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J  , 


V 


V 


V 


\ 


> 


LUNACY. 


RETURN  to  an  Order  of  the  Honourable  The  House  of  Commons, 

dated  11  June  1858  -/or, 


COPY 

“  OF  THE 


TWELFTH  REPORT 


OF  THE 


COMMISSIONERS  IN  LUNACY 


TO 


THE  LORD  CHANCELLOR,” 

(  Colonel  Clifford. ) 


Ordered ,  by  The  House  of  Commons,  to  be  Print edt 
15  June  1858. 


340 


REPORT  - 


APPENDIX 


t  iii  J 


CONTENTS. 


REPORT. 


PAGE 

Number  of  Insane  Persons  in  Asylums,  &c.  -----  1 

Licences,  and  Changes  in  Proprietorship  1 

Provision  for  Pauper  Lunatics  in  Counties  -  -  -  -  -  1 

Additional  Accommodation  about  to  be  supplied  -  -  -  1 

New  Asylums,  and  additions  to  existing  Asylums  -  -2 

Number  of  additional  Beds  so  to  be  provided  -  -  -  4 

Period  for  which  the  same  are  likely  to  be  sufficient  -  -  4 


General  progressive  increase  of  Pauper  Lunatics  -  4 


Provision  for  Pauper  Lunatics  in  Counties  and  Boroughs 
Beds,  Herts,  and  Hunts  - 

Bristol  --------- 

Cambridge  ------- 

Carmarthen,  Cardigan,  and  Pembroke 

Purchase  of  Job’s  Well  Estate  -  -  - 

Chester  -------- 

Cumberland  and  Westmoreland  - 

Devon  ------- 

Dorset  -------- 

Durham  ------- 

Glamorgan  ------- 

Haverfordwest  ------ 

Medical  Officer  superseded  - 

Kent  -------- 

Leicester  ------- 

340.  a  2 


-  5 

-  5 

-  5 

-  6 
-  6 

-  7 

-  7 

=  7 

*  7 

-  8 

-  8 

-  9 

-  9 

-  10 

-  11 

-  12 
London 


IV 


CONTENTS. 


London  ------- 

PAGE 

-  12 

Maidstone  ------ 

-  12 

Middlesex  ------ 

-  12 

Hanwell  ------ 

- 

- 

- 

-  13 

Colney  Hatch  ----- 

- 

- 

- 

-  13 

Norfolk  ------ 

Salop  ------- 

-  15 

Sussex  ------- 

- 

- 

- 

-  15 

West  York  Asylum  - 

- 

- 

m 

-  15 

Average  Weekly  Cost  in  County  and  Borough  Asylums 

- 

m 

-  16 

Admissions,  Discharges,  and  Deaths 

m 

- 

m 

-  16 

Hospitals  ------- 

Guy’s  Hospital  ----- 

«* 

- 

m 

-  16 

Admission  into,  refused  - 

- 

cs 

-  17 

Idiot  Asylum,  Earlswood 

■at 

- 

•» 

-  17 

Northampton  Hospital  - 

- 

- 

90 

-  17 

Investigation  into  Charges  of  Cruelty 

- 

- 

- 

-  18 

Result  of  - 

- 

- 

- 

-  18 

New  State  Criminal  Asylum  - 

mm 

e» 

-  18 

Purchase  of  Site  ----- 

- 

- 

-  19 

Military  Asylum  ------ 

m 

- 

UP 

-  19 

Single  Patients  ------ 

-  19 

Their  Condition  ----- 

- 

- 

- 

-  19 

Disregard  of  Provisions  of  the  Law 

- 

- 

-  20 

Patients  not  reported  - 

- 

m 

«&» 

-  20 

Boroughs  ------- 

Introductory  ------ 

Proposed  Amendment  of  the  Act  of  1853 

- 

- 

- 

-  20 

Provisions  of  Act  in  reference  to 

- 

- 

- 

-  21 

Modes  of  providing  Asylum  Accommodation 

- 

- 

-  21 

Difficulties  in  which  some  are  placed 

- 

- 

- 

-  21 

Amendment  suggested  of  10th  Section 

- 

- 

- 

-  22 

Cases  in  illustration  - 

- 

- 

- 

-  22 

Ipswich  - 

•a 

- 

- 

-  22 

Y  armouth 

CONTENTS. 


Boroughs. 

Yarmouth  and  other  Boroughs  - 
Schedule  (G.)  - 

Haverfordwest  -  -  ^  - 

Notice  of  particular  Boroughs 

Bath 

Canterbury  <- 

Maidstone  - 

Berwick  upon -4  weed  - 

Yarmouth,  Thetford,  and.  King’s  Lynn 

Norwich  - 

Northampton  • 

Conclusion  - 

Workhouses  T 


240. 


VI 


CONTENTS. 


APPENDICES. 


PAGE 

(A.)  Numbers,  &c.,  of  Patients  in  Asylums,  &c.,  1st  January  1858,  26 

(B.)  New  Licences  granted,  Licences  expired,  and  changes  of  Pro¬ 
prietorship,  during  the  year  ending  31st  December  1857  -  32 

(C.)  Average  Weekly  Cost  of  Maintenance,  &c,,  in  County  and 

Borough  Asylums  during  1857  -  -  -  -  -  34 

(D.)  Return  of  Admissions,  Discharges,  and  Deaths  during  the 

year  1857  .  -  3(3 

(E.)  Hospitals — Annual  Cost  per  Patient  -  -  -  -  -  50 

(F.)  Earlswood  Idiot  Asylum  -  - . 51 

(G.)  Boroughs  - 


-  52 


THE  TWELFTH  REPORT 


OF  THE 

COMMISSIONERS  IN  LUNACY, 

31s?  March  1858, 


TO  THE  RIGHT  HONOURABLE  THE  LORD  HIGH  CHANCELLOR. 

My  Lord, 

According  to  our  practice  in  previous  Reports,  we  annex 
Tabular  Statements  (Appendix  A)  of  the  number  of  insane 
persons  in  the  several  Asylums,  Hospitals,  and  Licensed 
Houses  in  England  and  Wales,  on  the  1st  January  1858. 

The  new  Licenses  granted,  Licenses  expired,  and  Changes 
in  Proprietorship,  during  the  year  ending  the  31st  December 
1857,  are  set  forth  in  Appendix  B. 

We  now  report  to  your  Lordship  the  steps  taken,  during 
the  past  year,  towards  the  provision  of  adequate  public  accom¬ 
modation  for  Pauper  Lunatics,  and  we  are  able  to  state  that 
considerable  progress  has  in  this  respect  been  made,  in  the 
several  Counties,  since  the  date  of  our  last  Report.  New 
sites  have  been  purchased.  Plans  for  new  Asylums  have  been 
prepared  and  approved  by  the  Secretary  of  State.  Buildings 
already  in  course  of  erection  have  been  materially  advanced 
towards  completion.  Additions  have  also  been  made,  or  com¬ 
menced,  at  several  existing  Asylums,  where  the  accommoda¬ 
tion  had  been  found  inadequate  to  the  wants  of  the  district. 

So  large  a  range  is  taken  by  this  subject,  however,  when 
considered  with  a  view  to  any  such  sufficient  or  satisfactory 
settlement  of  it  as  would  provide  thoroughly  for  the  wants  of 
the  country,  that  it  will  perhaps  be  desirable  to  show  the 
entire  numbers  for  which,  when  the  various  undertakings  now* 
in  progress  are  completed,  accommodation  will  have  been 
340,  A  supplied, 


Number  of  In¬ 
sane  persons  in 
Asylums,  Hos- 
pitals,  and  Li* 
censed  Houses. 

Licenses, 
and  Changes 
therein. 


Provision  for 
Pauper  Luna¬ 
tics  in  Coun¬ 
ties. 


Additional 
accommodation 
about  to  be 
supplied. 


2 


Twelfth  Report  of  the 

supplied,  so  that  your  Lordship  may  be  able,  while  appreciating 
what  has  been  done,  or  is  now  in  progress,  more  readily  to 
understand  the  large  amount  of  accommodation  that  will 
still  remain  to  be  provided. 

New  Asylums,  The  following  tables  show,  first,  the  Asylums  now  in  con- 
to  existing  temptation  or  m  course  oi  erection,  with  the  number  oi 
Asylums.  Patients  they  are  designed  to  accommodate,  the  estimated  cost 
of  their  construction,  and  the  period  when  they  will  probably 
be  fit  for  occupation;  and,  secondly,  the  present  amount  of 
existing  accommodation  for  Pauper  Lunatics  in  the  Counties 
and  Boroughs  already  possessing  Asylums,  together  with  the 
numbers  for  whom  additions  are  now  being  made. 


ASYLUMS  IN  COURSE  OF  ERECTION. 


Number  of  Patients 
for  whom 

Accommodation  will  be 
Provided. 

Estimated  Cost  of 

v  When 

to  be  Completed. 

Males. 

Females. 

/ 

Land. 

Building 
and  Fittings. 

£.  s.  d. 

£.  s.  d. 

Cumberland  - 

100 

100 

8,000  -  - 

20,000  -  - 

October  1860. 

Durham  - 

157 

155 

4,000  -  - 

27,480  -  - 

1  December  1858. 

Carmarthen  - 

135 

135 

3,835  4  -* 

42,000  -  - 

Quite  uncertain. 

Bristol  -  - 

100 

100 

2,600  -  - 

27,400  -  - 

1859. 

Sussex  -  - 

200 

200 

6,920  -  - 

44,923  -  -f 

1  March  1859. 

Cambridge  -  - 

125 

125 

4,670  -  - 

45,000  -  - 

May  1858. 

Beds,  Herts,  and  Hunts 

252 

252 

15,080  -  - 

79,920  -  - 

Uncertain. 

Northumberland  » 

100 

100 

7,572  13  6 

42,427  6  6 

1  September  1858. 

1,160 

1,167 

— 

*  This  includes  interest  to  the  completion  of  the  purchase, 
f  This  does  not  include  bedding,  furniture,  &c. 


Pbesent 


Commissioners  in  Lunacy . 


3 


Present  and  Prospective  Accommodation  for  Pauper  Lunatics 

in  existing  Asylums. 


asylums. 

Present 

Number  of  Beds,  including 
Infirmary. 

Additions  in  Progress. 

Males. 

Females. 

Males. 

Females. 

Counties  : 

1.  Beds,  Herts,  and 

157 

169 

.  * 

Hunts. 

2.  Bucks  - 

128 

128 

3.  Chester 

138 

172 

— 

4.  Cornwall 

147 

140 

10 

— i 

5.  Denbigh,  Anglesea, 

130 

120 

— . 

* - ; 

&c. 

6.  Derby  - 

150 

150 

7.  Devon 

250 

360 

— - 

— 

8.  Dorset 

72 

88 

— . 

9.  Essex  - 

249 

204 

— 

— 

10.  Gloucester  - 

194 

216 

109 

109 

11.  Hants  - 

259 

278 

— 

— 

12.  Kent  - 

298 

368 

- 

29 

13.  Lancaster 

376 

378 

— 

. — 

14.  Lancaster,  Rainhill 

184 

222 

128 

128 

15.  Lancaster,  Prest- 

250 

260 

— 

i  ..i 

wich. 

16.  Leicester  and  But- 

146 

156 

38 

38 

land. 

17.  Lincoln 

208 

• 

208 

18.  Middlesex,  Colney- 

523 

784 

365 

431 

hatch. 

19*  Middlesex,  Hanwell 

444 

600 

348 

362 

20.  Monmouth,  Here- 

145 

188 

30 

ford,  &c. 

21.  Norfolk 

136 

176 

• 

60 

60 

22.  Notts  - 

124 

126 

— 

— 

23.  Oxford  and  Berks 

210 

290 

— 

— 

24.  Salop  and  Mont- 

160 

190 

21  ■ 

21 

gomery. 

25.  Somerset 

206 

210 

5 

6 

26.  Stafford 

238 

222 

— 

— 

27.  Suffolk 

144 

158 

— 

— 

28.  Surrey  - 

433 

520 

— 

— 

29.  .Warwick 

155 

179 

— 

— - 

30.  Wilts  - 

155 

180 

- 

32 

31.  Worcester 

179 

182 

- — 

- — 

32.  York,  North  and 

236 

236 

— 

— 

East  Ridings. 

33.  York,  West  Riding 

404 

544 

88 

63 

340. 

J 

l  2 

( continued ) 

4 


Number  of  ad¬ 
ditional  Beds 
provided. 


Period  for 
which  they  are 
likely  to  be  suf¬ 
ficient. 


Progressive 
increase  of  Paw 
per  Lunatics. 


Twelfth  Report  of  the 


Present  and  Prospective  Accommodation,  &c. — continued. 


ASYLUMS. 

Present 

Number  of  Beds,  including 
Infirmary. 

Additions  in  Progress. 

Males. 

Females. 

Males. 

Females. 

Boroughs : 

34.  Birmingham 

166 

193 

— 

35.  Bristol 

51 

50 

36.  Haverfordwest  *  - 

16 

17 

— . 

*— 

37.  Hull  - 

58 

53 

— 

— — 

7,516 

8,715 

1,172 

1,309 

When,  therefore,  the  buildings  now  in  progress  are  com¬ 
pleted,  the  total  number  of  additional  beds  will  be  as 
follows : 


In  new  Asylums  -  -  -  -2,336 

Additions  to  existing  Asylums  -  -  2,481 

■■■■■»'  *  an 

Total  -  -  -  -  -  4,817 

—And  if,  to  this  estimate  of  the  most  recent  additions  to 
the  public  accommodation  provided  for  Pauper  Lunatics,  we 
appty  the  ratio  of  increase  in  the  numbers  requiring  accom¬ 
modation  observable  during  the  last  year,  some  conclusion 
may  be  formed  as  to  the  period  for  which  these  additional  beds 
are  likely  to  be  found  sufficient  to  meet  the  constantly  increas¬ 
ing  wants  of  the  country,  and  how  far  they  will  tend  towards 
the  object  we*  have  sought  most  anxiously  to  promote  ever 
since  the  establishment  of  this  Commission,  namely,  the 
ultimate  closing  of  Licensed  Houses  for  Pauper  Patients. 

On  the  1st  of  January  1857,  the  number  of  Pauper  Lunatics 
in  County  and  Borough  Asylums,  Hospitals,  and  Licensed 
Houses  amounted  to  16,657.  On  the  1st  of  January  1858, 
this  number  had  increased  to  17,572,  showing  an  increase 
during  the  year  of  915  Patients.  And  of  the  total  number, 
2,467  were  confined  in  the  various  Metropolitan  and  Pro¬ 
vincial  Licensed  Houses. 

Assuming,  then,  that  during  the  next  two  years  the  pro¬ 
gressive  increase  in  the  number  of  Pauper  Lunatics  will  be  at 
least  equal  to  that  of  the  year  1857,  it  follows  that  on  the  1st 

of 


Commissioners  in  Lunacy .  5 

of  January  1860,  accommodation  for  1,830  additional  Patients 
will  be  required  ;  and  if  to  this  number  be  added  the  2,467 
Patients  who  are  now  confined  in  Licensed  Houses,  there  will 
remain,  to  meet  the  wants  of  the  ensuing  year,  only  520 
vacant  beds.  It  is  obvious,  therefore,  that  if  Licensed  Houses 
are  to  be  closed  for  the  reception  of  Pauper  Patients,  some 
scheme  of  a  far  more  comprehensive  nature  must  be  adopted 
in  order  to  provide  public  accommodation  for  the  Pauper 
Lunatics  of  this  country. 

We  now  proceed  to  report  in  detail,  according  to  our  usage 
in  previous  annual  statements,  the  steps  which  have  been 
taken  in  the  several  Counties  and  Boroughs  so  to  provide  for 
the  Lunatic  Poor. 

The  new  Asylum  for  the  three  Counties  of  Bedfordshire, 
Hertfordshire,  and  Huntingdonshire,  which  will  be  capable 
of  accommodating  504  patients,  is  in  progress.  Meanwhile, 
in  consequence  of  a  correspondence  which  took  place  between 
this  Board  and  the  Committee  of  Visitors  of  the  existing 
County  Asylum,  in  reference  to  the  crowded  state  of  that  Insti¬ 
tution,  the  Committee  have  entered  into  contracts  with  the 
Committee  of  Visitors  of  the  Asylum  for  the  County  and  City 
of  Worcester,  and  with  Dr.  W.  C.  Finch,  of  Fisherton  House, 
near  Salisbury,  for  the  reception  into  those  establishments, 
respectively,  of  30  male  and  30  female  patients;  and  the 
approval  of  Secretary  Sir  George  Grey  was  obtained  thereto 
in  the  month  of  October  1857. 

The  contracts  for  the  purchase  of  a  site  for  an  Asylum  for 
the  City  of  Bristol  were  approved  by  Secretary  Sir  George 
Grey  in  March  1857. 

c/ 

The  land  purchased  amounts  to  about  22  acres ;  and  is 
situate  at  Stapleton,  three  miles  north  of  the  City,  and  con¬ 
tiguous  to  the  Stapleton  Workhouse,  part  of  which  it  was 
originally  proposed  to  convert  into  an  Asylum.  A  public  high 
road  skirts  the  southern  boundary  of  the  property.  The  site 
is,  on  the  whole,  well  adapted  for  its  purpose.  It  possesses  the 
advantages  of  a  sufficient  elevation,  a  good  prospect,  abun¬ 
dance  of  good  stone  for  building,  a  dry  and  productive  soil, 
and  a  sufficient  supply  of  good  water. 

The  principal  objections  to  it  are  that  the  slope  of  the  land  is 
towards  the  north,  and  that  the  quantity  is  not,  in  our  opinion, 
sufficient  for  the  number  of  Patients  for  whom  the  Asylum  is 
to  be  built.  We  urged  this  last  objection  very  strongly  upon 
the  Committee  appointed  by  the  Corporation  of  the  City  to 
carry  out  the  provisions  of  the  Act ;  and  it  was  only  upon 

340.  a  3  their 


Provision  for 
Pauper  Luna¬ 
tics  in  Counties 
and  Boroughs. 


Beds,  Herts, 
and  Hunts. 


Bristol. 


6 


Cambridge. 


Carmarthen, 
Cardigan,  and 
Pembroke. 


Twelfth  Report  of  the 

their  assurance  that  they  had  found  it  impossible  to  procure 
a  larger  quantity  of  land,  at  a  reasonable  price,  and  within 
a  convenient  distance  of  Bristol,  that  we  very  reluctantly 
consented  to  recommend  the  purchase  for  the  approval  of  the 
Secretary  of  State. 

