Chapter IV · (continued 2)

When children are first apprenticed they receive very low wages or more often none at all, and there is frequently a difficulty in providing for their maintenance. We have already referred to the doubt of the Central Authority as to how to treat the experiment of the Norwich Guardians on this point. Though these Guardians kept their homes this doubt apparently continued. The Keighley Guardians wished to use one of their cottage homes as a residence for working boys from the workhouse, but the Central Authority refused its assent, stating that it had no power to render such a course legal. Nevertheless it allowed a lad who received no wages, but was entirely engaged in learning his trade, to reside in the workhouse during the term of his apprenticeship,[646] and to children earning low wages insufficient to support them outdoor relief may be given. "In such cases the Board have required to be furnished with an assurance that the guardians had satisfied themselves that the amount allowed by them would, with the weekly wages paid by the master, be adequate to provide for the maintenance and clothing of the apprentice, either alone or in association with other boys. They also required a statement of the weekly wages ordinarily paid in the locality to apprentices in the particular trade, and to be informed (a) of the amount of weekly relief the guardians proposed to grant; (b) the period during which such relief should continue; and (c) whether, as the apprentice's wages increased, the relief would be correspondingly reduced."[647]

In 1904 the Central Authority was prepared to acquiesce, subject to the details of the scheme proving satisfactory, in a proposal to establish a home for boys over whom the guardians had acquired parental rights, the boys receiving board and lodging therein for so long in each case, as the wages were insufficient to enable them to obtain suitable accommodation elsewhere.[648]

The Central Authority had, in 1873, been doubtful how far a relieving officer should interfere if he found, when visiting a servant or apprentice, that the master or mistress, instead of paying the stipulated wages, gave clothing, which might be old, useless, or valued at an exorbitant rate. It merely told the guardians that he should make a special inquiry, and report if the practice appeared to be actually injurious to the personal condition of the child, so as to amount to "cruel or illegal treatment in any respect."[649]

Apprenticeship to the sea service[650] had, previously to 1894, been 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.

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]

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.

(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]

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]

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]

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]

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]

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.

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]

(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.

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]

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]

(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 smallpox 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 smallpox 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 smallpox 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]

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]

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]

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]

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]

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]

(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 diarrhœa medicine, its gratuitous hospitals and sanatoria no longer confined to smallpox 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]

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]

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]

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]

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]

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]

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.

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]

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]

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."

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.

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.

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]

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.

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.

(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]

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]

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]

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."[781] 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."[782] 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;[783] or for curative treatment in a hospital, convalescent home, seaside home, or sanatorium.[784] 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.[785] 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."[786] It is, therefore, not easy to determine how much is left of the policy of preventing non-resident relief as such.

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.

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.

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."

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]

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]

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]

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]

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]

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]

L.—Relief on Loan

We note, without any explicit change of policy, a growing tendency to extend the sphere of relief on loan. It is in Mr. Corbett's Report of 1871 that we find a revival of the suggestion thrown out in 1840 that medical relief, in particular, might be given on loan; and even that it should be "generally granted by way of loan,"[822] without regard, it would seem, to the probability of its being recovered. This opinion of the inspectorate, though (as we gather) constantly pressed on boards of guardians, did not, in 1877, receive the explicit endorsement of the Central Authority. An influential proposal to make all relief (and especially all medical relief) recoverable as if given on loan was definitely negatived. "The policy of the existing law," it was declared, "is that the question whether or not relief shall be granted on loan, or, in other words, whether it shall be recoverable at a future time, is to be determined by a consideration of the actual circumstances existing at the time the relief is granted, and it would be at variance with that policy if every recipient of relief were to feel that after he again succeeded in obtaining employment any savings he might be able to put by would be liable for the repayment of the relief which he might have received."[823] This seems to be the latest declaration of policy. There is a particular difficulty in the way of granting medical relief on loan when the medical officer is paid by salary, which does not arise when he is paid by fee—namely, that of fixing the amount to be recovered. The Central Authority suggested that the difficulty might perhaps be met by paying him partly by fee and partly by salary, but it expressed no decided views as to either the practicability or the expediency of such a course.[824]

Moreover, the Central Authority held that "the relieving officer has no power to compel any applicant to accept relief on loan. If, therefore, in a case of sudden or urgent necessity a person refuses to accept the offer of medical relief upon the condition that the cost thereof be repaid, the Board consider that the relieving officer would not be exempt from all further responsibility in the case, unless he had reason to believe that the applicant was in a position to procure the requisite medical aid without assistance from the poor rate."[825] When it was laid down in 1876 that no relief to a lunatic could be recovered unless and until declared to be on loan, it was remarked that "it will be incumbent upon the guardians ... to examine each case ... to consider all its circumstances, and not to declare the relief to be given on loan, until they are satisfied that the circumstances will justify such a declaration." Nor was it permissible to fix the value of medical relief at an arbitrary sum. "There are great practical difficulties," concludes the Central Authority in 1886, "in the way of determining the value of such relief," for the purpose of recovering it when made on loan.[826]

