CHAPTER I

THE MEDIÆVAL HOSPITALS OF ENGLAND,

BY ROTHA MARY CLAY;

A PROJECT GUTENBERG EBOOK.

THE ANTIQUARY’S BOOKS

GENERAL EDITOR: J. CHARLES COX, LL.D., F.S.A.

THE MEDIÆVAL HOSPITALS OF ENGLAND

[Illustration: _THE SOUTH-EAST VIEW OF THE HOSPITAL OR

MAISON-DIEU AT DOVER._

ST. MARY’S HOSPITAL, DOVER]

THE

MEDIÆVAL HOSPITALS

OF ENGLAND

BY

ROTHA MARY CLAY

WITH A PREFACE BY

THE LORD BISHOP OF BRISTOL

WITH 78 ILLUSTRATIONS

METHUEN & CO.

36 ESSEX STREET W.C.

LONDON

_First Published in 1909_

DEDICATED TO

FRANCES ARNOLD-FORSTER

WITH GRATEFUL AFFECTION

PREFACE

When the able author of this book asked me to write a Preface to a work

on Hospitals, I replied that I must first see the sheets in proof.

This was not due to any doubt of the ability of the writer, it was

due to some doubt as to the adequacy of the material at her disposal.

This doubt has been much more than removed. The mass of the material

collected is remarkable. Still more remarkable is the evidence of the

very large part played by Hospitals—in the widest senses of the word—in

the social life of the people of this land in the earlier Middle Ages.

For the fuller understanding of the social life of our ancestors, this

book contributes information of the most luminous character. It will

serve also as an example and pattern for young and earnest students

of real history, the history of ordinary human beings rather than of

generals and of kings. And it must be added that, although the division

into numerous headings leads to frequent repetitions of the names and

characters of institutions of the nature of Hospitals, it has the

great advantage of reducing to order a mass of material which might

under less careful treatment have had a chaotic appearance. As a book

of reference for readers and writers, this treatise on the Mediæval

Hospitals of England ought to hold a distinguished place.

G. F. BRISTOL

_July, 1909._

CONTENTS

Preface by the Lord Bishop of Bristol . . . vii

Introduction . . . xvii

PART I

CHAPTER I

Hospitals for Wayfarers and the Sick . . . 1

CHAPTER II

Homes for the Feeble and Destitute . . . 15

CHAPTER III

Homes for the Insane . . . 31

CHAPTER IV

The Lazar-House . . . 35

CHAPTER V

The Leper in England . . . 48

CHAPTER VI

Founders and Benefactors . . . 70

CHAPTER VII

Hospital Inmates . . . 91

CHAPTER VIII

Hospital Dwellings . . . 106

CHAPTER IX

The Constitution . . . 126

CHAPTER X

The Household and its Members . . . 143

CHAPTER XI

Care of the Soul . . . 158

CHAPTER XII

Care of the Body . . . 167

CHAPTER XIII

Hospital Funds . . . 178

CHAPTER XIV

Relations with Church and State . . . 194

CHAPTER XV

Decline of the Hospitals . . . 212

CHAPTER XVI

The Dissolution of Religious Houses and its Effect

upon Hospitals . . . 226

PART II

Hospital Patron-Saints . . . 244

APPENDIX A

Office at the Seclusion of a Leper . . . 273

APPENDIX B

Tabulated List of Foundations . . . 278

Bibliography . . . 339

General Index . . . 343

LIST OF ILLUSTRATIONS IN THE TEXT

* Asterisk denotes that buildings remain in much the same condition as

shown.

The seals are copied mainly from impressions in the British Museum.

1. St. John’s Hospital, Oxford . . . J. Charles Wall . . . 1

[After M. Paris, B.M. Roy. 14 C. vii. f. 221.]

2. A Pilgrim . . . J. Charles Wall . . . 6

[B.M. 17 C. xxxviii. f. 39, xiv. cent.]

3. Domus Conversorum, London . . . J. Charles Wall . . . 20

[Idem.] Home for Jews, founded 1232. Site

occupied by Rolls Chapel, Chancery Lane.

4. *Poor Priests’ Hospital, Canterbury . . . B. C. Boulter . . . 23

[From _Ancient Cities_ Series.]

5. *The Bede-House, Stamford . . . J. Charles Wall . . . 29

6. Seal of the Lazar-House, Mile End . . . J. Charles Wall . . . 47

7. The Leper and the Physician . . . J. Charles Wall . . . 59

[Trin. Coll. Camb. O.I. 20, by permission of the

Librarian.]

Represents, perhaps, the examination of a

suspected person.

8. Elias, a Leper-monk . . . J. Charles Wall . . . 64

[Notes on Painted Glass in Canterbury Cathedral;

from window in the Trinity Chapel, partly new,

partly fragments of old glass.]

9. A Leper . . . J. Charles Wall . . . 68

[Exeter Pontifical, B.M. Lands. 451 f. 127; xiv.

cent. MS., marginal sketch possibly xv. cent.]

10. “The Memorial of Matilda the Queen” . . . J. Charles Wall . . . 71

[After Matthew Paris, _Hist. Major_, Corp. Chr.

Coll. Camb., MS. xvi, xxvi, by permission of the

Librarian.]

_Memoriale Matildis reginæ scilicet hospitale

Sancti Egidii quod est Londoniæ._

11. *Tomb of Rahere in St. Bartholomew’s, Smithfield . . . J. Charles

Wall . . . 76

12. Memorial Brass of John Barstaple . . . — . . . 84

[By kind permission of Mr. J. W. Arrowsmith.]