Plans  for  an  Asylum  to  contain  200  Patients  were  soon  after 
submitted,  and  these,  upon  the  adoption  of  various  modifications 
and  improvements  suggested  by  us,  were  approved  by  the 
Secretary  of  State  in  May  last. 

The  building  is  now  in  progress,  and  is  expected  to  be 
completed  in  the  course  of  next  year. 

In  the  month  of  November  1857,  the  approval  of  the 
Secretary  of  State  was  obtained  to  two  contracts  for  the  pur¬ 
chase  and  exchange  of  certain  portions  of  land  for  the  use  of 
the  new  Asylum  for  the  County  of  Cambridge.  The  buildings 
are  now  brought  to  so  advanced  a  state,  that  it  is  expected  they 
will  be  fit  for  occupation  in  the  autumn  of  the  present  year. 

Since  the  date  of  our  last  Report,  the  union  existing  be¬ 
tween  the  Counties  of  Carmarthen,  Cardigan,  Pembroke,  and 
Glamorgan,  has  been  dissolved ;  and  a  new  union  effected 
between  Carmarthen,  Cardigan,  and  Pembroke,  the  agreement 
for  which  received  the  sanction  of  the  Secretary  of  State  in 
the  month  of  April  1857. 

A  site  for  the  proposed  Asylum,  near  the  town  of  Carmar¬ 
then,  was  immediately  selected  by  the  Committee  of  Visitors, 
and  we  directed  our  consulting  civil  engineer  to  visit  and 
report  as  to  its  fitness  for  the  intended  purpose. 

The  report  was  favourable.  The  estate,  which  is  called 
“  Job’s  Well  Estate,”  contains  about  46  acres,  and  is  situate 
one  mile  from  the  town  of  Carmarthen.  The  land  has  a  con¬ 
siderable  rise  from  the  south  to  the  north,  and  affords  a  good 
plateau  for  the  erection  of  a  large  building.  A  new  brick 
house  and  farm  outhouses  of  considerable  dimensions  stand  on 
the  east  side,  attached  to  w  hich  is  a  garden  and  orchard.  The 
land  consists  for  the  most  of  gravelly  drift,  with  a  rich  vegeta¬ 
ble  soil  on  the  surface.  There  are  no  mines  or  manufactories 
in  the  vicinity ;  and  there  is  an  abundant  supply  of  good 
water. 

The  only  objection  we  entertained  to  the  purchase  of  the 
site  was,  that  it  was  not  sufficiently  large  for  the  number  of 
Patients  to  be  accommodated.  Our  experience  has  satisfied 
us  that  in  no  case  should  the  land  belonging  to  an  Asylum  be 
less  than  in  the  proportion  of  one  acre  to  four  Patients.  Taking 
the  numbers  for  whom  accommodation  would  immediately  be 

required 


Commissioners  in  Lunacy. 


1 


required  at  about  260,  the  land  would  only  be  in  the  propor¬ 
tion  of  one  acre  to  six  Patients ;  and,  bearing  in  mind  that 
increased  accommodation  for  this  district  would  undoubtedly 
soon  be  required,  we  strongly  urged  that  an  additional  portion 
of  land  should  be  obtained. 

Our  views,  however,  did  not  meet  with  the  concurrence  of 
the  Committee  of  Visitors,  who  indeed  stated  that  more  land 
could  not  be  had,  and  that,  were  the  purchase  of  the  “  Job’s 
“Well  Estate”  objected  to,  they  would  most  probably  be  unable 
to  obtain  a  grant  of  monev  for  another  site,  and  must  them- 
selves  retire  from  the  undertaking  altogether.  In  these  cir¬ 
cumstances  we  could  only  leave  the  matter  in  the  hands  of  the 
Secretary  of  State,  by  whom  the  purchase  of  the  estate  in 
question  was  sanctioned  in  the  month  of  July  1857.  In  the 
meantime  the  town  and  county  of  Haverfordwest  has  been 
incorporated  in  the  union  with  the  three  counties,  and  provi¬ 
sion  will  now  have  to  be  made  for  about  40  additional  Patients. 

Plans  for  the  new  Asylum  have  already  been  submitted, 
and  are  now  under  consideration.  Accommodation  will  be 
provided  therein  for  135  Patients  of  each  sex. 

The  want  of  additional  accommodation  for  Patients  at  the 
Chester  Asylum  has  been  much  felt ;  but  the  land  now  belong¬ 
ing  to  the  Institution  (10  acres  only),  is  already  far  too  limited 
for  the  adequate  employment  of  the  existing  number  of  male 
Patients,  and  all  proceedings  for  enlargement  have  been  pre¬ 
vented  in  consequence  of  the  difficulty  which  the  Committee 
of  Visitors  have  hitherto  experienced  in  obtaining  an  addi¬ 
tional  quantity.  We  believe,  however,  that  negotiations  are 
still  in  progress  for  the  purchase  of  several  fields  adjoining 
the  Asylum  grounds,  and  we  hope  that  ere  long  such  a  pur¬ 
chase  will  be  completed. 

In  the  month  of  May  last,  the  plans  for  the  new  Asylum  for  the 
Counties  of  Cumberland  and  Westmoreland  were  approved  by 
Secretary  Sir  George  Grey,  and  the  buildings  are  in  progress. 
The  Asylum  will  be  built  for  200  Patients,  and  is  expected 
be  fit  for  occupation  in  the  month  of  October  1860. 

The  new  building  for  the  accommodation  of  female  Patients 
at  the  Devon  County  Asylum  has  been  completed,  and  is  now 
partially  occupied.  It  will  accommodate  100  Patients.  So 
judicious  has  been  the  design  for  this  addition  to  the  existing 
Asylum  that  the  cost  of  erection  and  fittings  for  all  the  rooms, 
including  a  kitchen,  amounts  to  3,850  L,  or  at  the  rate  of  about 
38 1.  per  Patient  only. 

340.  a  4  The 


Purchase  of 
the  “  Job’s  Well 
Estate.” 


Chester. 


Cumberland 
and  Westmore¬ 
land. 


Devon. 


8 


Dorset. 


Durham, 


Twelfth  Report  of  the 

The  experiment  of  removing  a  number  of  female  Patients 
from  the  Devon  County  Asylum  to  a  hired  house  at  Exmouth, 
pending  the  erection  of  this  building,  referred  to  in  our  last 
Report,  has  proved  entirely  successful.  Forty-two  Patients 
together  have  generally  been  accommodated,  the  individuals 
being  changed  from  time  to  time ;  and  the  house  was  visited 
in  the  month  of  September  by  two  members  of  our  Board, 
who  reported  very  favourably  of  the  condition  of  the  inmates. 
They  found  them  well  attended  to,  and  comfortable  in  eveiy 
respect.  The  alarm  which  had  originally  existed  in  the  minds 
of  the  inhabitants  of  Exmouth,  when  it  was  first  proposed  to 
place  the  Patients  there,  appeared  to  have  entirely  subsided. 
Although  the  majority  of  the  Patients  were  daily  taken  out  in 
parties  for  walks  by  the  shore,  and  in  the  neighbourhood,  no 
inconvenience  had  in  any  case  been  felt ;  no  individual  was 
annoyed  in  any  way  ;  and,  after  a  very  short  period,  the 
Patients  themselves  ceased  to  attract  any  unusual  attention, 
being  indeed  soon  considered  as  forming  a  part  of  the  ordinary 
inhabitants  of  the  town. 

It  is  to  be  hoped  that  the  Committees  of  other  Asylums  may 
be  induced  to  follow  the  example  thus  set  by  the  Devonshire 
Justices,  now  that  so  convincing  a  proof  has  been  afforded  of 
its  practicability  and  success. 

At  the  date  of  our  last  Report  the  Committee  of  Visitors  of 
the  Dorset  Asylum  had  determined  to  exchange  a  piece  of  land 
amounting  to  about  60  acres,  which  they  had  recently  agreed 
to  purchase  for  30  acres  belonging  to  the  same  proprietor,  but 
nearer  to  the  Asylum.  This  purchase,  however,  has  not  been 
completed,  nor  has  any  addition  yet  been  made  to  the  building. 
The  whole  subject  is  still  under  discussion,  but  with  a  better 
prospect  than  heretofore  of  a  satisfactory  decision  ;  and  we  have 
every  reason  to  anticipate  that  ere  long  sufficient  accommoda¬ 
tion  will  be  provided  for  all  Pauper  Lunatics  belonging  to  the 
County  of  Dorset,  many  of  whom  are  at  present,  pending  such 
provision,  removed  to  considerable  distances  from  their  homes. 

Great  progress  has  been  made  in  the  erection  of  the  New 
Asylum  for  the  County  of  Durham.  The  building  is  designed 
to  accommodate  157  male  and  155  female  patients,  and  it  will 
probably  be  finished  in  the  course  of  the  present  year.  The 
works  were  visited  by  a  Member  of  our  Board  in  the  month 
of  December,  and  a  number  of  suggestions,  made  on  the 
occasion  of  that  visit,  formed  the  subject  of  a  communication 
by  the  Board  to  the  Committee  of  Visitors. 

The  principal  of  these  suggestions  were,  that  a  Medical 

Officer 


9 


Commissioners  in  Lunacy . 

Officer  for  the  Asylum  should  be  appointed  at  once,  for  super¬ 
intendence  of  the  fitting-up  of  the  Asylum,  and  that  the 
Superintendent’s  house,  and  portions  of  the  male  wards,  work¬ 
shops,  and  store-rooms  should  be  completed  in  the  first 
instance,  and  as  rapidly  as  possible,  so  as  to  make  early  pro¬ 
vision  for  the  admission  of  quiet,  working  male  patients,  who 
might  thus  not  only  be  removed  from  the  Licensed  Houses, 
but  also  be  very  beneficially  occupied  upon  the  site  of  the 
building,  in  making  roads,  levelling  ground,  and  other  out¬ 
door  employments. 

The  dissolution  of  the  Union  formerly  existing  between  the  Glamorgan. 
Counties  of  Glamorgan,  Carmarthen,  Cardigan,  and  Pembroke, 
and  the  re-union  of  the  three  last-named  only,  rendered  it 
necessary  that  the  County  of  Glamorgan  should  make  separate 
provision  for  its  own  Lunatic  Poor. 

In  the  month  of  September  a  site  was  selected  by  the 
Committee  of  Visitors,  near  Bridgend.  This  was  soon  after 
visited  and  inspected  by  our  Consulting  Civil  Engineer,  who 
reported  of  it  favourably.  The  land  amounted  to  about  71 
statute  acres.  It  was  situated  about  a  mile  to  the  north  of 
Bridgend,  and  divided  into  two  unequal  portions  by  the  River 
Ogden;  the  larger  possessing  a  good  plateau  of  about  15  acres, 
upon  which  the  building  might  be  erected.  The  fail  of  the 
ground  was  from  north  to  south;  the  approaches  were  easy; 
the  soil  was  good  and  healthy ;  and  the  water  supply  was 
abundant. 

An  agreement  was  soon  after  entered  into  for  the  purchase 
of  this  property  for  the  sum  of  5,450  l ,  being  at  the  rate 
of  76/.  155.  per  acre  ;  and  after  some  correspondence  between 
this  Board  and  the  Committee  of  Visitors  in  reference  to  cer¬ 
tain  clauses  in  the  Agreement,  the  purchase  was  sanctioned 
by  the  Secretary  of  State. 

In  former  Reports  we  have  had  frequent  occasion  to  Haverfordwest, 
advert  to  the  very  defective  state  of’  the  Asylum  at  Haver¬ 
fordwest,  in  reference  both  to  its  construction  and  manage¬ 
ment  ;  but  since  we  last  drew  the  Lord  Chancellor’s  attention  to 
the  subject  in  any  detail,  which  was  in  our  Eighth  Report, 
the  Asylum  has  been  visited  four  times  by  Members  of  the 
Board,  and  it  may  therefore  be  desirable  to  show,  by  a  brief 
summary,  the  character  of  the  suggestions  made  on  these  occa¬ 
sions,  and  the  degree  of  attention  paid  to  them. 

In  June  1854,  the  Visiting  Commissioners  complained  that 
the  small  yards  were  badly  kept;  that  the  privies  were  offensive; 
and  that  the  Medical  Journal  was  not  properly  entered  up  by 

the 


10 


Medical  Officer 
superseded. 


Twelfth  Report  of  the 

the  Medical  Officer.  They  recommended  that  four  restraint 
chairs  should  be  broken  up  or  removed  from  the  Asylum  ; 
that  the  walls  should  be  lowered,  and  the  bars  taken  down  ; 
that  several  of  the  inmates  should  be  sent  home  to  their  friends ; 
and  that  former  suggestions,  entirely  neglected,  should  be 
attended  to. 

In  May  1855,  after  a  similar  visit,  it  was  found  that  not¬ 
withstanding  the  previous  complaints,  the  Medical  Journal 
was  still  incorrect  in  point  of  form  ;  that  the  Medical  Officer 
continued  to  neglect  to  make  proper  entries  therein  ;  and  that 
none  of  the  suggestions  previously  made  had  been  carried  out. 

In  July  1856,  the  Visiting  Commissioners  again  reported 
upon  the  discreditable  state  of  the  Establishment.  They 
found  that  many  of  the  male  patients  were  ragged  and  dirty, 
and  that  all  appeared  to  be  without  any  means  of  occupa¬ 
tion  or  amusement ;  that  there  was  no  proper  attendant  for 
the  men  ;  generally  that  the  whole  institution  was  in  the 
same  defective  state  as  had  so  often  been  reported  upon  by 
former  Commissioners ;  and  that  all  attempts  to  improve  it 
appeared  to  be  hopeless.  They  dwelt  upon  the  fact  that  the 
Medical  Journal  was  still  neglected  by  Mr.  Millard,  the  Me¬ 
dical  Officer,  and  not  in  the  form  prescribed  by  the  Statute ; 
that  a  Female  Patient  had  been  confined  in  one  of  the  re¬ 
straint  chairs  already  recommended  to  be  destroyed,  but  no 
record  of  the  fact  had  been  made  ;  and  finally  that  the 
privies  were  still  very  filthy  and  offensive. 

The  last  visit  made  was  in  the  month  of  September  1857  ; 
and  so  far  from  any  improvement  having  then  been  effected, 
the  complaints  of  the  Visiting  Commissioners  proved  to  be  of 
a  still  graver  character.  So  serious,  indeed,  were  the  state¬ 
ments  in  this  Report  (of  which  a  copy  is  subjoined*)  that, 

upon 

*  Copy  of  Entry  made  in  Visitors’  Book  of  the  Haverfordwest  Asylum, 

on  the  7th  September  1857. 

There  are  to-day  15  men  and  19  women  Patients  in  this  place.  We 
have  seen  them  all,  and  found  them  in  a  quiet  state;  nevertheless  one 
female  had  her  arms  confined  with  long  sleeves,  and  another  was  in  one  of 
the  restraint  chairs,  and  in  a  darkened  cell.  Upon  inquiry,  we  learnt  that 
this  woman  had  been  placed  in  the  chair  yesterday  evening  about  six  o’clock, 
for  being  noisy,  and  striking  another  Patient,  Mr.  Millard,  the  Medical 
Officer,  having  directed  her  to  be  so  restrained.  In  this  condition  she  had 
remained  up  to  the  present  time  (three  o’clock,)  and  she  has  now  been 
released  by  our  orders,  the  Medical  Officer  not  having  seen  her  during  the 
time  she  has  been  confined.  We  found  the  hands  and  the  feet  of  the 
Patient  very  cold  from  the  long  restraint,  and  had  the  confinement  been 
prolonged  but  a  short  time  longer,  the  skin  of  her  arms  would  have  been 

broken 


Commissioners  in  Lunacy . 


11 


upon  perusing  them,  the  Board  addressed  a  letter  to  the 
Secretary  of  State,  in  which  they  suggested  that  he  should 
communicate  with  the  Committee  of  Visitors,  and  urge  upon 
them  the  necessity  of  at  once  suspending  Mr.  Millard  and 
appointing  in  his  stead  some  person  properly  qualified,  who 
should  be  willing  to  devote  sufficient  time  for  the  due  dis¬ 
charge  of  the  important  duties  of  his  office.  The  result  has 
been  that  Mr.  Millard  was  superseded,  and  a  gentleman 
named  Phillips  has  been  appointed  to  act  as  Medical  Officer 
to  the  Institution. 

After  much  correspondence  with  the  Committee  of  Visitors 
for  the  County  of  Kent  relative  to  the  plans  for  the  erection 
of  a  new  wing  at  the  Asylum,  as  to  which  an  interview 
between  two  Members  of  the  Board  and  the  Committee  took 
place  on  the  27th  of  March  1857,  the  Visitors  determined  to 
abandon  the  plans  altogether.  The  reason  for  this  change 
was  its  having  appeared,  on  further  consideration  given,  that 

if 


broken  by  the  edges  of  the  iron  sleeves.  W e  found  a  number  of  bruises  on 
her  legs,  and  she  had  a  bruise  on  her  eye.  We  are  of  opinion  that  the 
mode  in  which  this  Patient  has  been  restrained,  and  the  condition  in  which 
we  found  her,  is  disgraceful  to  the  Medical  Officer,  and  to  the  Authorities 
of  the  Asylum.  On  former  visits  we  have  been  assured  that  Patients  were 
seldom  or  never  confined  in  the  restraint  chairs ;  and  we  were  led  to 
believe  this  statement,  because  the  entries  in  the  Medical  Journal  have  not 
been  made  in  conformity  with  the  provisions  of  the  Statute,  and  contain 
no  particulars  as  to  the  mode  in  which  the  Patients  are  restrained. 

For  years  past  the  destruction  of  the  restraint  chairs  has  been  urged  upon 
the  Authorities,  but  without  effect.  We  have  reason  to  believe  that  these 
chairs  are  frequently  used  without  any  records  of  the  fact ;  indeed,  the 
Nurses  admit  that  during  the  last  month  the  Patient,  whom  we  found 
restrained  to-day,  has  been  thrice  placed  in  one  of  them ;  and  on  the  last 
occasion,  as  we  have  ourselves  discovered,  for  a  period  of  18  hours ;  but 
there  has  been  no  entry  in  the  Medical  Journal. 

The  woman,  whose  arms  we  found  fastened,  appears  to  be  constantly 
so  restrained  during  the  day. 

We  think  that  these  two  Patients  should  at  once  be  removed  to  some 
other  Asylum,  where  proper  means  and  attendance  are  provided. 

