left outside the scope of the orders regulating other apprenticeships,
being subject to special provisions under the Merchant Shipping Acts,
and also regulated by the Board of Trade. That Board made some
alterations in the form of indenture in 1895, and the Local Government
Board issued a circular to guardians calling attention to the changes.
The master was required to pay to the superintendent any balance of
spending money, share of salvage and other perquisites due to an
apprentice after his daily or weekly allowance had been paid, and the
superintendent was to apply such sums for the boy's benefit in the
expenses of holidays, payment of fines, or other ways. This provision
was considered by the Local Government Board to be of great importance,
as it would "enable the magistrates in many cases to punish a boy for
breaches of discipline, without committing him to prison." The new form
of indenture also required the master to allow each apprentice a
reasonable holiday in every year.
[650] _See ante_, p. 17.
The same circular referred to recommendations made by Mr. Davy and Mr.
Berrington, in a Report on the Fishing Apprenticeship System, as to the
desirability of continued supervision by the guardians after the boys
were apprenticed, and of arranging for reports to be made to the
guardians in cases of absconding or other grave offence on the part of
the boys, and also as to the expediency of giving future apprentices
some preliminary instruction in cooking.[651]
[651] Circular of 2nd March 1895, in Twenty-fifth Annual Report,
1895-6, p. 118.
So far as we can make out from the published documents, the use of the
power of apprenticeship is--in the view of the guardians and the Central
Authority alike--practically limited to the children maintained in Poor
Law institutions (indoor paupers), numbering 50,669 on 1st January 1906,
together with those outdoor pauper children who are either "boarded out"
(in the technical sense), numbering 8,781, or maintained in certified
schools, etc., numbering 9,364, making an aggregate total of 68,814
children to whom the Central Authority's policy of apprenticeship is
assumed to be applicable.[652] We do not find any suggestion that any
similar policy is applicable to the other 166,258 children on outdoor
relief,[653] about the starting in life of whom we can find no
documents.
[652] Thirty-fifth Annual Report, 1905-6, pp. cxxx, cxxxi.
[653] Omitting children receiving medical relief only; and the
casuals and insane (_ibid._ p. cxxxi).
(vii.) _Adoption_
From 1871 to 1889 the powers and responsibilities of Poor Law
authorities with regard to children whose parents claimed the control of
them were, as against the parents, extremely limited. The Central
Authority clung to the principle of parental authority. In 1887, Mr.
Ritchie said:
"No doubt there are some instances in which the interests of children
are prejudiced by their parents claiming them from the guardians, but I
should not be prepared to propose legislation which would enable a board
of guardians to withhold a child from its parent when claimed by
him."[654]
[654] _Hansard_, 28th May 1887, vol. 315, p. 857. The policy of
the Central Authority was apparently against allowing the
guardians to assume parental responsibilities. In 1889 Mr. Ritchie
had prepared a Bill "to provide that, on application to the
justices, an Order might be made detaining a child already under
the care of the guardians or boarded out" (_Local Government
Chronicle_, 23rd March 1889, p. 238), but not extending the duties
or responsibilities of the guardians.
Two years later Parliament over-rode this contention of official
irresponsibility, and passed the first of a series of Acts under which
guardians might themselves assume parental responsibilities and
unsuitable parents might be deprived of the custody of their children;
and the guardians of the poor might become _in loco parentis_, even up
to eighteen years of age. By the Act of 1889, "where a child is
maintained by the guardians of any union and was deserted by its
parent," or if the "parent is imprisoned under a sentence of penal
servitude or imprisonment in respect of an offence committed against a
child," "the guardians may at any time resolve that such child shall be
under the control of the guardians until it reaches the age, if a boy,
of sixteen, and, if a girl, of eighteen years"; such a resolution of the
guardians is not irrevocable; they may rescind it, or, without
rescinding it, "permit such child to be either permanently or
temporarily under the control of such parent, or of any other relative
or of any friend." If the parent is aggrieved by the resolution, he may
appeal to a Court of Summary Jurisdiction, and the Court, if satisfied
"that the child has not been maintained by the guardians, or was not
deserted by such parent, or that it is for the benefit of the child that
it should be either permanently or temporarily under the control of such
parent, or that the resolution of the guardians should be determined,
may make an Order accordingly, and any such Order shall be complied with
by the guardians, and if the Order determines the resolution, the
resolution shall be thereby determined." The "powers and rights" of a
parent which the guardians may assume are subject to one limitation, in
that no resolution can authorise them to have the child educated in any
religious creed other than that in which the child would otherwise have
been educated, _i.e._ that of its parents.[655]
[655] Poor Law Act 1889, 52 & 58 Vic. c. 56. sec. 1.
The Central Authority duly commended the Act among other legislation of
the session to the notice of the boards of guardians in an official
circular.[656]
[656] Circular of 28th September 1899, in Twenty-ninth Annual
Report 1889-1900, p. 48.
Such was the original form of this law; but the experiences of the
Central Authority and the guardians as to its working led them to get
passed successive measures developing its details in various respects.
The Court's power of determining the resolution of the guardians was
limited by the Act of 1890, which provides that: "where a parent has
(_a_) abandoned or deserted his child; or (_b_) allowed his child to be
brought up by another person at that person's expense, or by the
guardians of a Poor Law union, for such a length of time and under such
circumstances as to satisfy the Court that the parent was unmindful of
his parental duties, the Court shall not make an order for the delivery
of the child to the parent unless the parent has satisfied the Court
that, having regard to the welfare of the child, he is a fit person to
have the custody of the child." Under this law, therefore, not only the
Poor Law guardians, but any other person who has brought up the child at
his own expense may acquire the right of custody in the place of the
parent. This Act is not to "affect the power of the Court to consult the
wishes of the child ... or diminish the right which any child now
possesses to the exercise of its own free choice." The Court was also
given the power to make such order as it may think fit, "to secure that
the child be brought up in the religion in which the parent has a legal
right to require that the child should be brought up."[657]
[657] Custody of Children Act, 54 Vic. c. 3, secs. 3, 4.
The class of children to which the law applies was, at the instance of
the Central Authority, considerably enlarged in 1899, and it is worth
considering how extensive it now is. "Where a child is maintained by the
guardians of a Poor Law union, and: (i.) the child has been deserted by
its parent; or (ii.) the guardians are of opinion that by reason of
mental deficiency, or of vicious habits, or mode of life, a parent of
the child is unfit to have the control of it; or (iii.) a parent is
unable to perform his or her parental duties by reason of being under
sentence of penal servitude or of being detained under the Inebriates
Act 1898; or (iv.) a parent of the child has been sentenced to
imprisonment in respect of any offence against any of his or her
children; or (v.) a parent of the child is permanently bedridden or
disabled, and is the inmate of a workhouse, and consents to the
resolution hereinafter mentioned; or (vi.) both the parents (or in the
case of an illegitimate child, the mother of the child) are (or is)
dead; the guardians may, at any time, resolve that until the child
reaches the age of eighteen years, all the rights and powers of such
parent as aforesaid, or, if both parents are dead, of the parents, in
respect of the child shall, subject as in this Act mentioned, vest in
the guardians." Penalties were also enacted against any person who shall
knowingly assist or induce any child adopted by the guardians to leave
their control. If any child maintained by the guardians is, with their
consent, adopted by some other person, their responsibility for the
child does not at once cease, for they are required, during three years
after the date of the adoption, to cause the child to be visited at
least twice a year, by some person appointed by them for the purpose;
and they have the power, if they see fit, to revoke their consent to the
adoption, and reassume custody of the child.[658]
[658] Poor Law Act, 1899, 62 & 63 Vic. c. 37, secs. 1-3.
Some boards of guardians--often on the suggestion of the
inspectorate--promptly made use of their new powers. On 1st June 1902,
the number of children already adopted up to that date was no fewer than
7724, of whom 1503 were then over fifteen.[659] It is to be noted that,
though the powers are applicable to all pauper children, the Central
Authority has not suggested their use except in respect of the children
in Poor Law institutions (including, however, the "ins and outs"),[660]
together with those technically "boarded out," or in certified schools;
and we do not find that they have ever been made use of for any of the
children maintained by the guardians on outdoor relief, however
disastrous is their upbringing.
[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.
_E._--THE SICK
We broke off the description of the policy of the Central Authority with
regard to the sick with the suggestive quotation from the Annual Report
of the Poor Law Board in 1870, over Mr. Goschen's signature. "The
economical and social advantages," said the last President of the Poor
Law Board, "of free medicine to the poorer classes generally as
distinguished from actual paupers, and perfect accessibility to medical
advice at all times under thorough organisation, may be considered as so
important in themselves as to render it necessary to weigh with the
greatest care all the reasons which may be adduced in their
favour."[661]
[661] Twenty-second Annual Report of the Poor Law Board, 1869-70,
p. lii.
(i.) _Domiciliary Treatment_
So far as published documents go, we cannot find that any inquiry was
made by the Local Government Board (at any rate on its Poor Law side) as
to the advantage and feasibility of this suggestion of providing free
medical assistance, under thorough organisation, to the poorer classes
generally. There was no breach of continuity in the policy, begun in
1865, of transforming the provision for the sick paupers in the
workhouse, into elaborately equipped, adequately staffed, and separately
administered general hospitals, which were called Poor Law infirmaries.
But in the general crusade against outdoor relief, initiated by the able
and zealous inspectorate in 1871, there was no exception made for
outdoor medical relief.[662] There was accordingly (just as we have
shown to be the case in regard to widows and the aged) no limitation,
corresponding to the express exceptions of the General Orders in favour
of the sick, in the phrases condemnatory of outdoor relief generally,
which are to be found in the Annual Reports and Circulars of these
years. The inspectors, it is clear, made no distinction, in their
persistent pressure against "outdoor relief," between medical and other
relief, between hygienic advice and money doles. Mr. Longley, indeed,
went so far as to condemn, expressly because it provided medical relief
otherwise than in the workhouse, the whole system of Poor Law
dispensaries which the Central Authority had itself just initiated
and practically forced on the Metropolitan Boards of Guardians.[663]
This report of Mr. Longley's was honoured by notice in the annual
volume, and commended by the Local Government Board for "careful
consideration."[664] There is, therefore, some warrant for the
inference that the Local Government Board, under Mr. Stansfeld and Mr.
Sclater-Booth, had not only put aside the suggestion of providing free
medical attendance for the poorer classes generally, but also that
it had now become the policy of the Central Authority--so far as we
can discover, for the first time since 1834--to restrict, as far as
possible, even such domiciliary medical attendance as was being given
under the Poor Law to the sick poor.
[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.
It is, however, fair to say that this policy of restricting outdoor
medical relief was not expressed in any alteration of the General
Orders, nor, explicitly, in any published minute or circular of the
Central Authority itself. In the 1871 Circular, discouraging outdoor
relief generally, it is, for instance, merely suggested that all paupers
receiving relief on account of temporary sickness--among whom there were
at that date apparently some 119,000 sick persons[665]--should be
visited at least fortnightly by the relieving officer.[666] The Central
Authority clung to the general disqualification of paupers, even those
in receipt of medical relief only, though the Parliamentary Secretary
had to admit that: "No doubt the Legislature had made an exception in
the cases of vaccination and of education, and it might be that the
exception should be extended to infectious diseases."[667] But when it
was pressed to impose a limit of one month to each grant of outdoor
relief, the request was, on the cautious advice of the permanent
advisers, definitely refused, lest hardship should be caused in cases of
sickness; though it was said that the guardians themselves might put
such a limit, "where such ... may properly be imposed."[668]
[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.
The Central Authority was willing to consider any proposal to amend the
law, so as to allow of the compulsory removal to the workhouse of sick
persons who had no proper lodging accommodation.[669] But even to a
person who had refused to enter the workhouse, the guardians were not to
deny outdoor medical relief if sick,[670] and in no case were the sick
to be removed from their homes unless certified by the medical officer
as physically able to endure the journey.[671] There was thus, even
between 1871 and 1885, no explicit reversal, on grounds of Poor Law
principle, of the old policy which, it will be remembered, had not been
condemned by the 1834 Report of outdoor relief to the sick. If a
"destitute young husband or wife were sick," Mr. Sclater-Booth, speaking
as President of the Local Government Board, told the House of Commons in
1876, "they would not be taken into the workhouse, but would receive
outdoor relief."[672] Two years later the Central Authority actually
declared itself in favour of supplying to the sick poor who were under
domiciliary treatment, not only medical attendance and maintenance, but
also skilled professional nursing. There was, it said in reply to
influential medical pressure, "nothing to prevent the guardians
supplying such assistance," and the Central Authority was even "desirous
of encouraging this arrangement as much as possible," though the
insufficient supply of qualified nurses was likely to "render
impracticable for some time to come any general application of the
system of paid nurses in the treatment of the poor at their own
homes."[673]
[669] _Ibid._ p. 54.
[670] Local Government Board decision, in _Local Government
Chronicle_, 11th June 1904, p. 635.
[671] Circular of 23rd May 1879, in Ninth Annual Report, 1879-80,
p. 92.
[672] _Hansard_, 13th June 1876, vol. 229, p. 1780 (in Committee
on Poor Law Amendment Bill).
[673] Local Government Board to Dr. Mortimer Glanville (_Lancet_
Memorial on Poor Law Medical Relief Reform), 12th November 1878;
in Eighth Annual Report, 1878-9, pp. 91-2. In spite of this
official answer, we may infer a certain internal conflict of
policy with regard to these salaried outdoor Poor Law nurses.
