After I had been at the Workhouse some two years I was requested by the Board to go down and take temporary charge of the Union school at Wandsworth Common. It would appear that there had been a quarrel between the superintendent matron and the medical officer, and an official inquiry having been held by a Poor Law Inspector he had reported that he could not decide which was in the wrong; he would advise the Board to call on all three to resign at the end of the following Midsummer quarter.
The medical officer, Dr. Noel, who, strange to say, had been a schoolfellow of mine nearly fifty years before, at once sent in his resignation. I took over the duty at the end of April, and had charge of the schools nine weeks. It was a very pleasant excuse for an outing, and as the Common at that time was not much built upon and the gorse was in full bloom, it made for me a very agreeable change. At the Midsummer quarter a new medical officer was appointed, and my temporary appointment came to an end. There was extremely little sickness during the time I had charge of the establishment, and I therefore came to the conclusion that the only possible explanation of the quarrelling was because they had so very little to do. My successor was appointed on the distinct understanding that in the event of any serious illness occurring he was to send for me. His neglect to do this led, some five years afterwards, to his being called on to resign, and to my being put again in control of the schools and retention of the office for eight months. The occasion for my being sent down the second time was a serious outbreak of ophthalmia which had taken place, one-half of the school, about sixty children, being more or less affected with it. I could not afford the time or undergo the fatigue to go there every day, so on my return home I made a report to the Board that on condition that the Board gave me full powers to act as I thought best I would root out the epidemic. This was assented to, whereupon I brought back forty-eight of the worst cases to the Workhouse, and isolated them in the large wards at the top of the main building. I also brought with me the nurse and assistant school-mistress. I told the Board that some of the cases were so very bad that I must be allowed to call in an ophthalmic surgeon to aid me in my treatment. This was also assented to. I also arranged that the children should go for a run in the park every day, weather permitting. I considered the dietary of the children, and, finding it to be wholly insufficient, I amended it. I adopted a similar course at the school. Fortunately for the children the Chairman of the Board, a medical man, supported me in all I advised and did. I had the children's hospital at the school whitewashed and painted green and varnished, the walls stopped and covered with neatly-framed engravings kindly sent me by the proprietors of The Graphic. At the end of eight months I gave up the appointment, leaving the children perfectly well, except in a few cases where irretrievable mischief had taken place ere I was called in. Much of my success was due to the Chairman of the Board, the late Mr. Henry Cooper, of Soho, who throughout gave me the most generous and unfaltering support. Many of these poor children would have hopelessly gone blind if it had not happened that at the period of the epidemic the Board fortunately possessed an intelligent and public spirited Chairman. Not a very long time afterwards he was taken ill, and after lingering some time died, to be succeeded by another person who, most unluckily for the welfare of the House, had again been returned as a member of the Board and elected the Chairman.
About some two years after my appointment a woman, extremely ill, was brought from Vine Street Police Station. She was an unfortunate, as it is called, who had been taken ill in the cell. Repeated requests from her for attendance met with no attention. At last, her condition appearing desperate even to the constables, the divisional surgeon was sent for, who directed that she should at once be removed to the Workhouse. She was brought in on a stretcher, and I was summoned to attend her without delay. I found that she was dying, and not a long while afterwards she succumbed. A coroner's inquiry taking place I made a post mortem, when I found that she had died from the rupture on an aneurism of the abdominal aorta, which, giving way in the loins, had slowly infiltrated the tissues until, a vent being found, the whole thing gave way. There is no doubt that this rupture had been precipitated by the violence attending her arrest. The verdict, under the direction of the coroner, led to a censure of the police for their inhumanity and indifference. The ultimate result was to immensely add to my troubles, as will hereafter be shown.