13. *St. Bartholomew’s Hospital, Bristol . . . S. J. Loxton . . . 89

[By kind permission of the Proprietor of the

_Western Daily Press_.]

14. Seal of St. Bartholomew’s, London . . . J. Charles Wall . . . 93

15. Seal of Knightsbridge Hospital . . . J. Charles Wall . . . 103

Depicts Blessed Virgin and Child with St. Leonard.

Inscribed: _Sigillum: ospici sci: lenarde (?):

kynght brigge_.

16. Seal of St. Alexis, Exeter . . . J. Charles Wall . . . 107

17. Seal of St. John’s, Exeter . . . J. Charles Wall . . . 107

18. Seal of St. John’s, Stafford . . . J. Charles Wall . . . 108

19. Plan of St. Mary’s, Chichester . . . J. Charles Wall . . . 112

[Dollman’s Domestic Architecture.]

20. Plan of St. Nicholas’, Salisbury . . . — . . . 113

Drawn by Mr. J. Arthur Reeve, architect. By kind

permission of Canon Wordsworth.

21. Sherburn Hospital, near Durham . . . — . . . 118

[Hutchinson’s Durham, 1787.]

The gateway and chapel remain.

22. Plan of St. Mary Magdalene’s, Winchester . . . J. Charles Wall

. . . 119

[After Schnebbelie.]

23. *Chapel of Abbot Beere’s Almshouse, Glastonbury . . . J. Charles

Wall . . . 124

24. Seal of the leper-women of Westminster . . . J. Charles Wall

. . . 147

25. *Ancient Hospital Altar at Glastonbury . . . — . . . 165

[By kind permission of Mr. George Gregory, Bath,

from Rev. C. L. Marson’s _Glastonbury_.]

In the chapel of the almshouse founded or

re-founded by Abbot Beere.

26. A Leper with clapper and dish . . . — . . . 177

[After a Miniature in the Bibl. de l’Arsenal,

Paris, MS. 5060; xiii. cent.; from La Vie Privée

d’Autrefois, “L’Hygiène,” A. Franklin, 1890.]

27. Document and Seal of Holy Innocents’, Lincoln . . . J. Charles

Wall . . . 180

[B.M. Harl. ch. 44 A. 29.]

28. Alms-box, Harbledown Hospital . . . J. Charles Wall . . . 192

Erasmus dropped a coin into it on his visit to

Harbledown.

29. *Bell-turret of St. Mary Magdalene’s, Glastonbury . . . E. H. New

. . . 198

[From _Ancient Cities_ Series.]

30. Seal of St. Anthony’s, London . . . J. Charles Wall . . . 208

[_Gent. Mag._ 1784 ii.]

31. *Gateway of St. John’s, Canterbury . . . B. C. Boulter . . . 241

[From _Ancient Cities_ Series.]

32. Seal of St. Mary Magdalene’s, Bristol . . . J. Charles Wall

. . . 252

33. Seal of St. Mark’s, Bristol . . . J. Charles Wall . . . 254

34. Seal of St. Clement’s, Hoddesdon . . . J. Charles Wall . . . 256

35. Seal of St. Katherine’s, Bristol . . . J. Charles Wall . . . 260

36. A Pilgrim’s Sign . . . — . . . 265

[_Collectanea Antiqua._]

Canterbury souvenir found at York.

37. Seal of St. Bartholomew’s, Rochester . . . J. Charles Wall

. . . 271

LIST OF PLATES

*Maison Dieu, Dover . . . _Frontispiece_

[Buck’s engraving, 1735.]

S.E. view of St. Mary’s Hospital. The restored

buildings form part of the Town Hall; the chapel

on the N.E. is used as a police-court.

I. Refreshment for Wayfarers . . . 5

[“The Pilgrim.” B.M. Tib. A. vii. f. 90, xv.

cent.]

II. *Pilgrims’ Hospital, Canterbury . . . 8

[Drawn by J. Raymond, engraved by Cook.]

N. view of St. Thomas’, Eastbridge. The windows

are those of the chapel, rebuilt _circa_ 1363.

III. *St. John’s, Canterbury . . . 15

[Idem.] The chapel exists, but altered. The hall

contains charters, alms-box, account-books, etc.

IV. *Cloister of St. Giles’, Norwich . . . 24

[Photograph, London and Co. Photo Press.]

V. *Harbledown Hospital . . . 35

[Drawn by Nelson, 1766, engraved by Cook.]

Church remains, dwellings rebuilt; hall contains

ancient utensils, etc.

VI. (_a_) St. Bartholomew’s, Gloucester . . . 73

[From Lysons’ _Antiquities_.]

S.E. view. Hospital rebuilt _temp._ Henry III.

(_b_) *St. Mary’s, Chichester . . . 73

[S.H. Grimm, B.M. Add. Burrell.]

VII. *God’s House, Southampton . . . 78

[Woodward and Wilks, Hampshire.]

St. Julian’s Chapel and God’s House Gate.

VIII. *Hospital of St. Cross . . . 81

[From Guide, J. Wilkes, 1780.]

The southern wing has disappeared.

IX. The Death of Richard Whittington . . . 82

[Life of John Carpenter, by T. Brewer, p. 26;

original in Mercers’ Hall.]

X. *Hall of St. Cross, Winchester . . . 110

[Woodward.]

XI. *St. Mary Magdalene’s, Glastonbury . . . 115

(_a_) View from the West. [Drawn by E. H. New.]

(_b_) Ground-plan. [Drawn by J. Charles Wall.]

