M. 

F. 

T. 

M. 

F. 

T. 

In  the  Asylum,  January  1st,  1882. 

201 

229 

430 

Cases  admitted — 

First  Admissions . . , 

48 

44 

92 

Not  first  admissions 

15 

11 

26 

Total  Cases  admitted  during  the 
year 

63 

55 

118 

Total  cases  under  care  during  the 
year 

264 

284 

548 

Cases  discharged— 

Recovered 

19 

32 

51 

Relieved  ... 

3 

3 

6 

Not  improved 

25 

5 

30 

Not  insane...  ... 

1 

0 

1 

Died  ... 

• 

18 

17 

35 

Total  cases  discharged  and  died 
during  the  year  ... 

66 

57 

123 

Remaining  in  the  Asylum  31st 
December,  1882. 

198 

227 

425 

Average  number  resident  during 
the  year  ... 

201 

224 

425 

F ersons  under  care  during  the  year 

264 

284 

548 

Persons  admitted  ,,  ,, 

63 

55 

118 

Persons  recovered  ,,  ,, 

19 

32 

51 

Transferred  from  other  asylums... 

5 

3 

8 

12 

0 

12 

81 


TABLE  1A. 

Showing  the  Number  of  'previous  Attacks  among  those  Admitted  during 
the  Year  1882,  distinguishing  those  Attacks  that  have  been  treated 
to  Recovery  [and  Discharge )  in  this  and  other  Asylums. 


Persons  having  had  previous  Attacks. 


Number  of  previous 

I 

Attacks. 

All 

Attacks. 

i 

'  Attacks  followed 

I  by  Discharge  or 
Recovery  from 
this  Asylum. 

Attacks  treated 

to  Recovery 

in  any  Asylum. 

M. 

F. 

T. 

M. 

F. 

T. 

M. 

F. 

T. 

Have  had  1  previous 

Attack 

13 

14 

27 

9 

8 

17 

3 

0 

55  2  ,, 

Attacks 

4 

3 

7 

1 

2 

3 

1 

1 

2 

5  5  3  ,  , 

55 

1 

1 

2 

55  d  ,, 

55 

5  5  ^  5  5 

5  5 

5  5  b  , , 

55 

„  7  55 

5  5 

0 

2 

2 

0 

1 

1 

• 

55  8  ,, 

5  5 

55  9  55 

5  5 

„  10 

5  5 

82 


TABLE  II. 

Showing  the  Admissions ,  Be- admissions,  Discharges ,  and  Deaths,  front 
the  opening  of  the  Asylum  to  the  81st  December,  1882. 


M. 

F. 

T. 

M. 

F. 

T. 

Persons  admitted  during  the  1 
period  of  31  years . / 

1798 

1661 

3459 

P  e-admissions  . 

241 

207 

448 

Total  cases  admitted  . 

2039 

1868 

3907 

Discharged  cases — 

Recovered  . . 

740 

818 

1558 

Relieved . 

149 

173 

322 

Not  improved  . 

189 

134 

323 

Died  . 

763 

516 

1279 

Total  cases  discharged  and  I 
died  since  the  opening  of  j- 
the  Asylum  . j 

1841 

1641 

3482 

Remaining  31st  December,  1882 

198 

227 

425 

Average  number  resident  1 
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TABLE  V. 

Showing  the  causes  of  Death  during  the  Year  1882,  together  with  the  ages  at  Death. 


86 


TABLE  VI. 

Showing  the  Length  of  Residence  in  those  Discharged  Recovered ,  and 
in  those  who  have  Died ,  during  the  Year  1882. 


Recovered. 

Died. 

Length  of  Residence. 

M. 

F. 

T. 

M. 

F. 

T. 

Under  1  month . 

0 

0 

0 

0 

0 

0 

From  1  to  3  months  . 

0 

0 

0 

1 

6 

7 

From  3  to  6  months  . 