Though the Central Authority expressed itself as "desirous of
encouraging" the experiment, we cannot find that it issued the
Order, without which no board of guardians could create a new
salaried office, for nearly fourteen years. The District Nurses
Order, which was merely permissive, and which, therefore, could
not have been delayed merely because there were, in 1878, not
enough trained nurses to supply every union in the Kingdom, was
not issued until 27th January 1892 (Twenty-second Annual Report,
1892-3, pp. 12-13). We cannot find that any "paid nurses in the
treatment of the poor at their own homes" were sanctioned before
that date. Moreover, even then, it is difficult to feel sure that
the Central Authority was still, to use its words of 1878,
"desirous of encouraging this arrangement as much as possible." In
sending the Order to boards of guardians, it accompanied it by a
circular, which can scarcely be deemed encouraging. It was of
opinion that "it can only be under exceptional circumstances that
a sick pauper, whose illness is of such a character as to require
that the services of a nurse should be provided by the guardians,
can, with propriety, be relieved at home. At the same time it
appears ... that where circumstances render it desirable the
nurses employed in such attendance should be duly appointed
officers of the guardians, having recognised qualifications for
the position, and being subject in the performance of their duties
to the control of the guardians, and the Board have consequently
decided to empower boards of guardians to appoint such officers"
(Circular of 1st February 1892; in Twenty-second Annual Report,
1892-3, p. 9). Fifteen more years have elapsed; but we do not
gather that the experiment, which the Central Authority in 1878
was desirous of encouraging, has been very strenuously pressed by
the inspectors, or the power made publicly known. The result is
that we cannot find that it has yet taken shape even to the extent
of as many as a dozen salaried Poor Law nurses for the outdoor
sick from one end of the Kingdom to the other.
(ii.) _Institutional Treatment_
Meanwhile, however, the substitution of indoor for outdoor relief in the
case of the sick[674] was being supported on grounds, not of Poor Law
principle, but of medical efficiency. The transformation of the
workhouses into what the Poor Law inspectors themselves began to call
"State hospitals" made more striking than ever the contrast between the
light, clean, and airy newly-built infirmary ward, with trained nurses,
a resident doctor, complete equipment, and a scientifically determined
dietary, on the one hand; and the insanitary and overcrowded hovel or
slum tenement, on the other, in which the sick pauper had no other food
than was provided by the pittance of outdoor relief, no further nursing
than his family could supply, and no better medical attendance than the
grudgingly accorded order on the district medical officer could command.
Quite irrespective of "Poor Law principles," the case for institutional
rather than domiciliary treatment of nearly every sick case became, to
the medical experts who now advised the Central Authority, simply
overwhelming. "The treatment which in sickness the poor receive in
workhouses constitutes," said the Central Authority in 1878, "one of the
most valuable forms of medical relief. _With a considerable portion of
the population, indeed, it is the only mode in which, when overtaken by
sickness, their medical needs can be adequately met._"[675] This policy
led not only to an incessant pressure on boards of guardians to provide
the "State hospitals" which had, from 1865 onwards, been expected from
the guardians of all populous unions,[676] but also to a positive
encouragement of sick persons, whether or not actually destitute in the
technical sense of the term, to take advantage of them. We see this
first with regard to infectious diseases. The hospitals of the
Metropolitan Asylums Board, maintained out of the Poor Rate exclusively
for paupers, and technically only workhouses like any others, soon came
to be used, free of charge, by small-pox and fever patients who were not
paupers.[677] It became the official policy, well understood by the
Central Authority, to get removed to these Poor Law institutions every
patient, whether destitute or not, who could not be adequately isolated
at home.[678] Already in 1875 the Central Authority expressly authorised
the medical superintendent to admit without an order any small-pox or
fever patient presenting himself, if refusal to admit might involve
danger,[679] and in 1887 it expressly permitted even non-urgent cases
to be admitted on the certificate of any medical practitioner.[680]
Nevertheless, in 1877 the Central Authority was still taking the line
that "the hospitals ... of ... the Metropolitan Asylums Board are
essentially intended to meet the requirements of the destitute class,
and that the admission ... of persons not in need of poor relief is
altogether exceptional."[681] Two years later, however, by a statute
promoted by the Central Authority itself, the Metropolitan Asylums Board
were expressly empowered to receive non-pauper patients, though only
under contracts with the local public health authorities, by which they
were to be paid for.[682] We cannot discover which vestries and district
boards, if any, entered into such contracts. Not until 1883, when these
fever and small-pox hospitals had been a dozen years in use by
non-paupers, was the position temporarily legalised by the Diseases
Prevention Act of 1883[683]--a measure also carried by the Central
Authority itself--which, whilst leaving these hospitals as Poor Law
institutions, administered by a Poor Law authority, and kept up out of
the poor rate, declared that admission, treatment, and maintenance
therein should--whether the patients were or were not otherwise
paupers--not be deemed parochial relief, or carry with it any
disqualification whatever.[684] Since that day we have the remarkable
spectacle of the Poor Law Authorities, Central and Local, annually
congratulating themselves on the fact that, year after year, they were
managing to attract into these expensive Poor Law institutions, for
gratuitous maintenance and treatment, a larger and larger percentage of
the total number of cases notified.[685]
[674] "The sick" were held to include not only acute cases, but
also cases of "chronic disease requiring regular medical treatment
and trained nursing" (and also venereal and skin diseases,
including the itch). (Local Government Board to Poplar Union,
October 1871; MS. Minutes, Poplar Board of Guardians, 6th October
1871).
[675] Local Government Board to Dr. Mortimer Glanville (_Lancet_
Memorial on Poor Law Medical Relief Reform), 12th November 1878;
in Eighth Annual Report, 1878-9, p. 91.
[676] The more old-fashioned guardians failed to keep pace with
the Central Authority in its ignoring of the principle of "less
eligibility" with regard to the sick; _see_, for instance, _The
New Pauper Infirmaries and Casual Wards_, by a Lambeth Guardian,
1875, in which the elaborate hospital requirements are objected to
as being far too good for paupers. Where the guardians persisted
in refusing to provide the elaborate and expensive new infirmary
accommodation considered necessary, the Central Authority at last
issued a peremptory Order requiring them to submit plans within a
month, under penalty of having plans "prepared at the expense of
the union" and of being deprived of "the benefit of participation
in the Common Poor Fund" (Local Government Board to St. Olave's
Union, June 1873; see _Local Government Chronicle_, 5th July 1873,
p. 379).
[677] For unions out of London we have to note an extraordinary
provision of 1879, proposed by the Central Authority itself.
Boards of guardians in rural districts were empowered to transfer
any of their buildings (into which only destitute persons could
legally be received) from themselves as Poor Law authorities to
themselves as public health authorities (in which case the
buildings became available, without the stigma of pauperism, for
all classes of the population) (Poor Law Act 1879 (42 & 43 Vic. c.
54, sec. 14)). We cannot discover in which cases, if any, this
provision was acted upon, and the necessary confirmatory Order
issued by the Central Authority; or what difference it made to the
buildings.
[678] This was, in effect, to hold that inability to secure
isolation, when isolation was required, amounted to destitution,
so far as this kind of medical relief was concerned, just as a man
requiring an expensive surgical operation was legally within the
definition of destitute for the purpose of the operation if he
could not pay the market price of it, even if he had ample food,
clothing, and shelter. We cannot discover, however, that this
explanation was actually given in an official document. Under it,
not merely "a considerable portion of the population," but
practically five-sixths of it would, in cases of infectious
disease, have to be deemed destitute.
[679] Order of 10th February 1875, art. 4.
[680] Circular of 8th July 1887, in Seventeenth Annual Report,
1887-8, p. 9.
[681] Circular of 2nd January 1877, in Sixth Annual Report,
1876-7, p. 33.
[682] Poor Law Act 1879 (42 & 43 Vic. c. 54, sec. 15).
[683] 46 & 47 Vic. c. 35.
[684] The Central Authority was apparently loth to accept the
situation. The statute was deliberately made only a temporary one,
expiring in a year. But it was annually renewed, and in 1891 the
provision was made permanent in the Public Health (London) Act of
that year. Meanwhile the Poor Law Act 1889 (52 & 53 Vic. c. 56,
sec. 3), had expressly authorised the admission of non-paupers,
entitling the guardians to recover the cost from the patients if
the guardians chose; but making their expenses, in default of such
recoupment, chargeable (as were the expenses of the pauper
patients) on the Common Poor Fund. We cannot discover that any
attempt was made to recover the cost from the patients; and in
1891 the very idea was abandoned.
[685] Annual Reports of the Metropolitan Asylums Board, 1889-1906.
In 1888, in anticipation of the necessary amendment of the law,
the Central Authority authorised the admission of diphtheria cases
(Local Government Board to Metropolitan Asylums Board, October
1888; _Local Government Chronicle_, 27th October 1888, p. 986;
Poor Law Act 1889 (52 & 53 Vic. c. 56, sec. 3); Order of 21st
October 1889, in Nineteenth Annual Report, 1889-90, p. 96). The
boards of guardians outside the Metropolis failed, we believe
everywhere, to respond to the invitations of the Central Authority
to provide similar accommodation for infectious diseases. In 1876
the inspector was doing his utmost, by special Order of the
Central Authority, to induce the Manchester, Salford, Chorlton,
and Prestwich Boards of Guardians to unite in establishing out of
the poor rates a hospital for infectious diseases, which should
admit non-paupers on payment (MS. Minutes, Manchester Board of
Guardians, 17th February 1876).
A similar enlargement of the sphere of the Poor Law institution has, of
late years, been going on in other than infectious cases. "The poorer
classes generally," to use Mr. Goschen's words, "as distinguished from
actual paupers," came more and more to appreciate the practical
distinction between the workhouse and the Poor Law infirmary; and,
especially in the Metropolis and the large towns, the latter became more
and more freely used as a general hospital.[686] This tendency was
facilitated in London by the operation of the Metropolitan Common Poor
Fund established by the Central Authority itself, which, from 1870
onward, bore the bulk of the cost of maintenance of the Poor Law
infirmaries, as of the hospitals of the Metropolitan Asylums Board.[687]
The Central Authority saw with approval the increasing attractiveness of
these institutions, not only in London but throughout the country. In an
official memorandum communicated to all boards of guardians in 1892, it
observed that: "The sick poor can usually be better tended and nursed by
skilled nurses in well-equipped sick wards than in their own homes; and
the regularity, neatness, and order of the wards _tend to diminish the
repugnance to entering the workhouse_, which is often evinced by the
sick poor of the better class when reduced to want by failing
health."[688] It did not refuse to permit them to be made use of by
paying patients, where--as is usually the case in rural districts--no
"non-pauper institution" was available. "If," writes the Central
Authority in 1902, there is "a sick person who is in receipt of an
allowance from a benefit club or similar society," and who "is unable to
obtain in a non-pauper institution such treatment as the illness from
which he suffers requires," the Central Authority will "offer no
objection to his admission to the workhouse infirmary."[689]
[686] In 1889, for instance, the Central Authority provided that,
in cases of sudden or urgent necessity, the medical superintendent
or his assistant should admit patients on his own responsibility,
without order from the relieving officer (Special Order to Mile
End Old Town, 10th October 1889).
[687] Under the Metropolitan Poor Amendment Act 1870, the cost of
the maintenance of adult paupers in workhouses and sick asylums,
to the extent of 5d. per head per day, was thrown on the
Metropolitan Common Poor Fund. To two-thirds of the Metropolitan
unions, including all the poorer ones, this operated as a bribe in
favour of indoor (or infirmary) treatment as against domiciliary
or dispensary treatment. Mr. Longley wished to go much further. In
order practically to compel all the Metropolitan boards of
guardians to provide these elaborate and expensive hospitals, he
recommended that the whole cost of indoor maintenance of the sick,
when in infirmaries separated in position and administration from
the ordinary workhouses, should be made a charge on the
Metropolitan Common Poor Fund (Mr. Longley's Report on Indoor
Relief in the Metropolis, in Fourth Annual Report, 1874-5, p. 54).
[688] Memorandum on Nursing in Workhouse Sick Wards, April 1892;
in Twenty-fifth Annual Report, 1895-6, p. 114.
[689] Decision of Local Government Board in _Local Government
Chronicle_, 18th October 1902, p. 1051.
To those boards of guardians who clung to the policy of "deterring" the
sick poor from obtaining medical relief--which, as we have shown, Mr.
Gathorne Hardy had, on behalf of the Central Authority, in 1867
expressly repudiated[690]--all this official encouragement to enter Poor
Law institutions seemed revolutionary. The fact that the sick poor came
more and more to draw a distinction between the workhouse on the one
hand, and the Poor Law infirmary or isolation hospital on the other,
appeared seriously objectionable. When it was noticed that the Central
Authority officially styled the separate institution for the sick "an
asylum for the sick poor,"[691] or "the hospital," or simply the
"infirmary,"[692] the Manchester guardians revolted, and definitely
instructed their medical and relieving officers "to avoid using the word
'hospital' or 'infirmary,' and simply to use the word 'workhouse.'"[693]
Other boards, we believe, insisted--although "the infirmary" was an
entirely distinct institution--that it should be entered only through
the workhouse itself. Against this lingering objection on grounds of
Poor Law policy to get the sick cured in the most efficient way, we see
the inspectorate in the later years more and more explicitly protesting.
