UNVERSTYO CA FORNIA SAN DIEGO 3 1822 02244 9847 UNIVERSITY OF CALIFORN A SAN D EGC 3 1822022449847 THE POOR LAW REPORT of 1909 MACM1LLAN AND CO., LIMITED ION DON . BOMBAY . CALCUTTA MELBOURNE THE MACMILLAN COMPANY NEW YORK . BOSTON . CHICAGO ATLANTA . SAN FRANCISCO THE MACMILLAN CO. OF CANADA, LTD. TORONTO THE POOR LAW REPORT OF 1909 A Summary 'Explaining the Defects of the Present System and the Principal 'Recom- mendations of the Commission^ so far as relates to ILngland and Wales. BY HELEN BOSANQUET MACMILLAN AND CO., LIMITED ST. MARTIN'S STREET, LONDON 1911 RICHARD CLAY AND SONS, LIMITED, BRUNSWICK STREET, STAMFORD STREET, S.B. AND BUNGAY, SUFFOLK. First Edition, February, 1909 Reprinted, March and August, 1909. Shilling Edition, 1911. PREFACE IN attempting to summarise and explain within moderate compass the main recommendations of the Report of the Poor Law Commission and the grounds upon which they are based, it has been necessary to make considerable omissions. In order that the reader may know in general what has been omitted I have appended a table showing the contents of the Report itself, but will also call attention to the chief points here. In the first place, I have refrained from introducing many technical details, which, however important in themselves and to those actually engaged in administration, seemed not essential to the under- standing of the general position. In the second place, I have also refrained, and this time with more reluctance, from attempting to summarise those sections of the Report which are mainly historical, or descriptive of conditions outside the immediate sphere of the Poor Law itself. More especially of importance are Chapter I of Part VI. and Part VII. The first of these contains in a concise and interesting form a mass of information vi PREFACE concerning industrial developments since 1834, which is here for the first time made accessible in a consecutive narrative, and is of special signifi- cance in connection with the history and present position of unemployment. The second, Part VII., which is a comprehensive survey of the charities of the country and their administration, is no less important from the point of view of the charitable relief of distress ; and if the reader of the following chapters fails to find them convincing, he may confidently look for their fuller justification in the Report itself. The marginal references are to the Parts, chapters and paragraphs of the Report. Notwithstanding all omissions, however, I hope that I may have succeeded in making clear the main intention of the Report. That intention, in few words, is to substitute a vital and organic system of combined public and voluntary assist- ance for the mechanical routine of the Poor Law on the one hand, and the confused chaos of charity on the other. If this intention is to be carried into effect it can only be by the combined effort of all who are interested in bringing help and strength to the poorer and weaker members of the community. OXSHOTT, February, 1909. CONTENTS CHAPTER I THE PROBLEM CHAPTER II STATISTICS AND CAUSES OF PAUPERISM . . . .13 CHAPTER III THE AGED ........... 43 CHAPTER IV THE CHILDREN ........ . .64 CHAPTER V THE ABLE-BODIED ......... 90 CHAPTER VI THE PUBLIC ASSISTANCE AUTHORITY ..... 144 CHAPTER VII THE USE AND ABUSE OF "OUTDOOR RELIEF" . . 169 CHAPTER VIII MEDICAL RELIEF ......... 2o8 CHAPTER IX DETENTION UNMARRIED MOTHERS INSURANCE DIS- FRANCHISEMENT ........ 241 APPENDIX I. CONTENTS OF THE REPORT OF THE ROYAL COMMISSION ON POOR LAWS, 1909 . . . 26l APPENDIX II. LIST OF APPENDIX VOLUMES TO THE REPORTS OF THE POOR ^AW COMMISSION FOR ENGLAND AND WALES, SCOTLAND, AND IRELAND . 264 THE POOR LAW REPORT OF 1909 CHAPTER I THE PROBLEM WHAT is the Poor Law, and who are the people to whom it applies ? Every civilised country has a different answer to give to this question, but in their main outlines all answers will coincide. In the first place, the law which we in England call the Poor Law, but which receives more appropriate names in other countries, is that law which regu- lates the administration or distribution of assistance from public funds to private individuals on the ground of their failure to provide for themselves. In the second place, the ultimate fact upon which all systems of public assistance are based is the fact that there are in every country persons who, for one reason or another, are found to be without the necessaries of life, whether provided by their I 2 THE POOR LAW REPORT CHAP. own exertions or by their friends and relations. In the absence of any legal provision, these persons either die or are maintained by the charity of the benevolent. In most Christian communities it has originally been considered that the charity either of private persons or of religious com- munities should be sufficient to meet the need, and under these conditions begging has become a recognised means of obtaining a living. In a small community, where begging is only an appeal from one neighbour to another, the arrangement may serve well enough ; but it leads to intolerable evils, both of fraud and neglected suffering, where it prevails in larger communities ; and sooner or later it has always been considered necessary for the law to intervene and regularise the situation. That has been done by defining where the respon- sibility for the maintenance of these people lies, and by making the responsibility one to be enforced by law. In England the duty was laid in the first instance upon the family, and failing this upon the parish, until at the beginning of last century it was found that for many reasons the parish was too small an area for effective administration. Under the Poor Law Amendment Act of 1834 parishes were then grouped into unions, and each i THE PROBLEM 3 union of parishes became responsible first for administering, and finally for providing, the neces- sary funds within their area. Since then the responsibility of administration has remained with the union, but there has been a constant tendency to widen the area of financial responsibility by means of subsidies from various sources until at the iv. 4, 177 present time the percentage of expenditure on poor relief which is not met from local sources is about^ 20 per cent, m* London the tendency has been pushed so far that 70 per cent, of the total iv. 4, 178 expenditure by Boards of Guardians is now borne by the grants made out of sums raised by Imperial taxation or other receipts in aid, or by rates levied throughout London in the proportion of the rate- able value of the unions. Thus the legal responsibility lies in the first place upon the individual if capable to main- tain himself ; in the second place it lies upon his family ; and failing both these it lies ultimately upon the ratepayers of the union and county, and the taxpayers of the country. Now at first sight it seems obvious that it is to the interest of the community that the number of those who are dependent upon public assistance should be as small as possible. And ultimately, also, this is indisputable : the community, from an B 2 4 THE POOR LAW REPORT CHAP. economic point of view, is only the sum of its members, and if half of these fail to maintain themselves, the other half will have twice as many to maintain. But the statement needs modifying in its immediate application. It pays the com- munity far better in the long run to gather in the waifs and strays of children for whom no one is caring, than to leave them to grow up as loafers and criminals. It would pay it far better, again, to maintain its loafers and vagrants in labour colonies, where they could be made to do some work before eating, than to leave them to maintain themselves by begging and theft. But unless a community is to become bankrupt it must keep steadily in view the importance of enforcing upon the individual the primary duty of being self- supporting. It is this which constitutes one of the chief difficulties of any scheme of public assistance. The mere fact that a provision exists for those who fail in this primary duty causes many to fail who might otherwise have succeeded. It is difficult for anyone not intimately acquainted with Poor Law administration to realise that many of those who claim relief are suffering from sheer laziness. The workhouse inmate who declared that " So long as 1 can get sixteen ounces of pie for my dinner, and my two children kept for life, and they don't ask me to do any more than polish the stair bannisters, I'm not going to work," was perhaps more outspoken, but not more lazy, than many another of his kind. Nor is it widely enough known how many who are incapable are so through their wilful violation of the laws of sobriety and morality. It is not of course true that poverty is always a crime ; the sternest administrator has never thought or said so. But the poverty which is due to excess or self-indulgence is a crime, and should be more frankly recognised as such. Thus the problem of public assistance presents it- self as the problem of offering help in such a way as to diminish rather than to increase the number of those requiring it. There are two lines of policy which offer a solution of the problem the one to make I* the conditions of assistance so disagreeable that no one will accept thgm who can possibly jielp ft ; the other to make the assistance so effective that it 1 will ultimately remove the cause of distress. There have been times in the history of the Poor Law when both these considerations were practically in abeyance, when relief was given on easy terms to anyone who demanded it, while yet there was no effective assistance such as could restore the recipients to independence. 