We broke off the description of the policy of the Central Authority with regard to the sick with the suggestive quotation from the Annual Report of the Poor Law Board in 1870, over Mr. Goschen's signature. "The economical and social advantages," said the last President of the Poor Law Board, "of free medicine to the poorer classes generally as distinguished from actual paupers, and perfect accessibility to medical advice at all times under thorough organisation, may be considered as so important in themselves as to render it necessary to weigh with the greatest care all the reasons which may be adduced in their favour."[661] [661] Twenty-second Annual Report of the Poor Law Board, 1869-70, p. lii. (i.) _Domiciliary Treatment_ So far as published documents go, we cannot find that any inquiry was made by the Local Government Board (at any rate on its Poor Law side) as to the advantage and feasibility of this suggestion of providing free medical assistance, under thorough organisation, to the poorer classes generally. There was no breach of continuity in the policy, begun in 1865, of transforming the provision for the sick paupers in the workhouse, into elaborately equipped, adequately staffed, and separately administered general hospitals, which were called Poor Law infirmaries. But in the general crusade against outdoor relief, initiated by the able and zealous inspectorate in 1871, there was no exception made for outdoor medical relief.[662] There was accordingly (just as we have shown to be the case in regard to widows and the aged) no limitation, corresponding to the express exceptions of the General Orders in favour of the sick, in the phrases condemnatory of outdoor relief generally, which are to be found in the Annual Reports and Circulars of these years. The inspectors, it is clear, made no distinction, in their persistent pressure against "outdoor relief," between medical and other relief, between hygienic advice and money doles. Mr. Longley, indeed, went so far as to condemn, expressly because it provided medical relief otherwise than in the workhouse, the whole system of Poor Law dispensaries which the Central Authority had itself just initiated and practically forced on the Metropolitan Boards of Guardians.[663] This report of Mr. Longley's was honoured by notice in the annual volume, and commended by the Local Government Board for "careful consideration."[664] There is, therefore, some warrant for the inference that the Local Government Board, under Mr. Stansfeld and Mr. Sclater-Booth, had not only put aside the suggestion of providing free medical attendance for the poorer classes generally, but also that it had now become the policy of the Central Authority--so far as we can discover, for the first time since 1834--to restrict, as far as possible, even such domiciliary medical attendance as was being given under the Poor Law to the sick poor.