XII. St. Giles-in-the-Fields, London . . . 117

[From a map about 1566, B.M. Crace Collection.]

(_a_) Plan of the Leper Hospital. (_b_) Church of

St. Giles.

XIII. *Ford’s Hospital, Coventry . . . 121

[Photograph by Frith.]

XIV. The Savoy Hospital, London . . . 122

[G.V. 1736, Vetusta Monumenta.]

XV. *Hospital of St. Nicholas, Salisbury . . . 129

[Original drawings by J. Buckler, B.M. K. xliii.]

(_a_) S.E. view; the present chapel is shown, and

to the right a former chapel, now a kitchen.

(_b_) W. view; the weathering of the original

porch is seen.

XVI. (a) The Warden’s House, Sherburn . . . 143

[Original drawing by Grimm, B.M.]

This residence was destroyed in 1833.

(b) *Gateway, Kepier . . . 143 [Surtees’ Durham.]

This fine gateway (1333–45) has a groined ceiling

with beautiful bosses.

XVII. *The Almshouse, Ewelme . . . 151

[Photograph by Taunt.]

“The Pratie Hospitale of poore Men” with its

“very fair Welle” was visited by Leland.

XVIII. *St. Mary’s, Chichester . . . 158

[Photograph by Valentine.]

XIX. St. Bartholomew’s, Sandwich . . . 160

[Drawn by G. Maxwell, engraved in W. Boys’

_Collections_, 1787.]

(_a_) Chapel. (_b_) Gateway.

XX. The Beggars’ Dole . . . 170

[_Gentleman’s Magazine_, 1793, from stained

glass.]

Food distributed to the hungry; one cripple uses

a “stool” or support.

XXI. St. Mary Magdalene’s, Winchester . . . 179

[J. Schnebbelie, 1788, Vetusta Monumenta.]

(_a_) Master’s House and Chapel. (_b_) Chapel

from West.

A Norman doorway from this destroyed chapel was

removed to St. Peter’s Street.

XXII. *St. Bartholomew’s, Oxford . . . 191

[Drawn by Hollis, _Gent. Mag._, 1833, i.]

The chapel and buildings remain at Bartlemas

Farm, Cowley Road.

XXIII. *St. John’s, Wilton . . . 205

[Original drawings by J. Buckler, B.M.]

(_a_) S.E. view. (_b_) N. view.

The “Priory” is still picturesque and ivy-clad.

The walls are of flints, with large quoins; the

original buttresses and windows remain. The

chapel (_a_) is in use.

XXIV. *St. Leonard’s, York (ambulatory) . . . 227

XXV. *St. Leonard’s, York (chapel) . . . 232

XXVI. *The Almshouse, Abingdon . . . 235

[Photograph by Taunt]

Now called Christ’s Hospital.

XXVII. St. Mary’s, Newcastle . . . 247

[After lithograph, J. Storey, 1844; reproduced

by permission of the Society of Antiquaries,

Newcastle-upon-Tyne, from Transactions, 1892.]

XXVIII. (_a_) St. Petronilla’s, Bury St. Edmunds . . . 256

(_b_) *Lepers’ Chapel, Dunwich . . . 256

XXIX. The Hospitality of St. Julian . . . 259

[By Cristofano Allori, Palazzo Pitti, Florence,

photograph by Brogi.]

XXX. (_a_) Spital-on-the-Street . . . 264

[S.H. Grimm, B.M.]

(_b_) *St. Edmund’s, Gateshead . . . 264

[Idem.] The chapel was built _circa_ 1247, and

restored 1837; now Holy Trinity Church, High

Street.

INTRODUCTION

_“And to relief of lazars and weak age,_

_Of indigent faint souls, past corporal toil,_

_A hundred almshouses, right well supplied.”_

(Shakespeare: Henry V., i. 1.)

While we are justly proud of our institutions for the amelioration of

the lot of the infirm and destitute, we are apt to forget that they are

not the outcome of any modern philanthropic movement, but are rather

England’s inheritance for above a thousand years.

Much has been written of the regular monastic houses. These are

situated, as it were, upon the high-roads of ecclesiastical history;

but comparatively little attention has been paid to the existence and

development of the foundations known as “Hospitals.” Although it is

with some trepidation that we tread the less-frequented by-paths of

history, an attempt will be made in this volume to illustrate the place

of the hospital in pre-Reformation times, and by this means to secure a

fuller recognition of the widespread activity of the Church of England

in former days. Hospitals played an important part in the social life

of the Middle Ages, and from the study of them much may be learnt of

the habits of a distant past.

At the outset it will be well to make clear what the hospital was,

and what it was not. It was an ecclesiastical, not a medical,

institution. It was for care rather than cure: for the relief of the

body, when possible, but pre-eminently for the refreshment of the

soul. By manifold religious observances, the staff sought to elevate

and discipline character. They endeavoured, as the body decayed, to

strengthen the soul and prepare it for the future life. Faith and love

were more predominant features in hospital life than were skill and

science.

It will surprise many to learn that—apart from actual monasteries and

friaries—there existed upwards of 750 such charitable institutions

in Mediæval England.[1] To appreciate the relative magnitude of this

number, it must be remembered that the total population was smaller

than that of London at the present day. The fact proves that clergy and

laity were battling bravely with social problems. There existed a sense

of responsibility, causing real charitable effort, although mediæval

methods may appear mistaken in the light of modern scientific and

economic principles.