6 THE POOR LAW REPORT CHAP. But the true test of good administration is the degree of success which it achieves in combining a policy which shall not encourage laziness and self- indulgence with one which shall be really remedial in the assistance afforded. It fails when it is attractive to the profligate, but it fails no less when it is deterrent to those who might be restored by its services to health and independence. How far does the Poor Law, as administered in England to-day, satisfy this test ? The answer will be given more in detail in subsequent chapters. Here we may note certain broad conclusions from facts which have revealed themselves in the course of the enquiry. i. With respect to certain classes of the children the administrators of" tFe Poor Law may claim a very remarkable success, in the sense that those of whom they have taken entire charge, and for whom they have made special provision, have been almost entirely rescued from the pauper class and given a fair start to a healthy and independent life. There are, however, other and larger classes of children dependent upon public assistance for whom little attempt has been made to secure that they are properly brought up, and it is to be feared that many of these will contribute to the pauperism of the next generation (see Ch. 4). i THE PROBLEM 7 2. With regard to the sick, again, very marked success has attended the constant efforts of the Poor Law authorities in many places to improve the treatment of patients who enter their institu- tions. If the treatment of out-door patients has been less emphatically successful, it has been largely due to the difficulty of enforcing proper conditions in the home (see Ch. 8). 3. In our treatment of the aged, also, both success and failure have to be recorded. Of those in institutions some find comfort and luxury far beyond the attainment of the independent members of their own class, others lead monotonous and dejected lives in costly buildings under extravagant management, and others again are dreary in dreary surroundings. Amongst those receiving out-relief 1 the discrepancies are even greater ; many are half- starved on an utterly inadequate allowance, while many more who have no need of public assistance at all receive allowances at the expense of neigh- bours who are more independent but hardly , better off (see Ch. 3). 4. The most serious failure in recent years has been in dealing with the able-bodied. Here the policy of the authorities has aimed at being deterrent, and its failure has been twofold. It has failed conspicuously to deter the idle and worthless 8 THE POOR LAW REPORT CHAP. 0i who are indifferent to humiliation so long as they are well-fed ; while its failure to make separate provision for the more respectable has given rise to the spasmodic and ill-regulated attempts of amateur agencies to supply the deficiency (see Ch. 5). The fact that success and failure are so mingled suggests that the defects to be remedied must be sought more in the administration of the law than in the law itself; hence it is the administration which the Commissioners in their recommendations mainly seek to improve. If all Boards of Guardians had been working as well as the best, there would probably have been no demand for an enquiry, and little need of change. But in a subsequent chapter we shall see how very far that is from being the case, and what imperative need there is in many places to find administrators who will be more disinterested, more honest, and more intelligent. There is no doubt that the work is one of great difficulty. The population which comes within the scope of the Poor Law is made up of the most heterogeneous elements. Individuals of every age, of every shade of character, of every degree of physical or moral incapacity, with every variety of disease or disability, are all brought together by THE PROBLEM 9 the one common fact that they demand to be maintained at the cost of the community. It ha& been argued by some members of the Commission that the differences are so great as to outweigh the common element, and that the responsibility for pro- viding for each particular need should be assigned to a special authority, regardless of whether the people to be provided for were to be maintained by the ratepayers or not. Thus, the children would be assigned to the Education authority and the sick to the Sanitary authority. The majority of' the Commission hpldy on the contrary, that the common element ''is so important as to justify indeed, to necessitate the existence of a special law to authorise and regulate the relief of these people, and of a special authority to apply and to administer that law. When an individual claims to be maintained "at the cost of the community, it is clear that the claim cannot be an unconditional No State has ever yet offered, or ever can one. offer, free maintenance to everyone who likes to apply for it, whatever his circumstances may be ; and it becomes necessary that every claim should be immediately submitted to a judicial authority which will decide whether the applicant is entitled to receive public assistance. Upon this authority there naturally devolves also the duty of A^^La-rviv. 10 THE POOR LAW REPORT CHAP. deciding what form the assistance to be given shall take. In doing this it has to bear in mind the interests both of the recipient and of the community at whose expense he is asking to be maintained. It does not follow that the man who asks for help necessarily knows what will help him most ; the fact that he has failed to maintain his independence often means that he does not know. What is needed is a disinterested authority, practised in looking at all sides of a question, and able to call in skilled assistance. _V-jk ^ ^M*" ^MM^mM^HaMHMMHMMM The specialist is too apt to see only what interests him to be a safe guide in the first instance. For the community, again, the paramount interest is that those who are incapable of maintaining themselves should be as few as possible ; and, as we have already said, it is the duty of the administrator on the one hand to endeavour to remedy real incapacity, on the other hand to discourage wilful incapacity. By wilfully incapable persons we mean those who wantonly destroy their powers of work by self- indulgence, or wilfully refuse to exercise them because they prefer to be kept by the work of others. The number of those persons is increased at once by a relaxation in the vigilance of the A^ i THE PROBLEM 11 administrator. Hence arises the necessity both of employing skilled officials to ascertain the true, circumstances of every applicant, and of guarding against the danger that dependence should be made more attractive than independence. The majority of the Commission are convinced that it would be quite impracticable for the Education authority and the Sanitary authority to carry out these duties of discrimination and adjudication effectually, and that it is necessary that there should continue to be a special authority for the purpose. Moreover, and this should be carefully noted, it is more than doubtful whether the " specialised services " would do the work even as well as it is now being done in many unions. It is very largely due to failure of the Education authorities to train the children under their care that so many seek help in after life from sheer incapacity to do any- thing useful. And it is very largely due to grave neglect