Foreseeing what was probably in store for this unhappy child, if he ever passed into the hands of his unnatural parents, I wrote to The Times paper, and pointed out what would be the inevitable fate of this boy when his parents came out of prison and claimed possession of him, and pointed out that, as the Italian Consul had found counsel for the defence of the parents at the trial, I trusted that they would find some means whereby the child might be secured against further ill-treatment. On the same day that the letter appeared, I received a letter from the Consul asking me to call on him, which I did, when he told me that he would bring the case under the attention of the King of Italy. Some three weeks after I received a communication stating that the King had resolved to take the child, and bring him up at the cost of the State, as a ward of the Italian Government. Some ten days afterwards a tailor came and measured him for clothing, and a messenger from the Italian Consul having given an undertaking to the Board, he was taken away and I saw him no more. If alive he must be now some eighteen years old. I write "if alive," for the poor little fellow had a singular deformity. He had no abdominal muscles; what did duty for them was a dull, parchment-like-looking structure, stretched across the abdomen. One could make out without much difficulty the various abdominal organs. I had never seen anything like it before. Strange to relate, just at this time a young lady from Natal was sent over to me with a request from her parents that I would ask some expert to see her. On her arrival I found that she had exactly the same infirmity. The late Dr. Alfred Meadows, who saw her with me, would not believe my statement at all until he had himself seen and examined her. Her mother was very anxious to know whether she might be permitted to marry the gentleman to whom she was engaged. We gave a guarded opinion on the subject, and she returned to Natal, and was married, and has two or three children. I therefore trust that the little Jew Italian boy has also survived. I have never heard anything of him since he left the Poland Street Workhouse.

One morning in 1877, shortly after I had left the House, the attendant came round to my residence, and informed me of the almost sudden death of the master, who was at my official visit half an hour before apparently in good health. He had never been partial to me, as my system of management clashed considerably with the stereotyped arrangements that had prevailed in the House prior to my appointment, and I very much question whether he ever approved of my having caused almost everything consumed in the House to be supplied under contract. He did not openly quarrel with me, but contented himself with passive resistance; and if I complained of any order not being carried out, he always excused himself by saying, Did you give an order for this, that, and the other? all the time knowing full well, that I had given the order. A striking instance of this obstructiveness occurred in the first autumn and winter after I took office. I had asked the Board's permission that some jackets should be supplied for the sick men and some shawls for the women, which they might wear when sitting up in bed to keep their chests and shoulders warm. This application was made to the Board of Guardians early in October, and was at once acceded to. Week after week went by, and in spite of repeated requests made by me, either to the master or matron, no notice was taken beyond the same answer which was always given when the one or the other thought fit to reply at all, "Oh, I have given the order for the material and for the shawls, but the contractor is so negligent, he has not sent us in the goods."

In the early part of January I received a letter from Dr. Mouatt, Poor Law Inspector, stating that he had been instructed by the Local Government Board to go over the House and see how many persons could be described as fit to be sent away to the Sick Asylum, and, as he wished me to accompany him, he desired to know what day would suit me best. In reply I fixed the next Sunday, and as I did not wish the master to accompany us, for I knew he would report all that took place to the Board, I wrote in that sense to Dr. Mouatt. Dr. Mouatt came on the following Sunday morning. I had told the master he was coming, and, just as I expected, he stayed away from chapel, in order to go with us. Dr. Mouatt promptly said, "As this is a purely medical visit, master, we can dispense with your company." He coloured up and looked very much put out, but he had to comply. As I went through the wards I told the Inspector that I had asked the Board three months before to let me have some shawls for the women and jackets for the men, that the Board had given an order for them, but neither the master nor matron had supplied them, and that I felt satisfied they did not intend to do so, to which he quietly said, "I will soon alter that." At the same time I urged on him the necessity of so referring to the subject, as not to make them think I had said anything about it, but that the necessity for them had occurred to him, "For," I said, "if you do, they will make it the subject of an open quarrel." It was humbling to do this, but I knew what these people would do.