Just at this time the old and sagacious surgeon of the division died, and his place was sought after by several medical men living in the neighbourhood of the two police stations in St. James's, some of whom were men of acknowledged position. The gift of the appointment was vested in the Chief Surgeon of Police, Mr. Timothy Holmes, of St. George's Hospital. He gave the office to one of his old pupils who at the time was non-resident, but who at once took a house in Jermyn Street. It was not very long before I experienced the result of the change. Case after case was sent into the House from the two stations with certificates that the persons were ill when they were undeniably and plainly drunk. At first I complained of this to the inspectors, but it led to no result. I then wrote to the Commissioners of Police, complaining of the annoyance. I got only an official reply. At last the nuisance became so great, for we were always called to these police cases sent in from the station in the small hours of the morning, that I again wrote to the Commissioners and requested an interview. This was granted. I took with me my assistant who had been principally called out of bed to attend to these cases, sometimes only to dress a wound which the police surgeon was too indolent to do himself although he was paid a fee for each visit. On arrival we stated our complaint, but, although the Commissioners listened to us attentively, not much benefit accrued. It is true they stated that an inquiry should be made and instructions given and that more care should be exhibited. Some time after this I happened to be at the gate when a constable brought a perfectly drunken woman, who, he said, had fallen down in a fit. I said, "Why, she is only drunk and incapable; take her away to the station;" and turning to the master I said, "Do not admit her." An entertainment was being held that evening which I had assisted to get up, and I went on into the dining-hall. About an hour afterwards the master came to me and said, "They have brought that woman back with a certificate from the doctor that she is dangerously ill." I went to see her. She was only a shade more under the influence of liquor than she was before, but, not caring to contest the subject any further, I directed that she should be sent to the receiving ward and put to bed. The next morning on seeing her she had got over the drunkenness, and she owned to me that she had been only drunk the night before. On going to my room I directed that a special messenger should take a letter from me to the station, telling the inspector on duty that the woman that had been sent in the night before alleged to be ill, had confessed to having been only drunk, and requesting him to send a constable and take her away. The constable came. In the after-part of the day, a constable of that division called at my house and said that Mr. Newton requested that I should attend the police court the next morning. I went, when I found the woman there and the divisional surgeon. The magistrate, before hearing a word from me, proceeded to inveigh against me for my action in the matter, and peremptorily ordered me to admit the woman at once. The divisional surgeon also jumped up and protested against my refusal to admit the woman, and stated, to my astonishment, that she had heart disease, and that she was a confirmed epileptic. I mildly replied that she was suffering under nothing of the kind, but Mr. Newton told me to leave the court. The woman did not come into the Workhouse until the evening, and she was then under the influence of drink.
On my return to the Workhouse I told the master what had occurred, and also asked him if he knew where she came from. "Oh," he said, "the receiving wards woman informs me that she belongs to Whitechapel Union, whose clothes she is wearing." I then asked him to write to the master of the Whitechapel Union and ask him what he knew of her. In less than twenty-four hours the reply came. It was to the effect that she was one of the most abandoned characters ever in their House; that she did not suffer from fits, though she often assumed to have one; that she never went out except to return drunk; that she had no heart disease, but was a hale, hearty woman; that on the day she went out, wearing the House clothes, it was after three months' detention, she having returned on the last occasion drunk and disorderly.
Having received this report, I sent it to Mr. Newton. At the same time I protested against his having sent for me to attend his court, and for the remarks he had made to me on the faith of the opinion expressed by a person of very little experience, and further informed him that I should continue to protest against the use of the wards of the Workhouse as a receptacle for merely drunken men and women, and should advise the master accordingly.
The annoyance still continuing, I made a point of sending for the police each morning after every drunken admission. Then a new antagonistic element was imported in the shape of a letter to the Local Government Board from Mr. Timothy Holmes, containing a complaint against me for the trouble I was giving the police authorities in objecting to the reception of sick people from the station to the Workhouse. The letter having been sent to me to answer, I forwarded to the Local Government Board the names of some sixty persons brought in by the police under the certificate of the divisional surgeon, and showed that two-thirds of the entire number were proved to be only drunk and incapable, and that the rest were, in the majority of instances, very trivial cases of illness. The nuisance after this was very much diminished.
It may be asked, What are the police to do with persons who allege that they are ill? Are these complaints to be disregarded? Certainly not. But I contend that reasonable care should be taken by police surgeons, before they send cases of alleged illness to a workhouse infirmary; for it must be remembered that they are paid a fee for each visit and examination. To go, therefore, to the station, make a cursory examination, and then write a certificate that the person is seriously ill and must be removed without delay, or in the case of a simply cut head send it at once away to the infirmary for the workhouse surgeon to get out of bed and dress it, is, in my judgment, an entirely unsatisfactory procedure, especially as the latter is paid no special fee, be his trouble ever so great. There was nothing in all my duty as a workhouse medical officer, which irritated me more than these police cases. I remember on one occasion a superintendent of police said to me, "I hold that if after our surgeon makes these mistakes he were to forfeit his fee, which should be paid to you, you would not have many then."
Sometimes the police brought cases of interest. On one occasion two Italian children were admitted. One was a boy of nine, clean and well nourished, the other was a little fellow of about five, wonderfully emaciated, and bearing about his little lean body evidence of recent ill-usage. The parents, who were Italian Jews, had been taken into custody for maltreating this child, and had been remanded. He was dreadfully dirty. I had him weighed and found that he was much lighter than he should have been, regard being had to his age. He was ravenous; but he had to be fed with care so as to prevent mischief. His parents had been remanded for a week, and a good-natured constable of the C Division who had intervened and got the parents arrested came and asked me to attend at the re-examination. Before taking the child to the court I again weighed him, and found he had gained three pounds. After some four remands at each of which I was enabled to show he had gained in weight, the parents were committed for trial. I attended as a witness at the Old Bailey when the trial came on, and the parents were convicted and sentenced to eighteen months' imprisonment with hard labour. The poor little fellow was brought back to our House, whilst the elder brother was sent to the school.