[659] Thirty-second Annual Report, 1902-3, pp. lxii-lxiii.
[660] Decisions of the Local Government Board, 1903-4, by W. A. Casson, 1905 p. 45.
[661] Twenty-second Annual Report of the Poor Law Board, 1869-70, p. lii.
[662] Mr. Longley, indeed, in his Report on the Administration of Outdoor Relief in the Metropolis, seems to allude to the official dictum of the Poor Law Board under Mr. Goschen, in favour of "free medicine to the poorer classes generally." He sternly condemns "any gradual drifting into a system of medical State charity," and deprecates the fact that this tendency "has received higher sanction than that of the prevalent belief of the poor, or even of the practice of Boards of Guardians" (Third Annual Report of the Local Government Board, 1873-4, p. 161).
[663] "The dispensary system should be regarded, in common with every improved form of out-relief, not as a final object of Poor Law administration, but merely as a means of administering with greater efficiency that legal relief which, as I have attempted to show elsewhere, is most safely and effectually given in the form of indoor relief. It would, of course, be idle, and worse than idle, to stifle all attempts to reform the administration of out-relief, on the ground that it is desirable, and may, at some remote period, be possible to abolish, or at least greatly to curtail it; and no reform of the practice of relief was probably more urgently needed, or has proved more effectual, than that now under consideration. It must not, however, be forgotten that side by side with Poor Law dispensaries, has grown up, also under the sanction of the Metropolitan Poor Act, a system ... which by encouraging and affording special facilities for the grant of indoor relief to sick paupers, must, if the policy of the Act be unflinchingly carried out, eventually tend ... to the gradual abolition of out-relief to the sick, other than those incapable of removal from their homes. If this be so, Poor Law dispensaries ... must ultimately be found to have had for the most part a merely temporary place in the system of relief in London.... The character of permanence should not be hastily affixed to the system which they represent" (Mr. Longley's Report on Indoor Relief in the Metropolis, in Fourth Annual Report, 1874-5, pp. 41-42). In spite of this criticism, the Central Authority continued to sanction Poor Law dispensaries. Elaborate institutions on the London plan were established in other unions under the general powers of the Act of 1834; see, for instance, the Special Order of 9th June 1873, to Portsea Island Union; those of 4th March and 28th August 1880, to Birmingham; those of 30th November 1885, and 9th January 1895, to Plymouth.
[664] Fourth Annual Report, 1874-5, p. xxi.
[665] See the statistics in Twenty-second Annual Report of the Poor Law Board, 1869-70, p. xxiv.
[666] Circular of 2nd December 1871; in First Annual Report of the Local Government Board, 1871-2, p. 67.
[667] Mr. Salt, as Secretary of the Local Government Board, on Disqualification by Medical Relief Bill, Hansard, 11th December 1878, vol. 243, p. 630. In 1876 the disqualification had been explicitly re-enacted in the Divided Parishes and Poor Law Amendment Act (39 & 40 Vic. c. 61, sec. 14), promoted by the Central Authority itself, whose Parliamentary representatives continued for years to resist all proposals for its abolition or attenuation. In 1883 it was incidentally undermined by maintenance and treatment in the infectious diseases hospitals of the Metropolitan Asylums Board being declared not to be parochial relief (Diseases Prevention Act 1883, 46 & 47 Vic. c. 35). Not until 1885 did the Central Authority consent to its abolition, as regards persons in receipt of medical relief only, in the Medical Relief Disqualification Act 1885 (48 & 49 Vic. c. 46). Even then the "stigma of pauperism" was preserved, by omitting to repeal sec. 14 of the 1876 Act above cited, so that persons in receipt of medical relief only are still nominally disqualified from voting at an election of a Poor Law guardian, "or in the election to an office under the provisions of any statute."
[668] Local Government Board to Chairman of Central Poor Law Conference, 12th May 1877; in Seventh Annual Report, 1877-8, p. 55.