Since my connexion with the hospital last August we have had somewhat approaching a hundred operations, many of them of a serious and dangerous character, requiring not only prompt assistance at the time, but most persevering attention night and day for a long time after. Almost all these operations have been in the male hospital, and I have no hesitation in saying that what success has attended them has been greatly owing to the most efficient assistance rendered by the trained nurses; and from my experience of the assistance received from the pauper nurses, in the few cases of operation performed in the female hospital, I should feel great diffidence in undertaking on that side such operations as I have had on the other side: indeed on one or two occasions the pauper nurses ran away, and when induced to assist were so nervous and frightened as to be of little service. Without any wish to speak harshly of the unpaid nurses employed on the female side of the hospital (who, I believe, strive to do their best, more especially since a feeling of emulation has been set up by the introduction of the paid trained nurses, of whom they are jealous), I am compelled to state my conviction that on that side my directions are not carried out with that necessary promptitude and skill that they are on the other side, and that in all I do there I feel as if I were working with blunted instruments. There is no want of inclination, but simply a want of ability. That _integrity of disposition, promptitude of action, tact in manipulation, gentleness of demeanour and kindly consideration_ necessary to make a nurse are not found, or _to be_ found in the inmates of a workhouse, and no amount of education can work out of them what never was in them. Almost always obtuse, and too often unprincipled, as a class they are thoroughly unreliable, and quite unfitted to take charge of the sick and helpless, or the stimulants necessary for them. On this last point I have been informed by a former resident surgeon that he has known the pauper nurses appropriate the patient’s stimulants, or withhold giving to a dying patient that ordered for him, that they might take it themselves after his death. It is difficult to bring home and prove these things, and I do not wish to say they now occur, but if we wish to put such conduct out of the region of possibility it can only be done by the employment of persons superior to the temptation so to act. Persons of one class, as a rule, favour their own class, and there is a far better chance of double-dealers being detected when under the observation and care of a trained nurse, than when under the care of one of themselves. That such is the case my own experience testifies.