9 

13 

22 

2 

1 

3 

From  6  to  9  months  . 

1 

5 

6 

3 

1 

4 

From  9  to  12  months  . 

2 

4 

6 

2 

1 

3 

From  1  to  2  years  . 

4 

6 

10 

2 

0 

2 

From  2  to  3  years . 

0 

2 

2 

3 

3 

6 

From  3  to  5  years . 

1 

0 

1 

2 

0 

2 

From  5  to  7  years . 

2 

1 

3 

1 

1 

2 

From  7  to  10  years . 

0 

0 

0 

0 

2 

2 

From  10  to  12  years . 

0 

1 

1 

0 

0 

0 

From  12  to  15  years . 

0 

0 

0 

1 

0 

1 

From  15  to  20  years  . . 

From  20  to  25  years . 

From  25  to  30  years . 

From  30  to  35  years . 

i 

1 

I 

0 

0 

0 

1 

2 

3 

Total . J 

f 

19 

32 

1 

51 

: 

18 

17 

35 

TABLE  VII. 

Showing  the  Duration  of  the  Disorder  on  Admission  in  the  Admissions,  Discharges,  and  Deaths 

during  the  Year  1882. 

Duration  of  Disease  on  Admission  in  Five  Classes. 


87 


The  Deaths. 

Total 

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The  Discharges. 

- - - 

Removed,  Re¬ 
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wise. 

13 

o 

Pm 

S 

CM 

00 

14 

CD 

87 

rH 

O 

CM 

XO 

O 

00 

CD 

CM 

CD 

05 

CD 

29 

Recovered 

r5s 

o 

Eh 

24  I 

05 

14 

O 

1 

rH 

f=I 

18 

CD 

O 

<M 

CO 

—  i 

11 

CM 

CD 

o 

o 

05 

rH 

U1 

fc 

O 

hH 

m 

Ul 

13 

o 

JH 

89 

14 

CO 

CO 

CM 

CM 

xo 

118 

a 

rs 

o 

CD 

CO 

05 

CM 

xo 

H 

c 

Pm 

CM 

vH 

XO 

w 

• 

05 

00 

o 

CO 

CO 

CO 

w 

Eh 

s 

rH 

tM 

T-i 

CD 

TABLE  VIII. 

Showing  in  Quinquennial  Periods  the  ages  of  those  Admitted,  Reeovered,  and  Died,  during  the  Year,  1882, 

and  of  those  remaining  on  81s£  December,  1882. 


88 


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rH  rH  03  03  03  rH  rH  rH  rH  rH 

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The  Deaths. 

Total 

14 

18 

8 

35 

P=H 

00  CO  CO 

17 

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6 

12 

0 

18 

The  1 

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Total 

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26 

5 

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to 

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32 

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7 

9 

8 

19 

m  ! 
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I 

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61 

11 

118 

Pm 

r- 1  o  ^ 

CM  CO 

55 

M. 

25 

31 

7 

63 

Condition  in  Reference  to  Marriage. 

•  •  •  • 

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•  •  •  • 

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TABLE  XII 


Showing  the  Station  or  Occupation  of  Patients  admitted  during 

the  year  1882. 


MALES. 


FEMALES. 


Blacksmiths 

Carters 

Clerks 

Coachmen  ... 

Colliers 

Colliery  Underviewer 
Cattle  Dealer 
Cotton  Mill  Hand  ... 
Carpenter 
Compositor  ... 

Debt  Collector  . 

Drapers 

Dealer,  General 
Engine  Fitter 
Farmers 
Farm  Bailiff... 

File  Cutter  ... 

Gardeners  ... 

Labourers,  Brickyard 
,,  Colliery 

, ,  Farm  . 

, ,  General 

, ,  Road  . 

„  Stone  Masons’... 

,,  Ordnance  Survey 

Stocking  Makers  ... 

