11. Relieved of the loss of time incurred by fetching and waiting, and relieved at starting, at all events, and we will hope permanently, of the time consumed in distributing the diets, I certainly consider that a Nurse of the class of which, please God, Her Majesty’s must all be, (strong, laborious, active, and conscientious women,) can efficiently serve two wards of 30 men each. _Orderlies._ 12. I should prefer wards of 30 each to wards of 25 each. 13. In forming rules for the proportion of Orderlies to sick, it is important to consider that the duty varies extremely according to the appurtenances of the ward. 14. I consider extreme plainness and simplicity to be proper and indispensable to a Military Hospital. Let us take for granted (and may it prove correct to do so), that in none of Her Majesty’s Hospitals Orderlies’ time will be wasted in cleaning any ornamental things, whether unnecessary furniture, flourishes, or cornices, &c., &c., on necessary furniture; supernumerary shelves, nooks and corners, &c., &c. Once provided, all these things must be carefully and constantly cleaned, or they become receptacles of dust and breeders of fleas; and to clean them involves enormous waste of time. A few minutes daily wasted on each of many things, make an enormous sum. 15. But it is very true economy to supply, if possible--which in old buildings it often is not--every ward of every hospital with a constant supply of water, (taking care that it is not wasted by mischievous or childish patients); and to give every ward of every Hospital the use, under proper control, of a lift by which, at fixed hours, food, medicine, linen and fuel are brought into the wards. Believe that this is not theory, but the result of practical observation, much extended. 16. Now, these two things--supply of water (if hot and cold so much the better, and supply of water imports, of course, the appliance for getting rid of it, and of the contents of bed-pans, &c., &c., by one or more sinks) and the use of lifts can be applied to a new Hospital; can possibly, not certainly, be applied to some of the old Hospitals within the Kingdom,--can certainly not be applied to many of the Army Hospitals abroad. 17. Upon an average, these two things make the difference of one Orderly’s duty to a ward of 30 men. 18. And a ward of 30 men, so supplied, would be efficiently served by half a nurse and three Orderlies, including night-duty.