The  general  condition  of  the  place  is  the  same  as  usual :  the  men  are 
better  dressed  than  at  the  date  of  our  last  visit.  The  privies  are  still  very 
offensive.  There  is  a  great  deficiency  of  blankets,  chamber-pots,  furni¬ 
ture,  &c.,  and  a  total  want  of  amusement. 

We  recommend  that  as  many  as  possible  of  the  more  harmless  cases 
should  be  removed  to  their  respective  Workhouses,  where  they  would  be 
far  more  comfortable  than  at  this  place. 

No  Diet  Table  is  kept.  We  request  that  a  Table  be  at  once  made  out, 
and  forwarded  to  the  Office  of  the  Commissioners  with  a  copy  of  the 
entry,  in  which  the  quantities  of  food  allowed  at  each  meal  are  accurately 
set  forth,  and  also  showing  the  composition  of  the  soup. 


Kent. 


12 


Leicester. 


London. 


Maidstone. 


Middlesex. 


Twelfth  Report  of  the 

if  the  Patients  belonging  to  the  several  Boroughs  within  the 
County  were  removed,  the  Asylum  would  afford  ample  accom¬ 
modation  for  all  the  County  Patients.  The  Committee 
decided  therefore  that  such  Patients  should  no  longer  be 
received,  and  notice  has  accordingly  been  given  by  the 
Visitors  to  the  Authorities  of  the  several  Cities  and  Boroughs 
within  the  County,  that  after  the  31st  of  May  1859,  ail 
Borough  Patients  will  be  discharged  from  the  Asylum. 

We  are  meanwhile  using  our  best  endeavours  to  prevail 
upon  the  various  jurisdictions  existing  within  the  County  of 
Kent  to  take  immediate  steps  for  making  proper  public  provi¬ 
sion  for  their  Pauper  Lunatics. 

Although,  however,  the  erection  of  the  proposed  new  wings 
to  the  Kent  Asylum  was  thus  abandoned,  the  Committee  of 
Visitors  thought  that  certain  additions  to  the  offices  were 
necessary,  and  plans  for  their  construction  have  been  sanc¬ 
tioned  by  the  Secretary  of  State.  We  have  to  add,  also,  that 
in  the  month  of  November  other  plans,  for  additions  to 
and  alterations  in  Wards  known  as  the  “  noisy  or  refractory 
44  Wards,”  were  forwarded  for  approval  ;  but  being  of  opinion 
that  there  was  already  too  large  provision  made  for  Patients 
of  the  refractory  class  at  this  Asylum,  we  have  endeavoured 
as  far  as  possible  to  modify  these  plans,  and  we  are  still  in 
correspondence  with  the  Visitors  and  their  Architect  upon  the 
subject. 

A  new  Chapel  and  Dining  Hall  are  about  to  be  erected  at 
the  Leicester  County  Asylum,  and  the  design  thereof  is  now 
under  consideration. 

We  have  the  satisfaction  of  reporting  that  the  Aldermen  of 
the  City  of  London  have  come  to  an  arrangement  with  the 
Common  Council  in  reference  to  questions  of  Funds  and  Rate, 
and  that  there  is  now  an  immediate  prospect  of  a  suitable  site 
being  obtained,  and  of  the  erection  of  an  Asylum  without 
further  delay. 

The  Justices  of  Maidstone  have  purchased  an  eligible  site 
of  20  acres  for  a  Borough  Asylum,  in  close  proximity  to  the 
County  Asylum,  and  are  about  to  build  for  100  Patients, 
with  capability  of  extension. 

The  Plans  for  the  enlargement  of  the  Han  well  Asylum 
were  approved  by  Secretary  Sir  George  Grey  on  the  14th  of 
April,  and  those  for  Colney  Hatch  Asylum,  on  the  30th  of 
May.  In  our  last  Report  we  fully  explained  the  very  strong 
objections  which  we  entertained  to  the  enlargement  of  these 

already 


Commissioners  in  Lunacy .  13 

already  overgrown  establishments,  and  our  opinions  upon  this 
subject  remain  unchanged. 

The  Plans  for  enlargement  at  Hanwell,  as  originally  sub¬ 
mitted,  embraced  the  following  alterations  and  additions. 

1.  The  erection  on  each  side  towards  the  North  of  a  T 
shaped  wing  of  three  stories, 

2.  The  addition  of  a  third  story  to  the  whole  of  the  central 
part  of  the  main  Building,  to  consist  of  day  and  sleeping- 
rooms,  thereby  increasing  the  number  of  Wards  from  14  to 
20  on  each  side. 

3.  Building  recessed  day-rooms  to  each  gallery,  and  con¬ 
verting  some  of  the  existing  day-rooms  into  dormitories. 

4.  Converting  the  foul  linen  Washhouses,  the  Kitchen,  the 
Steward’s  House,  and  the  Workshops,  into  Wards  for  Patients ; 
and  enlarging  the  Laundry,  and  building  Dormitories 
above  it. 

5.  The  erection  of  a  new  Kitchen,  Bakehouse,  Brewhouse, 
General  Store,  Dairy,  Larder,  and  other  domestic  offices. 
The  extension  of  the  Washhouse,  the  removal  of  the  Cow¬ 
houses  and  Piggeries,  the  re-arrangement  of  some  of  the 
¥/orkshops,  and  various  changes  in  the  Gas  and  Water  Appa¬ 
ratus,  Enlargement  also  of  some  of  the  Airing  Courts. 

After  several  communications  with  the  Committee  of 
Visitors  and  the  Architect  of  the  Asylum,  the  following  modi¬ 
fications  of  the  foregoing  Plans  were  agreed  to. 

The  abandonment  of  the  T  shaped  extension  to  the  north, 
and,  in  lieu  thereof,  gutting  and  reconstructing  the  interior 
of  the  eastern  and  western  towers,  whereby  the  very  objec¬ 
tionable  caged  staircases  which  they  contain  would  be  done 
away  with.  Building  detached  residences  for  the  medical 
officers.  Forming  a  large  dining  hall,  near  the  kitchen  on 
the  ground  floor,  for  female  patients  ;  also  a  dormitory  above, 
with  other  minor  changes. 

Originally  we  proposed  that  the  erection  of  the  third  story 
should  be  abandoned  ;  and  that  two  new  blocks  of  building, 
of  a  simple  and  inexpensive  character,  should  be  raised  to  the 
south-east  and  south -west  of  the  Asylum.  We  have  again 
urged  and  repeated  this  suggestion,  but  it  has  been  rejected  by 
the  Committee.  The  buildings  are  nowin  course  of  construction . 

The  plan  of  enlargement,  as  originally  proposed  at  the  Colney 
Hatch  Asylum,  was  that  of  adding  wards  to  various  parts  of  the 

building, 


Hanwell. 


Colney  Hatch, 


14 


Norfolk. 


Twelfth  Report  of  the 

building,  designed  upon  precisely  the  same  principle  as  the 
original  Asylum ;  and  also  of  enlarging  the  domestic  offices, 
so  as  to  meet  the  requirements  of  the  additional  number  of 
Patients  intended  to  be  accommodated.  The  proposed  addi¬ 
tions,  accordingly,  consist  of  “  spurs”  carried  out  from  the 
existing  buildings ;  and  of  a  story  added  to  some  blocks  now 
only  two  stories  in  height,  with  the  same  width  of  corridors, 
and  the  same  sized  dormitories. 

The  most  important  suggestion  made  by  us  in  reference  to 
these  plans  was,  that  instead  of  so  proposing  to  add  new 
Wards,  constructed  upon  the  very  extensive  design  carried  out 
in  the  original  Asylum,  a  distinct  and  separate  building  should 
be  erected  for  the  reception  of  quiet,  convalescent,  and  working 
patients  to  the  number  of  about  600,  leaving  only  an  addition 
of  200  to  be  accommodated  in  the  main  building.  But  to 
this  proposition  the  Committee  of  Visitors  declined  to  accede  ; 
and  after  a  considerable  amount  of  correspondence,  the  original 
plans  were  proceeded  with,  subject  to  various  minor  alterations 
and  modifications  in  matters  of  detail  suggested  by  ourselves 
and  our  consulting  Architect.  In  stating  these  circumstances 
we  are  bound  to  add,  that  all  our  experience  only  tends  to 
strengthen  the  opinions  we  have  formerly  expressed  upon  this 
subject ;  and  we  feel  well  assured,  that,  had  our  propositions 
been  adopted,  not  only  would  the  rate- payers  of  the  county 
have  been  spared  a  very  large  outlay,  but  the  patients  them¬ 
selves  would  have  derived  benefit  from  being  lodged  in  rooms 
more  cheerful,  and  better  adapted  to  their  previous  habits, 
than  the  monotonous  Wards  and  Galleries  of  the  Asylum. 
We  think  it  right,  therefore,  as  in  the  case  of  Hanwell,  here 
to  place  on  record  the  regret  we  feel  that  the  Committee  of 
Visitors  of  the  Colney  Hatch  Asylum  'should  have  lost  so 
favorable  an  opportunity  of  making  efficient  provision  for  a 
large  portion  of  the  pauper  lunatics  of  the  County  of  Mid¬ 
dlesex,  at  a  cost  so  much  below  what  will  be  (and  has  hitherto 
been)  incurred  for  this  purpose. 

The  plans  for  the  enlargement  of  the  Norfolk  Asylum 
originally  comprehended  the  erection  of  a  New  Chapel,  Dining 
Hall,  and  Dead-house  to  the  South  ;  a  Wash-house,  Laundry, 
and  Workshops  to  the  North  ;  and  considerable  additions  to, 
and  alterations  in,  the  existing  main  building.  But  at  the 
suggestion  of  two  Members  of  the  Board,  who  attended  a 
Meeting  of  the  Visitors  at  the  Asylum  on  the  28th  January 
1857,  these  plans  were  subsequently  abandoned  and  new 
plans  prepared,  designed  to  give  the  requisite  amount  of 
accommodation  at  a  reduced  cost.  These  plans  received  the 

sanction 


Commissioners  in  Lunacy . 


15 


sanction  of  the  Secretary  of  State  on  the  22nd  of  April  last, 
and  the  buildings  are  rapidly  advancing  towards  completion. 

The  additions  will  afford  accommodation  for  about  160 
Patients,  and  will  be  sufficient  to  allow  of  the  reception 
of  the  Patients  belonging  to  some  of  the  neighbouring 
Boroughs,  if  the  various  authorities  can  be  induced  to  enter 
into  contracts  for  their  maintenance. 

The  sanction  of  the  Secretary  of  State  has  been  obtained 
for  the  execution  of  extensive  alterations  and  repairs  in  the 
heating  apparatus  and  water  supply  at  the  Salop  and  Mont¬ 
gomery  Asylum. 

Great  progress  has  been  made  in  the  erection  of  the  new 
Sussex  Asylum.  It  is  designed  to  accommodate  400  Patients, 
and  will  probably  be  fit  for  occupation  early  in  1859. 

During  the  past  year  the  new  buildings  in  connexion  with 
the  Laundry  at  the  West  York  Asylum  have  been  completed. 
They  are  now  furnished  and  occupied ;  and  they  offer  a 
marked  contrast  to  the  gloomy  wards  of  the  old  portions  of 
the  building. 

Meanwhile,  in  the  month  of  January  1857,  the  Committee 
of  Visitors  had  forwarded  to  this  Office  additional  plans,  to 
provide  accommodation  for  300  more  Patients  by  means  of  a 
detached  Ward  added  to  the  existing  Building,  and  also  for 
the  erection  of  a  chapel,  a  kitchen  for  the  male  side,  work¬ 
shops,  &c.  These  plans  appearing  to  our  Board,  however, 
to  contemplate  the  erection  of  buildings  of  an  unneces¬ 
sarily  expensive  character,  and  to  be  otherwise  capable  of 
improvement,  some  correspondence  ensued  between  the 
Visitors  and  ourselves,  and  ultimately,  at  a  meeting  held  at 
the  Asylum  between  the  Committee  of  Visitors  and  two  of  the 
Commissioners,  it  was  decided  that  only  portions  of  them, 
as  originally  designed,  should  be  retained  ;  that  the  detached 
building  should  be  made  more  economical  in  the  character  of 
its  construction ;  that  instead  of  erecting  a  kitchen  for  the 
male  side  only,  a  larger  kitchen  should  be  built  in  a  central 
position,  on  a  site  indicated  as  capable  of  serving  both  sides 
of  the  establishment,  and  to  which  a  dining-hall  should  be 
attached  ;  and  finally,  that  the  chapel  should  be  placed  in 
a  central  position. 

New  drawings,  embodying  these  suggestions,  have  been 
submitted  to  us,  and  we  are  still  in  communication  with  the 
architect  of  the  Asylum  respecting  them. 

In  continuation  of  the  Returns  in  our  last  years  Report, 

we 


Salop. 


Sussex. 


West  York 
Asylum. 


16 


AverageWeekly 
Cost  in  County 
and  Borough 
Asylums. 

Admissions. 
Discharges  and 
Deaths. 


Hospitals. 


Guy’sHospitah 


Twelfth  Report  of  the 


we  now  refer  your  Lordship  to  Appendix  (C.),  exhibiting  the 
average  weekly  cost  for  maintenance,  medicine,  clothes,  and 
care  of  Patients  in  the  several  County  and  Borough  Asylums 
during  the  year  1857  ;  and  to  Appendix  (D.),  showing  the 
admissions,  discharges,  and  deaths,  during  the  same  year,  in 
the  County  and  Borough  Asylums,  Hospitals,  and  Licensed 
Houses. 


In  a  former  Report  we  published  an  account  of  the  origin 
and  progress  of  the  existing  Hospitals  for  Treatment  of 
Lunacy  ;  and  this  year  we  append  a  statement  (Appendix  E.) 
of  the  expenditure  in  each,  showing  the  several  items  of 
outlay,  and  the  average  annual  cost  of  a  single  Patient. 

In  some  of  these  Hospitals,  Patients  are  received  gratui¬ 
tously  ;  in  others,  they  are  admitted  at  such  reduced  rates  of 
payment  as  they  or  their  friends  can  afford ;  and  thus  to  a 
great  extent  is  the  feeling  of  entire  dependence  upon  eleemo¬ 
synary  assistance  relieved,  while  the  funds  of  the  charity 
are  rendered  more  extensively  available.  Although  cases 
doubtless  occur  in  which  the  gratuitous  admission  of  Patients 
becomes  of  the  highest  importance,  we  should  question  the 
advantage  of  any  fixed  regulation  on  this  subject.  We  think 
that  in  many  cases,  indeed,  the  system  of  part-payment  by  the 
friends  of  the  Patient  might  be  advantageously  adopted  to  a 
greater  extent  than  is  at  present  the  case,  more  especially  in  the 
Hospitals  of  St.  Luke  and  Bethlehem. 

In  no  part  of  the  country  is  the  want  of  public  provision 
of  this  nature  more  felt  than  in  the  vicinity  of  the  Metro¬ 
polis  ;  and  any  method  of  extending  the  benefits  of  existing 
establishments  in  this  locality  would  be  of  the  greatest  pos¬ 
sible  advantage.  We  rejoice  to  learn,  therefore,  that  at  St. 
Luke's  the  Governors  have  it  in  contemplation  so  to  modify 
their  rules  as  to  enable  them  to  admit  recent  cases  on  moderate 
terms  of  payment.  This  important  step  will,  we  trust,  be 
imitated  by  neighbouring  Hospitals  ;  and  we  hope,  ere  long, 
that  the  munificent  funds  of  Bethlehem  and  Guy’s  will,  by 
similar  judicious  arrangements,  be  made  applicable  to  the 
pressing  wants  of  the  district. 

The  Reports  of  the  Commissioners  who  have  visited  the 
Lunatic  Wards  at  Guy’s,  have  on  the  last  two  occasions  been 
of  a  much  more  favourable  character.  The  heavy  fire-guards 
and  trough  bedsteads  have  been  removed,  the  high  wall  sur¬ 
rounding  the  airing  court  has  been  taken  down.  The  rooms 
have  been  properly  furnished ;  various  means  of  amusement  have 
been  supplied  ;  and  the  Patients  have  been  taken  for  excursions 


Commissioners  in  Lunacy . 


17 


in  the  country  and  upon  the  liver.  The  improvement  in  the 
conduct  and  appearance  of  the  Patients,  also,  is  reported  to  have 
fully  kept  pace  with  the  amendments  which  have  been  effected 
in  their  accommodation  and  treatment.  It  was,  therefore,  with 
much  sorrow  that  we  read  the  following  passage  in  the  Report 
of  the  Commissioners  who  visited  the  Hospital  on  the  last 
occasion  : 

“  We  learn  with  great  regret  that  it  is  the  intention  of  the 
“  Governors  to  receive  no  more  new  Patients,  and  that  when  the 
“  present  inmates  shall  have  died,  they  propose  closing  the 
“  Lunatic  Wards  altogether.  We  can  offer  no  opinion  as  to 
“  how  far  this  determination  is  consistent  with  the  intention  of 
u  Guy’s  Will ;  but  we  have  no  doubt  that,  considering  the  great 
“  want  of  charitable  funds  for  providing  asylum  accommoda- 
“  tion  for  lunatic  patients  of  the  middle  classes,  the  resolution 
“  is  much  to  be  regretted,  and  we  still  hope  that  it  may  not  be 
“  carried  out.  The  present  improved  condition  of  the  wards 
“  will,  we  trust,  prove  an  encouragement  to  keep  them  on, 
u  with  the  full  number  of  inmates  named  in  Guy’s  will.” 

In  the  hope  that  these  expectations  would  be  fulfilled,  we 
ventured,  in  the  month  of  February  last,  to  direct  the  attention 
of  the  Governors  to  the  case  of  an  insane  lady,  as  one  having 
special  claims  upon  their  favourable  consideration,  and  fall¬ 
ing  peculiarly  within  the  benevolent  scheme  of  the  founder 
of  the  hospital.  The  patient  in  question  was  the  wTife  of  a 
gentleman  who  had  occupied  a  highly  respectable  position  in 
society,  but  who,  having  for  some  years  been  reduced  to  utter 
poverty,  was  at  that  time  the  inmate  of  a  Debtor’s  Prison. 
She  was  confined  in  a  Licensed  House  in  the  suburbs  of 
London,  the  proprietor  of  which,  having  received  no  remunera¬ 
tion  for  her  care,  was  about  to  transfer  her  to  the  Workhouse. 
We  regret,  however,  to  report  to  your  Lordship,  that  the 
Governors  adhered  to  their  resolution,  and  declined  to  admit 
the  patient,  who  was  accordingly-  sent  to  the  W orkhouse. 