Thus, it can perhaps not fairly be said that the inspectors' policy of using the power of granting relief on loan as a means of deterring applicants from applying for or accepting it, has received formal endorsement by the Central Authority. On the other hand, unions which have adopted the policy of systematically granting all medical relief on loan, irrespective of the applicant's circumstances, have—so far as we can discover—not been reproved or criticised by the Central Authority for what is, apparently, a breach of its instructions. On a complaint being made of this practice, the Bradfield Board of Guardians contended that it was justified; and their contention was apparently upheld.[827] And the practice of the Bristol Board of Guardians of granting all outdoor relief on loan, irrespective of the applicant's circumstances, or even of his actual acceptance of it as a loan, has not been stopped. Moreover, by the Feeding of School Children Order, the Central Authority (in apparent contradiction of its decision in 1877) directed such relief to be given on loan irrespective of the father's circumstances.[828]

M.—Co-operation With Voluntary Agencies

We left Mr. Goschen and the Poor Law Board much impressed with the value of systematic and organised co-operation with voluntary organisations in order to avoid the combination of outdoor relief with any other source of income. In 1873 we find an interesting report by Miss Octavia Hill on official and voluntary agencies in administering relief, which the Central Authority published and commended.[829] But, in spite of Mr. Goschen, the boards of guardians by no means invariably accepted the doctrine of never giving outdoor relief in aid of other pecuniary resources. The Brixworth Guardians, indeed, as part of their strict policy, refused to accord any favour to the person having an allowance from a friendly society; but even they seem to have made up from the poor rate the amount necessary for full maintenance. Most other boards of guardians, however, as the Central Authority was officially informed in 1873, reckoned, by a rough compromise, the friendly society pay at half its amount,[830] in flat contradiction of the dictum of the Central Authority of 1840 and 1870.[831] This course was incidentally reproved by the Central Authority in 1888. "The guardians," it was stated, "are bound to take into consideration all the means of support possessed by the applicant; ... if ... the allowance from the club or society appears to the guardians to be inadequate to meet all the requirements of the case, they should take such allowance into account in determining what amount of relief is required to relieve the destitution of the applicant."[832] It was, however, apparently found impracticable to take any official action; and there is, until 1894, scarcely any later mention of the subject.[833] The policy of "all or nothing," which Mr. Goschen had suggested as a counsel of perfection, was, in fact, not persisted in by the Local Government Board. The practice of making up insufficient incomes, whether derived from charity, from property or friendly society allowance or annuity, or even (in the case of women) from earnings, continued; not infrequently with the explicit sanction of the Central Authority.[834] In 1894 the policy of supplementing other resources received a partial sanction from Parliament. By the Outdoor Relief Friendly Societies Act 1894, boards of guardians were legally empowered if they thought fit, to ignore the fact that an applicant for relief had a friendly society allowance.[835] This gave a legal sanction to the usual compromise of counting such an allowance at half its value, and thus giving the thrifty person half the advantage of his thrift. It is difficult to see how the case of a person having a small friendly society allowance could be logically distinguished from that of a person having other means or sources of income insufficient to maintain him. Presently the Central Authority expressly extended the new doctrine to other forms of saving. In 1903 it declared that relief in supplement of property (in case of sickness or infirmity of the applicant or any dependent) was lawful. In the case of an applicant actually possessing property, "if the guardians are satisfied, after due inquiry, that the means possessed by an applicant are insufficient to support himself and family, they are empowered, subject to the regulations in force, to grant such relief as will meet the necessities of the case."[836] In the following year Parliament followed suit by expressly enacting that boards of guardians should not under any circumstances take into consideration any friendly society allowance up to 5s. a week.[837] There is, accordingly, in 1907 reported to be much outdoor relief avowedly given in supplement of charitable aid and other sources of income.

This kind of co-operation between voluntary agencies and the Poor Law, in the pecuniary relief of the same individual, is, as we need hardly point out, in direct contravention of the principle enunciated by Mr. Goschen in 1869. Nothing, in fact, has been done since Mr. Goschen's Circular that is even in the direction, so far as domiciliary relief is concerned, of the entire allocation of particular cases to one kind of organised aid or the other. On the other hand, there has been, since 1871, an almost continuous encouragement of another kind of co-operation, namely, the use, by the Poor Law Authority, of institutions under voluntary management for the maintenance and treatment of particular classes of paupers, at the expense, wholly or partially, of the poor rates. The number of paupers who are technically in receipt of outdoor relief, but who are, in fact, maintained in specialised voluntary institutions, is always increasing. Certified schools for children of all denominations, and with all kinds of defects; certified sanatoria and convalescent homes for the sick; voluntary hospitals of all kinds and sorts;[838] industrial and reformatory institutions for the able-bodied; asylums for the crippled and the epileptic, and the various kinds of "Farm Colonies" are all now admitted as laudable experiments, expressly authorised, systematically inspected, and extensively subsidised, in the curative treatment of destitute persons. We may infer that it is in institutional treatment of this sort rather than in domiciliary relief that the Central Authority maintains the principle of co-operation with voluntary agencies that Mr. Goschen laid down.