of the Sanitary authorities to fulfil their present duties that so many victims of ill-health are reduced to pauperism. It would be folly to throw back upon proved incompetency the task of restoring the victims of that incompetency. It needs highly-skilled workers, practised in dealing with specially difficult cases, and qualified by 12 THE POOR LAW REPORT CH. i training and experience for the task of restoration ; it needs, in short, officers such as those in charge of the best Poor Law schools and infirmaries. Since 1834 the special authority for administer- ing the Poor Law has been the Board of Guardians in each union, elected by the ratepayers, and working under the general supervision and control of the Local Government Board. The Commission i recommends great changes in the constitution of I this authority, and in order to understand their recommendations and the reasons for them it is necessary to describe in more detail the actual work done by the Guardians and the condition of the people under their care. In ascertaining this the Commissioners have not been content to take the evidence of other people only ; they have been at great pains to see for themselves so far as that was practicable in the limited time at their disposal. They have visited unions in all parts of the country, they have attended Board Meetings and Relief Committees, they have seen institutions of all types, and have talked with the recipients of out-relief in their own homes. Thus they may fairly claim to have a first-hand general knowledge of the working and effect of the Poor Law as at present administered. CHAPTER II THE population dealt with yearly by the Poor Law is large, and constantly changing. It is generally reckoned for the purposes of official statistics by returns from each union, which are combined to show the total number of persons relieved on certain selected days. Of these returns, the most detailed are those which give the numbers relieved on January ist and July 1st in each year. The summer pauperism is always considerably lower than the winter, and in order to obtain an estimate of the general level of pauperism throughout the year, the practice is to take the mean of these two returns as representing the average pauperism for the year to which they relate. The result obtained in this way for 1907 by combining the January and July counts was 793,519 : a population considerably larger than 13 ' ' 14 THE POOR LAW REPORT CHAP. that of Liverpool, and representing 22-7 per 1,000 of the whole population of England and Wales. But a return so obtained does not tell the whole story. To a large extent the pauper population is a changing one ; many people go off the relief lists during the year, many others come on, a con- siderable number are constantly going off and coming on again. Thus it happens that a " day count " shows only how many are being relieved at a given time, and not the whole number who at one time or another during the year obtain relief. In order to get fuller information for the Com- mission as to what proportion of the population belongs either continuously or intermittently to the pauper class, a special record was kept in 1907 giving full particulars of every case dealt with during the whole year by each Board of Guardians. The results of this record are of great interest in many ways, and show amongst other facts that the number of persons dealt with throughout the year is more than twice as great as the number obtained by the day count. During the year 1907 the number of those who received relief of one kind or 11.5 another was ,706,592, or 47 per 1000 of the total population. 1 Thus we may say that while 1 These figures are subject to possibly slight modification owing to errors of duplication, &c. ; also they exclude casual paupers and certain lunatics. ii STATISTICS AND CAUSES 15 at any given time the proportion of paupers to Dooulation will be between two and three in everv population will be between two and three in every hundred, yet the proportion liable to become paupers some time during the year will be between four and five in every hundred. It is this four or five out of every hundred which constitutes the population to be dealt with by means of public assistance. Many interesting facts as to the different classes of whom this population is constituted are brought out in Part II. of the Report : " Statistical Survey of Poor Law Problems." A few of them may be noted here. In the first place, it appears n. 6 that nearly half of the paupers on any given day are women ; the other half including both men and children. But this discrepancy tends to disappear on the year's count, by which thejrate i of pauperism for women is shown to be only slightly '; in excess of that for men. The conclusion is that the average duration of relief is longer amongst \ women than amongst men. The men, that is, apply more for short periods of help during temporary disability ; while the women, especially the widows with young children, if they need assistance at all, need it for a considerable time. Perhaps the most striking difference between men and women is shown in the kind of relief 16 THE POOR LAW REPORT CHAP. they receive. Of the whole population receiving n. 16, 17 assistance on January 1st, 1908, rather less than a third were in institutions, and rather more than two-thirds were receiving out-door relief. But while more than half the men were in institutions, four-fifths of the women and three-fourths of the children were receiving out-door relief. To a small extent this may be due to reluctance to grant out-door relief to able-bodied men, but the excess was mainly amongst the old. The greater facility with which elderly men enter the workhouse than do elderly women is very striking ; when visiting the workhouses we nearly always found in them twice as many old men as old women. The explanation was generally the same that the old men gave up sooner, while the old women could keep their little homes nice, and even earn a few pence to supplement the out-relief, to a much greater age. II. 24 IV To some extent this excess of men in Poor Law II institutions is o? recent growth. A table in ' paragraph 24 of Part II. shows that while female and child pauperism have both decreased during the last thirty years, male pauperism has actually increased. Several causes are suggested which may have contributed to this increase, but the only one which would apply solelv (or mainly) to ii STATISTICS AND CAUSES 17 men is the series of Workmen's Compensation Acts, which have made it a man to get work as he advances in years. It is probable also that the large amount of relief provided outside the Poor Law for the unem- ployed has reduced some to pauperism by causing them to rely upon other than their own resources. Some interesting facts are brought out in H- 31 *? connection with the " period and recurrence of relief." Nearly one-tjiirdofthe whole number I relieved in._j:ne year 1^06-7 were practically jj permanent paupers, receiving relief throughout ' the whole veafr. This class is made up chiefly of the aged, the chronic sick, and orphan and I deserted children. Another large class consists of those who are n. 34 relieved for very short periods. " Over 200,000 persons were relieved for less than one week, and a further 320,000 for less than a month. The two groups comprise nearly one-third of the total number of persons relieved, and embrace cases of very differing character. The vast majority are cases of the most temporary destitution and were relieved but once during the year, but a consider- able minority were relieved for short periods on two or more occasions. If any considerable and^ permanent reduction in pauperism can be effected c 18 THE POOR LAW REPORT CHAP. it should be more easily accomplished amongst the persons mcludedjn these groups." II. 35 Another large class consists of those whose relief exceeded one month in duration, but was not continuous over the whole year. Of these, 43 1,801 persons were relieved only once during the year. ** Amongst them are those who are generally in receipt of relief, but who manage in one way or another, probably during the summer months, to regain a precarious independence for a very limited period. Some again are seasonal paupers, persons \ whose occupation lasts for a portion only of the year, and who . . . resort to the Poor Law during the vacant periods." A smaller, though still considerable, class con- sists of those who are constantly on and off the II- 36 relief lists. "^There were 26,179 persons who