"I wish it were possible," said Mr. Preston-Thomas in 1899, "to get rid
of the name of workhouse (which, by the way, has become singularly
inappropriate), for I believe that it is to the associations of the name
rather than to the institution itself that prejudice attaches. The
disinclination of the independent poor to enter the hospitals of the
Metropolitan Asylums Board, which was considerable at first, has now
practically vanished, and I do not see why there should not be the same
change of feeling with regard to Poor Law infirmaries in the
country."[694]
[690] _Hansard_, 8th February 1867, vol. 185, p. 163; _see_ ante,
pp. 120-21.
[691] Metropolitan Poor Act 1867 (30 & 31 Vic. c. 6); Special
Order to Central London Sick Asylum District, 13th May 1873.
[692] Special Order to Lambeth, 25th August 1873.
[693] MS. Minutes, Manchester Board of Guardians, 14th August
1879. Some of the inspectors seem to have shared this objection.
As late as 1901 we find one reporting that "the admission into our
workhouse infirmaries of persons above the pauper class, and not
destitute, is, I fear, increasing" (Mr. J. W. Preston's Report, in
Thirtieth Annual Report, 1900-1, p. 97).
[694] Mr. Preston-Thomas's Report, in Twenty-eighth Annual Report,
1898-9, p. 135.
In the same spirit we see the Central Authority in these three decades
persistently pressing Boards of Guardians to build new workhouse
infirmaries.[695] The report becomes current in the Poor Law world that
Local Government Board officers, in interviews, went so far as to say
that a certain board of guardians was morally guilty of manslaughter in
refusing to embark on extensive new building operations. The official
architect's criticisms on the Poor Law infirmary plans submitted to him
are all on the lines of making these into up-to-date general hospitals.
The proposals sanctioned by the Central Authority go up to a capital
outlay of £350 per bed. The Central Authority even sanctions special
hospitals established by the guardians at the expense of the poor rate,
for particular classes of patients, such as the "West Derby, Liverpool
and Toxteth Park Hospital, ... for the reception of persons suffering
from tuberculosis," many of whom are so little destitute that they pay
the cost of their treatment and maintenance;[696] or, as at Croydon,
Kingston, and Richmond, "for the reception of epileptic and
feeble-minded persons," who cannot be certified as of unsound mind.[697]
Persons in receipt of medical relief only are no longer disqualified as
paupers from being registered as Parliamentary and Municipal electors,
and it has even been held that admission to a Poor Law hospital, sick
asylum, or infirmary because of ill-health, and for the purpose of being
medically treated, amounts to medical relief only, even though it
incidentally involves also maintenance at the expense of the poor
rate.[698] By 1903 we have the Central Authority laying it down in
general terms, "that it is the guardians' duty to provide for their sick
poor, and no sanction ... is necessary to sending such cases to
institutions for curative treatment ... and ... paying reasonable
expenses involved in so doing."[699] The Central Authority seems,
indeed, to exhaust official ingenuity in securing the best possible
treatment and also the comfort of the patients in the sick wards.[700]
Any reasonable fee may be paid for calling in consultants whenever the
medical officer thinks it "necessary or desirable," without any special
sanction being requisite.[701] We need not recite the constant struggle
to get more nurses and better. As early as 1879 a president could
(perhaps with some ministerial optimism) declare that: "in the new
infirmaries I have succeeded in abolishing pauper help almost
entirely."[702]
[695] "the curtailment of the stage of convalescence," urged the
medical inspector in 1875, on a hesitating board of guardians,
"alone rapidly covers any additional outlay that may have been
incurred in structural arrangements, whilst the increased chances
of recovery to the sick and afflicted are not to be measured by
any mere money standard" (Dr. Mouat, medical inspector of Local
Government Board, in Report on Infirmary of Newcastle Union; MS.
archives, Newcastle Board of Guardians, 26th November 1875).
Already by 1891 the Central Authority is able to inform Parliament
that the number of "sick beds" provided in Poor Law Institutions
throughout the country--irrespective of the mere infirm aged--is
no less than 68,420 (House of Commons, No. 365 of 1891;
Twenty-first Annual Report, 1891-2, p. lxxxvi). In 1896 there were
58,551 persons occupying the workhouse wards for the sick, of whom
19,287 were merely aged and infirm, whilst there were in
attendance 1961 trained nurses, 1384 paid but untrained nurses
(probationers), and 3443 pauper helpers, of whom 1374 were
convalescents (Twenty-sixth Annual Report, 1896-7, p. lxvi; House
of Commons, No. 371 of 1896).
[696] Special Orders to West Derby, Liverpool and Toxteth Park,
5th April 1900 and 25th January 1901. In 1888 two other Boards of
Guardians were even urged and authorised to combine in the taking
over and maintenance of a specialised hospital for a particular
class of diseases, and to conduct it as a Poor Law institution
with the aid of a small annual subsidy from national funds, on the
understanding that all local cases were taken. There was to be no
sort of "deterrent" influence. Patients, suffering from these
diseases, were to be admitted on the authority of the medical
superintendent of the hospital, without there being necessarily
any order from the relieving officer; and without any express
restriction to the destitute. The well-understood object of this
Poor Law institution was, in fact, positively to encourage all
persons suffering from the diseases in question to come in and be
cured. There was to be no obvious sign that it was a Poor Law
institution. It was especially ordered that it should be styled
"The Aldershot Lock Hospital" (Special Orders to Farnham and
Hartley Wintney Unions, 19th September 1888 and 16th November
1894). This went on for seventeen years, and was given up in 1905
(_ibid._ 30th December 1905).
[697] Special Order to Croydon, Kingston, and Richmond, of 27th
December 1904. We gather that this institution has not been
established. A similar one exists at Manchester.
[698] By some Revising Barristers under the Medical Relief
Disqualification Removal Act 1885 (48 & 49 Vic. c. 46).
[699] _Decisions of the Local Government Board_, 1902-3, by W. A.
Casson, 1904, p. 7. The Poor Law Act 1879 had, in fact, expressly
authorised boards of guardians to subscribe to charitable
institutions to which paupers might have access. It was held, for
instance, that boards of guardians may, if they choose, send their
sane adult epileptics to an epileptic colony, and pay the cost of
their maintenance there (_Local Government Chronicle_, 29th
October 1904, p. 1123). In 1901, the Central Authority sanctioned
the payment of £70 by the Bramley Board of Guardians for a cot in
the sanatorium of the Leeds Association for the Cure of
Tuberculosis (Local Government Board to Bramley Union, February
1901, in _Local Government Chronicle_, 23rd February 1901, p.
184).
[700] In 1903 it sanctioned the expenditure involved in the
setting up of Röntgen Ray apparatus in a Poor Law infirmary
(_Decisions of the Local Government Board_, 1902-3, by W. A.
Casson, 1904, p. 10).
[701] _Decisions of the Local Government Board_, 1903-4, by W. A.
Casson, 1905, p. 39.
[702] _Hansard_, 24th July 1879, vol. 248, p. 1173.
The guardians are reminded that the epileptics are especially to be
incessantly accompanied by trained nurses, lest they should be
suffocated in their fits.[703] The sick men in the workhouse may be
allowed tobacco and snuff, the sick women tea, in addition to that
prescribed in the dietary table.[704] The doctor is expressly reminded
that it is his duty to "order such food as he may consider
requisite."[705] When a complaint was made that beer was supplied in a
Norfolk workhouse, the Central Authority refused to interfere with a
"beer allowance" to sick paupers, given and renewed from week to week by
direction of the medical officer.[706] The guardians are even reminded
of the importance of providing illustrated books and newspapers for the
sick.[707]
[703] Local Government Board decision, in _Local Government
Chronicle_, 1st November 1902, p. 1102.
[704] General Order of 8th March 1894, in Twenty-fourth Annual
Report, 1894-5, pp. xcix, 4-5.
[705] Circular of 29th January 1895, in Twenty-fifth Annual
Report, 1895-6, p. iii.
[706] Mr. Long in House of Commons (23rd June 1904; _Hansard_,
vol. 136, p. 971).
[707] Circular of 23rd January 1891; Twentieth Annual Report,
1890-1, p. xc; Report of Royal Commission on Aged Poor, 1895, vol.
iii. p. 967, (Cd. 7684 II).
Meanwhile the standard of equipment, of resident medical attendance, and
especially of trained nursing[708] required by the Central Authority in
the Poor Law institutions is constantly rising, in correspondence with
the progress of hospital science. We see all this reflected in the
advice and criticisms pressed by the inspectorate on the boards of
guardians. "The workhouses of a past and bygone age," says Mr. Hervey in
1903, "are no longer refuges for able-bodied, but are becoming every day
more of the nature of State hospitals for the aged, sick, and infirm.
_As such, they should be furnished with the very best nursing
procurable._"[709]
[708] _See_ the references to nursing in Circulars of 29th January
1895 and 7th August 1897; and the General Order (Nursing of the
Sick in Workhouses) 6th August 1897; Twenty-fifth Annual Report,
1895-6, pp. 109-110; Twenty-seventh Annual Report, 1897-8, pp.
27-31.
[709] Mr. Hervey's Report, in Thirty-second Annual Report, 1902-3,
p. 69. The total cost of Poor Law medical relief in 1904-5 was
£518,994 indoor (to which might be added £640,833 for what are now
called the "public health purposes" of the greatest of all Poor
Law authorities, the Metropolitan Asylums Board); and £268,537
outdoor (Thirty-fifth Annual Report, 1905-6, pp. 251, 589, 590).
This aggregate total of £787,531 (excluding the fever hospitals of
the Metropolitan Asylums Board) omits the maintenance of the sick
themselves, but includes, however, some items not previously
included. For comparative purposes we must take the figure for
1903-4 (£423,554), which includes only doctors' salaries and
drugs. This may be compared with the corresponding figure for 1881
of £310,456; for 1871, of £290,249; and for 1840 of £151,781
(Twenty-second Annual Report of the Poor Law Board, 1869-70, p.
227; Eleventh Annual Report of the Local Government Board, 1881-2,
p. 237).
(iii.) _The Municipal Medical Service_
It may be that it is on the Public Health side, which was in 1871 added
to the Poor Law work of the Central Authority, that we may trace the
influence of the suggestion that was under discussion at the Poor Law
Board under Mr. Goschen's presidency, just prior to its merging in the
Local Government Board. The idea of "free medicine to the poorer classes
generally, as distinguished from actual paupers, and perfect
accessibility to medical advice at all times under thorough
organisation"--which the new permanent secretary, Sir John Lambert, may
have brought back from his official visit to Ireland--finds a certain
expression in the Public Health Act of 1872, re-enacted with additions
in 1875, which created "one local authority for all public health
purposes in every place, so that no area should be without such an
authority, or have more than one." In the rural districts the board of
guardians became this authority. As such they came under a series of
responsibilities based upon ideas diametrically opposed to those of the
Poor Law. Instead of confining their action to actual applicants for
help, they had to search out cases of nuisance or dangerous disease.
Instead of restricting their administration to those who were willing
and anxious for it, they were charged with compelling to be done all
that was required. Instead of being limited in purview to a small class
specially stigmatised as paupers, the guardians had to consider the
whole population as needing their attention without distinction of class
or subjection to stigma. They were expressly authorised, not merely to
repress nuisances, but to provide hospitals "for the use of the
inhabitants," without any limitation to infectious or any other
diseases.[710] They were even empowered, with the consent of the Central
Authority, to "provide or contract with any person to provide a
temporary supply of medicine and medical assistance for the poorer
inhabitants of their district."[711] The Central Authority eagerly
pressed on the local authorities the policy of the new Act.[712] We see
the Poor Law inspectors--who were "in possession of the views of the
(Local Government) Board on the subject"--explaining to boards of
guardians in unions having rural districts their new duties; the future
work of their new Public Health staff of medical officer of health and
sanitary inspectors; and their responsibility for maintaining and
improving the health, not of paupers only, but of the whole
community.[713] We are not here concerned with the progress of public
health administration, in which the boards of guardians cannot be said
to have been apt or willing disciples. It is not to the boards of
guardians, in 1907 still the sanitary authorities in non-urban
districts, that we owe the elaborate medical organisation of an
up-to-date Public Health Department, with its peripatetic health
visitors and diagnosing doctors, its milk depots and campaign against
infantile mortality, its gratuitous supply of anti-toxins and
diarrhoea medicine, its gratuitous hospitals and sanatoria no longer
confined to small-pox and fever. We need only notice here the gradual
appreciation, by the Central Authority and the Poor Law inspectors, of
the intimate connection between shortcomings in the public health
service and an excess of pauperism. Even from the narrowest standpoint
of Poor Law principles, the causal connection between disease and
pauperism could no longer be ignored. "The effect of bad house
accommodation on the health of the poor," writes Mr. Bagenal in 1902,
"has often been demonstrated by experts in public health. Not only are
serious illnesses more frequent, but damp and draughty dwellings lower
vitality to such an extent that the bodily vigour and activity, as well
as the spirits, are affected, and the system becomes unable to withstand
actual disease. Families are often pauperised on account of sickness
produced by living in unhealthy conditions. Labourers also often become
permanently disabled, and fall upon the rates, owing to premature old
age brought on by insanitary houses. To prevent sickness and to prolong
the working term of a labourer's life must be a gain to the ratepayers,
as well as to all classes of the community."[714] To take only one
specific instance, in the Redruth Union the reason for a high average of
pauperism in 1906 was found in the large amount of destitution produced
by "miner's phthisis," and the great number of widows and orphans which
it caused, "the total number of persons pauperised owing to this special
cause being ... 333," besides other cases of infirmity of the miners
themselves. "A substantial proportion of the excessive pauperism in the
Redruth Union is thus accounted for."[715]
[710] Sec. 131 of Public Health Act 1875 (38 & 39 Vic. c. 55).