The  Earlswood  Asylum  for  Idiots  was  visited  by  two  mem¬ 
bers  of  the  Board  in  the  month  of  October  last,  and  a  copy 
of  their  Report  will  be  found  in  the  Appendix  (F.)  It  will 
be  seen  that  the  condition  of  this  important  institution  is  still 
far  from  satisfactory. 

On  the  4th  of  July  1857,  a  communication  was  received 
from  Secretary  Sir  George  Grey,  in  which  he  requested  that 
the  Board  would  cause  inquiry  to  be  made  as  to  the  truth  of 
certain  alleged  acts  of  cruelty  and  ill-usage  towards  Patients 
in  the  Northampton  Hospital.  These  charges  were  brought 

340.  B  under 


Admission  into 
Guy’s  refused. 


Idiot  Asylum, 
Earlswood. 


Northampton 

Hospital. 


18 


Investigation 
into  charges  of 
cruelty. 


Result  of  Inves 
tigation. 


New  State  Cri¬ 
minal  Asylum. 


Twelfth  Report  of  the 

under  the  notice  of  the  Secretary  of  State  by  Mr.  John 
Perceval,  in  consequence  of  a  letter  received  by  him  from  a 
person  named  Charles  Verity,  who  having  been  imprisoned 
in  the  Northampton  Gaol  for  a  criminal  offence,  and  there 
become  insane,  had  been  for  some  time  an  inmate  of  the 
Northampton  Hospital. 

Two  members  of  the  Board  were  accordingly  deputed  to 
investigate  the  charges ;  and  after  a  very  full  inquiry,  they 
reported,  that  in  their  opinion  serious  abuses  and  acts  of 
violence  had  been  committed  by  the  attendants,  in  the  No.  3, 
or  Refractory  Male  Ward  of  the  Hospital,  and  that  generally 
the  charges  had  been  borne  out  by  the  evidence  which  they 
had  taken.  They  found,  that,  although  numerous  complaints 
had  been  made  at  the  time,  these  had  been  very  superficially 
inquired  into  by  the  Medical  Officers;  and  that  although 
marks  of  injuries  had  been  observed  upon  Patients,  no  proper 
entries  had  been  made  in  the  Medical  Visitation  Book  as  re¬ 
quired  by  law.  The  Commissioners  concluded  their  Report 
in  the  following  words :  “In  conclusion,  we  have  to  record 
“  our  opinion  that  sufficient  has  been  proved  to  justify  and 
“  render  imperative  the  immediate  dismissal  of  the  attendants 
“  S- - ,  S - ,  and  R - . 

“  We  are  also  of  opinion,  that  the  suggestions  so  frequently 
“  made  by  the  Commissioners  for  the  improvement  of  the  so- 
“  called  Refractory  Ward  should  be  carried  into  effect  without 
“  further  delay ;  that  a  head  attendant  should  be  appointed ;  that 
“  in  future  careful  and  immediate  investigations  of  the  Pa- 
“  tients’  complaints  should  be  made ;  and  that  the  record  of 
“  all  instances  of  injuries  to  Patients  should  be  duly  entered 
“  in  the  Medical  Visitation  Book. 

“  Finally  we  suggest  that  it  would  be  desirable  if  the  Com- 
“  mittee  were  to  make  more  frequent  visits,  and  institute 
“  searching  inquiries  into  the  condition  of  the  wards  occupied 
“  by  the  worst  class  of  Patients.” 

The  result  of  the  inquiry  has  been  that  the  attendants 
implicated  in  the  charges  were  at  once  dismissed,  that  the 
various  improvements  suggested  by  the  Commissioners  in 
No.  3  Ward  were  forthwith  ordered  by  the  Committee,  and 
that  it  was  resolved  to  appoint  a  head  attendant. 

It  is  our  hope  that  these  proceedings,  and  the  attention  that 
has  thus  been  drawn  to  the  subject,  will  prevent  the  pos¬ 
sibility  of  a  repetition  of  such  abuses  in  this  important  Insti¬ 
tution. 

The  satisfaction  expressed  in  our  last  report  at  the  resolution 

taken 


Commissioners  in  Lunacy . 


19 


taken  by  the  Government  at  once  to  provide  a  New  State 
Asylum  for  Criminal  Lunatics,  has  been  enhanced  by  the 
steps  which  have  since  been  adopted  with  this  view. 

Two  hundred  and  ninety  acres  of  land  have  been  purchased 
at  the  moderate  price  of  6,000  l.  on  Bagshot  Heath.  We  have 
been  consulted  by  the  Home  Office  throughout  the  negotia¬ 
tions  for  this  purchase  ;  and  great  care  has  been  taken,  by 
calling  in  aid  the  best  professional  opinions,  to  ascertain 
the  quality  and  quantity  of  water  obtainable  on  the  site, 
the  nature  of  the  surface  and  sub-soil,  and  other  circumstances 
likely  to  affect  the  healthfulness  of  the  locality.  The  result 
has  been  to  establish  satisfactorily,  on  all  these  points,  its 
fitness  for  so  important  a  purpose ;  and  no  time  will  now  be 
lost  in  proceeding  to  construct  the  Asylum. 

The  question  of  adequately  providing  for  the  care  and 
treatment  of  Insane  Soldiers  remains  still  in  abeyance.  Our 
opinion  on  the  many  evils  arising  from  the  defective  character 
of  the  existing  arrangements  for  the  accommodation  of  Sol¬ 
diers  labouring  under  this  malady  has  been  expressed  in  many 
former  Reports,  and  we  have  contrasted  those  arrangements 
with  the  excellent  provisions  made  for  Insane  Sailors  at  Haslar 
Hospital.  We  are  quite  at  a  loss  to  understand  why  there 
should  be  so  marked  a  difference  between  the  two  Services,  in 
the  presence  of  the  same  calamity  ;  and  it  will  not  be  held 
beyond  the  limits  of  our  duty,  while  we  regret  the  necessity 
we  have  been  under,  of  so  frequently  and  so  strongly  animad¬ 
verting  on  the  continuance  of  this  painful  contrast,  to  add 
the  expression  of  a  hope,  that,  amid  the  general  sympathy 
and  attention  awakened  lately  to  the  condition  of  the  Soldier, 
the  absence  of  all  proper  humane  provision  for  his  treatment 
under  a  disease  to  which  accidents  of  service  and  changes  of 
climate  too  frequently  expose  him,  will  not  be  much  longer 
overlooked. 

The  condition  of  single  Patients  has  engaged  much  of  our 
attention  during  the  past  year.  The  lists  have  been  carefully 
revised;  regular  returns  from  the  persons  having  charge  of 
Patients  have  been  strictly  enforced ;  and  the  country  has 
been  divided  into  districts,  so  as  to  insure  the  regular  annual 
visitation  of  all  cases  returned  to  our  office. 

On  the  whole  the  condition  of  the  Patients  so  visited  cannot 
be  described  as  satisfactory.  As  a  general  rule  the  accommo¬ 
dation  provided  is  quite  incommensurate  with  the  payments, 

340.  b  2  which, 


Purchase  of  a 
site. 


Military  Asy¬ 
lum. 


Single  Patients. 


Their  condition. 


20 


Disregard  of 
provisions  of 
the  law. 


Patients  not 
reported. 


Boroughs. 

Introductory. 


Proposed 
Amendment  of 
the  Act  of  1853. 


Twelfth  Report  of  the 

which,  in  many  instances,  are  very  large.  The  necessity  for 
our  continued  and  regular  supervision  has  been  clearly  estab¬ 
lished,  and,  in  some  instances,  we  have  found  cases  of  marked 
neglect.  In  two  or  three  we  have  discovered  that,  besides 
the  Patient  who  has  been  regularly  certified  and  returned  to 
this  office,  the  proprietors  of  houses  have  also  had  under  their 
charge  other  persons  of  unsound  mind,  relative  to  whom  no 
return  whatever  had  been  made.  In  these  cases,  although 
from  the  presence  of  circumstances  of  an  extenuating  character 
we  have  not  deemed  it  proper  to  institute  prosecutions  for  the 
legal  penalties  incurred,  we  have  insisted,  by  way  of  warning 
to  others  against  commission  of  the  same  or  any  similar 
offence,  that  the  offenders  should  insert  apologies  in  the  daily 
and  medical  papers. 

In  the  majority  of  cases  we  have  found  that  the  provisions 
of  the  law  as  to  the  visitations  by  a  second  medical  man,  the 
keeping  of  a  medical  journal,  and  the  annual  and  other  returns 
to  be  made  to  our  office,  have  been  totally  or  partially  neglected; 
and,  in  every  instance,  we  have  taken  such  steps  as  were  ne¬ 
cessary  to  secure  in  future  a  more  strict  compliance  with  the 
provisions  of  the  law. 

Our  experience  on  this  head  during  the  past  year,  in  short, 
has  confirmed  the  impression  we  have  long  entertained,  that 
a  very  large  number  of  Insane  Persons  are  taken  charge  of 
by  Medical  Men  and  others  without  any  legal  authority  ;  and, 
judging  from  the  cases  which  have  come  to  our  knowledge, 
we  have  reason  to  fear  that  the  condition  of  such  Patients, 
deprived  as  they  are  of  all  independent  supervision,  is  far  from 
satisfactory. 

In  several  previous  Reports  we  have  adverted  to  the  failure, 
on  the  part  of  the  authorities  of  a  large  number  of  Boroughs 
bound  to  provide  Asylums,  to  make  proper  legal  provision  for 
the  care  and  treatment  of  their  Pauper  Lunatics,  and  we  have 
pointed  out  the  great  inconvenience  and  hardship  to  the 
Lunatics  and  their  relatives  arising  therefrom.  We  drew 
special  attention  to  the  subject  (in  reference  as  well  to  the  state 
of  the  law  as  to  the  facts,  and  to  the  proceedings,  from  time 
to  time,  of  the  Borough  Justices  and  Councils),  amongst  others, 
in  our  “  Further  Report'’  1847,  and  in  our  sixth,  seventh, 
eighth,  tenth,  and  last  Reports. 

We  now  again  feel  it  our  duty  to  bring  the  matter  under 
notice,  and  to  submit  for  your  Lordship’s  consideration  the 
expediency  of  amending  the  “  Lunatic  Asylums”  Act  1853, 

with 


Commissioners  in  Lunacy. 


21 


with  a  view  more  effectually  to  carry  out  the  intentions  of  the 
Legislature,  and  to  assist  those  Boroughs,  of  which  there  are 
many,  the  authorities  whereof  are  willing,  but  have  hitherto 
failed,  to  effect  arrangements  with  Visitors  of  County 
Asylums. 


Your  Lordship  is  aware  that  the  Pauper  Lunatics  of 
Boroughs  actually  having,  or  to  be  considered  under  the  8th 
Section  of  the  44  Lunatic  Asylums  Act  1853”  as  virtually 
having,  Asylums,  can  only  be  legally  provided  for  in  one  of 
four  ways;  viz.,  (l.)  The  erection  of  an  Asylum  for  the  sole 
use  of  the  Borough;  (2.)  Union  with  Counties  or  other 
Boroughs  ;  (3.)  Contracts  (under  the  7th  Section  of  the  Act) 
for  reception  into  Asylums ;  or  (4.)  Annexation  to  Counties 
by  the  Secretary  of  State,  under  the  1  Oth  Section. 

By  the  first  inode  alone  are  Boroughs  empowered  to  pro¬ 
vide  Asylums  of  their  own  authority,  and  without  arrange¬ 
ment  with,  or  the  consent  of,  independent  parties.  In  this 
respect  a  considerable  number  of  Boroughs  (some  having  very 
few  Pauper  Lunatics,  and  others  more,  but  not  sufficient  to 
require,  or  justify,  the  erection  of  a  separate  Asylum)  are 
placed  in  a  very  difficult  position,  from  which  we  think  it 
reasonable  that  they  should  be  relieved  by  Legislation. 

Boroughs  which  had  not,  at  the  passing  of  the  Act  8  k  9 
Viet.  c.  126,  six  Justices  besides  a  Recorder,  are  by  the  Oth 
Section  of  the  44  Lunatic  Asylums  Act  1853”  annexed  to  the 
Counties  in  which  they  are  situate ;  are  represented,  on  the 
Committee  of  Visitors  of  the  County  Asylum,  by  two  Borough 
Justices  ;  and  are  assessed  by  the  Justices  of  the  County  in 
Quarter  Session,  towards  the  expenses  of  erecting  and  main¬ 
taining  the  Asylum.  And  by  the  18th  &  19th  Viet.  c.  105, 
s.  7,  it  is  enacted,  that  any  place,  having  since  the  passing  of 
the  44  Lunatic  Asylums  Act  1853”  become,  or  thereafter 
becoming,  a  Borough,  shall  be  deemed  to  be  a  Borough 
annexed  to  the  County  in  which  it  is  situate,  and  all  the 
provisions  of  the  Oth  Section  of  the  44  Lunatic  Asylums  Act 
44  1853”  are  made  applicable  thereto.  The  Borough  of  Brighton 
is  in  this  position.  As  respects  Boroughs  which  had,  at  the 
passing  of  the  Act  8  &  9  Viet.  c.  126,  six  Justices  besides  a 
Recorder,  and  are  therefore  required  by  44  the  Lunatic  Asy- 
44  lums  Act  1853”  to  provide  an  Asylum,  or  to  contract  for  the 
care  of  their  Pauper  Lunatics,  the  Secretary  of  State  is,  by  the 
10th  Section,  after  the  expiration  of  one  year  from  the  passing 
of  the  Act,  upon  the  Report  of  this  Board  that  the  Justices 

340,  B  3  have 


Provisions  of 
Act  in  reference 
to  Boroughs. 


Modes  of  pro¬ 
viding  Asylum 
accommoda¬ 
tion. 


Difficulties  in 
which  some 
Boroughs  are 
placed . 


Provisions  of 
the  Lunatic 
Asylums  Act 


22 


Twelfth  Report  of  the 


Amendment 
suggested  of 
10th  section. 


Cases  in  Il¬ 
lustration. 

Ipswich. 


Yarmouth  and 
otherBoroughs. 


have  not  made  proper  and  adequate  provision  for  the  care  of 
the  Pauper  Lunatics  of  the  Borough,  and  that  the  County 
Asylum  is  capable  of  affording  accommodation  for  them,  or 
may  be  conveniently  enlarged  for  that  purpose,  empowered, 
with  the  consent  of  the  Committee  of  Visitors  of  such  Asylum , 
to  annex  such  Borough  to  the  County.  We  see  no  sufficient 
ground  for  requiring  the  consent  of  the  Visitors  of  the  Asylum 
to  such  annexation,  and  we  think  that  the  discretionary 
power  of  the  Secretary  of  State  should  not  be  fettered  by 
such  a  condition,  any  more  than  the  operation  of  the  law 
is  subject  thereto,  as  respects  the  Boroughs  annexed  by  the 
“  Lunatic  Asylums  Act  1853/’  or  the  Act  18  &  19  Viet, 
c.  105.  Our  proposition  therefore  is,  that  in  the  event  of 
the  amendment  of  the  ct  Lunatic  Asylums  Act  1853,”  so  much 
of  the  10th  Section  as  requires  the  consent  of  the  Visitors  of 
County  Asylums  be  repealed. 

As  a  striking  illustration  of  our  views- upon  this  question,  we 
may  instance  the  case  of  the  Borough  of  Ipswich.  The 
Council,  through  their  Town  Clerk,  in  the  year  1855,  applied 
to  the  Justices  of  the  County  of  Suffolk,  and  inquired  whether 
they  would  be  willing  to  provide  the  necessary  additional 
accommodation  in  the  County  Asylum  for  the  Ipswich  Pauper 
Lunatics,  stating  their  average  number  to  be  about  30,  and 
expressing  the  willingness  of  the  Council  to  contribute  to  the 
expenses  according  to  the  Act.  This  application  was  finally 
and  absolutely  declined;  and  the  result  is,  that  the  Borough 
Pauper  Lunatics  are  now  sent  to  Peckham  House,  a  Licensed 
House  near  London,  a  distance  of  upwards  of  70  miles.  The 
cost  of  sending  a  Patient  thither  amounts  to  about  4  and 
the  weekly  charge  for  maintenance  at  present  is  14  s.  The 
Patients  are  never  visited  by,  or  on  behalf  of,  the  Guardians, 
and  of  course  very  seldom  by  any  relative  or  friend.  The 
Guardians,  in  special  cases,  occasionally  assist  the  relatives 
indirectly.  In  one  case,  where  an  unfortunate  Female  Patient 
was  continually  crying  out  for  her  husband,  he  was  enabled  to 
visit  her  by  accompanying  the  Relieving  Officer  as  his  assistant 
in  taking  another  Patient  to  Peckham. 

The  Pauper  Lunatics  also  of  Yarmouth,  Bury  St.  Edmunds? 
Newbury,  and  several  other  Provincial  Boroughs,  at  a  con¬ 
siderable  distance  from  London,  are  sent  to  Metropolitan 
Licensed  Houses. 

We 


Commissioners  in  Lunacy . 


23 


We  append  in  Schedule  G.  to  this  Report,  the  following  schedule  (G.) 
Lists,  with  particulars ;  viz. 

1.  Boroughs  having  Asylums. 

2.  Boroughs  erecting,  or  about  to  erect.  Asylums. 

3.  Boroughs  in  Union  with  Counties. 

4.  Boroughs,  whose  Pauper  Lunatics  are  sent  to  Asylums, 
under  contract  or  arrangement  between  Justices,  or  Councils, 
and  Visitors. 

5.  Boroughs,  which  have  not  made  any  statutory  provision 
for  the  care  of  their  Pauper  L  natics. 

6.  Boroughs,  the  Councils  of  which  have,  by  notice  to  the 
Secretary  of  State,  taken  upon  themselves  the  duties,  powers, 
and  authorities  of  Justices. 

We  avail  ourselves  of  this  occasion  to  correct  an  error  in  Haverfordwest, 
our  previous  Reports  as  respects  the  Haverfordwest  Asylum, 
which  has  been  hitherto  treated  as  a  Borough  Asylum.  Our 
attention  has  been  recently  drawn  to  the  fact,  that  Haverford¬ 
west  is  not  a  Borough,  within  the  meaning  of  the  Act,  having 
no  Recorder ;  but  is  a  County  of  itself,  with  a  special  ancient 
jurisdiction  and  officers,  including  a  Lord  Lieutenant.  The 
County  of  Haverfordwest  is  now  united  with  the  Counties  of 
Pembroke,  Carmarthen,  and  Cardigan ;  and  upon  the  com¬ 
pletion  of  the  Joint  Asylum,  that  at  Haverfordwest  will  be 
closed. 