Stone  Mason 
Sewerage  Pipe  Maker 
Saw  Grinder 
Tailors 

Wood  Pattern  Maker 
No  Occupation 


2 

3 

3 

2 

6 

1 

1 

1 

1 

1 

1 

2 

1 

1 

2 

1 

1 

2 

1 

2 

6 

8 

1 

1 

1 

2 

1 

1 

1 

2 

1 

3 


Charwomen . 

Cotton  W ea ver 
,,  Winder 
Frame  Work  Knitters 

Laundry  Maid  . 

Needlewomen 
Pupil  Teacher 
Servants,  Domestic 
Schoolmistresses  ... 

Shopkeepers  . 

Widow  of 

Labourer 

Waggoner  ...  . 

Daughter  of 

Brush  Maker  . 

Collier  . 

Framework  Knitter 
Labourer 
Tobacconist  ... 

Thrashing  Machine  Owner 
Wife  of 

Coach  Builder  . 

Collier  . 

Engine  Driver 
,,  Tenter 
Farmer 

Furnace  Puddler  ... 

Fitter  and  Turner  ... 
Labourer,  General ... 

,,  Farm 

Plasterer 
Pipe  Moulder 

Potter  ...  . 

Shoemaker  ... 


•  i  < 

•  •  • 


•  •  i 

•  •  • 


2 

1 

1 

2 

1 

3 

1 

7 

2 

2 

1 

1 

1 

1 

1 

1 

1 

1 

1 

6 

1 

1 

2 

1 

1 

7 

1 

1 

1 

1 

1 


Total  . 63 


Total 


...  55 


J  MURRAY  LINDSAY,  M.D. 


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INCOME  AND  EXPENDITURE  FROM  THE  1st  OF  JANUARY  To  THE  AIht  OF  DECEMBER,  1882. 


From  Unions 
Contributing 

INCOME  FROM 

WEEKLY  RATE  FOR  Till 
ENDING 

QUART 

'Ait 

Total. 

HEADS  OF 
EXPENDITURE. 

EXPENDITURE  FROM 
QUART E 

WEEK  I 
PS  ENI 

,v  rate 

UNO 

FOR  THE 

"1 

Total. 

1 

51st  March  j 

30th  June 

30th  Sept.  ! 

31st  Dec. 

Total. 

31st  March 

30tl 

i  June 

30th  Sepf. 

31st  Dec. 

Total 

• 

A. 

s. 

£. 

s. 

(h 

X*.  s. 

d.  ! 

X. 

s. 

d. 

£_ 

s. 

d. 

S. 

d. 

Provisions. 

£ 

s. 

d. 

£ 

s. 

<!. 

£ 

s. 

d. 

£ 

<2. 

d. 

I  £  s. 

d. 

£ 

s. 

d. 

Ashbourne . | 

173 

12 

8 

168 

5 

7 

181  6 

4 

166 

2 

2 

694 

6 

9 

| 

Meat  . 

318 

13 

2 

324 

11 

0 

354 

4 

1 

360 

2 

3 

1357  10 

6 

Ashby-de-la-Zouch  . 

61 

14 

4 

66 

5 

7 

60  19 

4 

59 

2 

2 

1  248 

1 

5 

,,  Australian . 

68 

8 

4 

53 

12 

6 

56 

10 

3 

66 

9 

11 

245  1 

0 

Bakewell  . 

298 

12 

3 

291 

12 

7 

291  9 

5 

289 

11 

9 

11171 

6 

0 

Fish,  Poultry . 

27 

5 

2 

32 

6 

0 

28 

9 

3 

27 

15 

4 

115  15 

9 

Basford  . j 

244 

19 

2 

129 

5 

2 

152  11 

5 

161 

8 

10 

|  688 

4 

7 

Oatmeal,  Rice,  Peas, 

Belper . 

569 

5 

J 

565 

2 

6 

558  1 

5 

580 

7 

11 

2272 

14 

11 

1 

and  Bailey . 

