The Life of Florence Nightingale, vol. 2 of 2Cook, Edward Tyas, Sir
History
The Life of Florence Nightingale, vol. 2 of 2
Cook, Edward Tyas, Sir
Nightingale, Florence, 1820-1910
So, then, Miss Nightingale set to work, with the help of Mr. Farnall and
Dr. Sutherland, in elaborating a scheme for 1866. There are several
drafts in her handwriting for the Memorandum finally submitted to
Mr. Villiers, and many notes and emendations by Dr. Sutherland. The
scheme was sent also (at a later date) to Mr. Chadwick (one of the few
survivors of the famous Poor Law Commission of 1834) in order that he
might submit it to John Stuart Mill, whom Miss Nightingale sought to
enlist in the cause.[81] The essential points and considerations were
these:--
A. To insist on the great principle of separating the Sick, Insane,
"Incurable," and, above all, the Children, from the usual
population of the Metropolis.
B. To advocate a single Central Administration.
C. To place the Sick, Insane, etc., under a distinct
administration, supported by a "General Hospital Rate" to be levied
for this purpose over the whole Metropolitan area.
These are the ABC of the reform required.
(A) So long as a sick man, woman, or child is considered
_administratively_ to be a pauper to be repressed, and not a
fellow-creature to be nursed into health, so long will these most
shameful disclosures have to be made. The care and government of
the _sick_ poor is a thing totally different from the government of
paupers. Why do we have Hospitals in order to cure, and Workhouse
Infirmaries in order _not_ to cure? Taken solely from the point of
view of preventing pauperism, what a stupidity and anomaly this
is!... The past system of mixing up all kinds of poor in workhouses
will never be submitted to in future. The very first thing wanted
is classification and separation.
(B) Uniformity of system is absolutely necessary, both for
efficiency and for economy.
(C) For the purpose of providing suitable establishments for the
care and treatment of the Sick, Insane, etc., consolidation and a
General Rate are essential. To provide suitable treatment in each
Workhouse would involve an expenditure which even London could not
bear. The entire Medical Relief of London should be under one
central management which would know where vacant beds were to be
found, and be able so to distribute the Sick, etc., as to use all
the establishments in the most economical way.
[81] Mill was at the time a member of a Select Committee on the Local
Government and Local Taxation of the Metropolis; see above, p. 106.
The Committee did not, however, touch Poor Law Administration.
Public-domain text, read in full here on John Shaqi.
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