It  only  remains  specially  to  notice  the  proceedings  and  Notice  of  par- 
arrangements  of  certain  Boroughs  which  have  not  as  yet  tlculyBo" 

o  o  j  roughs. 

made  adequate  legal  provision  for  the  care  of  their  Pauper 
Lunatics. 

The  Town  Council  of  Bath,  in  September  1850,  entered  Bath, 
into  an  agreement  with  the  Committee  of  Visitors  for  the 
reception  of  their  Pauper  Lunatics,  to  the  number  of  60,  into 
the  Somerset  County  Asylum.  This  agreement  was  for  the 
limited  term  of  ten  years.  However,  in  January  1857,  certain 
wards  for  Lunatics  having  been  completed  in  connexion  with 
the  Bath  Union  Workhouse,  30  of  the  Bath  Patients  in  the 
Asylum  were  removed  thither,  at  the  request  of  the  Guardians. 

The  Justices  of  Canterbury,  in  1846,  proposed  a  Union  with  Canterbury* 
the  other  Boroughs  in  the  County  of  Kent,  for  the  purpose  of 
a  Joint  Borough  Asylum  in  the  Eastern  Di  vision  of  the  County, 
but  the  proposition  was  declined.  The  Kent  Boroughs  whose 

340.  b  4  Pauper 


24 


Maidstone. 


Berwick-upon- 

Tweed. 


Yarmouth, 
Thetford,  and 
King’s  Lynn. 


Norwich. 


Northampton. 


Conclusion. 


Twelfth  Report  of  the 

Pauper  Lunatics  were  received  under  contracts  into  the  County 
Asylum,  have,  pursuant  to  notices  from  the  Committee  of 
Visitors,  removed  them  and  sent  them  to  Licensed  Houses. 
The  Justices  of  Maidstone,  who,  as  lias  been  stated,  are  erect¬ 
ing  an  Asylum  in  immediate  proximity  to  the  County  Asylum, 
propose  to  build  for  such  a  number  of  Patients  beyond  the 
wants  of  the  Borough  as  will  enable  them  to  receive,  under 
contract,  the  Pauper  Lunatics  of  Canterbury,  Dover,  and  other 
Boroughs  in  the  County. 

The  Pauper  Lunatics  of  Berwick-upon-Tweed  are  now  sent 
to  the  Morningside  Asylum,  near  Edinburgh,  and  to  the 
Crichton  Institution,  Dumfries.  It  appears  from  a  Return 
made  to  this  office,  that  in  1847,  the  Justices  of  Northumber¬ 
land  assented  to  a  Union  between  the  Borough  and  the 
County,  but  that  the  Borough  Justices  subsequently  withdrew 
their  proposal  in  consideration  of  the  expense  which  the  Union 
would  entail  upon  the  Borough. 

As  respects  the  Boroughs  of  Yarmouth,  Thetford,  and  King's 
Lynn,  we  have  reason  to  entertain  a  hope  that,  upon  the  com¬ 
pletion  of  the  additions,  in  progress,  to  the  Norfolk  County 
Asylum,  the  V  isitors  will  be  able  and  disposed  to  receive  the 
Pauper  Lunatics  of  the  Boroughs  referred  to,  under  contracts 
pursuant  to  the  7th  section  of  the  Act. 

The  case  of  Norwich  is  one  involving  a  question  of  law,  viz. 
whether  in  reference  to  the  necessary  rate,  it  is  to  be  treated 
by  the  Justices  as  a  Borough  or  a  County.  With  a  view  to 
assist  the  Justices,  a  case  was  last  year  submitted  to  the  then 
Solicitor  General,  who  gave  his  opinion  that,  consistently  with 
the  general  provisions  of  the  Act  and  the  Interpretation  Clause, 
Norwich  should  be  treated  as  a  Borough;  and  we  trust,  therefore, 
that  the  point  raised  (which  has  not  been  suggested  in  any 
other  analogous  case,  as  Bristol)  will  not  be  permitted  further 
to  delay  the  erection  or  other  provision  of  an  Asylum,  in  lieu 
of  the  present  very  defective  accommodation  in  the  house  and 
premises  hitherto  temporarily  licensed  to  the  Incorporation  of 
the  Governor  and  Guardians  of  the  Poor. 

The  Pauper  Lunatics  of  the  Borough  of  Northampton,  as 
also  those  of  the  County,  are  sent  to  the  Northampton  Lunatic 
Hospital,  which,  for  special  local  reasons,  is,  with  the  sanction 
of  the  Secretary  of  State,  deemed  and  treated  as  equivalent  to 
a  Countv  Asylum. 

The  cases  we  have  adduced,  and  those  contained  in  the 

Schedule 


Commissioners  in  Lunacy. 


25 


Schedule  of  Boroughs,  will,  we  trust,  be  considered  by  your 
Lordship  as  furnishing  grounds  for  the  amendment  which  we 
have  suggested  in  the  10th  section  of  the  Act,  the  practical 
effect  would,  as  we  believe,  materially  tend  to  procure  that 
general  compliance  with  the  requisitions  of  the  Act,  on  the 
part  of  Borough  Authorities,  which  is  so  greatly  to  be  desired, 
and  would  ensure  the  consequent  removal  to  proper  Asylums 
of  a  large  number  of  Pauper  Lunatics  now  in  Licensed  Houses 
and  Workhouses. 

During  the  past  year  much  of  our  time  and  attention  has 
been  occupied  in  visiting  the  different  Workhouses  in  Eng¬ 
land  and  Wales,  and  inquiring  into  the  condition  and  treat¬ 
ment  of  their  insane  and  weak-minded  inmates.  We  hoped 
to  have  been  able  to  introduce  into  the  body  of  this  Report 
the  results  of  our  inquiry,  but  the  subject  requires  greater 
consideration  and  a  larger  amount  of  space  than  can  at 
present  be  given  to  it ;  and  we  propose  to  submit  to  your 
Lordship,  therefore,  in  the  form  of  a  supplement,  such  obser¬ 
vations  as  we  have  to  offer  on  the  existing  condition  of 
Insane  Paupers  detained  in  Workhouses. 

By  Order  of  the  Board, 

(signed)  Shaftesbury , 

Chairman. 

(signed)  John  Forster , 

Secretary. 


Workhouses. 


ANNUAL  RETURN  of  Insane  Persons  confined  in  Asylums,  Hospitals,  and  Licensed  Houses,  on  the  1st  January  1858. 


26 


Appendix  to  Twelfth  Report  of  the 


Commissioners  in  Lunacy 


27 


Appendix  (A.) — continued. 
METROPOLITAN  LICENSED  HOUSES. 

[Houses  in  which  Paupers  are  received  distinguished  by  an  Asterisk,] 


28 


Appendix  to  Twelfth  Report  of  the 


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(continued) 


ppendix  (A.) — Provincial  Licensed  Houses — continued * 


30 


Appendix  to  Twelfth  Report  of  the 


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32 


Appendix  to  Twelfth  Report  of  the 


Appendix  (B.) 


Appendix  (B.) 


New  Licenses  Granted,  Licenses  Expired,  and  Changes  of 
Proprietorship,  during  the  Year  ending  31  December  1857. 


METROPOLITAN. 


1.  New  Licenses: 

A  license  for  the  reception  of  private  Patients  in  Ruislip  Park, 
Ruislip,  in  the  County  of  Middlesex,  has  been  granted  to  Mrs.  Alice 
Griffin. 

2.  License  expired : 

Mrs.  Griffin’s  private  house  at  Hanwell. 

3.  Changes  of  Proprietorship,  &c. : 

(1)  Bethnal  House,  Bethnal  Green,  license  transferred  to  John 
Millar,  surgeon,  vice  James  Phillips,  deceased. 

(2)  Brooke  House,  Upper  Clapton,  Miss  Miriam  Russel, 
appointed  Superintendent,  vice  Miss  Eliza  Lennox. 

(3)  London  House,  Hackney,  Mrs*  Mary  Ay  re,  as  Superin¬ 
tendent. 

(4)  Vine  Cottage,  Norwood  Green,  near  Hounslow,  Mrs. 
Eleanor  Elizabeth  Horsbrugh,  as  co-Licensee. 

(5)  Grove  End  Villa,  Mrs.  Fanny  Kerr,  vice  Alfred  G,  Kerr, 
deceased. 

(6)  Wood  End  Grove,  Miss  Ann  Fenton,  appointed  Superin¬ 
tendent,  vice  Mrs.  Sarah Benbow. 


Commissioners  in  Lunacy . 


33 


PROVINCIAL. 


Appendix  (B.) 


1.  New  Licenses : 

(1.)  Bindon  House,  Langford  Budvilie,  Somerset,  to  Mr.  J. 
Hodges. 

(2.)  Bath  Lane,  Newcastle-on-Tyne,  to  Dr.  Robert  Smith. 


2.  Licences  expired : 

(1.)  Wreckenton  Asylum,  Durham. 

(2.)  Leopard’s  Hill  House  (formerly  included  in  the  license  of 
High  Beech  Asylum),  Essex. 

(3.)  Witney  Asylum,  Oxford, 

(4.)  Weaverthorpe  Asylum,  near  Sledmere,  Yorkshire. 

(5.)  1,  Albion  Street,  Hull,  Yorkshire. 

(6.)  Bowye’s  House,  Kingston,  Somerset  (Patients  removed 
to  Bindon  House,  in  the  same  county. 

\ 

\ 

3.  Change  of  Proprietorship ; 

Duddeston  Hall,  near  Birmingham,  license  granted  to  Dr.  T. 
Boisragon,  vice  Messrs.  Berrow  and  Freer. 


340. 


c 


34 


Appendix  to  Twelfth  Report  of  the 


Appendix  (C.) 


Average  Weekly  Cost  of  Maintenance,  Medicine,  Clothing,  and  Care  of 


COUNTIES 

Salaries 

Surgery 

Wine, 

and 

Provisions. 

Clothing. 

and 

Necessaries. 

and 

Spirits 

,  and 

BOROUGHS. 

Wages. 

Dispensary. 

Porter, 

s. 

d. 

s. 

d. 

s.  d. 

s. 

d. 

s. 

d. 

s. 

Bedford,  &c.  - 

- 

3 

*1 

— 

H 

3  3 

— 

8 

- 

1 

""2 

— 

-i 

Buckingham  - 

- 

6 

u 

- 

n 

2  6 

1 

3 

— 

1 

“*2 

- 

~2 

Chester  - 

- 

4 

4 

— 

9 

1  11 

— 1 

9 

1 

2 

— 

11 

Cornwall  - 

- 

4 

91 

— 

6f 

2  -1 

- 

71 

- 

1 

~2 

— 

1 

4 

Denbigh,  &c.  - 

4 

7 

— 

10-1 

1  9i 

— 

101 

— 

3 

4 

— 

-f 

Derby  - 

- 

4 

41 

— 

6f 

2  61 

1 

If 

— 

-f 

— 

11 

Devon  ■ 

- 

4 

3 

— 

114 

1 

- 

101 

— 

If 

— 

1 

2 

Dorset  - 

- 

4 

i 

4 

— 

4f 

1  7f 

— 

9* 

- 

1 

— 

3 

“4 

Essex  -  -  -  - 

- 

5 

3-1 

°2 

— 

Hi 

2  -2 

1 

51 

— 

1 

“2 

— 

1 

'2 

Gloucester  - 

- 

5 

o2 

— 

6 

1  8f 

- 

111 

— 

1 

— 

11 

Hants  - 

- 

4 

9 

— 

7 

1  7 § 

1 

— 

— 

1 

— 

1-1 

Kent  - 

- 

4 

I 

~4 

- 

6f 

2  -l 

1 

9 

— 

3 

4 

— 

21 

^4 

Lancaster  - 

- 

4 

— 

H 

1  H 

— 

61 

— 

1 

4 

— 

1 

2 

Lancaster,  Rainfall  - 

- 

4 

H 

— 

71 

1  Si 

— 

9 

— 

11 

— 

li 

1  2 

Lancaster,  Prestwich 

- 

4 

2 

- 

8 

1  5 

- 

n 

— 

3 

4 

— 

3 

4 

Leicester,  &c.  - 

- 

5 

3f 

— 

73 

1  81 

■— 

91 

— 

1 

— 

1 

Lincoln  - 

- 

5 

If 

— 

8 

1  Hi 

1 

21 

— 

2 

- 

11 

Middlesex,  Colney  Hatch 

- 

4 

- 

9 

2  -i 

- 

HI 

— 

_i 

2 

— 

2f 

Middlesex,  Hanwell 

- 

5 

3 

4 

— 

10 

1  11 

— 

8f 

— 

1 

2 

— 

41 

Monmouth,  &c. 

- 

4 

5| 

- 

6 

1  8f 

— 

7 

— 

1 

"2 

- 

- 

Norfolk  - 

- 

5 

4 

— 

7 

1  4 

— 

8 

— 

1 

— 

2 

Nottingham  - 

- 

5 

2* 

— 

71 

1  8 

— 

91 

— 

_JL 

4 

— 

_i 

“2 

Oxford,  &c.  -  -  “ 

- 

4 

9f 

— 

8* 

1  81 

1 

9JL 

^2 

“1 

— 

1 

2 

Salop,  &c.  - 

- 

5 

21 

— 

10 

1  51 

1 

“1 

— 

5f 

- 

- 

Somerset  - 

- 

4 

8 

— 

9* 

1  101 

— 

81 

— 

1 

*~*2 

- 

4 

Stafford  - 

- 

3 

71 

*  2 

— 

4f 

1  9f 

- 

7 

- 

11 

— 

71- 

Suffolk  - 

- 

4 

1 

“4 

- 

101 

1  51 

- 

81 

— 

n 

— 

1 

Surrey  - 

- 

4 

4 

— 

7 

1  H 

1 

8f 

— 

_  1 

2 

— 

2 

Warwick  - 

- 

4 

— 

5f 

1  Ilf 

1 

3 

— 

1 

*2 

— 

-4 

Wilts  - 

- 

4 

3 

4 

— 

41 

^4 

1  8f 

- 

HI 

— 

- 

Worcester  - 

- 

4 

2 

- 

8 

1  10 

1 

3  i 

— 

1 

- 

1 

York,  North  and  East  Ridings 

- 

3 

If 

— 

°2 

1  61 

— 

8f 

— 

1 

2 

— 

21 

York,  West  Riding 

- 

4 

31 

1 

If 

1  41 

6f 

1 

2 

— 

1 

Boroughs. 

Birmingham  - 

- 

4 

4  1 

— 

5f 

1  10 

1 

8f 

- 

3 

“4 

- 

1 

4 

Bristol,  St.  Peter’s  Hospital 

- 

The  Comm 

ittee  of  visit( 

ns  contract 

with  the  Cor] 

3  oration  of  t 

le  Poor,  for 

Haverfordwest 

- 

4 

7f 

— 

7 

-  lOf 

- 

3f 

— 

31 

- 

21 

Hull  . 

- 

3 

9 

— 

71 
*  2 

2  41 

1 

1 

~2 

- 

3 

— 4 

— 

1 

Commissioners  in  Lunacy 


35 


Appendix  (C.) 


Patients  in  the  several  County  and  Borough  Asylums  during  the  Year  1857. 


Total 

Daily 

Weekly 

Weekly 

Weekly 
Charge  for 

Furniture 

Garden 

Miscel- 

Less 

Average 

Average 

Charge  for 
Paupers  from 

Charge  from 

and 

and 

laneous. 

Receipts. 

Weekly 

Number 

County  or 

other 

Privaf.fi 

Bedding. 

Farm. 

Cost  per 

of 

Boroughs  to 
which  Asylum 

Counties  or 

Patients. 

Head. 

Patients. 

belongs. 

Boroughs. 

6‘  • 

s.  d. 

s.  d. 

s. 

s. 

d. 

S»  (%• 

s.  d. 

s ,  d. 

-  5 

-  2 

1 

1  4 

-  9i 

9 

2f 

112 

8  9 

14  - 

— 

-  H 

- 

-  5 

-  8 

10 

4f 

200 

11/  10/6 

13/  12/3 

13/  15/ 

-  7 

-  2 

-  6 

-  1 

9 

1 

291 

8  2 

14  - 

— 

- 

-  If 

-  2f 

i 

“  ~2 

8 

3| 

254 

8/9  8/3 

10  -{ 

10/  11/  12/6 
16/  21/ and  30/ 

-  5 

-  7| 

"  5i 

-  21 

9 

7 

196 

8  9 

14  - 

12/6  to  46/ 

-  6J 

-  3 

-  3i 

-  3 

9 

71 

268 

10  - 

12  - 

12/  and  14/ 

-  2 

-  2 1 

-  4i 

3 

4 

8 

3 

544  | 

9/6  to  3d  Sept. 
8/6  afterwards 

|  12/6  and  12/ 

■ — 

- 

-  5 

-  6i 

- 

7 

11 

156 

7  7 

_ 

- - 

-  3f 

-  u 

-  4 

- 

10 

7* 

388 

10  - 

14  - 

10/  and  14/ 

-  5J 

- 

-  1 

_  _i 

4 

9 

4* 

382 

9  - 

13  - 

16/  and  17/6 

-  5 

-  n 

-  2| 

-  101 

8 

6* 

471 

9  - 

12/  and  13/ 

10/  and  14/ 

-  6* 

_  41. 

“  2i 

-  H 

9 

6f 

612 

9/4  9/10 

12/6*  13/14 

12/64  13/14, 

-  8 

1 

4 

“  2 1 

1 

-  ~2 

8 

2 

718 

7  10* 

12  - 

_  A  3 

“  31 

8 

8 

401 

8  9 

14  - 

— 

-  ]3 

1  4 

-  41 

-  3 

3 

4 

7 

8* 

506 

7  7 

14  - 

— 

- 

-  3 

-  1* 

8 

9 

313 

8  - 

14  - 

17/6  to  42/ 

-  3 

-  51 

-  If 

-  5f 

9 

7-1 

*  2 

273 

9  7\ 

— 

-  6i 

-  7 

-  3i 

-  H 

10 

1 

4 

1,298 

9  11 

14  - 

— — 

-  n 

-  4i 

“  31 

-  -£ 

10 

21 

1,033 

10  2i 

14  - 

— 

-  n 

-  9i 

-  4| 

-  6 

8 

n 

291 

8  6 

12  6 

-  3 

-  4 

- 

8 

8i 

299 

8  4 

14  - 

- — 

■  -;'l 

-  2f 

-  1* 

-  51 

8 

2| 

239  | 

Males  10/ 
Females  9/ 

j-  12/  and  14/ 

16/ 

-  6i 

-  3 

~  4i 

-  9  1 

"  2 

9 

5| 

452 

9  lli 

11  11* 

-  1* 

-  5J 

. 

