In former days it had a large midwifery and vaccination department, but the former was abandoned in 1869 and the latter in 1870. The dispensary, therefore, now addresses itself only to the ordinary medical treatment of the sick poor. All the medical officers, including the consulting officers, are paid for their services. The patients who, in 1871, numbered 10,570, had increased in 1885 to 21,888. =The Orthopædic and Spinal Hospital.=--This small but useful institution has existed since the year 1817. It has three Acting-Surgeons, and one Assistant Surgeon. The Surgeons attend daily and give gratuitous advice to the deformed poor. Ordinary cases are admitted without letters of recommendation, but in the numerous cases where supports or instruments are required, subscribers’ tickets are necessary to cover the cost. The instruments supplied in 1885 cost upwards of £500. The new cases in that year were 1,654, the attendances 7,439. The total expenditure was about £1,400. =The Eye Hospital.=--The Birmingham and Midland Eye Hospital is one of the best special Hospitals in the provinces. It has not only been of incalculable service to the poor of the town and neighbourhood, but it has founded an important school of ophthalmic science in the Midland district. Diseases of the eye cannot be adequately dealt with at general hospitals. Where the delicacies and difficulties of any disorder are such as to require minute manipulative skill and practitioners of great experience, a special Institution is imperatively necessary. This Hospital has had a really splendid career. It was founded in 1824, and commenced its operations in a humble manner in Cannon Street. It then migrated into improved premises in Steelhouse Lane. In 1861 it found a third home in Temple Row, and in 1884 a new Hospital was erected and opened in Church Street capable of accommodating 70 beds. The acting Medical Officers of the Institution (exclusive of House or Resident Surgeons) are by the laws to consist of not less than four and not more than six Honorary Surgeons, so that ample provision is made to secure the adequate surgical treatment of the present patients and of any probable increase in their number. In order to insure the maximum of surgical ability every acting Surgeon is bound to resign his appointment on his attaining the age of 55 years, or on becoming physically unable to discharge his duties in an efficient manner. In the year 1885 there were 925 in-patients and 13,461 out-patients. 590 operations were performed during the year on in-patients alone. The annual income is large, but as yet hardly adequate to meet the requirements of the new Hospital. The income for 1884 was £3,807, and the expenditure £3,213; but the income for 1885 was only £3,098, whilst the expenditure was £4,187.