received relief on at least five different occasions, and those of them who were relieved in the work- houses belong to the class known as * ins-and-outs.' Cases have been brought to our notice of persons who have been in and out of the workhouse more than fifty-two times during the year. . . . Mr. Lockwood mentions two cases, one of a woman of eighty-one who had been in and out of the work- house 163 times in the year 1901, and the other ii STATISTICS AND CAUSES 19 of a man who has been in and out 593 times since 1884." The rate of pauperism i.e., the proportion of paupers to population differs very much in different parts of the country and in different unions. There are various reasons why this should be so ; the policy of the Guardians always affects the rate one way or another, and in some districts the occupations of the people or the sanitary conditions under which they live may contribute largely to pauperism. It would even n. 70, 71 seem as if racial characteristics could be traced by the figures which tell the story of dependence and independence, for the northern counties show a rate markedly lower than prevails in other parts j- of the country. In Yorkshire, for instance, the ^ rate for the West Riding is only 15-7 per xt fUt ^ 1,000 as against 38*5 in Norfolk, and 37-3 in j-^. 1 Dorset. The divergences between particular unions are | n. 72 still greater, and the proportion varies from 8-5 perl i ,000 in the Fylde Union (Lancashire) to 73-1 per 1,000 in the Strand Union, 56*8 per 1,000 in the Poplar Union (London), and 56-7 per 1000 in the Thingoe Union (Suffolk). The Poplar Union C 2 20 THE POOR LAW REPORT CHAP. is unfortunate in combining two of the causes of high pauperism which we have mentioned an extreme Socialistic administration with low-class industries. Thingoe is a rural union, and is illustrative of the fact that pauperism is, generally speaking, higher in the rural unions than in the urban. Apart from causes peculiar to certain localities, there is no doubt that the higher rural pauperism is largely owing to the drift of the younger and stronger members of the population into the towns, leaving a large proportion of aged and See helpless people in the country. This seems to Diocesan , -,i i , -j Reports accord ill with the almost unvarying evidence we have received to the effect that in country districts there is little or no real poverty. The discrepancy is only to be explained by the attitude of country Guardians towards out- relief to the aged ; both givers and recipients regard it as an old-age pension, to be given irrespective of other considerations to those who attain a certain age. Another point to note is that though the rate of pauperism is higher in country districts than in towns, nevertheless it is decreasing faster ; and pre- sumably its rate of decrease will be still further accelerated as more of the old people become eligible for old age pensions. ii STATISTICS AND CAUSES 21 The greatest problem for the administrator n. s which is revealed by the statistics is the problem of London. Amongst other things, they show " that London is maintaining 15,800 more paupers than it was in the 'eighties,' that the rate per 1,000, I which was generally below that for the rest of | England and Wales, has risen above it, that the ' larger numbers maintained in London chiefly con- I sist of men relieved indoors, the increase being I relatively greater than elsewhere, and that this increase is not due to a transference from the out- door lists. There is, thus, abundance of statistical evidence to show that the present position is more serious in London than in any other part of the country." Finally, before proceeding to consider in detail the particular causes of pauperism, we may note what has been the general tendency of pauper- ism. It is a matter for congratulation that V since 1834 there has been an almost continuous ', decrease in the proportion of paupers to popula- ' tion ; between the period 1871-2 to 1879-80 and n. -?. 1907-8 there has been a decrease from 31 '2 per 1,000 to 22'i per 1,000. But it is a matter for grave consideration that the rate of decrease is \ diminishing very rapidly, and that in some years I there has been an actual increase. _ " ' * " " 22 THE POOR LAW REPORT CHAP. II. 44 The situation is the more serious because this check to progress is accompanied by a largely increased expenditure, especially since 1889. The total yearly expenditure has increased from 8,440,821 in 1887-8 to 14,035,888 in 1905-6 ; while the amount per head of the total population has increased from 6s. o|^. to n. 67 8j. 2f d. over the same period. " Summing up the general situation in regard to the increase in expenditure, we find that, whilst the expendi- ture per inhabitant has increased from 71. Q\d. to 8j. i\d. since 1871-2, and is only 7\d. less than it was in 1834, the expenditure per pauper has I increased from 7 I2/. id. to 15 I2s. 6d. in the same period. The country is maintaining a multi- tude of paupers not far short of the number main- | tained in 1871-2, and is spending more than double the amount upon each individual. . . . Such advance as the nation has made has been accomplished at an enormous cost, and absorbs an annual amount which is now equivalent to nearly one-half of the present expenditure upon the Army." This tendency, as revealed by statistics, for I Poor Law relief to become at once more costly I ^^_^^^__^_ - ..I. . . -A. and on the whole less effective, has been corrobor- ii STATISTICS AND CAUSES 23 ated by evidence of a more concrete and detailed kind. It gives the clue to the policy elaborated by the Commissioners and expressed in their recommendations. " While the rise in expendi- iv. 10,584 ture was accompanied by a diminution in pauper- ism it was possible to regard it with some degree of acquiescence. It is worth while to pay highly for the restoration of paupers to independence. But there are indications that the present adminis- tration has reached the limits of its remedial powers, and needs once more to be reinforced. It must, we are convinced, extend its policy both of cure and of prevention still further, and it is in this sense that we have made our recommenda- tions." If this policy of cure and of prevention is to become a reality, it is essential that far more account should be taken in future of the causes of pauperism than has been done in the past. The Commission have not been able to make a detailed study of this branch of the subject that can only be done by local administrators in actual touch with the people. But they have received a large amount of evidence on the question from persons well qualified from various points of view to form a judgment ; they have also caused special investiga- tions to be made on certain points, and they have 24 THE POOR LAW REPORT CHAP. IV. 10 brought together the main results of this evidence in their Report. Perhaps the cause most often assigned for pauperism is old a^e. In itself this is hardly a// cause of pauperism ; only a very small percentage IV. 10,522 of old people are paupers. " But when combined with, or following upon, other causes, such as low earning power, drink or thriftlcssness, it becomes a very large factor in the situation. And when old age appears, it naturally tends to obscure the previous causes which have played their part and disappeared." The Commission note, however, certain indus- trial cjaodltk>uft. which tend to give a special im- portance to old age, " or rather increasing age," in this connection. They have found a very general opinion that the development of industry is such as to make increasing demands upon the / worker, and thus cause him to drop out of the ' IV. 10,523 industrial ranks at an earlier age. " The move- ment is intensified in the first place by the necessity of earning the Trade Union minimum, since em- 1 ployers will not pay the standard wage to slow or inferior workers ; and in the second place by the operation of the Employers' Liability Act and 1 the Workmen's Compensation Acts." Atten- 5 tion has constantly been drawn to these difficul- ii STATISTICS AND CAUSES 25 ties in the evidence, and the following extracts are typical of many other statements to the same effect. The first is from a relieving officer : " From time to time a considerable number of middle- aged men have applied for assistance, who have stated that they have been unable to get work, employers giving the preference to younger men as being less likely to make any claims for compensation under the Act. These men have been