[711] Sec. 133 of _ibid._ This had been already included in the
Sanitary Act of 1868 (31 & 32 Vic. c. 115, sec. 10).
[712] Circular of 17th August and 12th November 1872, in Second
Annual Report, 1872-3, pp. 19-20, 41-52.
[713] _See_, _e.g._ the letters of Mr. Hedley, in September 1872,
in MS. archives of Newcastle Board of Guardians.
[714] Mr. Bagenal's Report, in Thirty-first Annual Report, 1901-2,
p. 139.
[715] Mr. Preston-Thomas's Report, in Thirty-fifth Annual Report,
1905-6, pp. 471-2.
_F._--PERSONS OF UNSOUND MIND
It does not seem necessary to trace the slight changes in the law
relating to pauper lunatics, or in the orders and circulars of the
Central Authority. There appears to have been no alteration in the
relation of the Central Authority to the Lunacy Commissioners,
practically no steps being taken to initiate policy except upon the
suggestion of the latter, whose standard of accommodation and treatment
continues steadily to rise for pauper as for non-pauper lunatics.
The only point of interest is the continuance, virtually unchanged, of
the three methods of treatment, viz. maintenance in the workhouse,
treatment in a lunatic asylum, or grant of outdoor relief.
The number of persons of unsound mind in the workhouse continued
practically undiminished, without any steps being taken to prevent their
retention among the aged, the sick, and the children, who came more and
more to make up the workhouse population.[716] There were, in fact,
three classes of cases in which a lunatic might be detained in a
workhouse. Firstly, there is the old provision, under which "the
visitors of any asylum may, with the consent of the Local Government
Board and the Commissioners, and subject to such regulations as they
respectively prescribe, make arrangements with the guardians of any
union for the reception into the workhouse of any chronic lunatics, not
being dangerous, who are in the asylum, and have been selected and
certified by the manager of the asylum as proper to be removed to the
workhouse."[717] Secondly, "where a pauper lunatic is discharged from an
institution for lunatics, and the medical officer of the institution is
of opinion that the lunatic has not recovered, and is a proper person to
be kept in a workhouse as a lunatic, the medical officer shall certify
such opinion, and the lunatic may thereupon be received and detained
against his will in a workhouse without further order, if the medical
officer of the workhouse certifies in writing that the accommodation in
the workhouse is sufficient."[718] Thirdly, if it is necessary for the
welfare of a lunatic, or for the public safety, that he should
immediately be placed under care and control, pending regular
proceedings for his removal, he may be taken to a workhouse (if there is
proper accommodation therein) by a constable, relieving officer, or
overseer, and may be detained there for three days, during which time
the proceedings are to be taken; and in any case in which a summary
reception order has been or might be made, he may be further detained on
a justice's order till he can be removed, provided that the period does
not exceed fourteen days.[719] Moreover, any other lunatic might be
"allowed to remain in a workhouse as a lunatic" if "the medical officer
of the workhouse certifies in writing: (_a_) that such a person is a
lunatic, with the grounds for the opinion; and (_b_) that he is a proper
person to be allowed to remain in a workhouse as a lunatic; and (_c_)
that the accommodation in the workhouse is sufficient for his proper
care and treatment, separate from the inmates of the workhouse not
lunatics, unless the medical officer certifies that the lunatic's
condition is such that it is not necessary for the convenience of the
lunatic or of the other inmates that he should be kept separate." Such a
certificate signed by the medical officer is sufficient authority for
detaining the lunatic in a workhouse for fourteen days, but no longer,
unless within that time a justice signs an order for his detention.
Failing such a certificate, or, after fourteen days, such an order, or
if at any time the lunatic ceases to be "a proper person to be allowed
to remain in a workhouse," he becomes "a proper person to be sent to an
asylum," and proceedings are to be taken accordingly.[720]
[716] It seems to have been entirely as an exception that the
Rochdale Guardians fitted up what was practically a lunatic asylum
in their workhouse, adequately equipped, staffed, and isolated;
and took in a number of Lancashire chronic lunatics (Special Order
of 13th April 1893; Twenty-third Annual Report, 1893-4, p. xcii).
[717] Lunacy Act, 1890, 53 Vic. c. 5, sec. 26.
[718] _Ibid._ sec. 25; cf. Lunacy Act 1889, 52 & 53 Vic. c. 41,
sec. 22.
[719] Lunacy Act 1890, secs. 20, 21; cf. Lunacy Act 1885, 48 & 49
Vic. c. 52, secs. 2 and 3.
[720] _Ibid._ sec. 24.
Meanwhile the Central Authority continued to permit the grant of outdoor
relief in cases of lunacy; and about 5000 were always so maintained.
Regulations for the boarding-out of pauper lunatics first appear in the
Act of 1889. "Where application is made to the committee of visitors of
an asylum by any relative or friend of a pauper lunatic confined therein
that he may be delivered over to the custody of such relative or friend,
the committee may, upon being satisfied that the application has been
approved by the guardians of the union to which the lunatic is
chargeable, and, in case the proposed residence is outside the limits of
the said union, then also by a justice having jurisdiction in the place
where the relative or friend resides, and that the lunatic will be
properly taken care of, order the lunatic to be delivered over
accordingly." The authority liable for such a lunatic's maintenance is
to pay an allowance for his support to the person who undertakes his
care; the medical officer of the district is to visit him and report to
the visiting committee every quarter, and two visitors may at any time
order the lunatic to be removed to the asylum.[721] Any two
Commissioners have also the right to visit any pauper lunatic or alleged
lunatic not in an institution for lunatics or in a workhouse, and call
in a medical practitioner; if the latter signs a certificate, and they
think fit, the Lord Chancellor may direct that the lunatic be received
into an institution.[722]
[721] Lunacy Act 1889, sec. 40.
[722] _Ibid._ sec. 42.
For the paupers of unsound mind in the Metropolis there was even a
fourth alternative, namely, the "district asylums" of the Metropolitan
Asylum Board. On the opening of the Darenth Asylum, the Central
Authority quoted, without disapproval, the following remarks of the
Lunacy Commissioners: "The withdrawal, for proper care, of helpless
children of this kind [idiots] from the households of many of the
industrious and deserving poor is a frequent means of _warding off
pauperism in the parents_."[723] We do not find, however, any more
explicit statement on this point. What the Central Authority continued
to press on the Boards of Guardians was, not so much the importance of
relieving the struggling poor from the burden of their insane or idiotic
dependants, nor yet the freeing of the workhouses from the presence of
persons of unsound mind; but rather of appropriate discrimination. "It
is of great importance not merely to exclude from the [district] asylums
those who, by reason of violence or irritability, are proper subjects
for the county asylum, but also those who, from old age or disease, are
unfit for the journey to the asylum, or who, from the slight degree to
which their mind is affected, might more properly remain in the
workhouse."[724] "The removal of helpless, bedridden persons, whose
mental weakness is, in many cases, the result of old age, to asylums
situated a considerable distance from the Metropolis, is calculated, on
the one hand, to be injurious to the persons thus removed, and, on the
other, to occupy the district asylums with a different class of persons
from that for which they were constructed."[725] Imbecile children are
to be kept in the workhouse till they are five years old, and may then
be sent to the asylum at Darenth.[726] Outside the Metropolis there is
no specialised Poor Law provision for idiots, who, if not received into
the county asylum, must either be placed in non-Poor-Law institutions at
considerable expense, or detained in the workhouse. In 1885 the Central
Authority even suggested that harmless and aged lunatics had, on grounds
of economy, better be retained in the workhouse, rather than removed to
an asylum.[727] We hear incidentally of a Special Order in 1900 under
which certain chronic lunatics were actually transferred from the
Suffolk County Asylum to the workhouse of the Mildenhall Union.[728] As
late as 1905 we find the Central Authority expressing regret that so
many cases of senile imbecility were removed from the workhouses to
asylums.[729]
[723] Eighth Annual Report, 1878-9, p. xli.
[724] First Annual Report, 1871-2, p. xxix.
[725] Circular Letter, "Metropolitan Asylums for Imbeciles," 12th
February 1875, in Fifth Annual Report, 1875-6, p. 3.
[726] Circular Letter, "Age of Children sent to Imbecile Asylums,"
24th July 1882, in Twelfth Annual Report, 1882-3, p. 17.
[727] Local Government Board to West Ham, January 1885; _Local
Government Chronicle_, 24th January 1885, p. 77.
[728] Special Order of 21st March 1900 (apparently not published);
referred to in Thirtieth Annual Report 1900-1, p. ci.
[729] Thirty-fifth Annual Report, 1905-6, p. clxxi.
Under this policy the number of paupers of unsound mind receiving
outdoor relief diminished very slightly, being 4736 on 1st January 1906;
those in the asylums of the Metropolitan Asylums Board and in county and
borough lunatic asylums rose to no fewer than 92,409; whilst those in
workhouses nevertheless did not fall off from the total of thirty-five
years previously, being, in fact, on 1st January 1906, 11,484, or an
average of nineteen in each workhouse.[730]
[730] _Ibid._ p. clxx.
Towards the latter part of the time we begin to find the inspectors,
somewhat in disaccord with the suggestions of the Central Authority
itself, protesting against the presence in the workhouses even of the
chronic lunatic, the harmless idiot, or the senile imbecile, on the new
ground that their presence caused annoyance to the sane
inmates--annoyance which had, for seventy years, been apparently either
unnoticed or not considered. "I am sorry to say," reported Mr.
Preston-Thomas in 1901, "that in all but six of the workhouses in my
district imbeciles mix freely with the other workhouse inmates. Many of
them are mischievous, noisy, or physically offensive.
In some instances, even if their bodily ailment is very slight, they
sleep in the sick wards in order that they may come under the
supervision of the nurses, and they frequently disturb other patients at
night. By day they are a source of much irritation and annoyance, and in
a small workhouse I have known the lives of a number of old men made
seriously uncomfortable by a mischievous idiot for whom no place could
be found in an asylum.... I am much afraid," prophetically continued Mr.
Preston-Thomas, "that ... the question will be postponed indefinitely,
and six or eight years hence the idiots will still be worrying the sane
inmates of workhouses.... It is in the country workhouses, sometimes
with only a dozen imbeciles or less, divided among the sexes, that the
chief difficulty arises.... A good many are often found useful in the
laundry and other domestic work of the institution, but I do not think
this consideration ought to outweigh what may almost be characterised as
the cruelty of requiring sane persons to associate, by day and by night,
with gibbering idiots."[731] When the Select Committee on the Bill to
establish Cottage Homes for the Aged Poor in 1900 strongly recommended
the removal of all imbeciles from workhouses, the Central Authority,
observing that the advisability of this step had been repeatedly brought
to its notice by guardians and others, declared that the question must
be deferred.[732]
[731] Mr. Preston-Thomas's Report, in Thirtieth Annual Report,
1900-1, pp. 122-3.
[732] Circular of 4th August 1900, in Thirtieth Annual Report,
1900-1, p. 18.
_G._--DEFECTIVES
For the first twenty years after 1871 there is no alteration of policy
to record with regard to defectives. In fact, the Central Authority does
not seem to have paid much attention to this class, whether mentally or
physically defective, during this period. It enjoined no policy for the
treatment of them till 1891. A Circular on "Blind and Deaf and Dumb
inmates of Workhouses" then required the inspectors to "continue to give
special attention" to children among this class, and urge their removal
from the workhouse when desirable. It was held that the guardians might,
if they chose, pay the whole of the maintenance of deaf and dumb
children sent to appropriate institutions. No limit has been fixed, but
in no case has more than £20 a year been sanctioned.[733] Adults also
were to be given instruction in reading and writing, if able to profit
thereby, and if such instruction could not be provided in the union,
they might be sent, under contract, to the workhouse of some other union
where teaching might be available, either in the workhouse or in the
town. It is also suggested that arrangements might with advantage be
made for reading aloud to the aged blind in the workhouse. But it was
held to be illegal to pay for the technical instruction of blind
workhouse inmates at a non-Poor-Law institution.[734] From 1903 onward,
however, we have the almost dramatic extension of the scope of the
Education Authority with regard to defective children of all kinds--a
change which has already gone far to transfer responsibility for the
treatment of the blind, the deaf and dumb, the crippled, the epileptic,
and the mentally defective children up to sixteen from the Poor Law to
the Education Authorities. The first step was the Act of 1893, which
required the local Education Authority to provide education for blind
and deaf children; but children sent to any institution from the
workhouse, or boarded out by the guardians, were expressly
excluded.[735] In 1899 similar provision was made for defective and
epileptic children; and the guardians were authorised to arrange with
the Education Authority to take over Poor Law cases on payment.[736]
Under these Acts provision is more and more being made, especially in
London, for the education, treatment, and even (where requisite)
maintenance in educational institutions of these children up to sixteen.
[733] _Selections from the Correspondence of the Local Government
Board_, vol. i 1880, p. 53; vol. ii. 1883, p. 281; vol. iii. 1888,
p. 102.
[734] _Ibid._ vol. iii. 1888, p. 101.
[735] Elementary Education (Blind and Deaf Children) Act 1893 (56
and 57 Vic. c. 42).
[736] Elementary Education (Defective and Epileptic Children) Act
1899 (62 and 63 Vic. c. 32).