9 

12 

8 

9 

0 

8 

7  12 

9 

7 

0 

5 

33  6 

6 

Burton-on-Trent  . . . .  | 

168 

17 

4 

164 

12 

8 

153  17 

4 

168 

5 

4 

660 

12 

8 

i 

Flour  . 

|  249 

3 

8 

249 

5 

8 

238 

19 

6 

256 

17 

3 

994  6 

1 

Chapel-en-le-Frith . . . .! 

113 

0 

0 

113 

5 

9 

106  6 

10 

110 

12 

6 

443 

5 

1 

Potatoes,  Carrots,  and 

Chesterfield  . j 

733 

2 

8 

732 

16 

10 

748  15 

6 

735 

3 

0 

2949 

18 

0 

Onions  . 

14 

18 

10 

22 

12 

2 

54 

5 

11 

57 

4 

8 

1  149  1 

7 

Derby .  . 

181 

6 

5 

140 

18 

9 

103  0 

9 

98 

17 

6 

524 

3 

5 

Tea  and  Coffee . 

83 

8 

9 

82 

9 

8 

92 

6 

2 

72 

6 

10 

330  11 

5 

Ecclesall  Bierlow  . . . .  I 

47 

10 

4 

41 

9 

6 

48  18 

3 

55 

16 

2 

193 

14 

3 

Sugar  and  Treacle . .  „ 

36 

5 

4 

34 

17 

u 

8 

|  43 

13 

11 

34 

15 

4 

149  12 

3 

IGlossop  . 

93 

8 

6 

94 

9 

4 

101  2 

6 

113 

0 

0 

402 

0 

4 

OfllPT*  rirTA^AVlAG 

7 

A 

90 

7 

1 0 

1 R 

16 

6 

91 

i 

9 

78  13 

0 

Hayfield . 

68 

6 

5 

67 

5 

7 

49  4 

4 

47 

10 

4 

232 

6 

8 

Tobacco  and  Snuff. . . . 

Xo 

21 

6 

u 

8 

23 

11 

XU 

0 

XO 

23 

XU 

0 

u 

10 

u  X 

21 

16 

Cj 

0 

89  15 

2 

j 

!  Mansfield  . 

65 

11 

3 

62 

4 

3 

70  3 

7 

68 

8 

0 

264 

7 

1 

Butter,  Cheese,  Bacon, 

;  Prison  Commissioners 

j 

4 

19 

10 

4 

19 

10 

and  Eggs  ....  .... 

197 

7 

4 

172 

0 

5  i 

189 

13 

1 

190 

13 

6 

749  14 

4 

!  Shardiow  . 

207 

14 

7 

212 

5 

8 

244  1 

9 

263 

16 

11 

927 

18 

11 

Beer  and  Alp. 

150 

17 

0 

160 

14 

0 

159 

5 

0 

150 

3 

0 

620  19 

0 

Tam  worth  . 

7 

1 

3 

6 

18 

3 

6  19 

9 

7 

1 

3 

28 

0 

6 

Wines . 

15 

16 

0 

15  16 

0 

Uttoxeter  . 

21 

3 

9 

20 

14 

9 

22  2 

3 

28 

5 

0 

92 

5 

9 

Milk  . 

18 

16 

8 

12 

4 

2 

31  0 

10 

Worksop . 

8 

4 

3 

13 

16 

6 

17  4 

0 

15 

17 

10 

55 

2 

7 

House.  d‘  other  Expenses 

I 

— 

4961 

3 

5 

11853 

8 

9 

Coals 

171 

14 

1 36 

15 

9 

114 

16 

3 

|  158 

12 

4 

581  18 

3 

Gas . 

1  l  1 

120 

6 

3 

66 

0 

2 

73 

4 

9 

j  125 

18 

6  j 

j  385  9 

8 

Soap  . 

27 

1 

0 

19 

9 

2 

32 

0 

0 

29 

12 

0  1 

108  2 

2 

Starch  and  Soda .... 