9 

6i 

325 

9  6 

_ 

-  If 

-  5| 

-  H 

-  Hi 

7 

10 

344 

10  91 

12  10 

-  4i 

-  3 

-  2 

-  2 

7 

8! 

420 

8/6  8/2  8/ 

14  - 

— 

_  >7  X 

•  4 

- 

-  8 

_ 

8 

6 

284 

8  6 

-  •  « 

15/ 

-  3 

” 

- 

-  21 

8 

94 

936 

9  - 

14  - 

-  H 

-  6f 

-  2i 

-  4i 

8 

9 

277 

9/6  9/ 

11/6  11/ 

11/6  11/ 

-  4 

-  4 

-  10 

-  4f 

8 

31 

316 

8  9 

11/9  and  12/9 

— 

-  4 

-  9 

-  6 

-  6 

9 

2 

273 

10/6  9/6 

12  6 

9  6 

-  5 

-  8| 

-  If 

-  3 

7 

1 

430 

7  - 

9  11 

10  6 

“  " 

-  6i 

3 

—4 

-  1J 

7 

11* 

827 

7  6 

— 

— . 

mi  m* 

- 

m 

-  10* 

7 

71 

312 

8  6 

11  - 

9/6  12/ 

supplying  I 

’rovisions, 

&C. 

- 

5 

6 

90 

10  - 

12  - 

— 

-  -* 

•  ta 

_  1 

2 

. 

7 

2 

35 

7  6i 

. 

—  3i 
o3 

-  2* 

-  4 

-  2} 

8 

7 

91 

9  6 

11  6 

340.  C  2 


36 


Appendix  to  Twelfth  Report  of  the 


Appendix  (D.) 

RETURN  of  Admissions,  Discharges  and  Deaths  of  Patients  of  all  Classes 

COUNTY  AND  BOROUGH  ASYLUMS.— 


Discharges  du  ring  the  year  1857 


COUNTY 

ASYLUMS. 

WHERE 

SITUATE. 

Number 

of 

Patients 

1st  January, 

1857. 

Admissions 

during 

the  year 

1857. 

Total 

Number. 

Number 

Recovered. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

Total 

Beds,  Herts, 

Near  Bedford  - 

154 

157 

311 

33 

56 

89 

50 

56 

106 

10 

19 

29 

and  Hunts. 

Bucks  - 

Near  Aylesbury 

80 

115 

195 

52 

36 

88 

20 

27 

47 

18 

15 

33 

Chester 

Chester  - 

128 

158 

286 

55 

48 

103 

29 

28 

57 

23 

24 

47 

Cornwall 

Bodmin  - 

121 

118 

239 

50 

45 

95 

20 

22 

42 

14 

18 

32 

Denbigh,  An- 

Denbigh  - 

86 

101 

187 

45 

40 

85 

22 

28 

50 

16 

22 

38 

glesea,  &c. 

Derby  - 

Mickleover,  near 
Derby. 

134 

137 

271 

46 

33 

79 

28 

30 

58 

21 

27 

48 

Devon  - 

Exminster 

232 

288 

520 

71 

83 

154 

37 

41 

78 

35 

34 

69 

Dorset 

Forston,  near 
Dorchester. 

67 

83 

150 

23 

28 

51 

11 

16 

27 

10 

13 

23 

Essex  ■= 

Brentwood 

154 

214 

368 

66 

86 

152 

33 

35 

68 

29 

32 

61 

Gloucester  - 

Gloucester 

133 

215 

348 

66 

75 

141 

13 

28 

41 

11 

25 

36 

Hants  - 

Knole,  near 

Fareham. 

198 

208 

406 

85 

117 

202 

24 

39 

63 

18 

33 

51 

Kent  - 

Near  Maidstone 

265 

334 

599 

77 

81 

158 

36 

44 

80 

27 

36 

63 

Lancaster  - 

Lancaster  Moor 

344 

368 

712 

86 

51 

137 

27 

37 

64 

20 

27 

47 

if 

Rainhill,  near 
Liverpool. 

174 

219 

393 

34 

44 

78 

10 

27 

37 

8 

25 

33 

Prestwich,  near 
Manchester. 

251 

254 

505 

76 

92 

168 

42 

58 

100 

30 

44 

74 

Leicester  and 

Leicester 

141 

163 

304 

58 

58 

116 

8 

7 

15 

19 

33 

52 

Rutland. 

Lincoln 

Bracebridge, 
near  Lincoln. 

136 

142 

278 

42 

38 

80 

22 

20 

42 

10 

7 

17 

Middlesex  - 

1 

Colney  Hatch  - 

521 

770 

1,291 

150 

164 

314 

80 

116 

196 

47 

57 

104 

Commissioners  in  Lunacy,  37 


Appendix  (D.) 


in  Asylums,  Hospitals,  and  Licensed  Houses,  during  the  Year  1857. 
Admissions,  Discharges,  Deaths,  &c.  1857. 


Deaths  during  the  year  1857. 

Patients  remaining  1st  January  1858. 

age  Number  resident  during 

1857. 

Total 

Numbei 

• 

I 

C 

4 

4 

•  r 

4 

'rom  Suicide. 

From  Accidents 
or  Violence. 

Total 

Number. 

Nmmber  deemed 

Curable. 

3 

D  . 

i  a 
-1 

3  >3 
a 

J  ^ 
j  si 

<1 

Act  committed 

before  Admission 

Incurred  in 

a 

TJX 

< 

Incurred  before 

Admission. 

1 

S-l 

<D 

M. 

F. 

Total. 

M 

F. 

T. 

M 

F. 

T. 

M 

F. 

T. 

MF. 

I 

T. 

M. 

F. 

Total- 

M. 

F. 

Total. 

> 

< 

12 

16 

28 

1 

— 

1 

125 

145 

270 

6 

16 

22 

304 

16 

6 

22 

- 

— 

— 

- 

- 

— 

— 

— 

— 

— 

- 

— 

96 

118 

214 

4 

9 

13 

200 

21 

14 

35 

1 

1 

2 

133 

164 

297 

17 

14 

31 

290.75 

16 

7 

23 

134 

135 

269 

29 

30 

59 

251 

6 

9 

15 

- 

- 

- 

- 

- 

1 

1 

- 

- 

102 

105 

207 

18 

15 

23 

197 

19 

7 

26 

134 

137 

271 

14 

10 

24 

268 

23 

18 

41 

243 

312 

555 

15 

17 

32 

545 

8 

7 

15 

71 

88 

159 

12 

16 

28 

156 

18 

31 

49 

169 

234 

403 

16 

19 

35 

388 

20 

21 

41 

— 

- 

- 

— 

— 

- 

— 

1 

1 

- 

— 

— 

166 

241 

407 

12 

11 

23 

382 

32 

23 

55 

227 

263 

490 

19 

19 

38 

471 

40 

36 

76 

266 

335 

601 

— 

— 

55 

603.8 

42 

19 

61 

362 

362 

724 

140 

156 

296 

718 

17 

12 

29 

- 

- 

— 

- 

— 

- 

— 

— 

— 

— 

179 

221 

400 

28 

48 

76 

401 

37 

31 

68 

1 

— 

1 

248 

257 

505 

88 

101 

189 

506 

17 

18 

35 

. 

156 

162 

318 

22 

34 

56 

314 

15 

10 

25 

_ 

141 

150 

291 

9 

14 

23 

273 

37 

49 

86 

1 

— 

1 

- 

- 

— 

1 

- 

1 

— 

— 

— 

524 

770 

1,294 

47 

39 

86 

1,298 

c  3  {continued) 


38 


Appendix  to  Twelfth  Report  of  the 


Appendix  (D.) — County  and  Borough  Asylums.— 


Discharges  during  the  year  1857. 


COUNTY 

ASYLUMS. 

WHERE 

SITUATE. 

Number 

of 

Patients, 

1st  January, 

1857. 

Admissions 

during 

the  year 

1857. 

Total 

Number. 

Number 

Recovered. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

Total. 

Middlesex  - 

Hanwell  - 

439 

584 

1,023 

57 

76 

133 

33 

45 

78 

23 

32 

55 

Monmouth, 
Hereford,  &c. 

Abergavenny  - 

120 

158 

278 

74 

63 

137 

32 

35 

67 

25 

28 

53 

Norfolk 

Thorpe,  near 
Norwich. 

137 

163 

300 

41 

60 

101 

36 

33 

79 

23 

17 

40 

Notts  - 

Nottingham 

120 

103 

223 

37 

49 

86 

14 

25 

39 

9 

19 

28 

Oxford  and 
Berks. 

Littlemore 

183 

259 

442 

70 

83 

153 

33 

36 

69 

31 

33 

64 

Salop  and 

Montgomery 

Bicton  - 

155 

169 

324 

51 

62 

113 

31 

31 

62 

27 

28 

55 

Somerset 

Wells  - 

167 

191 

358 

93 

74 

167 

56 

61 

117 

38 

34 

72 

Stafford 

Stafford  - 

212 

198 

410 

104 

99 

203 

47 

65 

112 

42 

58 

100 

Suffolk 

Melton,  near 
Woodbridge. 

128 

153 

281 

40 

56 

96 

29 

34 

63 

27 

27 

54 

Surrey 

Springfield 

407 

515 

922 

142 

88 

230 

61 

56 

117 

42 

38 

80 

Warwick 

Hatton,  near 
Warwick. 

132 

129 

261 

50 

48 

98 

22 

23 

45 

15 

16 

31 

Wilts  - 

Near  Devizes  - 

145 

169 

314 

54 

46 

100 

28 

21 

49 

25 

17 

42 

Worcester  - 

Worcester 

116 

135 

251 

74 

* 

56 

130 

23 

11 

34 

18 

11 

29 

York,  N.  and 
E.  Ridings. 

Clifton,  near 
York. 

191 

164 

355 

85 

99 

184 

26 

31 

57 

24 

31 

55 

York,  West 
Riding. 

Wakefield 

368 

416 

784 

156 

157 

313 

71 

79 

150 

60 

70 

130 

BOROUGH  ASYLUMS: 
Birmingham  - 

133 

161 

294 

98 

56 

154 

75 

43 

118 

29 

28 

57 

Bristol 

- 

38 

52 

90 

26 

35 

61 

17 

35 

52 

15 

29 

44 

Haverfordwest 

- 

15 

20 

35 

4 

— 

4 

- 

- 

— 

1 

— 

1 

Hull  - 

- 

45 

42 

87 

13 

15 

28 

3 

7 

10 

3 

4 

7 

6,570 

7,825 

14,395 

2,384 

2,397 

4,781 

1,149 

1,340 

2,489 

843 

1,011 

1,854 

Commissioners  in  Lunacy 


39 


Admissions,  Discharges,  Deaths,  &c. — continued. 


Deaths  during  the  year  1857. 

Patients  remaining  1st  January  1858. 

age  Number  resident  during 

1857. 

Total 

Number, 

From  Suicide 

. 

From  Accidents 
or  Violence, 

Total 

Number. 

Number  deemed 

Curable. 

Act  committed 

in  Asylum. 

Act  committed 
before  Admission 

Incurred  in 

Asylum. 

Incurred  before 

Admission. 

1 

1 

M. 

F. 

Total. 

M 

F.’ 

r. 

M 

F. 

T. 

M 

F. 

T. 

M 

F. 

T 

M. 

F. 

Total. 

M. 

F. 

Total. 

!> 

29 

31 

60 

1 

— 

1 

— 

— 

— 

434 

584 

1,018 

— 

9 

9 

1,016 

24 

10 

34 

138 

176 

314 

57 

32 

89 

291 

15 

14 

29 

- 

— 

- 

- 

- 

127 

176 

303 

20 

27 

47 

299 

13 

10 

23 

130 

117 

247 

14 

17 

31 

239 

28 

28 

56 

- 

- 

- 

- 

- 

— 

• 

1 

1 

- 

- 

- 

191 

273 

464 

13 

25 

38 

452 

23 

23 

46 

1 

- 

i 

- 

- 

— 

152 

177 

329 

15 

19 

34 

329 

25 

22 

47 

_ 

_ 

_ 

— 

179 

182 

361 

35 

25 

60 

345 

44 

30 

74 

225 

202 

427 

16 

21 

37 

420 

17 

19 

36 

- 

— 

122 

156 

278 

26 

36 

62 

284 

62 

22 

84 

_ 

— 

— 

— 

— 

— 

- 

- 

- 

— 

- 

426 

525 

951 

17 

12 

29 

936 

20 

8 

28 

2 

2 

- 

- 

- 

140 

146 

286 

6 

17 

23 

277 

27 

5 

32 

_ 

— 

— 

— 

— 

— 

144 

189 

333 

11 

25 

36 

323 

10 

19 

29 

157 

161 

318 

19 

28 

47 

273 

17 

19 

36 

- 

1 

i 

- 

- 

- 

1 

1 

1 

- 

- 

— 

233 

213 

446 

5 

8 

13 

435 

73 

46 

119 

- 

- 

- 

- 

- 

- 

I 

- 

1 

- 

- 

- 

380 

448 

828 

40 

42 

82 

827 

28 

12 

40 

_ 

r 

— 

— 

— 

— 

— 

156 

174 

330 

26 

43 

69 

312 

11 

8 

19 

- 

- 

- 

- 

- 

- 

39 

50 

89 

2 

8 

10 

89 

3 

2 

5 

- 

15 

18 

33 

- 

- 

— 

35 

6 

5 

11 

- 

- 

- 

50 

45 

-95 

1 

3 

4 

91 

871 

667 

1,538 

5 

2 

7 

J  . 

-  e 

1 

)  - 

6,914 

8,211 

15,12! 

i  839 

990 

1,829 

— — 

340. 

c  4 

40 


Appendix  to  Twelfth  Report  of  the 


Appendix  (D.)— Admissions, 


HOSPITALS. 


COUNTY. 


HOSPITAL. 


Number 
of  Patients, 
1st  January, 
1857. 


Admissions 
during 
the  year 
1857. 


Discharges  during  the  year  1857. 


Total  Number. 


Number 

recovered. 


M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

Total. 

Devon 

- 

St.  Thomas's  Hos¬ 
pital,  near  Exeter. 

21 

32 

53 

10 

i 

j 

10 

20 

8 

9 

17 

4 

5 

9 

Essex 

Essex  Hall  Asylum 
for  Idiots,  Col¬ 
chester. 

75 

33 

108 

4 

|  4 

8 

22 

6 

28 

— 

Lancaster 

- 

Liverpool  Lunatic 
Hospital. 

31 

31 

62 

19 

17 

36 

15 

12 

27 

6 

10 

16 

- 

Manchester  Royal 
Lunatic  Hospital. 

40 

23 

63 

17 

15 

32 

19 

15 

34 

15 

8 

23 

Lincoln 

Lincoln  Lunatic 
Hospital. 

36 

34 

70 

26 

17 

43 

21 

14 

35 

7 

4 

11 

Middlesex 

w 

St.  Luke's  Hospi¬ 
tal. 

59 

106 

165 

63 

113 

176 

48 

106 

154 

30 

65 

95 

Norfolk 

- 

Bethel  Hospital, 
Norwich. 

29 

49 

78 

8 

6 

14 

5 

3 

8 

4 

3 

7 

Northampton 

Northampton  Lu¬ 
natic  Hospital. 

140 

125 

265 

41 

34 

75 

27 

19 

46 

12 

15 

27 

Oxford 

Warneford  Lunatic 
Asylum,  near  Ox¬ 
ford. 

28 

28 

56 

3 

5 

8 

7 

3 

10 

4 

— 

4 

Stafford 

- 

Coton  Hill,  Asy¬ 
lum. 

57 

27 

84 

17 

11 

28 

12 

2 

14 

5 

2 

7 

Surrey 

>> 

- 

Guy's  Hospital  - 
Bethlehem  Hospi¬ 
tal. 

Idiot  Asylum, 

Earl’s  Wood. 

166 

101 

16 

140 

54 

16 

306 

155 

113 

38 

134 

21 

247 

59 

80 

15 

1 

116 

6 

1 

196 

21 

46 

72 

118 

York  - 

- 

York  Lunatic  Hos¬ 
pital. 

79 

60 

139 

15 

14 

29 

21 

17 

38 

9 

5 

14 

f  } 

- 

Retreat,  York 

45 

68 

113 

8 

7 

15 

8 

7 

15 

4 

4 

8 

-ryy 

907 

826 

1,733 

382 

408 

790 

308 

336 

644 

146 

193 

339 

Commissioners  in  Lunacy 


41 


Discharges,  Deaths,  &c.  1857 — continued , 


-  HOSPITALS, 


Deaths  during  the  year  1857. 

Patients  remaining 

,  1st  January  1858. 

to 

a 

U i 

From  Suicide. 

From  Accidents 
or  Violence. 

3 

•o 

£ 

CD 

T3 

Total  Number. 

Act  committed 
in  Asylum. 

Act  committed  ' 

before  Admission 

Incurred  in 

• 

a 

3 

-H 

Incurred  before 

Admission. 

Total  Number. 

Number  deemed 

Curable, 

age  Number  Resi 

1857. 

M. 

F. 

Total. 

M 

F. 

T. 

M 

F. 

T. 

M 

F. 

T. 

M 

| 

F. 

T. 

M. 

F. 

Total. 

M. 

F. 

1  Total. 

CD 

> 

< 

3 

2 

5 

1 

20 

31 

51 

2 

3 

5 

| 

5115 

3 

- 

3 

- 

54 

31 

85 

- 

— 

94 1 

6 

2 

8 

- 

- 

- 

— 

— 

— 

- 

- 

- 

- 

- 

29 

34 

63 

5 

5 

10 

60 

3 

1 

4 

— 

— 

- 

— 

— 

— 

- 

- 

— 

— 

- 

33 

24 

57 

9 

11 

20 

62 

5 

— 

5 

41 

37 

78 

9 

3 

12 

74 

6 

7 

13 

- 

- 

— 

— 

— 

— 

— 

- 

— 

— 

- 

- 

59 

96 

155 

19 

49 

68 

176 

2 

2 

4 

30 

50 

80 

3 

5 

8 

78  £ 

9 

13 

22 

145 

127 

272 

15 

19 

34 

262 

1 

3 

4 

24 

30 

54 

2 

3 

5 

52-6 

5 

2 

7 

58 

32 

90 

7 

5 

12 

88-33 

_ 

_ 

15 

15 

15 

8 

6 

14 

- 

189 

147 

336 

— 

— 

— 

321 

3 

2 

5 

— 

- 

— 

- 

- 

— 

1 

- 

1 

- 

- 

- 

121 

67 

188 

— 

— 

172 

9 

4 

13 

66 

53 

119 

4 

3 

7 

130  a 

2 

3 

5 

43 

65 

108 

7 

10 

17 

112-75 

65 

47 

112 

- 

- 

- 

- 

1 

1 

912 

839 

1,751 

82 

116 

198 

— 

42 


Appendix  to  Twelfth  Report  of  the 


Appendix  (D.) — Admissions, 


METROPOLITAN  LICENSED  HOUSES  - 


Number 

Admissions 

Discharges  during  the  Year  1857 

Houses,  and  where  Situate. 

or 

Patients, 

1st  January, 

1857. 

during 

the  Year 

1857. 