At the conclusion of our examination, which lasted nearly three hours, we returned to my room, where the master promptly joined us. On seeing him Dr. Mouatt asked that the matron should be sent for. On her arrival he addressed them both as follows: "I have been over the sick wards and have seen all the sick that should be sent away and taken the number; this I shall report to the Local Government Board. I see that your House is kept clean and in good order, but there is one thing I notice which must at once be altered, and that is, the large number of patients sitting up in bed without anything over their shoulders. I have called Dr. Rogers' attention to it, and he tells me that the Board gave an order three months ago for jackets and shawls to be provided, but that they have never been supplied." Both immediately began to throw the blame on the contractor, but he cut them short by stating, "That excuse, master and matron, will not do for me; you know as well as I do you could have got them if you had chosen. I shall report the omission to supply them to the Board of Guardians and also to the Local Government Board." On hearing this they were dreadfully put out, and expressed an earnest hope that, as it was not their fault, he would not be so severe. "Well," he said, "I shall request the medical officer to report to me when they are supplied, and if every person needing them is not furnished with them before the end of the week, I shall carry out what I have said." By the following Wednesday all my patients were provided with them. At his death the master left some £4,000, notwithstanding he had a large and expensive family. After his decease I learned that he had signed a quantity of blank orders for my attendance, and had given them to the porter with the instructions that if any person was admitted who either looked ill or complained of being so, he was at once to send for me. His death led to the diminution of second calls by at least two-thirds. He was nearly always out in the after-part of the day. For several weeks after his death the duties of master were performed by the labour master. At last the Board advertised for a master and matron, the appointment of matron having come to an end when the late master died. As the Guardians were fully alive to the bad discipline which had prevailed for so many years, they resolved to appoint two officers who should more strictly exercise their authority. The choice of the Board fell upon Mr. John Bliss, a corporal-major of the Life Guards, and a Miss Heatley, lately assistant matron of the Manchester Workhouse. Both of these officers were strict disciplinarians, and something besides, as the sequel will show. For the first two or three years, indeed, during the whole Chairmanship of Mr. Cooper, the surgeon, they were kept in their places and behaved fairly well, but unfortunately for them, for the inmates, and the Board, Mr. Cooper was taken ill and died, and another Chairman being elected, serious results soon followed, for this Chairman was always in the House, and when so was constantly closeted with the master and matron in their rooms. Speedily after that the master began to dispute my orders, and the matron did the same, and as the Chairman again began to obstruct my sending the acutely sick inmates away to the Sick Asylum, the House became full of sick people, who were detained in it through the restrictions put in my way. At last the obstruction to the performance of my duty, by both master and matron, became almost unbearable, especially as Mr. Bliss thought fit to accompany his refusals by telling me to go to h—l, and sundry other coarse and blasphemous expressions; and to such an extent was it carried, that I felt I could not put up with it. To complain to the Board would have been perfectly futile, the majority would most assuredly have gone against me. At last the loud-mouthed, coarse, and outrageous blasphemy of the master quite appalled me; and this, coupled with his refusal to obey my orders and his general interference with me in my treatment of the sick, by deriding my judgment and by openly stating that I did not know my profession, caused me to speak to Mr. Fraser, a Guardian, in reference to the annoyance I was being daily subjected to. He advised that I should go to the Local Government Board and confer with the Poor Law Inspector. I did so, but got very little encouragement by my action. Some time after, in a letter to the Department, I did not hesitate to refer to it, and state as much. One result, however, accrued from this visit, which I foresaw was in the near future imminent, and I accordingly took steps forthwith to get some influence in the House of Commons so as to secure a proper inquiry. On my return I again saw Mr. Fraser, and told him of the way I had been treated. Just about this time this Guardian came into collision with Mr. Bliss. It happened in this way: there was a lady living on Wandsworth Common, the wife of the chaplain of a public institution, and, being very benevolent, she had constantly visited the Union school, and had interested herself in the future welfare of the girls. A girl she was much interested in had gone to a situation some months before, and, not being kindly treated, had left and returned to the Workhouse, when she wrote to this lady, who at once came up to the House to see her and some other girl. The master refused to allow her to do so, whereupon she went round to Soho Square and saw Mr. Fraser, whom she had known as a Guardian, and told how she had been treated, whereupon he wrote to the master, stating who the lady was, and asking him to allow her to see the girls. The master read the letter and replied, with a coarse oath, "I have already told you you shall not see the girls, and you shall not." On reporting this conduct to Mr. Fraser, he was much incensed, and at the next meeting of the Board brought the master's behaviour before the Guardians. To his astonishment, the majority of the Guardians absolutely howled him down. Mr. Fraser then formulated a series of charges against Mr. Bliss, among them his constant refusal to obey my orders, his swearing and generally violent treatment of the inmates, and moved that these charges should be sent to the Local Government Board, and an inquiry into the master's conduct asked for. This proposition was rejected, but, at the suggestion of the Chairman, it was resolved that the Board would conduct an inquiry themselves. This was done evidently with the intention that the whole matter as against the master should be quashed. The inquiry was held, and I was ordered by the Board to attend. At the inquiry by the Guardians the Chairman presided, and proceeded to ask questions; but finding he was no match for the solicitor, Baron H. de Worms, an ex-officio guardian, put in an appearance and conducted the inquiry for them, and as I declined to recognize his or the Board's right to put questions to me, the Baron threatened to report my behaviour to the Local Government Board. I said to him, however, that if it were a regular legal inquiry, conducted by a properly constituted authority, I would answer on oath, and prove all the charges I had ever made against the master and matron. One of my charges was that I had discovered that my Medical Relief Book had been tampered with, and that entries for wines and spirits, neither ordered by me or given to the sick, had been placed against certain names. When this was gone into by the Baron the master's clerk was sent for and insolently denied the allegation.