mostly able-bodied, and, in my opinion, capable of doing a fair day's work." The next is from the Report of the Peter- borough Diocesan Conference : " The following is a sample statement from a very large factory parish, which reveals what the Committee fear may be an increasing cause of unemployment as time goes on : " c There are workmen who are willing to work, but who are not quite as quick, strong, or capable as others, and the manufacturers are willing to employ them, but they cannot, or will not, pay them the fixed minimum. I have known also of several cases of worthy men, with slight heart trouble or other defect, discharged since the " Liability " Act came into force.' " The evidence has come from so many and such independent sources that it is impossible not to attach much weight to it. But as a cause of . pauperism the tendency is beyond the influence of Poor Law administrators. The remedy rests 26 THE POOR LAW REPORT CHAP. partly with the Trade Unions, which should make universal their occasional practice of allow- ing older men to earn a lower wage than the young ; and will partly have to be found in a system of insurance against unemployment. I The causes of pauperism are generally fewer and simpler in the country than in the towns,, where the greater complication of life gives rise to industrial and moral evils which may be hardly known in the country. The following statement from a relieving officer at Leeds illustrates the diversity of evils which have to be combated in the towns before we can hope to diminish greatly the number of those who sooner or later inevitably fall into dependence : IV. 10,529 "The most important causes of pauperism are: (a) Old age ; (b] the early marriage of persons dependent upon casual labour. Large families are the rule. Owing to the low wages earned no provision can be made to meet such contingencies as non-employment, sickness, or of imprisonment for debt. The latter is a crying scandal, and I have had to relieve the families of hard-working respectable men who have been committed for long periods on non-compliance of a county court judge's order for a few shillings. . . . (r) Imprisonment for criminal offences is a large factor in pauperism ; (d] venereal disease also i contributes largely ; much of the misery entailed by this . disease would be obviated if it were made notifiable. Its ramifications are appalling. (*) Intemperance is another ii STATISTICS AND CAUSES 27 contribution, and in this I find females to be the worst \ offenders. Many men are perforce paupers by the intem- \ perance of their wives. ...(/) Indiscriminate relief by private persons and religious bodies also contributes largely to pauperism, and cases have occurred where relief has been in the first instance given in this manner and the recipients eventually become confirmed paupers, (g) Cases are not wanting to show that pauperism is hereditary I two generations being quite common, and third genera- ) tions occasionally occur." One cause which is common to both town and IV - I0 tS3i country, and which would appear from a great weight of evidence to be the most potent and I widespread factor in the creation of pauperism, is drink. " Some witnesses also indicate gambling as a serious and growing cause ; but gambling, 1 though it wastes the resources of its victims, does not lead to such physical and moral degeneration as drink." One inspector furnished us with the following details as to the inmates of two work- houses in his district : I. "At the time the information was obtained, there were iv. 10,532 in the body of the workhouse, as apart from the infirmary, and excluding children and imbeciles, 170 men and 109 women, total 279. Of these 279 persons, seventy-four men and thirty-six women were in the workhouse as the direct result of intemperance. Of the above, twenty- six men and twenty-seven women could not be allowed out for a day's leave without fear of their returning 28 THE POOR LAW REPORT CHAP. the worse for drink. The master of the workhouse reports that twenty-nine of the latter inmates continually take their discharge and return to the workhouse inebriated." 2. "Taking the same data as in the case of Bath Work- house ; there were in the body of this workhouse 258 men and 158 women, total 416. Of this number, there were 175 men and twenty women in the workhouse as the direct result of intemperance. The master also stated that of the 416 inmates in the body of the workhouse, 205 of these could not be allowed out for a day's leave without fear of their returning the worse for drink." Unfortunately it is not only those who indulge in excessive drinking themselves who suffer from their intemperance. A case is quoted as showing the far-reaching effects of this habit : u Widow, four children. Eldest boy, thirty-one, now in the union infirmary, an imbecile. Daughter, weak, bad eyes for years, and been sent to the Ophthalmia Hospital and partly recovered and now in service. Son living at home, carter, but drinks. Son aged ten at school. Father, dead some years, was a notorious drinker, constantly before the magistrates and fined. Was an invalid the last seven years, and he, or his wife and family, on out-relief list for sixteen or seventeen years. I estimate this one case has cost from ^250 to ^300, and is, in my opinion, due to the drinking habits of the father, though to anyone not knowing the history it would not be so classed. I believe this is typical of many." ii STATISTICS AND CAUSES 29 Striking evidence to the same effect is to be found in the unanimity with which the Diocesan Conferences have reported to us that drink is one of the chief causes, often that it is the chief cause, of poverty. The Report quotes as typical the summary of replies from 445 parishes in the diocese of Peterborough : "The chief moral cause of poverty in town and country alike is said to be excessive drinking want of thrift, and bad management often, early and improvident marriages or gambling sometimes, accompanying it j in fact, in many parishes the reply on this point is practically that what little poverty exists is almost solely due to the drinking habits of the few whose families suffer in conse- quence. Even when there is little actual drunkenness, the proportion of weekly wages regularly taken to the public house is said to keep many families always poor." It is clear that here again the main remedy must come from other agencies than that of Public Assistance, and must take effect in the greater self- control of the people themselves. But the administrators of Public Assistance can contribute towards this end by refusing to condone habits of intemperance, and in certain cases by the com- pulsory detention of inebriates (see Ch. 9). Another cause which contributes largely to pauperism is sickness, and there is one class of 30 THE POOR LAW REPORT CHAP. disease which is closely akin to intemperance in its degrading and far-reaching effects. Medical witnesses have given evidence to show how large is the amount of pauperism directly and indirectly due to this cause : V. 156 During the past twenty-five years the number of inmates treated in the Leeds Union Infirmary for early venereal disease has been fairly constant, 120 to 140 cases annually, and an average of sixteen to twenty at any one time under treatment . . . and having been patched up they do not stay, but discharge themselves long before they have had sufficient treatment. Such people are a public danger before admission and continue to be so after discharge." It is clear that in the interests of the community it is even more imperative than in the case of inebriates that the Public Assistance Authority should have power to detain such people until they are less dangerous to the public. Another witness states : " These (venereal diseases) exist to a larger extent and in worse form than is usually supposed ; they constitute one of the greatest evils of the age. ... I am convinced the greater majority of children born in the poorest districts (slums) are tainted with syphilis ; and that this taint added to the conditions of environment ... is largely responsible for the awful mortality amongst children in these districts. Even if these children sur- ii STATISTICS AND CAUSES 31 vive they become an expense to the community. They are mostly feeble in body and mind, possess no inhibitory power and readily give way to the vices by which they are surrounded. It is difficult to call them immoral because they do not know what morality is. It is from this class that paupers and criminals are made, and