Total  Number. 

Number 

Recovered. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

1 

Total. 

Acton  - 

Derwentwater 

1 

10 

11 

— 

— 

2 

2 

— 

— 

1 

Bethnal  Green 

House. 

Bethnal  House 

195 

254 

449 

74 

69 

143 

26 

52 

78 

10 

28 

38 

Bow  - 

Grove  Hall 

151 

199 

350 

45 

17 

118 

25 

46 

71 

11 

16 

27 

Brentford 

Wyke  House  - 

14 

13 

27 

3 

7 

10 

1 

2 

3 

1 

— 

1 

Brixton 

Effra  Hall 

— 

21 

21 

— 

15 

15 

-  - 

12 

12 

— 

9 

9 

Brompton  - 

Clarence  Villa 

2 

— 

2 

— 

— 

— 

— 

— 

— 

— 

— 

— ' 

Earl’s  Court 

— 

24 

24 

— 

3 

3 

— 

— 

— 

— 

— 

— 

Brook  Green 

Montague  House 

7 

•  — 

7 

— 

— 

— 

— 

— 

— 

— 

— 

— 

Camberwell  - 

CamberwellHouse 

128 

195 

323 

92 

142 

234 

63 

Ill 

174 

17 

37 

54 

Chelsea 

Blacklands  House 

23 

— 

23 

16 

.  — 

16 

14 

— 

14 

5 

— 

5 

Elm  House 

— 

7 

7 

— 

3 

3 

2 

2 

— 

2 

2 

Chiswick 

Manor  House  - 

7 

12 

19 

14 

1 

15 

7 

2 

9 

6 

2 

8 

Clapham 

Clapham  Retreat 

10 

6 

16 

4 

3 

7 

1 

6 

7 

— 

2 

2 

Clapton  Upper 

Brooke  House 

19 

26 

45 

16 

10 

26 

12 

8 

20 

6 

6 

12 

Finchley 

Horse-shoe  Hill 

1 

1 

2 

— 

— 

— 

— 

— 

— 

* 

— 

Fulham 

House. 

Munster  House 

28 

_ 

28 

8 

8 

5 

_ 

5 

3 

— 

3 

J  ?  •  “ 

Normand  House 

— 

11 

11 

— 

3 

3 

- 

2 

2 

— 

2 

2 

Otto  House 

— 

34 

34 

— 

5 

5 

— 

8 

8 

— 

4 

4 

Hackney 

London  House 

— 

20 

20 

— 

8 

8 

— 

7 

7 

— 

6 

6 

? }  “  “ 

Pembroke  House 

107 

8 

115 

16 

2 

18 

9 

— 

9 

5 

— 

5 

Hammersmith 

UpperMallHouse 

— 

7 

7 

— 

4 

4 

—  . 

3 

3 

*— 

— 

— 

1)  “  * 

Sussex  &  Branden- 

30 

20 

50 

32 

10 

42 

21 

12 

33 

13 

9 

22 

Hanwell 

burgh  Houses. 
Lawn  House  - 

_ 

6 

6 

_ 

3 

3 

_ 

2 

2 

— 

2 

2 

Vine  Cottage  - 

— 

7 

7 

— 

4 

4 

— 

2 

2 

— 

1 

1 

Hayes 

Hayes  Park 

9 

5 

14 

— 

4 

4 

— 

2 

2 

— 

— 

Wood  End  Grove 

— 

19 

19 

— 

6 

6 

— 

6 

6 

— 

2 

2 

Hendon 

Hendon  House 

— 

12 

12 

— 

4 

4 

— 

1 

1 

— 

— 

— 

Hillingdon  - 

Moorcroft  House 

38 

— 

38 

15 

15 

5 

— 

5 

5 

— 

5 

Hoxton 

Hoxton  House 

118 

216 

334 

36 

50 

86 

26 

36 

62 

15 

17 

32 

Kensington  - 

Kensington  House 

31 

29 

60 

10 

7 

17 

7 

3 

10 

4 

4 

Peckham 

Peckham  House 

149 

224 

373 

129 

101 

230 

95 

76 

171 

21 

23 

44 

St.  John’s 

Grove  End  Villa 

— 

5 

5 

— 

— 

— 

— 

- 

— 

— 

— 

Wood. 

Ruislip 

Ruislip  Park  - 

6 

6 

1 

1 

— 

1 

1 

- 

v  — 

1 

Southall 

Southall  Park  - 

15 

9 

24 

— 

1 

1 

2 

1 

3 

1 

Stoke  New- 

Grove  House  - 

9 

3 

12 

1 

1 

2 

— 

2 

2 

— 

— * 

ington. 

Northumberland 

29 

34 

63 

9 

5 

14 

6 

5 

11 

2 

3 

5 

Sunbury 

House. 

Halliford  House 

4 

8 

12 

3 

3 

6 

1 

2 

3 

— 

2 

2 

1,125 

1,451 

2,576 

523 

548 

1,071 

326 

414 

740 

125 

173 

298 

Commissioners  in  Lunacy 


43 


Discharges,  Deaths,  &c.  1857 —continued. 


-  METROPOLITAN  LICENSED  HOUSES. 


Deaths  during  the  Year  1857. 

Patients  Remaining  1st  January  1858. 

bQ 

.9 

From 

Suic  ide 

From  Accidents 
or  Violence. 

3 

’■a 

3 

Total  Number. 

Act  Committed 

in  Asylum. 

Act  Committed 

before  Admission. 

Incurred  in 

Asylum. 

Incurred  before 

Admission. 

Total  Number. 

Number 

deemed  Curable. 

• 

ge  Number  Reside 
1857. 

M. 

F. 

Total. 

M 

F. 

T. 

M 

F. 

1  7* 

M  F. 

T. 

M 

L 

F 

T. 

M. 

F. 

Total. 

M. 

F. 

Total. 

CS 

5-i 

<D 

- 

— 

- 

- 

- 

- 

— 

— 

— 

— 

- 

- 

- 

- 

- 

1 

8 

9 

— 

— 

26 

9 

35 

1 

215 

260 

475 

29 

37 

66 

462  2 

17 

26 

43 

157 

195 

352 

10 

20 

30 

349  ° 

1 

1 

2 

15 

17 

32 

1 

5 

6 

— 

2 

2 

— 

22 

22 

- 

8 

8 

22i 

— 

— 

— 

— 

— 

— 

— 

— 

- 

— 

— 

— 

— 

- 

2 

— 

2 

- 

— 

— 

3 

2 

— 

1 

1 

— 

26 

26 

- 

1 

1 

25 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

7 

— 

7 

~ 

7 

27 

29 

56 

1 

130 

197 

32  7 

15 

35 

50 

324-21 

4 

— 

22 

22 

2 

- 

2 

24 

— 

— 

— 

— 

- 

— 

— 

— 

— 

— 

— 

— 

- 

— 

— 

— 

8 

8 

— 

3 

3 

« 

- 

— 

- 

.  — 

— 

— 

— 

- 

- 

~ 

— 

— 

— 

- 

12 

11 

23 

5 

1 

6 

20-25 

1 

— 

1 

13 

3 

16 

3 

— 

3 

16 

2 

2 

4 

21 

26 

47 

5 

3 

8 

46 

*■“ 

— 

— 

— 

— 

1 

1 

2 

— 

— 

— 

2 

4 

— 

4 

— 

— 

— 

— 

- 

— 

— 

— 

- 

- 

— 

— 

27 

— 

27 

2 

_ 

2 

*— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

12 

12 

— 

— 

— 

12 

— 

— 

— 

— 

— 

— 

— 

- 

— 

— 

- 

— 

- 

— 

— 

31 

31 

- 

— 

— , 

32  4 

— 

— 

— 

— 

— 

— 

— 

- 

— 

— 

— 

— 

— 

— 

— 

21 

21 

— 

10 

10 

21  “ 

9 

— 

9 

105 

10 

115 

- 

- 

— 

118-541 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

8 

8 

— 

— 

7 

3 

3 

39 

17 

56 

9 

4 

13 

54  2i 

— 

2 

2 

— 

5 

5 

— 

3 

3 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

9 

9 

— 

2 

2 

Q 

1 

— 

1 

9 

6 

15 

1 

1 

2 

15 

— 

— 

— • 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

19 

19 

— 

4 

4 

— 

— 

— 

— 

— 

— 

— 

— 

- 

— 

— 

— 

— 

— 

— 

15 

15 

- 

7 

7 

14 

3 

— 

3 

45 

— 

45 

12 

— 

12 

43 

10 

16 

26 

118 

214 

332 

8 

16 

24 

333  3M 

6 

— 

6 

27 

32 

59 

2 

3 

5 

y<J3 

60 

43 

23 

66 

1 

- 

1 

142 

224 

366 

23 

17 

40 

376-893 

“ 

“ 

5 

5 

— * 

— 

— 

5 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

6 

6 

_ 

6 

1 

— 

1 

13 

8 

21 

4 

5 

9 

23 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

10 

2 

12 

2 

- 

2 

12 

2 

4 

6 

30 

30 

60 

1 

3 

4 

- 

1 

1 

- 

- 

- 

- 

- 

— 

~ 

- 

- 

- 

- 

- 

6 

8 

14 

1 

2 

3 

14 

160 

116 

276 

2 

— 

2 

- 

— 

1,167 

1,456 

2,623 

135 

190 

325 

44 


Appendix  to  Twelfth  Report  of  the 


Appendix  (D.) — Admissions, 


PROVINCIAL  LICENSED  HOUSES.  - 


COUNTY. 

• 

HOUSES. 

Number 

of 

Patients, 

1st  January 

1857. 

Admissions 

during 

the  Year 

1857. 

Discharges  during  the 

year  1857. 

Total 

Number. 

Number 

Recovered. 

M. 

F„ 

Total. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

Total 

Beds  - 

- 

Springfield  House 

11 

11 

22 

4 

2 

6 

2 

- 

2 

2 

— 

2 

Devon 

aa 

Plympton  House 

18 

18 

36 

5 

3 

8 

8 

5 

13 

3 

_ 

3 

99 

- 

West  Park  House 

3 

3 

6 

1 

— 

1 

1 

1 

2 

— 

— 

— 

Dorset 

- 

Halstock  - 

2 

3 

5 

— 

— 

- 

— 

— 

— 

- 

— 

- 

Durham 

tm 

Dinsdale  Park  - 

23 

16 

39 

9 

3 

12 

6 

2 

8 

3 

1 

4 

c 

Bensham  - 

90 

75 

165 

68 

58 

126 

109 

99 

208 

14 

18 

32 

?> 

Gateshead  Fell  - 

49 

48 

97 

31 

23 

54 

31 

24 

55 

8 

7 

15 

99 

- 

Dunston  Lodge- 

80 

66 

146 

39 

35 

74 

20 

27 

47 

13 

17 

30 

Essex  - 

» 

High  Beech 

9 

10 

19 

1 

1 

4 

4 

a 

Witham  - 

9 

6 

15 

2 

2 

4 

2 

3 

5 

1 

2 

3 

ft 

- 

Harts,  Woodford 

1 

2 

3 

— 

1 

1 

1 

1 

2 

- 

— 

- 

Glamorgan 

- 

Vernon  House  - 

119 

101 

220 

48 

30 

78 

31 

26 

57 

13 

8 

21 

Gloucester 

_ 

Fishponds 

— 

19 

19 

— 

2 

2 

1 

1 

» 

Nortlrwoods 

13 

11 

24 

3 

3 

6 

— 

4 

4 

— 

1 

1 

» 

Fairford  - 

60 

40 

100 

10 

10 

20 

25 

8 

33 

6 

2 

8 

tt 

- 

Sandy  well  Park- 

13 

14 

27 

10 

7 

17 

8 

7 

15 

2 

3 

5 

Hants  - 

- 

Westbrook  House 

19 

14 

33 

10 

11 

21 

5 

9 

14 

2 

6 

8 

Hereford 

- 

Portland  House- 

10 

10 

20 

1 

3 

4 

3 

2 

5 

1 

— 

1 

Herts  - 

Harpenden  Hall 

3 

1 

4 

— 

— 

»» 

— 

M 

77 

- 

Hadham  Palace- 

5 

3 

8 

— 

- 

— 

— 

— 

- 

— 

- 

Kent  - 

N  orthGroveHouse 

6 

5 

11 

2 

1 

3 

1 

2 

3 

1 

2 

3 

??  “ 

a 

Tattlebury  House 

2 

2 

4 

— 

- 

— 

1 

- 

1 

— 

— 

— 

tt  ” 

- 

WestMallingPlace 

12 

11 

23.. 

2 

5 

7 

2 

3 

5 

1 

2 

3 

Lancaster 

a» 

Blakeley  House  - 

10 

6 

16 

— 

2 

2 

— 

2 

2 

1 

1 

- 

Billington  Retreat 

11 

3 

14 

6 

1 

7 

6 

1 

7 

4 

4 

Commissioners  in  Lunacy 


45 


Discharges,  Deaths,  &c.  1857 — continued . 


-  PROVINCIAL  LICENSED  HOUSES. 


Deaths  during  the  Year  1857. 

Patients  remaining  1st  January  1858. 

Js 

From  Suicide. 

From  Accidents 
or  Violence. 

u 

a 

■TS 

4J 

S3 

o 

Total  Number. 

Act  committed 
in  Asylum. 

Act  committed 

before  Admission. 

Incurred  in 

• 

a 

S3 

-H 

a> 

< 

Incurred  before 

Admission. 

Total  Number. 

Number  deemed 

Curable. 

age  Number  resid 

1857. 

M. 

F. 

i  Total. 

M 

F. 

T. 

M 

F. 

T. 

M 

F 

T 

M 

F. 

T. 

M. 

F. 

Total. 

M. 

F. 

Total. 

<u 

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13 

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2 

2 

— 

24 

17 

41 

4 

6 

10 

40 

12 

5 

17 

1 

— 

1 

46 

29 

75 

14 

9 

23 

107 

4 

3 

7 

- 

49 

47 

96 

15 

12 

27 

94f§ 

12 

11 

23 

— 

— 

87 

63 

150 

10 

9 

19 

152-73 

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6 

10 

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13 

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2 

2 

— 

1 

1 

4 

21 

11 

32 

- 

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1 

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115 

94 

209 

20 

15 

35 

224 

1 

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19 

19 

2 

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16 

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14 

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3 

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8 

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— 

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7 

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11 

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— 

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— 

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— 

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— 

— 

— 

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— 

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1 

2 

3 

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— 

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1 

1 

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12 

13 

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1 

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4 

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— 

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— 

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— 

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10 

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_ 

16 

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1 

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13 

1 

1 

(< continued ) 

46 


Appendix  to  Twelfth  Report  of  the 


Appendix  (D.) — Provincial  Licensed  Houses — 


COUNTY. 

HOUSES. 

Lancaster 

Clifton  Hall  - 

J  j  ~ 

_ 

Haydock  Lodge 

Tue  Brook  Yilla 

y> 

- 

Walton  Lodge  - 

Lincoln 

- 

Shillingthorpe  - 

Norfolk 

- 

Infirmary  Asy¬ 
lum,  Norwich. 

07 

*  f  m 

Heigham  Retreat 

Heigham  Hall  - 

- 

The  Grove,  Cat- 
ton. 

Northampton 

Abington  Abbey 

Northumber¬ 

land. 

Belle  Grove  House 

- 

Bath  Lane  Re¬ 
treat. 

Notts  - 

- 

Broom  House, 
Mansfield, 

Shropshire 

- 

The  Retreat, 

Church  Stretton 

??  - 

- 

Grove  House, 

All  Stretton. 

Somerset 

(H 

Bindon  House  - 

ca 

Brislington  House 

,, 

«- 

Longwood  House 

Bailbrook  House 

O') 

71  m 

- 

Fairwater  House 

Stafford 

at 

Moat  House, 

Tamworth. 

»  * 

- 

Great  Barr  House 

Suffolk 

am 

Asp  all  Hall 

V 

- 

The  Grove,  Ips¬ 
wich. 

a 

ta 

Belle  Yue  House 

Surrey 

Great  Foster 
House. 

m 

<* 

Lea  Pale  House 

11 

e» 

Church  Street, 
Epsom. 

Timberham  House 

Sussex 

Ticehurst  Asylum 

Number 

of 

Admissions 

during 

the  Year 

1857. 

Discharges  during  the  Year 
1857. 

Patients, 

1st  January 

1857. 

Total 

Number. 

Number 

Recovered. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

T. 

M. 

F. 

T. 

16 

13 

29 

4 

4 

8 

6 

2 

8 

5 

2 

7 

53 

71 

124 

82 

129 

211 

41 

65 

106 

23 

36 

59 

21 

22 

43 

17 

4 

21 

17 

7 

24 

3 

2 

5 

12 

7 

19 

3 

1 

4 

3 

1 

4 

3 

1 

4 

6 

1 

7 

- 

1 

1 

— 

— 

— 

- 

— 

— 

35 

38 

73 

18 

21 

39 

8 

15 

23 

4 

6 

10 

11 

7 

18 

4 

7 

11 

4 

6 

10 

3 

5 

8 

22 

19 

41 

10 

8 

18 

9 

5 

14 

5 

3 

8 

7 

2 

9 

5 

1 

6 

6 

1 

7 

3 

— 

3 

20 

9 

29 

10 

6 

16 

14 

5 

19 

7 

2 

9 

7 

3 

10 

— 

— - 

— 

1 

— 

1 

— 

— 

- 

26 

licensee 
June  U 

C 

557. 