The study of these ancient charities calls attention to the following

points. The first is the extent of leprosy in England. There are,

indeed, conflicting opinions concerning the prevalence of the disease,

but it is certain that the figure mentioned above includes over 200

hospitals occupied at one time by lepers. Secondly, a number of the

early foundations were in the main houses of hospitality for strangers;

and this testifies to the widespread practice of pilgrimage. There were

also general hospitals in which temporary and permanent relief was

given to needy persons of all sorts and conditions. Some were very

small institutions, mere cottage-hospitals. It is often impossible to

ascertain the character of an ancient charity. As long ago as 1594,

it was reported concerning St. Edmund’s, Gateshead: “the poor . . .

are and have been indifferently of both kindes as men and women; but

whether sicke or wholl, lepers or way fairinge, so they be poore,

needie, and indigente, is note respected.” On the other hand, in the

case of large towns, hospitals were often differentiated. Situated

in the main street, perhaps, was an infirmary-almshouse for the sick

and helpless; near a frequented gate stood a hostel for passing

pilgrims and others; outside the walls there would be at least one

leper-hospital.

It is not possible to be precise in chronology, or even to give

approximate dates. In Chantry Surveys there is often a memorandum that

no foundation can be shown, this being lost in obscurity, and the house

founded “before time of memory.” Probably the earliest authentic fact

relating to charitable houses other than monasteries is that concerning

the Saxon hospital at York, for although, in the words of Canon Raine,

“its beginning is enveloped in an atmosphere of historical romance,”

the munificence of Athelstan enables us to date its origin about the

year 937.

The year 1547 serves as a useful limit to our period, and may well

for the purposes of this book denote the close of the Middle Ages in

England. Its selection in no way implies a lack of continuity in the

Church with which every hospital was intimately associated,—yet it

marks a time of transition. Charity was crippled for a time by the

confiscations of endowments designed for the relief of the destitute,

until a new generation of philanthropists arose and endeavoured to

replace them. Thomas Fuller truly says, “the reformed Religion in

England hath been the Mother of many brave Foundations.” To support

this he instances certain famous hospitals, as that at Warwick, built

by the Earl of Leicester (1571); Croydon, by Archbishop Whitgift

(1596); Guildford, by Archbishop Abbot (before 1617), and Sutton’s

Charterhouse (1611). There is, indeed, no fundamental difference

between the earlier and later almshouses of the sixteenth century. The

author of _A History of English Philanthropy_ gives two reasons for

using the period of the dissolution of monasteries as a starting-point.

“It was then,” he says, “that modern problems began to formulate

themselves with great precision; and charity was then ceasing to be

under the immediate direction and tutelage of the Church.” For the

same reasons, the year 1547 is here used to conclude the earlier

philanthropic era.

A tabulated list of hospitals will be found in Appendix B. Additions

and corrections are earnestly invited by the author, as local and

particular knowledge is required to make it accurate and exhaustive.

From this list are excluded such infirmaries as formed an integral

part of a monastic house; but in cases where some abbey maintained a

separate institution outside its gates (with distinct constitution,

separate dedication-name, and sometimes a separate seal), the

foundation is set down as a hospital. The institutions known as

Colleges have no place unless, indeed, they maintained bedemen. The

“House of Converts” does, however, rightly belong to our subject, for

it was an almshouse and industrial home. “Hospitals” of the Orders of

the Temple and St. John of Jerusalem are excluded, because they differ

in character, although the work they carried on was partly the same.

Moreover, as they formed part of great societies, famous in and beyond

Europe, they have their own historians. Houses of the Knights of St.

Lazarus must, however, consistency notwithstanding, find a place,

because any account of relief provided for lepers would be incomplete

if that comparatively small Order were passed over. “Hospital” was

a wide-embracing term, and the occasional application of the word

to religious foundations of one kind or another has not always been

accounted a reason for their inclusion.

The history of many houses is obscure, limited in some cases to a

single reference. The great scholars Bishop Tanner and Sir William

Dugdale reaped harvests, which are garnered in their Monasticons;

yet even a humble student may now glean after them by means of the

invaluable printed Calendars of the Public Record Office. The labours

of the Historical Manuscripts Commission are likewise fruitful. Wills

are useful as showing the period up to which these institutions had

popular support. Although Appendix B was mainly compiled before the

issue of the Victoria County History, certain shires have received

several additions from that great work, the forthcoming volumes

of which will doubtless supplement the present list. Episcopal

archives throw light upon hospital-life, as upon every department of

ecclesiastical history; fresh information and confirmatory evidence

about which will be forthcoming when, by means of the Canterbury

and York Society and other Record Societies, more Registers become

accessible. It is much to be desired that local Archæological Societies

should take up and develop the history of particular houses. It is

difficult to ascertain which ancient charities still continue, but an

attempt has been made to record approximately in the appended table

such endowments as now exist.

Grateful thanks are due to those who have assisted the writer in her

task. And first, to the Lord Bishop of Bristol, whose kind offer to

contribute the Preface to this volume is only the latest proof of the

ever-helpful interest he has taken in the whole work. Mention must

also be made of Mr. R. C. Fowler, of the Public Record Office, who,

after personally examining the List of Foundations, gave hints for

its improvement. The Rev. C. S. Taylor, F.S.A. and the Rev. Canon

Wordsworth have given invaluable assistance, particularly by the

translation of the Office found in Appendix A. In various ways help has

been rendered by Miss Arnold-Forster, Professor G. H. Leonard, Mr. W.

F. Rawnsley, and by friends and correspondents too numerous to mention.

Lastly, it remains for the writer to acknowledge her indebtedness to

the Rev. Dr. Cox, General Editor of the Series, without whose kindly

encouragement she would never have ventured to go beyond a private

study of the subject in hand.

