Workhouse Nursing: The story of a successful experimentNightingale, Florence
History
Workhouse Nursing: The story of a successful experiment
Nightingale, Florence
Nursing; Poor -- Medical care
But the question has to be still further investigated on the
ground of expense; and it has to be decided the number, pay,
allowances, and accommodation of the necessary staff to work it
out. Now, although I entertain very strong opinions as to the
undesirability of employing paupers to discharge responsible
duties of any kind, because to do so destroys the value of the
workhouse test, and tends to reconcile them to pauperism; and
although I view the particular work of nurse-tending as the very
worst kind of work for paupers, inasmuch as, while so employed,
they are better fed, have more freedom of action than they
otherwise would, and can make their places emolumental—thereby
holding out a positive inducement to pauperism; and although I
have no doubt that the displacement of these women would be
followed by the immediate application for discharges by a large
per-centage of them; and although, at this moment, many other
weighty considerations press upon me in favour of the immediate
adoption of the proposal under consideration, I feel unwilling, in
view of the difficulties to be overcome, some of which I have
indicated, to incur the weighty responsibility of recommending
such a course on my own unaided judgment. I have abstained,
therefore, from taking up the question of expense, &c. but take
the liberty respectfully to suggest, that a sub-committee be
appointed to report upon the whole question in all its details. It
shall be my anxious desire and pleasure to assist the labours of
such sub-committee by every means in my power.
According to the recommendation of Mr. Carr, a Sub-Committee was
appointed, consisting of men of great experience in parochial
business, who went up to London, and had interviews with the medical
and other officers of the two metropolitan hospitals where nursing
has been brought to the greatest perfection—St. Thomas’s and King’s
College Hospitals. Finding that some of these gentlemen wished for
more information respecting the Workhouse Hospital system before
they would venture to express decided opinions as to the economical
results of the proposed reform, the Liverpool Visitors drew up a
statement on several points affecting this question, with written
inquiries, to which answers were returned, verbally or in writing,
by the gentlemen consulted. This statement, with the replies which
it elicited, is here given at length:—[2]
STATEMENT AND QUESTIONS OF THE LIVERPOOL SUB-COMMITTEE.
The population of the Parish of Liverpool is about 270,000.
The expenditure from the poor’s-rate in and about the relief of
the poor is about 100,000_l_. per annum.
Of this about 40,000_l_. is distributed in out-door relief as
money and bread. (Of course sickness is one great cause of persons
seeking relief, though to what extent this cause operates, even
directly, I cannot on so short a notice ascertain or even
estimate.)
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