The opposition to the removal of the sick to the Asylum Hospital at Highgate continuing, and plausible ground for some action having been shown in the fact of that establishment being so far away, a move on the part of the Department became necessary. The old Workhouse in Cleveland Street being no longer wanted by the Strand Board (as they had built a new House at Edmonton), it was proposed to pull down and rebuild an additional Asylum Hospital upon the site. The vestry of St. James's, instigated by the Chairman of the Board, gave a determined opposition to the proposition. But for once the Department was firm and the hospital was built. At first the four Unions were associated in its use and management, but after a time its use for the reception of acute cases was limited to the St. Giles's, and St. George's, Bloomsbury, the Strand, and Westminster Unions. The Chairman having for a time retired from the Board, his place was filled by a fresh Chairman, and no obstacle being made to my utilization of Cleveland Street Asylum, suitable cases were transferred there, to the relief of the Westminster House, which, through the resistance of the Board, had become inconveniently full. The new Chairman was a very weak man, who was neither by his financial position or general intelligence justified in aspiring to hold such an office. It is possible that if he had devoted the time he spent at the Board and at the Sick Asylum to his private business he might have delayed, and possibly have staved off, his eventual bankruptcy and ultimate death in the Asylum Hospital in Cleveland Street, to the building of which he gave the most determined opposition. His successor as Chairman was a surgeon in Soho, who was a man of very fair attainments, and during the time he occupied the chair the business of the Board was carried on with remarkable success. I received from him the most generous support, and during his tenure of office my official life was hardly chequered by a single cloud.