“I believe that the introduction of paid nurses into the Liverpool Workhouse Infirmary would be of inestimable benefit to the sick poor received into the institution, and would thus amply justify the expense which it is proposed to incur. I also think it very probable that the cost of nursing would be repaid in many other ways to the ratepayers.” 5. _Reply of_ Edward Clapton, Esq., M.D. “I believe it would be quite repaid.” REPLIES FROM THE PHYSICIANS, &c. OF KING’S COLLEGE HOSPITAL. 1. _Reply of_ Henry Smith, Esq. _Assistant Surgeon_. “I believe, from a long experience of hospitals and other institutions, that the cost of an improved system of nursing as proposed for the Liverpool Workhouse Hospital would certainly be ‘in part’ repaid by restoring the patients to health more quickly.” 2. _Copy of a Letter from_ Miss Jones, _Lady Superintendent of St. John’s House Nursing Schools, and Matron of King’s College Hospital_. King’s College Hospital, _May 4, 1864_. Dear Sir, The inclosed paper was sent to me yesterday, with the request that I would obtain from some of the medical staff of this Hospital answers to the question proposed at the end of the paper, in order to enable the Vestry in some degree to judge whether that body would be justified, or otherwise, in sanctioning the introduction to their Workhouse Hospital of an improved system of nursing the sick, at the probable annual money cost named in the inclosed paper. I have accordingly submitted the paper to as many of the medical staff as I could see in the short time. I inclose a note from Mr. Henry Smith, one of the surgeons, who has had considerable experience as to the loss and gain of good and bad nursing. Dr. Wm. O. Priestly, the Physician Accoucheur to this Hospital, formerly of Middlesex Hospital, had not time during his visit to do more than read the paper and give me a verbal answer. He said, “I have no hesitation in saying that the saving would be certain and great.” The Assistant Physician Accoucheur, who has until last week had charge of the medical patients here, as House Physician (Mr. H. L. Kempthorne), says, “The value of trained efficient nursing cannot be overrated in the management of acute diseases, and especially fevers, and would speak for itself in the saving of life, humanly speaking. “In chronic cases, the eye of the trained nurse would soon detect the malingerer, and thus save the parish the expense of maintaining one who could well keep himself. “In the prevention and amelioration of disease this plan would soon show its importance in the effects of cleanliness, ventilation, and other points carried out systematically and intelligently.