that prisons, asylums and workhouses are filled." Another disease which contributes largely to pauperism, and which is greatly aggravated by the conditions of life amongst the very poor, is con- sumption. One witness who had examined 4,000 cases of consumption in the wards of a Poor Law infirmary came to the conclusion that neaTTyUo per cent, were paupers because they were consump- tives. He adds : "There are at present in England and Wales over V. 196 200,000 men afflicted with tubercle, the majority of whom will ultimately have to resort to the workhouse, unless released by death. The sad part of it is that highly respectable people in all ranks of society are dragged down to destitution by this fell disease, finally becoming chargeable with their families to the Poor Law." It is only recently that it has been generally * recognised to what a large extent the transmission of this disease can be guarded against by simple precautions, and it is certain that it can be greatly reduced if the Public Assistance Authority make j 32 THE POOR LAW REPORT CHAP. Iit a condition of their assistance that those pre- cautions shall be taken. Speaking generally, any form of illness which is severe and prolonged tends to exhaust the resources of the family, especially when it is the wage-earner who suffers. But how far provision might be made, and is made, against illness without having recourse to the rates will be considered in Chapter 8. Indirectly, as giving rise to illness, bad housing conditions and bad sanitation are amongst trie causes which conduce to pauperism. But houses are often insanitary more from the habits of the people living in them than from any structural defect, and it is not easy to assign the chief weigTit of the responsibility. The investigators appointed to report to us on the Relation of Industrial and Sanitary Conditions to Pauperism sum up on this point : IV. 10,537 " Housing conditions produce or aggravate certain illnesses. From persons sick with such illnesses many applications are received for relief. Again, housing con- ditions produce or aggravate certain demoralised types of character, as it is demoralised persons of such a kind who form a large proportion of paupers. Beyond this it is difficult to go in the matter of direct proof. . . . f At the same time our conviction as to the importance of ( housing remains unaltered." ii STATISTICS AND CAUSES 33 It is perhaps not generally known how much IV - IO 538 flagrant evil, leading directly to pauperism, is encouraged by the existence of unregulated or I insufficiently regulated common lodging houses and furnished rooms. The latter are a " con- ' spicuous evil " not only in London but in many provincial towns ; they are habitually overcrowded, and are used for immoral purposes : " The relieving officer for this district gave us a great deal of information about these furnished rooms, and from him we learnt that they are nearly always in a filthy state. They are occupied by one tenant after another without any cleansing, and the bedding is found in a shocking condition. The rent paid by the landlord is about 17*. a week, and he received from 28*. to 35 s. a week from the occupiers of the rooms. " It is probably correct to say that the lowest class of the community resort to these sub-let houses lower and more degraded than the habitues of our common lodging houses. In addition to the obvious liability to insanitary conditions, these houses offer convenient resid- ences for those persons of the working-class who are aosolutely careless and reckless as regards their rights of citizenship. Their only possessions are the clothes they wear ; not even the towels, cups or saucers, kettles or saucepans in the house belong to them. Men and women live together, only to separate on the slightest excuse ; indeed, in the majority of cases these .houses harbour the profligate and most reckless class of our cities." A relieving officer states that from one lodging D 34 THE POOR LAW REPORT CHAP. house containing 200 to 300 beds he has received forty applications in a day. Perhaps nowhere more easily than in the effects of lodging houses and shelters upon their inmates can one read the lesson that to make life too easy is as fatal a policy for human beings as to make it too difficult. It is by offering the possi- bility of a life at a very low standard, and so encouraging the lowest form of casual labour, that IV. io, 539 these institutions contribute to pauperism. "They encourage and foster a life cut off from all natural relations, calling for the least possible amount of self-control and energy, and leading almost in- evitably to the workhouse." (Amongst industrial causes of pauperism casual _ ^^ L - f ___[_ labour stands foremost. Long hours of work, iv. io, 549 if regular, are far less harmful. "The great [ example of an occupation where long hours are worked is that of railway employes, and they are pre-eminently not pauperised." Low earnings in I certain occupations contribute a certain amount of pauperism. But from every quarter where much I casual labour is employed the same story is told of its evil effects. Our investigators lay special stress upon it : IV. io, 540 " In an analysis of application and Report books the cases of pauperism among men which are the combined ii STATISTICS AND CAUSES 35 effect of casual work and drink are so numerous as to \ outweigh and obliterate altogether those caused by the most dangerous of occupations unless the class of case to which they belong is carefully isolated and analysed. The same fact is revealed in the abundant testimony of relieving officers and others." It must not be concluded that all who have resort to casual labour are degraded by it into pauperism, nor that the many casual labourers who become paupers owe their downfall to the nature of the work. One witness " believes that the casual trades do not more demoralise the people than that demoralised people go to the casual trades." Nevertheless, there is little doubt that to regu- larise the casual trades would go far to diminish pauperism of the worst type : " Take away casual labour and drink and you can shut up three- quarters of the workhouses." In Chapter 5 on the able-bodied, we refer again to this question of casual labour, and also to the very serious question of the extent to which the ranks I of casual labour are recruited by boys from the ; elementary schools. The Commission was strongly impressed by the evidence showing how " boys iv. 10, 545 leaving the elementary schools were drafted into work which lasted only a few years and then flung them out, unskilled and untrained, into the casual D 2 36 THE POOR LAW REPORT CHAP. labour market." It is in this connection that we must probably seek the reason why our enormous expenditure upon elementary education has had so little effect in checking pauperism. 11.139. " ^ n t ^ ie vear J ^7 T > the expenditure upon elementary education was slightly in excess of two millions, of which some 550,000 was met by school fees. In 1905-6, the latest year for which the particulars are available, the expenditure had risen to about twenty millions, whilst approxi- mately another three millions were expended upon various forms of higher education. A generation has elapsed since elementary education became universal, and the benefits to be derived from the system should now be accruing to the nation. Persons now above fifty years of age have not, it is true, participated in the advantages conferred in 1870, but of persons below that age we have (shown that there is no diminution in the number coming upon the Poor Laws." Another cause of pauperism which cannot be ; omitted is the prevalence of a great amount of harmful charity. When wisely administered, charity should be, and sometimes is, of the greatest value in rendering timely assistance which may prevent the recipients from falling into permanent dependence. Unfortunately it too often has ii STATISTICS AND CAUSES 37 the opposite effect. Much evidence as to this may be found in the Reports from the Diocesan Committees, of which the following is typical : "Another cause is the irresponsible giving of alms. IV. 10, 551 It comes under both the economic and moral heads. The Ripon Diocesan Committee submits that this prac- tice is a lazy way of avoiding responsibility, which puts a premium on professional begging and canting hypocrisy, to the detriment of the honestly unfortunate worker, and very rapidly causes widespread deterioration of character. The committee urges that every means religious, moral, and