* * * * *

The Spyttell hous.[2]

¶ Copland.

¶ Syr, I pray you, who hath of you relefe?

¶ Porter.

¶ Forsoth they that be at suche myschefe

That for theyr lyuyng can do no labour

And haue no frendes to do them socour

As old people seke and impotent

Poore women in chyldbed haue here easement

Weyke men sore wounded by great vyolence

And sore men eaten with pockes and pestylence

And honest folke fallen in great pouerte

By mischaunce or other infyrmyte

Way faryng men and maymed souldyours

Haue theyr relyef in this poore hous of ours

And all other which we seme good and playne

Haue here lodgyng for a nyght or twayne

Bedred folke, and suche as can not craue

In these places moost relyef they haue

And yf they hap within our place to dye

Than are they buryed well and honestly

But not euery unseke stoborne knaue

For than we shold ouer many haue.

FOOTNOTES:

[1] Nearly 800 are set down in the appended list, but some are

uncertain.

[2] From _The hye way to the Spyttell hous_ (circa 1536), in which

Robert Copland speaks with the Porter of a London hospital, probably

St. Bartholomew’s.

[p001]

MEDIÆVAL HOSPITALS OF ENGLAND

PART ONE

CHAPTER I

HOSPITALS FOR WAYFARERS AND THE SICK

“_Founded for the maintenance of poor pilgrims and other infirm

persons resorting thither to remain until they are healed of their

infirmities._”

“_For the poor, for persons going to Rome, for others coming to

Canterbury and needing shelter, and for lying-in women._” (St.

Thomas’, Canterbury.)

[Illustration: 1. ST. JOHN’S HOSPITAL, OXFORD]

The earliest charitable institutions of England were houses of

hospitality. In sketching the development of these guest-houses we must

bear in mind that the hospital (derived from _hospes_, a host or guest)

was a wayside shelter for all comers.

FIRST PERIOD (_circa_ 925–1170)

Travellers were exposed to peril by the rudeness of the times, but in

those early days hospitality was regarded as a solemn obligation. To

receive any stranger was a [p002] duty: to welcome the passing pilgrim

was a sacred privilege. Although the private entertainment of guests

was widely practised, some public institutions were required. Tradition

tells of at least two “hospitals” or hospices founded in the tenth

century (925–940). Both were in Yorkshire,[3] one being in the distant

country parts, the other in the populous town. At Flixton in Holderness

was a house of refuge “to preserve travellers from being devoured by

the wolves and other voracious forest beasts.”[4] The city of York,

on the other hand, was so great a place of thoroughfare that it was

impossible to entertain all who came. Athelstan, recognizing that the

Canons of the Minster were men of holy life, active in helping the

needy who flocked to them, assisted them in their hospitality by the

foundation of St. Peter’s hospital.

Two other early houses of charity are ascribed to the Saxon bishops

Oswald and Wulstan of Worcester. In the eleventh century at least we

emerge from tradition, for it seems clear that St. Wulstan founded that

hospital near his cathedral city which afterwards bore his name. It

will be remembered that bishops were especially bound by their vows at

consecration to be given to hospitality. In pre-Norman days, the solemn

question was in substance what is asked to-day: “Wilt thou shew mercy

and kindness, for the name of the Lord, to the poor, the stranger, and

all in want?” (_pauperibus et peregrinis omnibusque indigentibus_). To

this the elected bishop [p003] replied, “I will.” This formula occurs

in the Exeter Pontifical, compiled about nine hundred years ago, and is

repeated in Osmund’s Sarum Use.

There were, of course, pilgrims among those who sojourned in early

hostels. Englishmen have always loved travel. Not only did our Saxon

forefathers journey to Rome (receiving shelter by the way in hospitals

of English foundation), but they constantly visited their national

shrines. Probably a fresh impetus was given to pilgrimage by the

coming of the Normans. Monastic life was strengthened, and this was

a guarantee of hospitality. “Guests are to be received as if they

were Christ Himself,” said the rule of St. Benedict. In the century

after the Conquest, as in those which preceded it, the chief works of

mercy were done in the monastery. There was the _hospitium_ within

the abbey-gate, as at St. Mary’s, York; and the “Strangers’ Hall” at

Winchester. Then followed the shelter outside the walls, as at Battle,

referred to (_circa_ 1076) as “the house of the pilgrims which is

called the hospital.” During the twelfth century more independent

foundations became common. All sorts and conditions of men were

lodged—wayfarers, invalids, and even lepers.

About the year 1148, St. Bartholomew’s, Smithfield, was the resort of

sick pilgrims, of whom “many and innumerable were schewid tokynnys of

myracles.” The patients who flocked to the famous shrine and hospital

were “langwissyng men greuyd with uariant sorys”; one sought “remedie

of his akynge hede,” another suffered from “bleriednes of yen” (eyes),

and yet another from “ryngyng of his erys.” Victims of the falling

sickness [p004] (epilepsy), paralysis, dropsy, fevers, insanity, found

relief; deaf and dumb were healed; a child born blind received sight

from “the heuenly leche.”

Theobald, Archbishop of Canterbury, about 1141, invited help for “the

hospital house of Dover, which two brethren, Osbern and Godwin, are

diligently building for the reception of the poor and strangers.” This

hospital of St. Bartholomew (Buckland) was also used for lepers. The

need of further provision for travellers was felt, and a benefactor

made extensive grants on condition that a house was provided for

the reception of needy people disembarking from ships: before 1163

reference is made to the _hospitium_ for strangers. It was doubtless

frequented by voyagers returning from the Crusades; but before long

an event occurred which brought multitudes to Dover, and then the old

hospital proving insufficient, became chiefly the resort of lepers, and

a new Maison Dieu was built near the quay. (See Frontispiece.)