The Guardians completely exonerated the master and matron, his clerk, and all concerned with them; but the matter did not end there. During the progress of this so-called inquiry the matron brought before the Guardians eight of the very worst characters in the House, in order to depose to her and the master's continuous kindness and consideration to all the inmates, and that Mr. Bliss never swore at all. After they had given their evidence they were entertained by the matron in the store-room, a hot supper and brandy-and-water being provided. As she knew I was keeping a sharp look-out on my books to prevent any additional frauds, the next morning she was at her wits' end to make up the deficiency in the brandy, but at last she managed it by adding some water; but in her hurry she forgot to add clean water. She put what she wanted to increase the quantity into a jug which had contained milk, and so gave a cloudy appearance to the whole of it. On my arrival at the House I was informed of the entertainment that had been given to these witnesses to character, and on going into the women's sick ward, the head nurse showed me the brandy which had been tampered with, and I was further told by her that the brandy given out on the male side had the same appearance—indeed, that the nurse on that side had just called her attention to it. I directed that she should carry it down into my room. On going through to the male side, I requested the nurse to show me her brandy. At first she objected to do so, but on my insisting she reluctantly did so, when I took it away. On reaching my room I sent for a large bottle and mixed it all together and sealed down the cork. I then wrote to the contractors, Messrs. Hedges and Butler, of Regent Street, and asked them to examine it and write me word whether the brandy sent was the same as that supplied by them under the contract. It was taken by one of the officers. In the course of an hour he came back with the brandy and a statement from the firm proving that it had been lowered by the addition of so much water, and that the water that had been used was not clean. I then wrote to the Board giving the history now related, and enclosed Messrs. Hedges and Butler's certificate. I wrapped all up together in a piece of brown paper and addressed it to the Board of Guardians. I called the clerk into my room and having in his presence sealed up the parcel, I requested him to take charge of it and not to let it go out of his hands until the Board met. I then ordered a fresh supply for my sick. I had hardly left the House when the Chairman came, and, going to the clerk, demanded to see the parcel. The clerk gave it to him, when he immediately broke it open and read my letter and the spirit-merchant's certificate. Of course his supporters passed over this abominable transaction when the subject was brought before the Board, and the matron was not even censured; at least, so I was told.