legal be used to stop this harmful Social evil, and that corporate responsibility for the cure of poverty be put forward strenuously as infinitely more beneficial than the temporary relief of individual distress by means of such a baneful habit. ... A certain class of people both in the rural and urban parishes, look upon the alms from charity endowments as their right and count on such bequests in calculating their possible income ; and it is more than probable that this form of charity unless very rigidly and carefully administered becomes enervating to the healthy self-reliance of many people." Our investigators note the same mischievous effects : A similar demoralising effect was assigned to lax and undiscriminating charity. Extreme instances were nar- rated. Thus a lady after hearing a sermon on the conditions of life among the poor, drove down, we were informed, in a carriage to a very poor street in the neigh- bourhood and there distributed promiscuously a dozen 38 THE POOR LAW REPORT CHAP. half-bottles of champagne and a dozen half-pound bunches of grapes. It was, however, from the multitude of less absurd acts that the great harm resulted in those unions where prosperous and poor districts were in juxtaposition. A West End Union furnishes similar cases in point. One working family earned 30*. per week by steady work, and the wife said to our informant: "Can you expect us to go on doing this when last week the couple next door, doing no work but begging, brought home 2 in gold in one single day, together with a quantity of food ? " The Commissioners consider at some length in their Report the very controversial question \ as to how far the administration of the Poor i Law is itself a cause of pauperism. . 10, 557 " Technically, of course, if there were no Poor Law there would be no legal paupers ; and there are those who take the superficial view that by abolishing the Poor Law and assigning its functions to other agencies, we could abolish pauperism. But we wish here to raise the question in a deeper sense, and to ask how far it is true that actual poverty and dependence may be increased or decreased by the way in which the Poor Law is administered." It was impossible in face of the evidence before them to avoid the conclusion that much ^f the existing pauperism is due to the way in which the ii STATISTICS AND CAUSES 39 Poor Law has been administered. It has had in some places the same effect which we have just attributed to badly administered charities ; it has tempted people away from their natural resources ; " it has destroyed the qualities of independence and mutual helpfulness, and substituted the desire to make out a good case for the relieving officer." The Commission do not, of course, maintain that this is always and necessarily the case : "There are, of course, many to whom these iv. 10, 559 considerations do not apply. There are some who are physically or morally incapable of independence under any administration ; and there are many who are not to be tempted from it by anything less than sheer necessity. But there are also very - many who simply follow the line of least resist- ance, who are quite capable of earning their living, and will do so in the absence of any temptation to the contrary, but who are easily drawn into loafing and thriftlessness by the prospect of relief. It is to these people on the borderland that an unwise policy of relief on easy terms is fatal ; they quickly lose the habits of energy and foresight, and become in the true sense of the word pauperised." These effects of unwise administration are best illustrated from the history of particular unions. Under the present system of triennial elections it 40 THE POOR LAW REPORT CHAP. not unfrequently happens that a new Board of Guardians, being without any experience to guide them, will greatly increase the pauperism in their district until they have learned wisdom. The following instance was mentioned by a Guardian : " . . . . one ward in the Leeds Union doubled its outdoor relief during the first year after the present board came in. There was some exceptional distress, but not anything in proportion to the increase of outdoor relief. The same ward has gradually been diminishing its out-relief for the last two years, although worked by the same guardians and they themselves have acknow- ledged that the policy of the first year was unwise." Another case in point is that of Bermondsey : 7.10,565 "There was there a steady rise in the number of paupers from 4,274 in 1891, to 5,552 in 1896, and 6,416 in 1901, while during the same period the outdoor relief increased from 11,200 to 23,000. In 1902 the Board appointed a super- intendent relieving officer, since when: " There has been a gradual decrease in outdoor relief, due principally to the diligent inquiries made by relieving officers into the applications for relief, the aid of the case- paper system, and the more efficient administration." Sometimes the harm is done, not by inexperience, but as the result of a deliberate policy. This has been the case in Poplar, where between 1895 and 1905 the number of paupers was increased from ii STATISTICS AND CAUSES 41 5,000 to 1 1, 600. It is significant of the attitude \ of the Guardians that task work was abolished in the workhouse, and out relief given to able-bodied jmen without any labour test. In 1906 the number of indoor paupers had increased 36 per cent., that of outdoor paupers had increased 249 per cent., and the Poplar rate of pauperism stood L.G.B, at 68 per 1,000, as against 28 per 1,000 for all London. These figures as to indoor and outdoor paupers I illustrate the fact that to give outdoor relief ; lavishly does not diminish, but rather increases, the number of those who finally enter the work- house. The converse is also true, that to restrict outdoor relief and administer carefully does not result in driving people into the workhouse, but tends rather to diminish the number of those who have recourse to it. This is illustrated by the following table showing the progress of Poor iv. 10, 567 Law administration in the Brad field Union : 1871. 1881. 1891. 1901. 1906. Indoor . . 259 151 I2O 107 123 Outdoor . 999 2O2 2 9 18 9i Total . . 1,258 353 149 125 214 " It is especially to be noted in the above table that so long as the number of out-paupers were 42 THE POOR LAW REPORT en. n diminishing, the number of indoor paupers diminished also ; /'.., the poor were not driven into the house. In 1900, Mr. Chaplin's Circular appeared ; in April, 1901, the Bradfield guardians resolved to give out-relief on the lines indicated in the circular, the number of outdoor paupers rose, and simultaneously the number of indoor -paupers rose also." Many other causes of pauperism have been brought to the attention of the Commission. IV. 10, 553 Amongst those which are important, though less widespread than those already dealt with, they note : 1. The failure of unsound Friendly Societies or I dividing clubs. 2. Insufficiency of housing accommodation, . especially in rural districts. 3. The payment of pensions at long intervals. j 4. Domestic ignorance and incapacity on the part of women. 17.10,556 Of course there have not been wanting witnesses who have regarded the question from a political point of view, and have assigned the existence of pauperism to such causes as Capitalism, Free Trade, and the system of Land Tenure. The Commission felt it to be beyond their reference either to endorse or to controvert such suggestions. CHAPTER III THE AGED THE most permanent, as well as the largest, section of the pauper population, consists natur- ally of the aged and those permanently incapaci- tated for work. For these there is seldom any prospect of regaining their independence if they ' have once become dependent upon Poor Law relief. By degrees a certain number of the old will be transferred to the list of pensioners, but this is only transference from one form of public assistance to another ; and old age pensions will not affect those who are permanently invalided at an earlier age. The only method by which this class can be helped to retain independence is by a scheme of invalidity insurance which would cover all inability to work, whether due to sickness or old age, up to the pension age. For this purpose we should need to know the number, not so much of the " aged " as of those incapacitated from work. 44 THE POOR LAW REPORT CHAP. The ordinary official returns do not distinguish between the " aged " and other adults ; but the census of paupers taken on March 31, 1906, shows that the jiumber of paupers over sixty on that day was 379,902, nearly half the total number of paupers (46-5 per cent.). The number IV - 7. 