SECOND PERIOD (_circa_ 1170–1270)

The year 1170 marks an epoch, ushering in the great pilgrimage within

and towards England. When the shrine of St. Thomas of Canterbury became

the goal of pious wayfarers it was necessary to find accommodation for

them. The hospitals of Canterbury and Southwark bearing the martyr’s

name were among the earliest. Within a few years such houses (often

called _Domus Dei_) were founded in most of the southern ports and

along the Pilgrims’ Way, as at Dover, Ospringe, and Maidstone. At

Strood “the poor, weak, infirm and impotent, as well neighbouring

inhabitants as travellers from distant [p005] places,” were cared for

“until they die or depart healed.” Norfolk, like Kent, was studded with

houses of charity, especially near the highway to Walsingham. Thirteen

pilgrims were lodged at Bec, near Billingford. At Thetford there was

a hospital near the passage of the river. Among other early hostels

we may enumerate those of Newcastle, Hexham, Ripon, Stamford, Aynho,

London (St. Mary’s), Bridgwater, and Ledbury.

[Illustration: _PLATE I._ REFRESHMENT FOR WAYFARERS]

The hospital was a guest-house and infirmary in one. That on

the outskirts of Oxford was called in a charter (_circa_ 1194)

_Herebergeria Hospitalis S. Joh. Bapt._; in 1233 this was refounded

(Fig. 1) “that therein infirm people and strangers might receive

remedy of their health and necessity.” The inmates of St. Nicholas’,

Salisbury, are described as passengers (_transeuntes_) and as sick and

infirm (_egroti et infirmi_). The same two-fold work of charity was

carried on at Chichester, as shown by St. Mary’s statutes:—

“If anyone in infirm health and destitute of friends should seek

admission for a term, until he shall recover, let him be gladly

received and assigned a bed. . . . In regard to the poor people who

are received late at night, and go forth early in the morning, let

the warden take care that their feet are washed, and, as far as

possible, their necessities attended to.”

There is a MS. in the British Museum entitled _The Pilgrim_. It is an

allegorical poem in the manner of the “Pilgrim’s Progress,” and sets

forth the adventures of the traveller. The illustration (Pl. I) and

description were probably taken from experience of earthly pilgrimage.

“Charity” is seen welcoming strangers, [p006] at which work she was

always busy in mediæval England:—

“And I suppose for my beste

There to herborewe and to reste

On ther cam and preyed me

And her name was _Charite_

To pylgrymes in goodly wyse

Sche dyde moste trewely the seruyse

With chere benygne and glad uysage

She brought hem to ther herbergage.”[5]

Among shrines which the pious Englishman visited may be mentioned Bury

St. Edmunds, Westminster, Durham, Beverley, St. Albans, Waltham.[6]

THIRD PERIOD (1270–1470)

[Illustration: 2. A PILGRIM]

(a) _Pilgrimage and Vagrancy._—The greatest century of pilgrimage was

past, but vagrancy was an ever-increasing problem, and inasmuch as it

affected the social life of England, it affected hospitals, directly or

indirectly. In the Statute of Labourers, drawn up in 1350, an attempt

had been made to restrain desultory wandering, idleness, mendicancy

and indiscriminate almsgiving. This was followed by many ordinances,

local and general. By a proclamation in 1359 the municipal authorities

of London declared that such unworthy beggars “do waste divers alms,

which would otherwise be given to many poor folks, such as lepers,

blind, halt, [p007] and persons oppressed with old age and divers other

maladies.” In 1369 they issued a precept “for mendicants, vagrants and

pilgrims to leave the city.” The Statute of Westminster (1383) ordered

inquiry concerning vagabonds “wandering from place to place, running in

the country more abundantly than they were wont in times past.” The Act

of 1388 declared that those who “go in pilgrimage as beggars” when fit

for employment, should be dealt with according to the previous Statute.

It will be observed that these measures were framed from an economic

standpoint, not to check pilgrimage as such.

Although pilgrimage was declining, there were still many pilgrims.

Some of these were professional palmers, and hirelings fulfilling

vows by proxy; for there are numerous bequests in the fourteenth

century to persons undertaking journeys on the testator’s behalf

to Canterbury, Walsingham, and Bury St. Edmunds, as well as to St.

James of Compostella, Rome, or the Holy Land. The special “Jubilee”

at Canterbury in 1420 was attended by 100,000 persons, and in 1434

thousands set sail for Compostella.

(b) _Provision for temporary relief._—Existing houses of hospitality

were kept up, but a growing tendency to discriminate amongst applicants

may be noticed. In many cases more beds were reserved for chronic

invalids than for casual comers. St. Thomas’ hospital, Canterbury,

carried on its old work, but the renewed statutes of Archbishop

Stratford (1342) direct “that poor pilgrims in good health shall be

entertained only for one night . . . that greater regard shall be

had for the sick than for the well pilgrims.” With some diplomacy it

describes itself, in a petition to the Pope, as designed “for persons

going [p008] to Rome (_Romipete_), for others coming to Canterbury and

needing shelter,”[7] etc.

