Chapters in the History of the Insane in the British Isles — John Shaqi
Chapters in the History of the Insane in the British IslesTuke, Daniel Hack
History
Chapters in the History of the Insane in the British Isles
Tuke, Daniel Hack
Mental health laws -- Great Britain; Mental illness -- Great Britain; Mentally ill -- Care; Psychiatric hospitals -- Great Britain
Eight years after the death of Henry VIII. (1555)--the second year of
Philip and Mary--it was ordered that the governors of Christ's Hospital
should be charged with the oversight and government of Bethlem, and
receive the account of rents, etc., instead of the City chamberlain; but
this arrangement lasted only a short time, for in September, 1557,
another change was made, and the management was transferred to the
governors of Bridewell (which had been given to the City by Edward VI.
in 1553), subject, of course, to the jurisdiction of the citizens. The
same treasurer was appointed for both. This union of the hospitals was
confirmed by the Act 22 Geo. III., c. 77, and continues, as is well
known, to the present day. It was not until this act passed that the
_paramount_ authority of the City ceased, and the government now in
force was established, by which it was distinctly vested in a
president, treasurer, the Court of Aldermen, and the Common Council, and
an unlimited number of governors, elected by ballot. So that now the
only sense in which Bethlem continues to belong to the City is that the
aldermen and common councilmen are _ex-officio_ governors. As there are
at the present time upwards of two hundred governors, they are in a
decided minority.[68]
Time was when Bethlem Hospital did not possess the magnificent income
which she now enjoys. She knew, as we have seen, what poverty meant; and
even if we make due allowance for the increased value of money we can
hardly read without surprise that in 1555 the income from all the
possessions of the hospital only amounted to £40 8s. 4d. Of course,
considerable sums were collected as alms. Nearly a century after, the
valuation of real estates showed an annual value of £470. Several
annuities had also been bequeathed, as that of Sir Thomas Gresham in
1575, for "the poor diseased in their minds in Bethlem."
The revenues, however, fell far short of the requirements of the
hospital--namely, about two-thirds of the yearly charge--and at a court
held in 1642 preachers were directed to preach at the Spital of St.
Mary, in Bishopsgate Street, informing the public of the need of
pecuniary help, and exciting them to the exercise of charity.
Again, in 1669 a deputation waited on the Lord Mayor to acquaint him
with the great cost of Bethlem, and to request that no patient should be
sent until the president was informed, in order that he might fix on the
weekly allowance, and obtain some security of payment.
I need not say that since the period to which I refer, the income of
Bethlem Hospital has, in consequence of gifts, and the enormously
greater value of house property in London, been immensely increased, and
that what with its annuities, its stocks of various kinds, and its
extensive estates, it is to-day in the position of doing, and without
doubt actually does, an immense amount of good.
Public-domain text, read in full here on John Shaqi.
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