3 

6 

3 

3 

13 

10 

2 

14 

0 

2 

18 

3 

12  12 

4 

1  Candles  and  Cleaning 

Articles  . 

12 

16 

4 

19 

9 

10 

16 

6 

11 

19 

0 

5 

67  13 

6 

Furniture,  Bedding,  & 

From  C«  unty  Treasurer 

14 

2 

6 

13 

16 

6 

16  5 

7 

23 

6 

9 

67 

11 

4 

1 

Repairs  . 

71 

10 

3 

96 

9 

3 

66 

4 

4 

111 

17 

3 

346  1 

1 

— 

67 

11 

4 

Ironmongery,  Cutlery, 

• 

and  Earthenware  . . 

31 

0 

8 

18 

1 

6 

39 

15 

5 

34 

4 

7 

123  2 

2 

Brooms  and  Brushes . . 

8 

19 

11 

5 

1 

0 

8 

17 

6 

7 

13 

0 

30  11 

5  i 

Periodicals,  Printing, 

Stamps,  &  Stationery 

21 

13 

11 

23 

9 

11 

13 

16 

7 

69 

1 

5 

128  1 

10 

Carr,  of  Goods  &  Tolls 

5 

4 

8 

12 

7 

6 

6 

9 

10 

7 

18 

6  1 

32  0 

6 

Omnibus  Hire  . 

7 

1 

0 

7 

1 

0 

14  2 

0 

Funeral  Expenses. . . . 

4 

5 

6 

7 

17 

0 

4 

9 

0 

4 

15 

6 

21  7 

0 

Sweeping  Flues . 

5 

10 

0 

6 

0 

0  1 

11  10 

0 

From  Unions  and 

Insurance — Rates  .... 

7 

4 

6 

• 

16 

3 

6 

6 

1 

3 

29  9 

3 

Parishes 

j 

Miscellaneous  . 

17 

17 

8 

43 

4 

11 

20 

1 

5 

35 

6 

10 

116  10 

10 

not  Contributing. 

1 

1 

Salaries  and  Wages. 

— 

2008  12 

0  j 

Officers  . 

276 

8 

10 

226 

5 

0 

226 

5 

0 

246 

5 

3 

975  4 

1  I1 

Servants . 

417 

8 

11 

430 

6 

3 

430 

4 

11 

436 

1 

^  I 

1714  1 

7  1 

Clothing  (including 

— 

1  • 

2689 

5 

8 

Bolton  . 

8 

16 

0 

12 

6 

0 

9  2 

0 

9 

4 

0 

5y 

8 

0 

Wages  of  TaRor  ana 

Derby  Town  Council  . 

50 

11 

11 

39 

6 

6 

28  15 

1 

27 

11 

10 

1  146 

5 

4 

Shoemaker)  . 

194 

12 

0 

285 

13 

3 

224 

17 

3 

296 

3 

6 

1001  6 

0 

5 

4 

0 

5 

4 

o  • 

hlxtrax  for  Sink. 

I 

j 

1001 

A 

0  j 

Keighley  . 

Thame  . 

9 

4 

0 

9 

0 

0 

9  2 

0 

9 

4 

0 

36 

10 

0 

Drugs  &  Instruments. . 

16 

2 

6 

23 

9 

3 

20 

9 

0 

16 

18 

11 

76  19 

8 

I 

Wines  and  Spirits  .... 

18 

4 

0 

11 

17 

6 

32 

18 

0 

21 

15 

0 

84  14 

6  1 

_ 

227 

7 

4 

Pnrt.pr 

l 

i 

0 

A 

5 

A 

X 

3 

9 

10  10 

X 

Farm  and  Garden. 

172 

4 

5 

Cows  and  Heifer  .... 

62 

5 

0 

58 

15 

0  1 

121  0 

0 

Bull . 

21 

0 

0 

21  0 

0 

Sheep  . 

