She had now a spell of very hard work. At the end of it she had sent to Sir Stafford Northcote (1) a draft for immediate reply to the Indian Government, approving the appointment of the Health Officers. This was sent to India on November 29. (2) Secondly, a digest of the Indian Sanitary Question from 1859 to 1867. This was printed in a Blue-book issued by the Secretary of State in 1868. (3) Thirdly, a memorandum on the whole subject full of suggestions and advice. This was sent out to the Indian Government, and printed in the same Blue-book. It was printed anonymously, though there are tell-tale phrases (such as "The result will be the civilization of India"); the manuscript of the "review," in Miss Nightingale's hand, is amongst her papers. (4) Fourthly, and principally, the heads of a dispatch on the whole subject which, she suggested, might be sent to the Government of India. "Of course I cannot say," she wrote, "how far these heads may meet with your concurrence." The heads, in her hand, are also amongst her papers, and a comparison of this manuscript with Sir Stafford Northcote's dispatch of April 23, 1868, shows that they all met with his concurrence; they were adopted for the most part in her own words. The suggestions of this dispatch constitute one of Miss Nightingale's best services to the cause of Public Health in India. It begins with calling for a Report on Sanitary Progress. It then reverts to the famous "Suggestions in regard to Sanitary Works" of 1864, which Miss Nightingale had so large a hand in writing (above, p. 48). "I consider these Suggestions," wrote the Secretary of State, "to be of very great practical value and to constitute a good foundation for sanitary inquiry and work in India." The dispatch invites particular attention to some of the Suggestions seriatim, and calls for a report on any progress that has been made in carrying them out. It also includes Miss Nightingale's later suggestion (above, p. 152) that Engineer Officers should be sent to England to study sanitary questions. The whole dispatch, whilst leaving full executive authority to the Government of India, was directed to stimulating its zeal in the cause of Public Health. The adoption by Sir Stafford Northcote of Miss Nightingale's "heads" for this dispatch secured the last of her Three Points. The reports for which the minister called were duly forwarded. They were printed in the Blue-book above mentioned, together with the other Papers, and with the dispatch itself. This Blue-book[95] was the first of an Annual Series of Indian Sanitary Reports. So, then, Miss Nightingale's intercourse with Sir Stafford Northcote had, with the limitations already explained, secured all her points. [95] For its title, etc., see Bibliography A, No. 52.