In 1903 a Special Order provided for the transfer, from the Metropolitan
workhouses to the special homes of the Metropolitan Asylums Board, of
children who, without being certified as of unsound mind, were mentally
defective; and for their retention in such homes until twenty-one years
of age.[737] We do not find any corresponding provision with regard to
the mentally defective children outside the Metropolis; or for the
mentally defectives beyond sixteen years of age. In the rural
workhouses, at any rate, which make up three-fourths of the whole, it
would seem that in 1907, as it was officially reported in 1879, these
mentally defectives, together with "the imbeciles, are more or less
mixed up with the ordinary inmates of the class to which they
belong."[738]
[737] Special Order of 4th March 1903; Thirty-third Annual Report,
1903-4, p. ci.
[738] Mr. Courtenay Boyle's Report, in Eighth Annual Report,
1878-9, p. 120.
In recent years we see the Central Authority willingly sanctioning
special provision for individual cases. Thus, special assistance may be
given for starting in trade persons handicapped by their infirmities. In
one case, the Board sanctioned the purchase of tools for a blind man who
had been taught a trade.[739] In another case, "an adult having become
incapacitated by reason of accident from again following his usual
occupation, the guardians were desirous of paying a premium in
consideration of his being taught a trade which the nature of his
infirmity would not prevent his carrying on. On the proposal being
submitted to the Local Government Board, the Board observed that as the
person was too old to be bound as an apprentice, there was no authority
for the payment of the premium, but they suggested whether the
difficulty might not be overcome by out-relief being granted during the
period of learning."[740]
[739] _Local Government Chronicle_, 29th November 1902, p. 1203.
[740] _Ibid._ 6th December 1902, p. 1225.
A third instance is given as follows: "A boy, aged sixteen years, has
been a pupil at an institution for the blind, the fees for his board and
education having hitherto been paid by the said board [of guardians]
under the Elementary Education (Blind and Deaf Children) Act 1893. The
boy is desirous of competing for a scholarship of the value of £40 a
year from the Institution for the Blind in London; total fees, £60 a
year. The guardians wish to contribute £13 a year, the father, who earns
on an average £2:2s. a week, being willing to pay the balance of £7, in
addition to travelling expenses and outfit. The Board hold that the
guardians can, assuming the boy is in need of relief, carry out their
proposal under 30 and 31 Vic. c. 106, sec. 21."[741] An interesting
feature of this case is the vagueness of the term "in need of relief,"
instead of "destitution."
[741] _Decisions of the Local Government Board_, 1902-3, by W. A.
Casson, 1904, p. 14.
_H._--THE AGED AND INFIRM
(i.) _Outdoor Relief_
The crusade of the inspectorate of 1871-85, in favour of the "workhouse
system" of Poor Law relief, made no exception in favour of aged persons,
whether deserving or undeserving, any more than it did in favour of
widows with young children or the sick. On the contrary, Mr. Longley
assumed, in every paragraph of his Report,[742] that the "workhouse
principle" was universally applicable to "the disabled"--the term he
used for the aged and infirm--as well as to the able-bodied. A rigid
adherence to the policy of "offering the House" would, he argued, lead
the poor to provide, or induce their relatives to provide, for old age
as well as for sickness and widowhood.[743] Further, Mr. Longley
strongly deprecated any deviation in particular cases from what he
euphemistically called "the offer of indoor relief." "That which an
applicant does not know certainly that he will not get," he forcibly
argued, "he readily persuades himself, if he wishes for it, that he will
get; and the poor, to whom any inducement is held out to regard
application for relief as a sort of gambling speculation, in which,
though many fail, some will succeed, will, like other gamblers, reckon
upon their own success."[744] For every "hard case" he relied on the
springing up in every union of intelligently directed private charity.
"It is, in fact, the very existence of charity"--assumed thus to be
always at hand whenever required--"which strengthens the hands of the
Poor Law administrator in adherence to rule."[745] Yet, with a certain
want of logic, he desired this charitable provision to remain
"precarious" and "intermittent;" something which it was possible to
argue would always be there when a "hard case" occurred, and which,
nevertheless, could not be counted upon by the poor themselves. In other
words, he seemed to imply that charitable outdoor relief was superior to
Poor Law outdoor relief for the very reason that though some applicants
for it would succeed, others in like circumstances would fail to get
it--thus inducing, one would have thought, exactly the spirit of
"gambling speculation" on the part of the poor that he clearly perceived
to arise from the adoption by boards of guardians of an intermittent and
uncertain relief policy.
[742] Report on the Administration of Outdoor Relief in the
Metropolis, in Third Annual Report, 1873-4, pp. 136-209.
[743] "One of the chief defects," he said, "in the present
administration of the law in respect of the disabled class, and
especially of that large section of it which consists of the aged
and infirm ... is its failure to relieve the rates from the burden
of the maintenance of paupers whose relatives, whether legally
liable or not, are able to contribute to their support. It is, I
believe, within the experience of many boards of guardians, that
while there are persons who, even when in prosperous
circumstances, readily permit their aged relatives to receive
out-relief, an offer of indoor relief is frequently found to put
pressure upon them to rescue themselves, if not their relatives,
from the discredit incident to the residence of the latter in a
workhouse" (_Ibid._ p. 188). Another inspector expressly reported
that he urged guardians with regard to the aged "to apply the
workhouse test _in order to put a pressure on relatives who are
not legally liable_" (Mr. Culley's Report in Third Annual Report,
1873-4, p. 76). So again, in 1875, Mr. Longley argued that the
"deterrent discipline" of the workhouse was "the keystone of an
efficient system of indoor relief," not merely for the
able-bodied, but also for the aged ("directly on the able-bodied,
and more remotely upon the disabled class of paupers," the term he
always used for the aged) (Report on Indoor Relief in the
Metropolis, in Fourth Annual Report, 1874-5, p. 47). It may,
however, be noted that Mr. Longley never pretended that this was
the policy of the Report of 1834, or of the Act of 1834. To him it
was "_a further and special development_ ... of the principles of
the Poor Law Amendment Act" (_Ibid._ p. 41).
[744] Mr. Longley's Report in Third Annual Report, 1873-4, p. 144.
[745] _Ibid._
How far this policy of offering the House to all aged persons, deserving
or undeserving, was assumed by the other inspectors to be the official
policy, and how far it was pressed by them, on boards of guardians
throughout the country, we have been unable to ascertain. Apart from the
approval of Mr. Longley's views implied by the publication of his
Reports and the circulation of them among boards of guardians, the
Central Authority maintained, between 1871 and 1896, an absolute
silence[746] on the question of outdoor relief to the aged.
[746] We ought, perhaps, to mention that, already in January 1895,
under Sir Henry Fowler's presidency, we find the Central Authority
writing to a board of guardians, to bespeak greater consideration
for the aged and infirm, who needed outdoor relief. The Bradford
Guardians had been in the habit of requiring their outdoor paupers
to come every week to the workhouse to receive their doles. The
Central Authority, far from deprecating this outdoor relief,
spontaneously pointed out that the system involved very long walks
for many infirm people, and suggested that the guardians should
institute four local pay stations (Local Government Board to
Bradford Union, 8th January 1895; in MS. archives, Bradford Board
of Guardians).
All the more surprising to boards of guardians must have been the sudden
and unexpected reversal of this policy by the Central Authority between
1896 and 1900. In July 1896, the Central Authority, under the presidency
of Mr. Chaplin, issued a Circular to boards of guardians outside the
Metropolis, drawing attention to the importance of the relieving
officers and medical officers discharging their duties with the greatest
particularity. In a concluding paragraph the Central Authority
significantly reminds the guardians of the recommendations of the Royal
Commission on the Aged Poor, of which an extract is appended. "We are
convinced," run the recommendations thus exceptionally brought to the
guardians' notice, "that there is a strong feeling that in the
administration of relief there should be greater discrimination between
the respectable aged who become destitute and those whose destitution is
distinctly the consequence of their own misconduct; and we recommend
that boards of guardians, in dealing with applications for relief,
should inquire with special care into the antecedents of destitute
persons whose physical faculties have failed by reason of age and
infirmity; and that _outdoor relief in such cases should be given_ to
those who are shown to have been of good character, thrifty according to
their opportunities, and generally independent in early life, and who
are not living under conditions of health or surrounding circumstances
which make it evident that the relief given should be indoor
relief."[747] But this is not all. The poor, far from being left
uncertain as to the grant of outdoor relief, were to be specially told
that they would receive it if only they led deserving lives. "It
accordingly appears to us eminently desirable," continue the
recommendations, as communicated by the Central Authority to the boards
of guardians, "that boards of guardians should adopt rules in accordance
with the general principles which we have indicated, by which they may
be broadly guided in dealing with individual applications for relief,
and _that such rules should be generally made known for the information
of the poor of the union, in order that those really in need may not be
discouraged from applying_."[748]
[747] Circular of 11th July 1896; in Twenty-sixth Annual Report,
1896-7, pp. 8-9. No mention is made of this Circular in the Annual
Report itself.
[748] _Ibid._ p. 9. In September 1896, under Mr. Chaplin's
presidency, the Central Authority "saw no objection" to a proposal
of the Poplar Guardians to "board out" an aged married couple in a
country cottage at 12s. a week, and added that its sanction was
not required, if the case fell within "exception 2 to art. 4" of
the Outdoor Relief Regulation Order. It was simply "non-resident
relief." But the Central Authority declared that it was impossible
for such relief to be made chargeable on the Metropolitan Common
Poor Fund, as "boarding-out" was outdoor relief (Local Government
Board to Poplar Union, 25th September 1896; MS. archives, Poplar
Board of Guardians). The expenses of "boarded-out" children had
been placed upon the fund by statute, the Metropolitan Poor
Amendment Act 1869.
How far this reversion to the policy contemplated by the 1834 Report,
and continued, as we have shown, by the Poor Law Commissioners, and the
Poor Law Board down to 1871, obtained the adhesion of the inspectors who
had grown up in the traditions of Mr. Longley's Reports of 1871-5, we
have been unable to ascertain.[749] Nor is it clear that the partial
circulation[750] by the Central Authority of the recommendations of the
Royal Commission affected the admonitions against outdoor relief
generally, which the inspectors had for nearly thirty years been
addressing to the boards of guardians.[751] Four years later the Central
Authority took an even more decisive step.
[749] Some of them hardly concealed their dismay. "In some
instances," says Mr. Davy, "where Guardians have been for years
endeavouring with patient care to administer the Poor Law strictly
... the opinion of the [Local Government] Board with reference to
outdoor relief to certain classes of paupers, has been the cause
of some change, if not of opinion, at all events of practice, with
the result that the amount paid weekly as outdoor relief has
increased largely.... This has been notably the case in the
Faversham Union.... During the last six months the expenditure has
increased about 25 per cent.... In some other Unions ... the
effect of the Circular has been still more marked, for the
recommendation that adequate relief should be given has been made
the occasion for increased grants of outdoor relief all round, the
word "adequate" being taken to refer to the amount of money given
only.... It cannot be too strongly insisted that adequate relief
means not only that the relief should be sufficient for the wants
of the pauper, but that it should be the most suitable form of
relief for each particular case." Mr. Davy went on to intimate
pretty plainly that, in his view, normally and typically, "the
only adequate form of relief is an offer for the workhouse"
(Thirtieth Annual Report, 1900-1, pp. 87-9).
[750] To Boards of Guardians "outside the Metropolis" only.
[751] It seems, at any rate, not to have affected their practice
of compiling statistical tables in which the Unions were
contrasted one with another, according to the percentage of the
paupers on outdoor relief--irrespective, as we have already
observed, of the relative proportions of the aged, among their
several populations; and (as must now be added) of the policy of
the Royal Commission on the Aged Poor, which the Central Authority
had promulgated.
In the famous pronouncement on Poor Law Administration generally which
Mr. Chaplin issued to all boards of guardians in 1900, systematic and
adequate outdoor relief to all aged persons who were at once destitute
and deserving was laid down as the definite policy of the Central
Authority. "It has been felt," runs this Circular, "that persons who
have habitually led decent and deserving lives should, if they require
relief in their old age, receive different treatment from those whose
previous habits and character have been unsatisfactory, and who have
failed to exercise thrift in the bringing up of their families or
otherwise. The Board consider that aged deserving persons _should not be
urged to enter the workhouse at all_ unless there is some cause which
renders such a course necessary, such as infirmity of mind or body, the
absence of house accommodation, or of a suitable person to care for
them, or some similar cause, but that they should be relieved by having
adequate outdoor relief granted to them. The Board are happy to think
that it is commonly the practice of boards of guardians to grant outdoor
relief in such cases, but they are afraid that too frequently such
relief is not adequate in amount. They are desirous of pressing upon the
guardians that such relief should, when granted, be always
adequate."[752] Nor did the Central Authority content itself with merely
issuing the Circular. Letters were sent in a few months' time to all the
boards of guardians asking what action had been taken with regard to the
suggested grant of outdoor relief to aged deserving persons, and, in
particular, whether the practice was to grant an adequate amount to each
case. The effect was (to use the words of an inspector) to produce "a
good deal of discussion ... upon the question of the amount of outdoor
relief granted to aged deserving persons."[753] "I rather fear," said
another inspector, "that in some unions it has rather been regarded as
a sort of mandate to increase the system of out-relief generally. This
the Circular did not intend."[754] On the other hand, yet another
inspector remarks that only "a few boards have looked at the (Local
Government) Board's suggestions from a sympathetic point of view, and
have increased their regular allowances to the aged out-paupers, but in
a large majority of the unions the guardians state that alteration is
not called for.... The principle is ... warding off destitution, not
providing maintenance."[755] Whatever was the intention of the Central
Authority, it is evident that the replies (which were not published and
which we have not seen) that it received to its repeated inquiries must
have revealed an enormous diversity of practice, utterly at variance
with the principle of national uniformity. In one union there would be
hardly any cases for which the guardians would grant outdoor relief at
all. In the next union practically every aged applicant would get it.