There was, however, a Nemesis. Just as they were rejoicing at the success of their proceedings a letter was on its way to the clerk from the Local Government Board, stating that, in consequence of certain information having been sent to the Department, an official inquiry into the master's management of the House had been determined on, and that Mr. Robert Hedley had been directed to hold it. I immediately went down to the House of Commons, saw some Members, and begged that they would see Sir Charles Dilke, who was then the President, and ask him to send some other Inspector instead. A day or so afterwards I heard that as his name had been mentioned it could not be changed, but that another Inspector, Mr. Taylor, a barrister-at-law, would be appointed with him in the inquiry.

In due course the inquiry took place, Mr. Robert Hedley presiding, Mr. Taylor sitting on his right, Mr. Fraser, the solicitor, one of the Guardians, on the left. Mr. Fraser conducted the proceedings against the master, who was defended by Mr. Ricketts. The proceedings lasted several days. During the progress of the inquiry Mr. Hedley rendered no assistance whatever, and if it had not been for the conscientious conduct of Mr. Taylor, not one-half of the evidence which was given would have been brought out. Nearly all the evidence which was tendered was voluntary—that is, inmates and officers came forward to testify to Mr. Bliss's continual refusal to comply with my orders, to his swearing at me and the inmates, and his general harshness and positive cruelty to many of them. When the master's clerk was examined, he swore that he had never made false entries in my Medical Relief Book; but when my attendant, who had assisted in making up the book, gave evidence and stated that he had seen him make them, his tone altered, and eventually he confessed to sixty-three fraudulent entries of wines and spirits, amounting in the whole to a very considerable quantity of stimulants, presumably supplied to my sick but in reality consumed by other people. When called as a witness, I deposed to the continued refusal of Mr. Bliss to comply with my orders, as to his swearing at me and at others, and to the fact that he derided my judgment, and had intimated to the sick inmates under my charge his disbelief in my knowledge of my profession, &c.

When Bliss was called on for his defence he contented himself with giving a general denial to everything that had been given in evidence against him. At last Mr. Hedley said that he should close the inquiry. I do not know whether at that time he had communicated to Mr. Bliss that he intended to report in his favour, but I had a suspicion of it, as no one could possibly be in better spirits than Mr. Bliss was that day, and it was clear from Mr. Hedley's manner and Mr. Bliss's familiarity with the Inspector what his decision would be.

I was therefore not surprised on going down to the House some three weeks after to make some inquiries that certain Members, whose names I am precluded even now from mentioning, informed me confidentially that it had oozed out that Mr. Hedley and the other Inspector had recommended to the President that Mr. Bliss should be allowed to remain as master. On my expressing my astonishment at such a monstrous decision, I was informed that, to a great extent, the President was powerless in such matters—that, having appointed an Inspector to conduct an inquiry, he was by the rules of the Department bound by his decision, and that if he made a report in favour of the individual into whose management he was deputed to inquire, and reported favourably or the reverse of that, the President was compelled to accept it, however much he felt that the evidence did not support the view taken by the Inspectors.

I lay stress upon this assumption that Inspectors cannot by any possibility err in their judgment, or be guilty of favouritism in their conduct of such inquiries, because ere long, if we are to have County Government Boards, the obligations of these Inspectors will be largely increased, and if the official inquiries of the future are to be conducted by men such as I have had experience of, Heaven help the unfortunate officials whose actions are being inquired into, unless there are some special reasons why they should be officially befriended, such as evidently held good in Mr. John Bliss's case.