The chief building period was over, as far as this particular kind

of temporary provision is concerned, but one or two new foundations

must be mentioned. St. John’s, Winchester, was built about 1275 “for

the relief of sick and lame soldiers, poor pilgrims, and necessitous

wayfaring men, to have diet and lodging thereto fit and convenient for

one night or longer, as their abilities to travel gave leave.” In 1393,

the Bishop of Ely offered an indulgence to persons contributing to the

sustentation of a hospital at Brentford, which consisted of a chapel,

newly constructed, “with two houses built there, furnished with beds

and other necessaries for the entertainment of poor travellers.” The

old hospital at Brackley was reconstituted for the same purpose (1425).

It was, however, suppressed sixty years later, because hospitality was

being neglected.

One special form of temporary relief came to the front about this time.

The assistance of women in childbirth was named in the Petition and

Statute of 1414 as part of the recognized aim and scope of hospital

charity. The heading to this chapter alludes to the work undertaken at

St. Thomas’, Canterbury, in 1363. The foundation deed of Holy Trinity,

Salisbury, sets forth that “lying-in women are cared for until they are

delivered, recovered and churched.” The Spital near Blyth was newly

constructed in 1446 for the lodging of strangers and distressed women.

[Illustration: _PLATE II._ HOSPITAL OF ST. THOMAS, CANTERBURY FOR

PILGRIMS]

It is recorded that the two London infirmaries of St. Mary without

Bishopsgate and St. Bartholomew [p009] undertook this work; in

both institutions the touching provision was made that if the mother

died, her child should be brought up there until the age of seven.[8]

In the year 1437 privileges were granted to the latter hospital “in

consideration of their great charges in receiving the poor, feeble

and infirm, keeping women in childbirth until their purification,

and sometimes feeding their infants until weaned.” William Gregory,

a citizen of London, describing in his commonplace book various

foundations, says of “Bartholomewe ys Spetylle”:—

“Hyt ys a place of grete comforte to pore men as for hyr loggyng, and

yn specyalle unto yong wymmen that have mysse done that ben whythe

chylde. There they ben delyueryde, and unto the tyme of puryfycacyon

they have mete and drynke of the placys coste, and fulle honestely

gydyd and kepte.”

General hospitals for the sick were thus in process of development.

St. Bartholomew’s was steadily fulfilling its founder’s vow to provide

a place for the “recreacion of poure men.” After three and a half

centuries of usefulness, a roll of 1464 records with approbation “works

done within the hospital in relief of poor pilgrims, soldiers, sailors

and others of all nations.”

FOURTH PERIOD (_circa_ 1470–1547)

(_a_) It is evident that pilgrimage was no longer an important factor

in the social life of the country. The daily resort to shrines had

practically ceased, but the special anniversaries were kept. Such

pious travellers as there were, lodged chiefly in inns. At Glastonbury

a Pilgrims’ Inn was built by Abbot John, about the year 1475, to

accommodate those visiting the holy places of [p010] St. Joseph of

Arimathæa and St. Dunstan. A later abbot, Richard Beere, writing to

Archbishop Warham to defend the genuineness of St. Dunstan’s relics,

stated that people had come from far and near to visit the new shrine,

especially upon St. Dunstan’s Day (1508).[9] Although the regular

stream of pilgrims to Canterbury was no longer seen day by day, the

great “Jubilee” celebrations were popular, the last one being kept in

1520. At that time the needs of visitors were met by special provision,

a post being set up in the main street with “letters expressing the

ordering of uitell and lodyng for pylgrymes.” Probably the bailiffs and

citizens made all arrangements for bed and board as they had done in

1420.

Vagrancy still constituted an increasingly grave problem. By “An Acte

agaynst vacabounds and beggers,” in 1495 (re-enacted 1503), previous

legislation was amended and “every vagabound heremyte or pilgryme,”

partially exempt hitherto, was henceforth compelled to fare like

wandering soldier, shipman or university clerk. In a letter from Henry

VIII to the Mayor of Grimsby it is observed that the relief of the

impotent is much diminished by the importunate begging of the sturdy

and idle, and it is required that measures be taken “that the weedes

over growe not the corne.”[10] The Statutes became increasingly stern,

and able-bodied beggars were scourged with the lash from town to town

by the Act of 1530–1. But “the greatest severities hitherto enacted

were mild in comparison with the severe provisions of the enactment”

of the first year of Edward VI (1547). If the young king’s father had

literally chastised beggars with whips, his own counsellors desired

that they should be chastised with [p011] scorpions. They might be

reduced to the condition of slaves: their owners might put a ring round

their necks or limbs, and force them to work by beating and chains,

whilst a runaway could be branded on the face with a hot iron.[11] This

brutal law was repealed two years later.

(_b_) Where towns were few and far between, the need of shelter for

strangers was especially felt. Extensive works of hospitality were

done by religious houses, particularly in the northern counties. That

fresh provision, although on a small scale, was still made for shelter,

indicates its necessity. When an almshouse was built at Northallerton

(1476), accommodation was made not only for thirteen pensioners, but

for two destitute and distressed travellers, who should stay a night

and no longer. A hostel solely for temporary shelter was founded at

Durham (1493). One Cuthbert Billingham directed the provision of eight

beds in a “massendeue or spittel,” where “all poore trauellyng people

ther herbery or logyng asking for the loue of Gode shall be herbered

and logide.” In Westmorland, a little hospital, with two beds for

passers-by, was built by John Brunskill at Brough-under-Stainmoor

(1506): it was situated on the pass into Yorkshire.