The conception of adequacy revealed in the replies must have been
equally various. In the West Riding the amount allowed per aged person
ranged from 1s. 6d. a week to as much as 7s. 6d. a week, whereas in the
East Riding the variations were only between 2s. 6d. and 5s. for each
person.[756] We happen to know that the Bradford Guardians reported
that, with greater uniformity, they gave 5s. a week for each deserving
aged person.[757] We have not been able to ascertain what action, if
any, was taken by the Central Authority on these replies. No objection
appears to have been taken, and no criticism to have been made, either
in respect of the virtual refusal of outdoor relief to the deserving
aged in some unions, or in respect of its almost indiscriminate bestowal
in others, or again, in respect of the wide range of variation between
union and union, in the amount allowed for each person. It is thus not
clear what is now the policy of the Central Authority on these points.
Its latest utterance is the Circular of 1900. Since then, so far as we
can discover, it has been silent on the subject.
[752] Circular of 4th August 1900; in Thirtieth Annual Report,
1900-1, pp. 18-19. This momentous new departure is not referred to
in the Annual Report itself. Returns published in the previous
year had shown that of the 286,929 paupers over sixty-five on 1st
January 1900, only 74,597 were indoor paupers, and of these, only
40,809 were in the workhouses as distinguished from infirmaries,
etc. The other 212,332 had outdoor relief. Outside the Metropolis,
indeed, eight out of every ten had outdoor relief; one was in the
infirmary, and there was only one in the workhouse (Twenty-ninth
Annual Report, 1899-1900, p. lvii).
[753] Mr. Bagenal's Report, in Thirtieth Annual Report, 1900-1, p.
154.
[754] Mr. Wethered's Report, in Thirtieth Annual Report, 1900-1,
p. 133.
[755] Mr. Baldwyn Fleming's Report, in Thirtieth Annual Report,
1900-1, pp. 112-113.
[756] Mr. Bagenal's Report, in Thirtieth Annual Report, 1900-1, p.
154.
[757] Local Government Board to Bradford Union, 10th January 1901;
Bradford Union to Local Government Board, 26th January 1901; in
MS. archives, Bradford Board of Guardians.
(ii.) _Indoor Relief_
Meanwhile there had accumulated in the workhouses of the Metropolis
(where the effect of the Metropolitan Common Poor fund had been to offer
a premium on indoor relief to two-thirds of the unions), and in those of
the unions up and down the country in which Mr. Longley's policy had
been more or less carried out, a large number of aged people, who became
permanent residents.[758] This fact, already noticeable and officially
recorded in 1867,[759] did not lead to any change in the policy of
workhouse administration laid down by the Central Authority. The General
Consolidated Order of 1847, framed essentially to deal with workhouses
in which the able-bodied were the most important feature, was not
amended to meet the new conditions. The structural improvements which,
as we have already described, began to be adopted after the _Lancet_
inquiry of 1865, continued to be pressed for, and eventually insisted
on, so far as regards new workhouses. In this respect the old people in
particular unions shared in the general benefit. But we do not find that
the Central Authority, after 1871, had any policy of altering the
general _régime_ of the old people's wards, corresponding to that which,
as we have described, took place with regard to the sick wards. On the
contrary, we must note, as part of Mr. Longley's policy, his emphatic
warning in 1873, that the workhouses had already become so "attractive
to paupers," as to furnish "no test of destitution."[760] He made no
exception in favour of the old people's wards. It was, in fact, the
"_deterrent discipline_" of the workhouse that he regarded as "the
keystone of an efficient system of indoor relief," not merely for the
able-bodied, but also, through its effect on the minds of those who were
still young, and on the relations of those who were old, also for the
aged.[761] We may, therefore, understand why it is that we find, between
1871 and 1892, practically nothing in the way of expression of the
policy of the Central Authority with regard to the indoor treatment of
the aged. It stood by the General Consolidated Order of 1847.[762] Even
the attempt made in 1867-75 to revert to the policy of the 1834 Report,
so far as to have specialised institutions for the aged, the sick, and
the able-bodied, as well as for the children, was not persisted in, so
far as the aged were concerned. No other unions were found to adopt the
joint arrangements of Poplar and Stepney under which the aged and infirm
of both unions had a workhouse to themselves, and even this one was
brought to an end in 1892.[763]
[758] It was not so much that the "offer of the House" increased
the aggregate population of the workhouses. Between 1871 and 1891,
this only rose, outside the Metropolis, from 131,334 to 139,736.
(In the Metropolis, owing to the development of the infirmaries
into general hospitals, and the working of the Common Poor Fund,
the rise was more considerable, viz. from 36,739 to 58,482). But
the workhouse population gradually changed in character, the
able-bodied being replaced by the aged. On 1st January 1900, there
were found to be, in the workhouses themselves, no fewer than
40,809 persons over sixty-five, and in the workhouse infirmaries,
etc., 33,788 more, making a total over sixty-five of 74,597; being
more than 38 per cent of the total inmates (Twenty-ninth Annual
Report, 1899-1900, p. lvii).
[759] "Able-bodied people are now scarcely at all found in them
during the greater part of the year.... Those who enjoy the
advantages of these institutions are almost solely such as may
fittingly receive them, viz. the aged and infirm, the destitute
sick and children. Workhouses are now asylums and infirmaries"
(Dr. E. Smith, Medical Officer to the Poor Law Board; in Twentieth
Annual Report, 1867-8, p. 43).
[760] Office Minute of 1873.
[761] "Directly on the able-bodied, and more remotely, upon the
disabled class of paupers," the term he always used for the aged
(Report on Indoor Relief in the Metropolis, in Fourth Annual
Report, 1874-5, p. 47).
[762] See _ante_, pp. 54-82.
[763] Special Order of 18th April 1892; Twenty-second Annual
Report, 1892-3, p. lxxix. The only item of policy as regards the
aged in the workhouse, to be noted between 1871 and 1892, seems to
be the insistence by Parliament in 1876 that married couples (who
if both persons were over sixty could not since 1847 be made to
live separately) might, if the guardians chose to allow it, live
together if either person were over sixty, infirm, aged, or
disabled (39 and 40 Vic. c. 61, sec. 10). This was communicated to
the boards of guardians in 1885 (Circular of 3rd November 1885, in
Fifteenth Annual Report, 1885-6, p. 23.) No great attempt was made
to get the guardians to provide the necessary separate
accommodation, or to make it decently habitable. Thus, at Poplar,
there were no rooms for married couples until 1884, and then they
were left for fifteen months without any means by which they could
be warmed. At last the Central Authority called attention to it
(Local Government Board to Poplar Union, 27th May 1886; MS.
Minutes, Poplar Board of Guardians, 4th June 1886). It should be
noted, too, that it was held that newspapers and periodicals might
be provided (_Selections from the Correspondence of the Local
Government Board_, vol. iii. 1888, p. 134); and the employment of
old men in three workhouses in northern counties in teazing hair,
which was excessively distasteful to them, and liable to be
injurious to their health, was discontinued at the instance of the
inspector (Twentieth Annual Report, 1890-1, pp. 245-6).
In 1892 the note changes. From that date onward we get a distinct
reversion, as regards the aged indoor pauper, to the policy indicated in
the 1834 Report ("the old might enjoy their indulgences"), from which
the Poor Law Commissioners of 1834-47, and the successive Central
Authorities of 1847-1892, had turned away.
It is interesting to see that the new departure began over tobacco.[764]
The Liverpool Select Vestry determined to give the well-conducted old
men in the workhouse the indulgence of a weekly screw of tobacco,
whether or not they were employed on disagreeable duties. The auditor
objected. The vestry insisted. The Central Authority was obdurate. The
local body appealed to its Parliamentary representatives. It was
suggested as a compromise that the medical officer might be got to
include it in the dietary table, when the Central Authority would not
refuse to sanction it.[765] The vestry declined to compromise, and
insisted on allowing tobacco as a non-dietetic indulgence. Finally, the
inspector was instructed to say that the objection was withdrawn. No
publicity was given to the concession, but it gradually leaked out.
During the year 1892 we see the Central Authority sanctioning by letter,
without any official publication on the subject, such applications as
were made by individual boards of guardians to be permitted to allow an
ounce of tobacco weekly to the men over sixty in the workhouse.[766] At
last, in November 1892, a General Order was issued permitting it in all
unions, irrespective of sex, and without limit of amount.[767] Little
more than a year later, as some compensation to the old women (though
they had not been excluded, in terms, from the indulgence of tobacco or
snuff), they were allowed "dry tea," with sugar and milk, irrespective
of that provided for in the dietary table.[768] Presently, this indulgence
is extended to "dry coffee or cocoa," if preferred, and the men also are
allowed to receive it.[769] At last, the Central Authority, by two lengthy
Circulars in 1895 and 1896,[770] under the presidency of Sir Henry Fowler
and Mr. Chaplin respectively, systematically laid down principles of
workhouse administration, so far as the aged were concerned, in sharp
contrast with those advocated by Mr. Longley, or indeed, with those
which had been inculcated from 1835 to 1892. It was expressly stated
that as the character of the workhouse population had so completely
changed since 1834, the administration no longer needed to be so
deterrent. The old idea of fixed uniform times of going to bed and
rising and taking meals was given up, it being expressly left to the
master and matron to allow any of the aged (as well as the infirm and
the young children) to retire to rest, to rise and to have their meals
at whatever hours it was thought fit. The visiting committees of
workhouses were now specially enjoined to see that the aged were
properly attended to, and recommended to confer with them as to any
grievances without any officials being present.[771] It was suggested that
the great sleeping wards should be partitioned into separate cubicles.
The guardians were reminded that aged or infirm couples might be
provided with separate rooms. The well-behaved aged and infirm were to
be allowed, within reasonable limits,[772] to go out for walks, to visit
their friends, and to attend their own places of worship on Sunday. The
rules were to be relaxed to allow them to receive visits in the
workhouse from their friends. There was to be no distinctive dress.
Those of them who were of good conduct, and who had "previously led
moral and respectable lives" were to be separated from the rest, who
"are likely to cause them discomfort," and were to have the enjoyment of
a separate day-room. The whole note of the administration of the old
people's wards of the workhouses was, in fact, to be changed, so far as
the Central Authority could change it. In the words of the 1834 Report,
the old were to "enjoy their indulgences." Four years later another
Circular was issued in stronger terms, reiterating the suggestions of
privileges that the guardians ought to allow to the deserving inmates
over sixty-five--freedom to rise and go to bed and have their meals when
they liked, to have their own locked cupboards for their little
treasures, in all cases to have their tobacco and dry tea, to be free to
go out when they chose, and to be allowed to receive the visits of their
friends. They were to be given separate cubicles to sleep in, and
special day-rooms, "which might, if thought desirable, be available for
members of both sexes ... and in which their meals, other than dinner,
might be served at hours fixed by the guardians."[773] "It is hoped that,
where there is room, the guardians will not hesitate to take steps to
bring about improvements of the kind indicated in the arrangements for
the aged deserving poor."[774] Four or five months later the guardians
were stirred up by letter, and asked what they had done towards creating
the specially privileged class of deserving aged inmates that had been
so strongly pressed on them.[775]
[764] It is not clear from the published documents at what date,
or in what unions, the Central Authority had first allowed
tobacco. In 1880, it decided that it could not legally be given to
workhouse inmates (not being sick), if it had not been specially
ordered by the medical officer under arts. 107 and 108 of the
General Consolidated Order of 1847 (_Selections from the
Correspondence of the Local Government Board_, vol. ii. pp. 3,
72). Yet, by 1885, at any rate, the allowance of tobacco or snuff
to non-able-bodied paupers, or to such as were "employed upon work
of a hazardous or specially disagreeable character," with
permission to smoke in such room as the guardians might determine,
had been exceptionally granted in particular cases; _see_, for
instance, Special Order to Carlisle of 22nd June 1885, not
published in the Annual Report.
[765] "It is the invariable practice," said Mr. Ritchie
approvingly, "to provide for the aged paupers a better diet than
that for the other classes" (Mr. Ritchie in House of Commons, 6th
May 1892; _Hansard_, vol. 4, p. 277).
[766] Local Government Board to Bourne Union, August 1892 (_Local
Government Chronicle_, 13th August 1892, p. 678); Local Government
Board to Caistor Union, September 1892 (_Ibid._ 8th October 1892,
p. 859).
[767] General Order of 3rd November 1892: Circular of 9th November
1892; Twenty-second Annual Report, 1892-3, pp. lxxxv, 35-6.
[768] General Order of 8th March 1894; Twenty-fourth Annual
Report, 1894-5, pp. xcix, 4-5.
[769] Special Order to Gateshead, 15th February 1896; _see also_
the "Specimen Order" given in Macmorran and Lushington's _Poor Law
Orders_, second edition, 1905, p. 1061.
[770] Circular on Workhouse Administration of 29th January 1895;
Memorandum on Visiting Committees of June 1895; Circular on
Classification in Workhouses of 31st July 1896; Twenty-fifth
Annual Report, 1895-6, pp. lxxxv, 107-112, 121-3; Twenty-sixth
Annual Report, 1896-7, pp. lxxxviii-lxxxix, 9-10.
[771] Memorandum on the Duties of Visiting Committees, June 1895;
in Twenty-fifth Annual Report, 1895-6, p. 122.
