CHAPTER XXVIII
TRANSFORMATIONS IN INVALID LIFE
Legislation for the helpless in health or in sickness the exclusive feature of the Victorian age. Early interest of the English Court through the Prince Consort in the housing of the poor. This coincided with, and helped forward, the organized public movements for popular sanitation. General summary of these, as shown by results. The new nurse contrasted with the old. Hospitals to-day twice blessed.
Specific progress of sanitary reform. Demonstrable connection between these improvements and figures of the death rate. Preventive and curative medicine also entitled to credit. General course of medical progress. Special researches of English physicians. Their ascertained usefulness and their latest aspects. Improvement in English doctors, with particular instances.
Before the Victorian age, there had been no legislation for the purpose of helping the helpless, housing the homeless, providing for the health of those whose birth-right was the squalor, the starvation, the disease, that come from systematic neglect. Here, as in other things, the representative of the Crown, transformed from a political power into an agency of social good, led the way. The Prince Consort, moved by the condition and by the address of the ballast heavers in the East End of London took the initiative; the legislature gradually followed. Thus was the principle established and acted on that one of the prime duties of the State is to those for whom from any other quarter there is no help.
The last instance of that wholesome truth was the Dilke Commission for the better housing of the poor aptly presided over by the Prince Consort’s eldest son in 1885. Exactly forty-five years earlier than this, Colonel Slaney’s[98] motion in the House of Commons produced an enquiry into the health of towns. Local Improvement Acts had been multiplied to the number of 500. There was still no proper drainage. The Duke of Buccleuch’s Commission of 1848 led to the Public Health Act of the same year. As the cholera invasions of 1853 and of 1865-6 showed, the Local Boards established by the Act of 1848 were too permissive in their operations to be fully effective. Edwin Chadwick, and Southwood Smith had from the first co-operated with the Queen’s husband. Their activity did not cease when the earliest steps to reform had been taken: 1858 witnessed fresh improvements.[99]
It was not till 1875 that the confused mass of sanitary laws was consolidated. Then the Local Government Board which, with the powers of the superseded Poor Law Board, had been established in 1871 was in full and in most beneficent work. Still the Commission that last investigated the matter, due as it was largely to Lord Shaftesbury, showed many evils still to remain. Overcrowding was worse in the West London rookeries than it had been in the East. In 1885 the Dilke Commission Act gave fresh power to local authorities to destroy unhealthy dwellings.
The machinery which thus exists as the sixth decade of our epoch draws to its close, is therefore tolerably complete. Guarantees for its promptly being put into motion are still wanted. Not only the credit, but the very conception of this wholesome function of the State belongs entirely to our era, and arises out of the enlarged idea of Royal service which fills the modern mind.
Strictly consistent with family tradition is the effort of the Prince of Wales to help those who are only one degree more helpless than the dwellers in city and suburban alleys and courts in time of need. To free the London hospitals of debt will crown the edifice of sick relief that in Crimean days the Queen and her husband began.
From the departure of Miss Florence Nightingale[100] and her trained staff for the Crimea in 1854 must be dated the birth of nursing as a polite profession. But for that mission of mercy one would hear nothing of the contemporary parade of nurses in the height of the London season in the grounds of Marlborough House. The fashionable vogue of the vocation may sometimes attract modish recruits who have not counted the cost.