39 

16 

o  1 

39  16 

o 

j 

Pigs  . 

7 

10 

0 

i 

3 

5 

6 

18 

12 

0 

29  7 

6 

1 

i 

Pouitry  . . . 

1 

6 

0 

- 

1  6 

0 

Horse . 

20 

0 

0 

20  0 

0 

| 

Provender  . 

125 

19 

4 

85 

19 

0 

118  19 

7 

146 

1 

9 

476  19 

8 

< 

1 

Seeds,  Plants . . . 

16 

18 

7 

1 

16 

0  I 

5 

2 

0 

17 

16 

0 

41  12 

7 

1 

Straw . 

27 

4 

11 

6 

15 

10 

28 

6 

2 

46 

4 

2 

108  11 

1  1 

| 

Soot  and  Malt  Dust . . 

7 

10 

0 

1 

7  10 

0 

1 

80 

12 

0  l 

Implements,  Repairs, 

For  Private  Patients . . 

1 

and  Miscellaneous. . 

3 

2 

3 

13 

12 

9 

24 

2 

7 

21 

3 

5 

62  1 

0 

1 

1 

1 

Rent  Tithe,  Rates,  & 

I 

Taxes . 

14 

9 

0 

12 

2 

7 

26  11 

7 

V aluation  &  Measuring 

4 

11 

6 

4  11 

6 

Carriage  of  Goods  ... 

3 

0 

5 

4 

12 

4 

3 

2 

6 

10  15 

3 

Fencing,  Cleaning 

1 

Pools,  Harvesting, 

iFor  Funerals . 

17 

10 

0  1 

Thrashing,  &c . 

1 

8 

6 

15 

7 

6 

13 

13 

9 

13 

*  3 

6 

43  13 

3 

V eterinary  Surgeon . . . 

2 

10 

0 

5 

9 

6 

7  19 

6 

i 

Slaughtering  . ! 

2 

4 

0 

2  4 

0 

1 

Wages . . . 

45 

14 

0 

55 

10 

0 

54 

18 

0 

51 

7 

9 

207  9 

9 

Steward  . . 

6 

5 

0 

6 

5 

0 

6 

5 

0 

6 

5 

0 

25  0 

0 

— 

1257 

8 

8 

1 

_ 

— 

- - 

£ 

12246 

9 

5 

— 

_ 

£ 

12090 

0 

■ 

2 

JOHN  LANGLEY, 

Clerk  &  Steward 


(Signed)  j  ASHTON  MOSLEY, 

1  CHARLES  EDMD.  NEWTON. 


£ 

2c 


CO 

a) 


03 


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JOHN  LA.NGLEY,  Signed,  (ASHTON  MOSLEY, 

Clerk  and  Steward.  \  CHARLES  EDMD.  NEWTON. 


48 


AVERAGE  WEEKLY  COST  OF  MAINTENANCE,  MEDICINE, 
CLOTHING,  AND  CARE  OF  PATIENTS  DURING  THE 
YEAR  ENDING  THE  81st  DECEMBER,  1882, 

£  s.  d. 


Provisions  . 0  4  6 

Clothing  (including  wages  of  Tailor  and  Shoemaker)  0  0  Ilf 

Salaries  and  Wages  .  0  2  5 

Necessaries,  Fuel,  Light,  Washing  . 0  1  Of 

Surgery  and  Dispensary  .  0  0  Of 

Wines,  Spirits,  and  Porter .  0  0  1 

Furniture  and  Bedding  .  0  0  5f 

Garden  and  Farm  .  0  1  If 

Miscellaneous,  viz.  : — Periodicals,  Print¬ 
ing,  Stamps,  Stationery,  Car¬ 
riage  of  Goods,  Tolls,  Insurance, 

Picnic,  Entertainments .  0  0  8f 


0  10  Ilf 

Less  Receipts  from  Sales  . .  0  0  7f 


0  10  4 


Average  Daily  Number  of  Patients,  425 