[772] Sunday morning, and one day a month, was held to be not
sufficient outing. "In the case of aged inmates of respectable
character," said Mr. Chaplin "leave of absence might well be
allowed on weekdays more frequently than is now the case" [at Old
Gravel Lane Workhouse] (_Hansard_, 23rd May 1898, vol. lviii, p.
326).
[773] Circular of 4th August 1900, in Thirtieth Annual Report,
1900-1, p. 19.
[774] _Ibid._ p. 20. Nor was this merely a formal expression. We
see, in the next few years, the Central Authority cordially
sanctioning the provision, at no small extra expense in capital
and annual maintenance, of new old people's wards in some unions,
of specialised old men's and old women's homes in others; even to
the extent of permitting (as at Woolwich) the location of the most
respectable and best conducted of the aged in a comfortable
private mansion conducted with the minimum of rules, and without
outward sign of pauperism.
[775] _See_, for instance, Local Government Board to Bradford
Union, 10th January 1901, in MS. archives, Bradford Board of
Guardians. There were then, in the Bradford workhouse, twenty aged
paupers of the first class, and seventeen of the second class.
Both these day wards had cushioned armchairs, lockers with keys
for each inmate, carpets on the floor, curtains to the windows,
and were made comfortable with cushions, coloured table-cloths,
pictures, and ornaments. The inmates had special dormitories
(Bradford Union to Local Government Board, 26th January 1901). The
General Consolidated Order of 1847 was still nominally in force.
During these years the dietaries for the aged and infirm were being
altered in the direction of liberality, variety, and freedom of choice.
Not only were hot meat or fish dinners provided ("with sauce"), but also
tea, coffee, cocoa, milk, sugar, butter, seed cake, onions, lettuce,
rhubarb or stewed fruit, sago, semolina, and rice pudding. In 1900
"provision is also made for ... the inmates on special infirm diet ...
to receive daily, before bedtime, or at such time as the guardians may
fix, a small allowance of milk pudding or similar food to break the
interval between the usual meals."[776] The Central Authority in 1904 made
no objection to a board of guardians subscribing to a lending library,
in order to obtain a constant supply of books for the deserving aged
workhouse inmates, and held that no special sanction was required.[777]
Finally, "it is open to guardians, if they think fit, to incur
reasonable expenses in providing a piano, for use at divine service [and
therefore, presumably also at other times, once it was installed] held
in a workhouse infirmary for old and infirm inmates;"[778] or to provide a
harmonium at the cost of the poor rate for the use of the inmates of the
workhouse.[779]
[776] Circular of 11th October 1900; Workhouse Regulations
(Dietaries and Accounts) Order, 1900; in Thirtieth Annual Report,
1900-1, pp. 65-6. But the Central Authority struck at afternoon
tea! The St. George's, Hanover Square, Guardians were informed
that it was "not prepared to assent to the proposal of the
guardians for the infirm men, and all men over the age of
sixty-five years to have half a pint of tea daily at 3.30 P.M.,
between the mid-day and evening meals" (Local Government Board to
St. George's, Hanover Square, November 1900; see _Local Government
Chronicle_, 17th November 1900, p. 1147).
[777] _Local Government Chronicle_, 27th August 1904, p. 898;
_Decisions of the Local Government Board_, 1903-4, by W. A.
Casson, 1905, p. 97.
[778] Local Government Board's Decision, _Local Government
Chronicle_, 1st November 1902, p. 1102; _Decisions of the Local
Government Board, 1902-3_, by W. A. Casson, 1904, p. 72.
[779] Local Government Board to St. German's Union, December 1898;
_Local Government Chronicle_, 24th December 1898, p. 1192.
_I._--NON-RESIDENTS
There is no change to record in 1871 in the expressed policy of
preventing relief to paupers not resident within the union. Such relief
(given in order to avoid the expense and hardship of removal) continued
in many cases, but was repeatedly blamed by the inspectors.
"Non-resident relief is given in almost all the unions ... sixteen per
cent of the outdoor paupers of Glendale Union were non-resident."[780]
In 1878 the Central Authority suggested that such relief "might be
almost entirely discontinued."[780] There has been no explicit
abrogation of this policy down to the present day; even in face of
representations that it is "harsh and totally out of keeping with the
spirit of the times."[781] But from 1871 onwards we have the force of
the maxim weakened by the growth of whole classes of cases which the
guardians are allowed, and even encouraged, to send to places outside
the union, and maintain there. We need do no more than allude to the
boarded-out children. Another growing class is that of paupers who are
placed in certified schools or homes, either by way merely of
boarding-school (frequently recommended as a method of disposing of
Roman Catholic children); or for residence in any industrial or
reformatory school; or (irrespective of age) for maintenance in an
institution for special treatment (blind, deaf and dumb, crippled,
epileptic, idiot, etc.); or merely in an asylum for the aged and
infirm;[782] or for curative treatment in a hospital, convalescent home,
seaside home, or sanatorium.[783] Even able-bodied aged paupers may, as
the Poplar Guardians were informed in 1896, be boarded out in country
families, under the guise of non-resident relief. The Central Authority
has not objected to the transfer of workhouse inmates, provided these do
not actively protest, to country workhouses, there to be maintained as
non-resident paupers.[784] In one case, indeed, the Central Authority
allowed a union to abolish its workhouse altogether (retaining only a
casual ward), and approved "arrangements for the boarding-out of the
indoor poor in the workhouses of other unions for a period not exceeding
five years."[785] It is, therefore, not easy to determine how much is
left of the policy of preventing non-resident relief as such.
[780] Third Annual Report, 1873-4, p. 78.
[781] Memorandum relating to the Administration of Out-relief,
February 1878, in Seventh Annual Report, 1877-8, p. 224. "The
suggestion that non-resident relief should be absolutely abolished
is one in which the president is quite disposed to concur, with
perhaps, some reservation regarding existing cases" (Local
Government Board to Chairman of Central Poor Law Conference, 12th
May 1877, in Seventh Annual Report, 1877-8, p. 56).
[782] Bradford Union to Local Government Board, 13th September
1901, forwarding resolution: "That ... the prohibition of
non-residential relief to the widow and children of a person who
may have died in the union of his settlement is harsh and totally
out of keeping with the spirit of the times; and that the
provisions of the Outdoor Relief Prohibitory Order, 1844, and the
Outdoor Relief Regulation Order, 1852, call for urgent revision."
This received only an acknowledgment (Local Government Board to
Bradford Union, 16th September 1901).
[783] _Decisions of the Local Government Board_, 1903-4, by W. A.
Casson, 1905, p. 26.
[784] If guardians wish to make use of the Margate Homes for Sick
Paupers, they may do so (as the Central Authority expressly
informed them in 1874) _by granting non-resident relief_ (Circular
of 1874; _see Local Government Chronicle_, 23rd May 1874, p. 334).
[785] _Local Government Chronicle_, 15th October 1904, p. 1072.
[786] Local Government Board to Woodbridge Union, 26th April 1898;
in _Local Government Chronicle_, 14th May 1898, p. 474.
_J._--THE WORKHOUSE
We left the Central Authority in 1871, fully accepting the view that the
workhouse was not merely a "test" which few only might be expected to
pass or to endure for long, but a place of permanent or long-continued
residence for whole classes of paupers. The workhouse population on 1st
January 1871 numbered, in fact, 168,073. The Central Authority,
reverting to the proposals of the 1834 Report, had accordingly started
out to differentiate the workhouse into separate institutions for
particular classes (the children, the sick, and, in the Metropolis, also
the imbeciles and idiots); to impose an altogether new standard of
expensive structural efficiency on the boards of guardians; to press
incessantly for new buildings of approved pattern; to increase the
healthiness and comfort of the wards for the sick, the aged, and the
children; and to make the dietaries for these classes better adapted to
their likings and their needs. "Those who enjoy the advantages of these
institutions," had said the Central Authority's own medical officer in
1867, "are almost solely such as may fittingly receive them, viz. the
aged and infirm, the destitute sick, and children. Workhouses are now
asylums and infirmaries."[787] There was, after 1871, no change and no
arrest in this policy.[788] So far as the children, the sick, and the
aged and infirm were concerned, we have already described its
continuance and its progressive development. The improvement of the
institutional provision for the pauper, by removing some of the
objections to the indiscriminate general workhouse of 1835-65, fitted
in, we may say, with the new crusade of the inspectorate against outdoor
relief as such. That crusade was, however, for the first twenty years,
pushed without regard to whether or not the particular boards of
guardians had accepted the new idea of the specialised institutional
treatment for particular classes, or were still wedded to the
indiscriminate common workhouse, which aimed at being "deterrent." Mr.
Longley realised that the higher standard of comfort that was coming to
be allowed to the aged, the sick, and the children in a general
workhouse inevitably tended to prevent the necessary strictness and
severity being applied to the able-bodied. The inspectorate accordingly
strove in London to get specialised institutions for the able-bodied
also, the result being the "Poplar test workhouse" that we have already
described.
[787] Dr. E. Smith, in Twentieth Annual Report of the Poor Law
Board, 1867-8, p. 43.
[788] We may gain an idea of the energy put into the provision of
improved accommodation for the indoor poor since 1868, by the
total capital expenditure sanctioned for workhouses, etc., by
order or letter of the Central Authority. The total so sanctioned
during the thirty-four years, 1835-1868, including the initial
provision of workhouses after 1834, was £7,079,126 (Twenty-first
Annual Report of the Poor Law Board, 1868-9, pp. 316-17), or no
more than an average of £208,209 annually. For the thirty-seven
years, 1869-1905, the corresponding sum was no less than
£24,609,035 (Thirty-fifth Annual Report of the Local Government
Board, 1905-6, p. 608), or an average of £665,109. To this must be
added the expenditure of the Metropolitan Asylums Boards for Poor
Law purposes only, sick asylums, district schools, etc., which in
the first period of thirty-four years was only £571,401, and in
the second period of thirty-seven years was £6,810,140
(Twenty-first Annual Report of the Poor Law Board, 1868-9, pp.
317-18; Thirty-fifth Annual Report of the Local Government Board,
1905-6, p. 609). The total capital outlay sanctioned by the
Central Authority for Poor Law purposes during the last
thirty-seven years has, therefore, amounted, on an average, to
nearly £1,000,000 annually,--the amount for 1905 being
£789,373--as compared with little over one-fifth of that sum in
the first thirty-four years of the new Poor Law.
In 1874 the Central Authority expressed its regret at the slow progress
"towards the permanent classification in separate establishments of the
various classes of indoor paupers, other than the sick.... We attach the
utmost importance to this improvement of the classification of indoor
paupers, which we believe to be a necessary condition of the maintenance
of that discipline which lies at the root of an effective administration
of indoor relief. This improvement, however, cannot be effected, except
at an enormous and almost prohibitory cost, otherwise than by the
combination of several boards of guardians for this purpose. Their
existing workhouses would, in that event, become available for the
separate accommodation of various classes of indoor paupers chargeable
to the several combined areas. We are advised that in the existing state
of the law it is doubtful whether such a combination can be effected
otherwise than by the voluntary action of boards of guardians, which we
trust may still take place, and the desirableness of which we shall
continue to press upon the guardians."[789] No such combinations took
place, and the Central Authority, baffled by the expense and apparently
not prepared to adopt the heroic expedient of issuing orders merging
several unions in one, abandoned the attempt to get classification by
institutions, except with regard to the children and the sick. The
able-bodied had to be dealt with in a general workhouse; and we must
note, for twenty years after 1871, battling with the ameliorative
efforts of the departmental architect, the departmental medical officer,
and the departmental educational experts, on behalf of particular
classes of inmates, an attempt to make the workhouse more "deterrent" to
other classes of paupers.
[789] Third Annual Report, 1873-4, pp. xxv-xxvi.
The most marked increase of severity was directed against the class of
"ins and outs," called in America "revolvers," and it took the form of
enlarged powers of detention. By an Act of 1871 the guardians were
enabled to detain a pauper (other than a vagrant) who gave notice to
quit, in any case for twenty-four hours; if he had already discharged
himself once or oftener within a month before giving the notice, for
forty-eight hours; and if he had so discharged himself more than twice
within two months, for seventy-two hours.[790] Under the Act of
1899[791] a pauper may even be compulsorily detained for 168 hours (one
week) "if he has, in the opinion of the guardians, discharged himself
frequently without sufficient reason."
[790] Pauper Inmates Discharge and Regulation Act 1871, 34 & 35
Vic. c. 108, sec. 4.
[791] Poor Law Act, 62 & 63 Vic. c. 37, sec. 4. The guardians are
not obliged to adopt these periods of detention, and if they do
so, provision is made for cases of hardship by allowing them, or
in the intervals between their meetings the visiting committee, to
"exempt, either wholly or partially, any pauper from the operation
of this section." The master of the workhouse, too, "may, if the
board of guardians be not sitting or the visiting committee be not
in attendance, discharge any pauper to whom this section shall
apply before the expiration of any such period as aforesaid, if
any circumstances shall, in his opinion, require this to be done."
If a pauper escapes from the workhouse during his detention, or
while an inmate refuses or neglects to work or to observe the
rules, he may be prosecuted as idle and disorderly under the
Vagrancy Act of 1824 (5 Geo. IV. c. 83, sec. 3); for a repetition
of the offence, or for destroying or damaging his own clothes or
any property of the guardians, he becomes liable to the heavier
penalty of the rogue and vagabond. The same penalties attach to
the wilfully giving a false name or making a false statement for
the purpose of obtaining relief, and this clause has been twice
revised, so that since 1876 (Divided Parishes and Poor Law
Amendment Act, 39 & 40 Vic. c. 61, sec. 44) any person who so
obtained relief may be proceeded against at any time while he
continues to receive it, and since 1882 (Casual Poor Act, 45 & 46
Vic. c. 36, sec. 5) the provision applies equally, whether the
person attempts so to obtain relief for himself or for any one
else. If a pauper escapes from a workhouse or asylum while
suffering from bodily disease of an infectious or contagious
nature, the justice convicting him of the offence may order that
he be taken back to the workhouse or asylum and kept there till
cured, or otherwise lawfully discharged, and that the warrant of
commitment then be put in execution.