At seaports and in places of thoroughfare, shelter was still provided

for travellers. God’s House, Southampton, expended £28 annually upon

“daily hospitality to wayfarers and strangers from beyond the sea,” and

similar charity was provided at Dover. Leland describes St. Thomas’,

Canterbury, as “An Hospital within the Town on the Kinges Bridge for

poore Pylgrems and way faring men.” At Sandwich there was a “Harbinge”

attached to St. John’s almshouse. Provision was made for lodgers,

[p012] and the buildings included “the chambre of harber for strange

wemen, the gentilmen chambre and the long harbur chamber” (1489). The

town authorities ordered “that no persons do harbour beggars, who are

to resort to St. John’s Hospital” (1524).

The existing provision for temporary relief was in fact wholly

inadequate. In the metropolis, for example, there was a crying need. It

was stated by Henry VII in 1509 that:—

“there be fewe or noon such commune Hospitalls within this our Reame,

and that for lack of them, infinite nombre of pouer nedie people

miserably dailly die, no man putting hande of helpe or remedie.”

The king, recognizing the need, planned to convert the old Savoy Palace

into a magnificent institution (Pl. XIV) in which “to lodge nightly

one hundred poor folks.” If this charity corresponded with the recent

Statute, it would relieve those vagrants who alone were exempt, namely,

women in travail and persons in extreme sickness. The king contemplated

building institutions similar to the Savoy in York and Coventry, but

the design was not carried out.

The problems arising from true poverty and false mendicancy were, of

course, intimately connected with hospital life. A graphic picture

of the difficulties which beset administrators of charity about the

year 1536 is given by Robert Copland in _The hye way to the Spyttell

hous_. The author states that one wintry day, he took refuge from the

snow-storm in the porch of a hospital, probably St. Bartholomew’s. Here

he got deep into conversation with the porter of the house. While they

talked, there gathered at the gate people of very poor estate,—lame,

blind, [p013] barefoot—and Copland, who does not despise the honest

poor, only those who live in need and idleness, inquires whether

they admit all who ask for lodging. The porter at first answers,

“Forsooth, yes,” and Copland goes on to protest against indiscriminate

hospitality:—

“Me thynk that therin ye do no ryght

Nor all suche places of hospytalyte

To confort people of suche iniquyte.

But syr I pray you, of your goodnes and fauour

Tell me which ye leaue, and which ye do socour.”

The porter replies that the house is no supporter of sham beggars.

There are some who counterfeit leprosy, and others who put soap in

their mouth to make it foam, and fall down as if they had “Saynt

Cornelys euyll.” He goes on to describe those who hang about by

day and sleep at night at St. Bartholomew’s church door—drunkards,

spendthrifts, swearers and blasphemers, those who wear soldiers’

clothing, but are vagabonds, and men who pretend to have been

shipwrecked. Many of these live by open beggary, with bag, dish and

staff:—

“And euer haunteth among such ryf raf

One tyme to this spyttell, another to that.”

The porter intimates that an effort is made to discriminate among those

daily harboured, but he confesses that they are obliged to receive

many unsatisfactory men, and disreputable women so numerous that they

are weary of them; but they refuse stubborn knaves who are not ill,

for they would have over many. Indeed, the aim of the hospital is

to relieve those who cannot work and are friendless—the sick, aged,

bedridden, diseased, wayfaring men, maimed soldiers, and honest folk

fallen into poverty. (See p. xxiv.) [p014]

It is clear, however, that during the sixteenth century there was

much genuine distress besides unthrifty beggary and sham sickness.

From various economic causes there was a considerable increase of

destitution. Legislation entirely failed to solve the problem of an

ever-shifting population. The Statute of 1530–1 had recognized the

value of charitable foundations by its clause:—“provided also, that

it be lawful to all masters and governors of hospitals, to lodge and

harbour any person or persons of charity and alms.” Although hospitals

had been abused, the neglect of the sick and homeless which their

reduction involved was a far worse evil. One writer after another

breaks out into descriptions of the increased poverty and pain.

Brinklow, in _The Lamentacyon of a Christian agaynst the Cytye of

London_ (1545), bewails the condition of the poor:—

“London, beyng one of the flowers of the worlde, as touchinge

worldlye riches, hath so manye, yea innumerable of poore people

forced to go from dore to dore, and to syt openly in the stretes a

beggynge, and many . . . lye in their howses in most greuous paynes,

and dye for lacke of ayde of the riche. I thinke in my judgement,

under heaven is not so lytle prouision made for the pore as in

London, of so riche a Cytie.”[12]

Again, referring to the old order and the new, _A Supplication of the

Poore Commons_ (1546) speaks of poor impotent creatures as “now in

more penurye then euer they were.” Once they had scraps, now they have

nothing. “Then had they hospitals, and almeshouses to be lodged in,

but nowe they lye and storue in the stretes. Then was their number

great, but nowe much greater.”

[Illustration: _PLATE III._ ST. JOHN’S HOSPITAL, CANTERBURY]

FOOTNOTES:

[3] There were probably other Saxon hospitals. Leland notes the

tradition that St. Giles’, Beverley, and St. Nicholas’, Pontefract,

were founded “afore the Conquest.”

[4] Dugdale, charter temp. Henry VI.

[5] Cott. Tib. A., vii. f. 90.

[6] See also J. C. Wall, _Shrines of British Saints_ in this Series.

[7] Cal. Pap. Letters, 4, p. 36.

[8] Close Rolls 1344, 1353.

[9] Chron. and Mem. 63, p. 434.

[10] Hist. MSS. 14th R. (8) 249.

[11] C. J. Ribton-Turner, _Vagrants and Vagrancy_, 1887.

[12] Early Eng. Text Soc. Extra Series 22, p. 90.

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The Mediæval Hospitals of England · 第 1 / 17 章