74 

61 

135 

10 

13 

23 

3 

6 

9 

9 

9 

— 

3 

3 

— 

2 

2 

2 

2 

13 

*- 

13 

5 

- 

5 

3 

— 

3 

2 

— 

2 

- 

7 

7 

— 

4 

4 

- 

1 

1 

- 

— 

- 

4 

4 

— 

40 

44 

84 

10 

11 

21 

9 

4 

13 

1 

2 

3 

23 

14 

37 

9 

17 

26 

6 

9 

15 

4 

6 

10 

18 

16 

34 

— 

3 

3 

— 

1 

1 

— 

— 

— 

23 

23 

- 

4 

4 

— 

3 

3 

1 

1 

4 

4 

— 

1 

1 

— 

1 

1 

— 

— 

- 

- 

7 

7 

— 

3 

3 

- 

3 

3 

— 

2 

2 

2 

3 

5 

1 

— 

1 

— 

— 

— 

- 

— 

- 

5 

1 

6 

1 

— 

1 

1 

— * 

1 

a*. 

4 

7 

11 

- 

2 

2 

2 

3 

5 

■  - 

- 

MM 

6 

fcr 

/ 

13 

3 

1 

4 

4 

1 

5 

2 

- 

2 

7 

7 

3 

mm 

3 

1 

— 

1 

1 

— 

1 

6 

6 

- 

5 

5 

— 

5 

5 

- 

4 

4 

7 

7 

1 

1 

— 

— 

— 

— 

— 

— 

34 

20 

54 

4 

2 

6 

2 

2 

4 

1 

1 

47 


Commissioners  in  Lunacy. 


Admissions,  Discharges,  Deaths,  &c.  1857 —continued. 


Deaths  during  the  Year  1857. 

Patients  remaining  1  January  1858. 

rage  Number  Resident  during 

1857. 

Total  Number. 

From  Suicide. 

From  Accident 
or  Violence. 

Total  Number. 

Number  deemed 

Curable. 

Aet  Committed  1 

in  Asylum. 

Act  Committed 

before  Admission. 

• 

Incurred  in 

Asylum. 

Incurred  before 

Admission. 

I 

QJ 

M. 

F. 

Total. 

M 

F. 

T. 

MjF. 

T. 

M 

F. 

r. 

VI 

F. 

r. 

M. 

F. 

Total. 

M. 

F. 

Total. 

< 

1 

1 

14 

14 

28 

3 

4 

7 

28 

8 

15 

23 

84 

122 

206 

27 

33 

60 

162*23 

2 

1 

3 

23 

18 

41 

5 

5 

10 

43 

1 

1 

11 

7 

18 

— 

- 

— 

18 

3 

- 

3 

- 

- 

— 

- 

- 

— 

1 

- 

i 

- 

- 

3 

2 

5 

- 

1 

1 

— 

5 

5 

10 

40 

39 

79 

4 

6 

10 

73 

1 

1 

2 

1 

~ 

1 

— 

— 

— 

— 

— 

— 

— 

— 

— 

12 

8 

20 

1 

3 

4 

18 

3 

1 

4 

— 

— 

— 

- 

— 

- 

- 

- 

- 

— 

- 

— 

20 

21 

41 

3 

8 

11 

41 1 

— 

6 

2 

8 

3 

1 

4 

8 

- 

2 

2 

16 

10 

26 

3 

2 

5 

28 

1 

- 

1 

— 

- 

- 

— 

- 

— 

- 

— 

— 

— 

- 

— 

5 

3 

8 

— 

— 

— 

9 

3 

1 

4 

64 

48 

112 

10 

12 

22 

- 

- 

- 

— 

— 

— 

— 

- 

— 

- 

- 

- 

— 

- 

- 

- 

- 

10 

10 

— 

2 

2 

10 

2 

- 

2 

— 

- 

- 

— 

— 

- 

— 

— 

- 

- 

- 

13 

— 

13 

3 

- 

3 

14 

-- 

- 

— 

~ 

- 

- 

- 

- 

- 

— 

- 

- 

- 

— 

- 

- 

10 

10 

— 

4 

4 

8 

- 

- 

- 

— 

— 

- 

— 

— 

— 

— 

— 

— 

— 

— 

— 

4 

4 

, 

4 

4 

1 

5 

— 

— 

— 

- 

- 

- 

— 

- 

- 

— 

- 

- 

37 

50 

87 

11 

14 

25 

86  h 

2 

2 

4 

24 

19 

43 

2 

4 

6 

41 

— 

1 

1 

17 

35 

2 

5 

7 

33 

2 

2 

— 

24 

24 

- 

5 

5 

23 

- 

4 

4 

— 

1 

1 

4 

- 

1 

1 

— 

6 

6 

- 

- 

— 

6 

- 

- 

— 

- 

- 

- 

- 

- 

- 

— 

— 

— 

— 

3 

3 

6 

— 

6 

~ 

— 

— 

— 

— 

— 

— 

5 

1 

6 

1 

** 

1 

5 

- 

— 

— 

- 

— 

~ 

- 

- 

- 

- 

- 

- 

— 

2 

6 

8 

- 

- 

— 

9 

- 

1 

1 

5 

6 

11 

-- 

- 

- 

11-76 

- 

— 

6 

— 

6 

1 

1 

6 

“ 

— 

m- 

■*“ 

— 

6 

6 

— 

1 

1 

5 

- 

- 

- 

- 

— 

- 

- 

— 

— 

— 

— 

8 

8 

_ 

7 

2 

1 

3 

-  34 

19 

53 

5 

3 

8 

i 

00  15 

(continued) 


48 


Appendix  to  I'welfth  Report  of  the 

. — . .-r  .  ■  . . . ..  ■■  ^ 


Appendix  (D.) — Provincial  Licensed  Houses — 


COUNTY. 

HOUSES. 

Number 

of 

Patients. 

Admissions 

during 

Yflof 

Discharges  during  the 

Year  1857. 

1st  January. 

1857. 

1857. 

Total 

Number. 

Number 

Recovered. 

M. 

F. 

Total. 

M. 

F. 

Total. 

M. 

F. 

T. 

M. 

F. 

T. 

Warwick 

Driffold  House 

6 

7 

13 

1 

6 

7 

2 

5 

7 

1 

4 

5 

t*  ’ 

Burman  House 

6 

9 

15 

5 

2 

7 

2 

2 

4 

2 

1 

3 

>> 

Hurst  House 

1 

4 

5 

1 

2 

3 

- 

1 

1 

- 

1 

1 

>> 

Duddeston  Hall 

14 

19 

33 

11 

15 

26 

11 

14 

25 

3 

3 

6 

Wilts  - 

Laverstock  House  - 

32 

27 

59 

5 

4 

9 

4 

5 

9 

4 

4 

8 

>  > 

Fisherton  House  - 

186 

91 

277 

17 

54 

71 

12 

5 

17 

7 

4 

11 

>> 

Fiddington  House  - 

19 

15 

34 

1 

5 

6 

2 

5 

7 

1 

4 

5 

»> 

Kingsdown  House  - 

14 

14 

28 

8 

3 

11 

5 

1 

6 

4 

— 

4 

Worcester  - 

Droitwich  Asylum  - 

20 

10 

30 

3 

6 

9 

2 

2 

4 

2 

1 

3 

York~E.  R. 

Marfleet-laneRetreat 

— 

11 

11 

— 

4 

4 

- 

4 

4 

- 

1 

1 

»  5>  ’ 

Dunnington  House- 

27 

18 

45 

7 

10 

17 

14 

8 

22 

3 

2 

5 

„  W.R. 

Castleton  Lodge 

8 

6 

14 

8 

10 

18 

6 

10 

16 

2 

4 

6 

j>  »> 

Rook  Nest 

2 

— 

2 

4 

5 

9 

4 

5 

9 

4 

5 

9 

„  N.R. 

Fern  Hall  Asbaldwick 

4 

5 

9 

1 

— 

1 

— 

— 

— 

— 

— 

- 

>t  i>  ~ 

Gate  Helmsley 

31 

35 

66 

11 

9 

20 

12 

5 

17 

5 

1 

6 

V  ?s 

Claxton  Grange 

11 

9 

20 

4 

4 

8 

5 

2 

7 

2 

— 

2 

J>  >  J 

Terrace  House 

— 

8 

8 

— 

— 

- 

— 

1 

1 

- 

— 

}J  J  ? 

Heworth  Asylum  - 

9 

9 

18 

— 

3 

3 

- 

5 

5 

— 

- 

- 

York —  City 
and  Suburbs. 

St.  Maurice  House  - 

2 

2 

4 

1 

1 

2 

— 

— 

— 

— 

- 

- 

U  1  f 

Acomb  House 

6 

1 

7 

1 

1 

2 

1 

- 

1 

1 

- 

1 

>> 

Grove  House  - 

11 

15 

26 

1 

2 

3 

1 

6 

7 

1 

3 

4 

1,360 

1,173 

2,533 

606 

647 

1,253 

496 

468 

964 

185 

i 

| 

189 

374 

Commissioners  in  Lunacy 


49 


Admissions,  Discharges,  Deaths,  &c.  1857 — continued. 


3  AO 


D 


50 


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«/ 


51 


Appendix  (F.) 


Earlswood,  Reigate. 

13  th  October,  1857. 

There  are  184  Patients  in  this  Hospital,  121  of  whom  are  Males, 
and  63  are  Females.  Two  of  them  are  at  present  under  Medical 
treatment. 

Since  the  last  visit  of  the  Commissioners  on  the  11th  December 
last,  58  patients  have  been  admitted  ;  16  have  been  discharged,  and  5 
have  died. 

In  reference  to  the  points  adverted  to  in  the  Commissioners’  last 
entry,  we  find, — 

That  no  Sub-Committee  has  been  appointed,  as  suggested,  for  the 
purpose  of  issuing  directions  for  the  improvement  of  the  Hospital ; 
and  that,  although  some  of  the  main  suggestions  have  been  attended 
to,  the  condition  of  the  place  is  much  as  heretofore.  Two  night 
attendants  have  been  appointed,  the  back  yard  turfed,  and  exercise 
grounds  have  been  made  for  both  sexes.  But  the  system  of  occu¬ 
pying  the  patients  in-doors  mainly  with  reading,  writing,  accounts,  &c., 
still  exists.  The  great  benefit  that  would  result  to  the  patients  by 
employing  them  in  industrial  pursuits  has  been  repeatedly  suggested, 
but  in  vain.  Their  energies  appear  to  us  to  be  for  the  most  part 
wasted  in  excessive  labour  in  the  Schoolroom,  instead  of  cultivating 
their  faculties  and  improving  their  bodily  strength  in  ordinary  indus¬ 
trial  employment.  We  recommend,  as  we  have  before  recommended, 
employment  in  household  work  in  the  laundry,  and  in  the  fields  and 
garden,  and  in  various  trades ;  and  we  think  that  they  should  be 
taught  to  wash  and  dress  themselves,  and  keep  their  persons  clean 
and  neat.  We  most  strongly  urge  upon  the  Governors  the  propriety 
of  adopting  this  course  as  a  matter  of  duty  to  the  Patients  and  the 
Subscribers  to  the  Institution,  and  as  we  think  it  would  materially 
diminish  the  expenses  of  the  establishment.  At  present  large  sums 
are  given  to  Schoolmasters  and  Schoolmistresses,  and  in  payment  to 
persons  hired  to  perform  work  which  the  patients  themselves  (with  a 
little  necessary  instruction),  would  be  able  to  perform. 

The  water  continues  as  bad  as  heretofore.  The  diet  is  in  a  very 
unsatisfactory  state.  The  diet  list  contains  no  quantities,  and  there 
is  no  extra  diet  list.  There  is  a  bakehouse,  but  the  bread  is  from 
Horley  ;  and  the  meat  is  sent  in  baskets  from  Kensington.  The 
supply  of  this  important  article  is  by  no  means  certain.  The  butcher 

340.  D  2  failing 


Appendix  (F.) 


•* 


52 


Appendix  (F.) 


Appendix  (G=) 


Appendix  to  Twelfth  Report  of  the 

failing  repeatedly  to  send  it,  and  the  great  distance  through  which 
it  has  to  travel  cansing  it  sometimes  in  hot  weather  to  be  unfit  for 
food  on  its  arrival.  There  have  been  several  cases  of  Fever  and  one 
Death.  The  building  is  giving  way  in  some  parts. 

The  wages  for  Attendants  and  Nurses  are  very  low,  and  the  Rules 
have  not  yet  received  the  sanction  of  the  Secretary  of  State.  There 
has  been  no  quorum  of  the  Committee  for  some  time  past. 

(signed)  B.  W.  Procter . 

S.  Gaskell . 


Appendix  (G.) 


No.  1. 

Boroughs  having  Asylums. 

Birmingham  -  Asylum  erected  under  Act  8  &  9 

Yict.  c.  126. 

Bristol  -  Lunatic  Wards  of  St.  Peter’s  Hos¬ 

pital. 

Hull  -  Asylum,  formerly  a  Licensed 

Plouse. 


No.  2. 

Boroughs  Erecting,  or  about  to  Erect,  Asylums. 
Maidstone. 

Bristol  -----  In  lieu  of  St.  Peter’s  Hospital. 
City  of  London. 


No.  3. 


Boroughs  in  Union  with  Counties. 


Counties. 


Boroughs. 


Cambridge  and  Isle  of  Ely 
Essex  -  “ 


Cambridge. 

Colchester. 

Maldon. 


Gloucester 


Commissioners  in  Lunacy . 


53 


Counties. 


Boroughs. 


Gloucester 

Leicester 


Lincoln,  3  parts 


-  Gloucester. 

-  Leicester,  under  a  local  Act. 

f  Grantham. 

-  Lincoln. 

[Stamford. 


Monmouth,  Hereford 
Brecon  and  Badnor  - 


-  j 


Hereford. 


Notts 


Oxford  and  Berks 


Salop  and  Montgomery 
Worcester 


-  Nottingham. 


r  Abingdon. 
<  Oxford. 
[Beading. 


j  Shrewsbury. 
tWenlock. 


-  Worcester. 


No.  4. 

Boroughs,  whose  Pauper  Lunatics  are  sent  to  Asylums,  under 
Contract,  or  arrangement  between  Justices,  or  Councils,  and 
Visitors. 


(1.)  Contracts  under  Lunatic  Asylums  Act,  1853,  sect.  7. 


Asylums. 


Devon- 
Hants  ■ 


Wilts 


340. 


Boroughs. 

Plymouth. 

Chichester  - 
(pending  erection  of 
Sussex  County 
Asylum.)  - 

Portsmouth  - 

Southampton 

Devizes  - 

Salisbury  - 


-  -  Contracts  duly  sub- 
.  mitted,  and  approved  by 
Secretary  of  State,  pur¬ 
suant  to  sect.  45* 


Cheshire 


Appendix  (G.) 


/ 


54  Appendix  to  Twelfth  Report  of  the 


Appendix  (G.) 

-  Asylums. 

Boroughs. 

Cheshire 

Chester  - 

j 

Derby  - 

Derby-  - 

Devon- 

Barnstaple  - 

Bideford  - 

Dartmouth  - 

Exeter  - 

South  Molton 

Tiverton  - 

-  -  Contracts  never  sub- 
)  mitted,  but  practically  in 
force. 

Gloucester  - 

Tewkesbury 

Somerset 

Bridgwater  - 

Birmingham 

Bridgnorth  - 

Ludlow 

(2.)  Other  Contracts  or  Agreements,  not  formally  entered  into, 
under  Express  Provisions  of  any  Statute. 


Asylums. 

Boroughs. 

1 

Cornwall 

Penzance. 

Dorset- 

Poole. 

Hants  - 

Winchester  - 

—  A  regular  written 
contract  in  course  of  pre¬ 
paration. 

Notts  - 

Newark. 

Salop  and 
Montgomery. 

Oswestry  - 

-  -  for  10  years  from  29  th 
September,  1850. 

Somerset 

Bath  - 

(See  body  of  Beporfc.) 

Stafford 

Lichfield. 

York,  North 
and  East 
Hidings. 

Scarborough. 

No.  5. 


Commissioner's  in  Lunacy . 


55 


Appendix  (G.) 


No.  5. 


Boroughs  which  have  not  made  any  Statutary  Provision  for  the 

care  of  their  Pauper  Lunatics. 


Counties. 

Boroughs. 

Beds  - 

Bedford  - 

-  -  Former  Union  with 

Berks 

Newbury  - 

Counties  of  Beds,  Herts, 
and  Hunts  dissolved. 

-  -  This  Borough  had,  at 

Bucks 

Buckingham. 

passing  of  Act  8  &  9  Viet.  c. 
126,  Six  Justices,  besides 
a  Recorder  ;  but  one, 
being  Coroner,  at  the  re¬ 
commendation  of  the  Se¬ 
cretary  of  State,  did  not 
act. 

Carmarthen  - 

Carmarthen. 

—  Pauper  Lunatics  re- 

Hants 

Andover  - 

Kent  - 

Canterbury. 

ceived  into  County  Asy¬ 
lum  under  arrangement 
with  Board  of  Guardians. 

Norfolk 

Dover. 

Hythe. 

Rochester. 

Sandwich. 

Tenterden. 

King’s  Lynn. 

Northampton 

Norwich. 

Thetford. 

Yarmouth. 

Northampton 

(See  body  of  Report.) 

Northumber¬ 

land 

Berwick-upon-Tweed. 

Radnor 

N  e  wcastle-upon-  Tyne . 
New  Radnor. 

Suffolk 

Bury  St.  Edmunds. 

Surrey 

Ipswich. 

Guildford. 

Sussex 

Hastings. 

York 

York. 

340. 


No.  6. 


56  Apvendix Report  of  Commissioners  in  Lunacy . 


Appendix  G.) 


No*  6. 

Boroughs,  the  Councils  of  which  have,  by  Notice  to  the  Secre¬ 
tary  of  State,  taken  upon  themselves  the  Duties,  Powers,  and 
Authorities  of  Justices. 


Abingdon. 

Ludlow. 

Andover. 

Maldon. 

Bath. 

Nottingham. 

Birmingham. 

Oswestry. 

Bridgnorth. 

Oxford. 

Bridgewater. 

Portsmouth. 

Bristol. 

Heading. 

Bury  St.  Edmunds. 

Boch  ester. 

Cambridge. 

Salisbury. 

Canterbury. 

Scarborough. 

Chichester. 

Shrewsbury. 

Colchester. 

South  Molton. 

Dartmouth. 

Stamford. 

Derby. 

Thetford. 

Devizes. 

Tiverton. 

Exeter. 

Winchester. 

Ipswich. 

Worcester. 

Leicester. 

Yarmouth. 

Lichfield. 

York. 

Lincoln. 

‘ 


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