With regard to the able-bodied pauper, at any rate for the first fifteen
years after 1871, there was to be no leniency. The spirit of the
administration, whether of the workhouse or of the casual ward, was that
subsequently expressed by Mr. Walter Long. "I would treat the wastrel
and the vagabond, and the man who makes his wife and children paupers
because of his own degraded habits, in a severe way, and I would make
life a burden to him while he remains in the workhouse. I try to insist
upon it that in the administration of our workhouses we should make such
men realise that if we are compelled to keep them out of the rates we
will do it at some discomfort to them."[792] But it was not, in fact,
found practicable to avoid improving the accommodation, even for the
able-bodied. For them, as for all other inmates, the Central Authority
insisted on a sufficient supply of blankets, sheets, bedroom furniture
and conveniences. For them, too, the Central Authority insisted on such
comforts as knives and forks to eat their meals with--in one case having
a long tussle with a recalcitrant board of guardians on this point.[793]
The able-bodied shared, too, in the improvement of the cooking which
took place, particularly after the general investigation which led to
the new Dietaries Order of 1900. "This Order," said an inspector, "has
certainly had two good incidental results. It has induced many boards of
guardians to engage paid cooks, instead of employing chance inmates
knowing nothing about the work ... and the cooking appliances have in
many cases been overhauled and improved. In some places they have been
of the most rudimentary character."[794] The able-bodied may even get
special privileges. Inmates employed on specially heavy work are
permitted to receive an extra meal, as lunch. The discretion in this
matter at first belonged to the medical officer, but now the guardians
have power to order lunch as they think fit. In no case can any inmate
claim it as a right, and it is not to be given merely on account of
household work. Lunch, when allowed, is very plain, and may not include
alcohol. The medical officer is to advise as to the degree of employment
necessitating lunch, but the Central Authority suggests that "heavy
work," earning lunch for able-bodied men and women, should be taken to
mean "an average day's work with sustained exertion, _e.g._
corn-grinding, pumping, stone-breaking or crushing, shifting heavy
goods, digging, scrubbing, washing, ironing, etc.," while heavy work for
the aged and infirm (or light work for the able-bodied) is "employment
without sustained exertion, _e.g._ wood-chopping and wood-bundling,
hoeing or weeding, sorting light articles, sewing, etc."[795] Beer was
particularly objected to. In 1877 the Hackney Board of Guardians, who
wanted to give beer to two paupers who assisted the coachman, were told
that they were "legally empowered to require from inmates such labour as
might be required without having recourse to exceptional
indulgences"--in this case the giving of beer--"which would only, in
effect, vitiate the principle of the workhouse being a pauper
test."[796] On the other hand, it appears that beer is habitually
allowed to the able-bodied inmates of certain workhouses at certain
times, in return for work. A number of boards of guardians, having land
to cultivate, have been permitted by Special Orders to "make to paupers
employed in harvest work on land belonging to the guardians such
allowance of food and _fermented liquor_ as may be necessary," without
any direction of the medical officer.[797] And when in 1903 an auditor
surcharged a workhouse master for beer allowed to certain inmates for
work done, it was explained "that if such allowance was withheld, _some
of the paupers would leave the workhouse_"--surely a strange threat to
make to a Poor Law authority--and with others "difficulties would arise
to get them to work." On this explanation the Central Authority (whilst
upholding the auditor's decision in point of law) remitted the
surcharge.[798] Finally, it may be observed that the shelter of the
workhouse was not to be denied to the able-bodied, even for bad conduct.
The master must admit all persons who present the proper order, at
whatever hour of the day or night. He may not refuse admission even to a
man in a state of drunkenness.[799] Nor could a man be punished for being
admitted whilst suffering from _delirium tremens_.[800]
[792] _Hansard_, 9th May 1902, vol. 107, p. 1276.
[793] _Local Government Chronicle_, 21st December 1889, p. 1051.
This was with the Chester Board, which refused "to allow the
workhouse inmates knives and forks at dinner except on Christmas
Day." The Central Authority peremptorily required them to be
provided for "all the inmates."
[794] Mr. Preston-Thomas's Report, in Thirtieth Annual Report,
1900-1, p. 126.
[795] Circular on Workhouse Dietaries, 11th October 1900, in
Thirtieth Annual Report, 1900-1, pp. 63-4.
[796] Local Government Board to Hackney Union, January 1877, in
_Local Government Chronicle_, 13th January 1877, p. 31.
[797] Special Order to Wirrall Union, 11th June 1886; Special
Order to Drayton Union, 2nd September 1892. On the other hand, in
1901 the Keighley Guardians, for harvest work, were only allowed
to give extra "food and drink other than fermented liquor"
(Special Order to Keighley Union, 1st August 1901).
[798] _Local Government Chronicle_, 7th November 1903, p. 1091.
[799] Local Government Board to Hexham Union, April 1902; _Local
Government Chronicle_, 19th April 1902, p. 413; _Decisions of the
Local Government Board_, 1902-3, by W. A. Casson, 1904, pp. 14,
23.
[800] _Local Government Chronicle_, 13th June 1903, p. 577;
_Decisions of the Local Government Board_, 1902-3, by W. A.
Casson, 1904, p. 162.
There is, thus, a marked change of tone after 1885 in workhouse
administration, as in other branches of policy. This change of tone
becomes specially marked in the Circular of January and the Memorandum
of June 1895, in which the newly elected boards of guardians, chosen for
the first time on a democratic franchise and without any high rating
qualification, were specially instructed as to their administrative
duties. These authoritative documents breathe a spirit of humane
consideration for the pauper inmates, without excepting the able-bodied,
which Mr. Longley would, we think, not have regarded as "deterrent." The
medical officer, rather than the master, was to advise the guardians on
practically all the points on which the general regimen of the
institution depended. The visiting committees were to take care that all
the arrangements were in order; they "should satisfy themselves whether
there is any structural defect in any part of the house; whether
painting or lime-washing is required; whether the wards are clean and
provided with such conveniences as lockers or shelves, so that they may
be kept in proper order; whether there is any defect in the construction
of the sanitary arrangements or in the general sewerage of the house;
whether the yards are defective as airing courts or _places of
recreation_. The attention of the visiting committee should be carefully
directed to the subject of ventilation, which should be effected by
special means, apart from the usual means of doors, windows, and
fire-places, and should be so arranged that each ward may be brought into
uninterrupted communication with the open air."[801] The classes of
inmates are to be subdivided "with reference to their moral character or
behaviour, or to their previous habits."[802] The employment to be
provided is to be "unobjectionable in its character."[803] The clothing of
inmates when absent on leave from the workhouse "should not be in any
way distinctive or conspicuous in character."[804] The visiting committees
are to see that there is always enough underclothing in stock to allow
all the inmates the requisite changes; that "sufficient means for
ensuring personal cleanliness are provided; that a convenient lavatory,
as well as baths,[805] with water laid on, and supplied with towels, soap,
and combs, are accessible to each class."[806] "A piece of cocoa fibre
matting or other material, or a mattress, should be placed between the
bedstead and the bed. A sufficient supply of blankets, sheets, bedroom
furniture and conveniences should be provided."[807]
[801] Memorandum of June 1895, in Twenty-fifth Annual Report,
1895-6, p. 121.
[802] Circular of 29th January 1895, in _ibid._ p. 108.
[803] Memorandum of June 1895, in _ibid._ p. 122.
[804] Circular of 29th January 1895, in _ibid._ p. 111.
[805] It had been ordered already in 1886 that, as regards the
bath, every person "should have the right to demand water which
has not been previously used" (Minute of Instructions, Bathing of
Workhouse Inmates, 2nd February 1886, in Sixteenth Annual Report,
1886-7, p. 1).
[806] Memorandum of June 1895, in Twenty-fifth Annual Report,
1895-6, p. 122.
[807] _Ibid._ p. 121.
It remains only to mention the great improvement in the workhouse
dietary carried out, after prolonged inquiries, in the General Order of
1900.[808] During the preceding twenty years there had been but little
attention paid to the subject. The Central Authority had, in 1871,
sanctioned the use of Australian tinned meat.[809] It had also
authorised in over a hundred unions fish dinners once a week.[810] In
1892 it had drawn attention to the great variation among unions in the
amount of alcoholic drink consumed.[811] In 1896 it had engaged in a
prolonged struggle with the Chorlton Board of Guardians, and others
elsewhere, who objected to the waste involved in supplying each inmate
with a fixed and weighed-out allowance of bread, and who found by
experiment that much less was used (and very much less thrown into the
pig-trough) if the paupers were allowed to help themselves at meals
without stint. The Central Authority long resisted this subversive
proposal, and insisted on the General Consolidated Order of 1847 being
obeyed. When the rebellious boards persisted, the Central Authority gave
way--not, however, amending its Orders, but permitting, by letter, the
breach of them.[812] An official Departmental Committee appointed to
consider the matter advised the president that the injunction of the
Order to weigh out a fixed ration to each pauper might with advantage be
abandoned in the case of bread.[813] But when, in 1901, the Association
of Poor Law Unions asked that the same principle should be applied to
vegetables, the Central Authority consented only to bear the suggestion
in mind.[814]
[808] Workhouse Regulations (Dietaries and Accounts) Order, 1900,
in Thirtieth Annual Report, 1900-1, pp. cvii. 62-72.
[809] _Knight's Official Advertiser_, 21st October 1871, p. 196.
[810] Thirteenth Annual Report, 1883-4, p. lii.
[811] Circular of 15th December 1892, in Twenty-second Annual
Report, 1892-3, p. 43.
[812] MS. archives, Chorlton Board of Guardians, 1895, etc.;
_Local Government Chronicle_, 11th January 1896, p. 33; 8th
February 1896, p. 121.
[813] This was also permitted by letter to the Grantham Board of
Guardians (Local Government Board to Grantham Union, November
1901; _Local Government Chronicle_, 7th December 1901, p. 1209);
and doubtless to others. The Central Authority had, in fact,
intimated its willingness "to consider applications" for a similar
concession "from the guardians of large unions" (Local Government
Board to Association of Poor Law Unions, 13th March 1901; _Local
Government Chronicle_, 23rd March 1901, p. 295).
[814] Local Government Board to Association of Poor Law Unions,
13th March 1901; _Local Government Chronicle_, 23rd March 1901, p.
295. We cannot find that, down to the present day, any such
permission has been given.
In 1900 the new Dietaries Order, as we have already mentioned, greatly
increased the nutritive value, variety, and attractiveness of the diets
allowed; whilst the accompanying Memorandum formulated a whole code of
suggestions for the improvement of the meals.[815]
[815] On no account are the paupers, if allowed "milk," to be put
off with "skim milk" or "scald milk"; by a decision of 1903,
"milk" means always new milk (_Decisions of the Local Government
Board_, 1902-3, by W. A. Casson, 1904, p. 11.)
_K._--EMIGRATION
For many years after 1871 there is no change, either of policy or of
practice, to record as to emigration, beyond the continuance and slow
growth of a tiny trickle of child emigration to Canada. Down to recent
years, at any rate, the Colonies expressed a decided objection to any
Poor Law emigration of adults, being, as the Central Authority
explained, "unwilling to run the risk of thus receiving persons of bad
character, or those who, from weak health or other causes, might become
burdensome to them," and "in consequence of representations which have
been made by the Government of the United States" the Central Authority
feels itself "precluded from sanctioning any expenditure from the poor
rates in connection with the emigration to that country."[816]
Nevertheless, the Act of 1849 had not been repealed and the guardians
were not debarred from emigrating, not paupers only, but any poor
persons settled in their unions, whether in receipt of relief or not.
The number so emigrated (apart from orphan or deserted children)
continued, however, to be small.[817] In 1905 the Central Authority,
under Mr. Long's presidency, in connection first with the relief of the
unemployed by the guardians, and then under the Unemployed Workmen Act,
revived the old policy of 1835-53 and expressly encouraged the
emigration, at the public expense, of suitable persons, whether or not
otherwise in receipt of aid from the rates.[818]
[816] Memorandum on Emigration at the cost of the poor rate, in
_Local Government Chronicle_, 26th October 1889, pp. 884-5.
[817] In 1883-4 there were 296 persons emigrated; in 1885-6, 133
persons; between 1887 and 1898 the number fell from 301 to 12; it
began to revive in 1903, when it was 66; in 1905 it was 317 (_see_
Thirteenth, Fifteenth, Twenty-sixth, Thirty-third and Thirty-fifth
Annual Reports).
[818] Mr. Long in House of Commons, 2nd March 1905 (_Hansard_,
vol. 142, p. 184).
Meanwhile, the emigration of Poor Law children to Canada continued,
special applications for the sanction of the Central Authority having to
be made in each case.[819] The question of the superior position in
which such children were thus placed, compared with those of the lowest
grade of independent labourer, does not appear to have been raised. The
emigration and special supervision in Canada were the subject of
repeated circulars and correspondence.[820] The numbers of orphan and
deserted children thus removed to superior conditions rose, from 100 or
200 annually, to 398 in 1903 and 491 in 1905.[821]