359 is large, but it forms a small proportion of the whole population over 60 ; only 14-8 out of every hundred. It is impossible to say in detail of the other 85^2 per cent, how they are main- tained. Many are still able-bodied and working, with occasional help, it may be, from Poor Law and other sources ; many, no doubt, subsist on their own savings ; a considerable number have pensions or allowances from various sources ; the majority are probably maintained by their children. But whatever the alternative may be, it is clear that, taking the country as a whole, it is not the normal or inevitable fate of the aged to be forced to apply for Poor Law relief. Still less is it true, as so often asserted, that the working-man will probably end his days in the IV. 7 347 \vorkhouse. Of the 15 per cent, over 60 who receive relief, less than one-third are in Poor Law institutions ; and of those who are, many are not in the workhouse, but in the infirmary. In what manner, we may now ask, are those in THE AGED 45 who do receive relief dealt with under the present administration ? Here there is no comprehensive answer to be given. In the words of the Report : "It is impossible to generalise about it (i.e. the iv. 7, 356 condition of the aged), owing to the great want of uniformity in administration. In some places it is thoroughly satisfactory, and the administration both wise and kindly ; in others it is unsatis- factory, and the administration either careless or stupid. Even in the same Union, owing to the application of a fixed scale, one pauper may be in a condition of want approaching to destitution, while another would be in comfortable circum- stances without any relief at all." This want of uniformity manifests itself in many ways. In the first place it may depend largely upon peculiarities of local administration whether or not the relief given will be by way of maintenance in an institution, or by way of an allowance in the home of the recipient. In some Unions it is almost entirely the former, in others almost entirely the latter. On March 31, 1906, the number of paupers over 60 years of age who received indoor relief was 114,964, while the number of those who received outdoor relief was 264,938 ; but comparison with previous returns shows that the number who receive indoor relief 46 THE POOR LAW REPORT CHAP. is increasing rapidly. This is more especially true of the towns, and the difference is not always wholly due to the policy of the guardians ; where, e.g., house accommodation is scarce and rents high, the old people may be forced to take refuge in the workhouse for lack of suitable house-room outside. Generally speaking, however, it may be said that in some Unions, according to the habit of the Guardians, an allowance will be given almost for the asking, while in others careful enquiry will be made into the circumstances of the applicant, and if it is thought wiser help will be offered in the form of maintenance in an institution. \ The distribution of old-age pauperism itself depends partly upon this question of the policy \(or habit) of the Guardians. Naturally there tends to be more paupers in a place where relief is granted easily and as a matter of course, than in a place where the applicant is expected to prove his need. But other conditions have also to be taken into consideration. The fact that the greatest ', proportion of old age pauperism is to be found in rural districts is largely due to the fact that the 1 greatest proportion of old people is to be found in irural districts. The young have moved away to seek work in the towns, and have neglected to provide for the parents they have left behind. ill THE AGED 47 Statistics show that in London the old people over iv. 7, 348 60 form 66*9 per 1,000 of the population ; in other Unions which are wholly or mainly urban they form 67^3 per 1,000 ; while in Unions which are wholly or mainly rural they form no less than 102 per 1,000. In the towns, again, there is more likely to be charitable provision for the old people in the shape of doles or almshouses, or private help from church and chapel and benevolent individuals. But in the country " the parish " tends to be the most obvious source to which they can turn for help, and so much is this the case that in many places the parish allowance is looked upon as a right, to be claimed and granted as a matter of course, as an " old-age pension," and often irrespective of any real need. "... in rural districts in all iv. 7, 332 parts of the country outdoor relief is practically regarded as an old-age pension. There is no reluctance in applying for relief, and it is not confined to destitute cases, but given to all comers of a certain age." One witness said : "In this Union no old people are offered the work- house so long as they can take care of themselves or other people take care of them. When they do go into the house they are almost always infirmary cases our out-relief too, is practically a pension list. It seems all 48 THE POOR LAW REPORT CHAP. nonsense to me about the difficulty of old-age pensions our people have had it for years and it is just wonderful what a little people can live upon and reach a fine old age. There is no fear of any of the poor wanting the neces- saries of life in the country places." Another told us : " You will find in the agricultural districts that every old servant of everybody in the neighbourhood is practi- cally on outdoor relief at anything from is. 6d. to is. 6d. Of course they ought to be pensioned as old servants, not as paupers. You cannot get at the motive ; you never know why the outdoor relief is given. You see a most improper case come up, and you suggest that there is something wrong in the family, either there is drink or immorality, or something or another, and it is very undesirable that outdoor relief should be given j never- theless it is given." And another speaking of a different part of the country said : " Outdoor relief has become a habit of the country in the rural districts, and if you could only get the adminis- trators and the recipients out of that habit, you would do a very great deal to restore proper administration. I have heard cases where the Chairman will say : l Oh, what have you come here for ? ' and the man will say : 'I have come for my allowance.' It is a matter of course." Thus it comes about that whether an old person will receive relief from the Poor Law, and if he in THE AGED 49 does whether it will be maintenance in an institu- tion or an allowance in his own home, depends at present very largely upon whether he lives in the town or in the country, and upon what town or what part of the country he lives in. That is to say, it depends upon considerations which are largely irrelevant to the question of his needs. A similar lack of uniformity appears when we examine into the circumstances of those actually in receipt of relief. If we consider first those to whom the relief given takes the form of main- tenance in an institution we find that in most places their position has been greatly modified and improved since the movement in favour of old- age pensions. Indeed, the principal effect of that movement, dating from about 1890, and until the Pension Act of 1908, was to press forward the differential treatment of the old people in the 1 workhouses. Not only have the local authorities been constantly urged to treat the aged with greater leniency than the able-bodied ; they have also been at considerable pains in some places to classify them according to their character, in the! hope that only congenial spirits might share a I common life. The classification is often accom- panied by special privileges for the higher classes, such as cake for tea, a carpet in the sitting-room, 50 THE POOR LAW REPORT CHAP. greater freedom of egress, etc. In Sheffield they 7, 337 have a classification in as many as four classes, based on a combination of length of residence and character. It is very doubtful whether such elaborate classification as this can be carried out without favouritism or injustice. It is no doubt very desirable to separate those who are noisy and objectionable in language and habits from the more respectable and quiet ; and it is a useful aid to discipline to be able to degrade a refractory inmate to a lower class ; but it is probable that too great weight has been attached to " classifica- tion " of the old on moral grounds. Certainly the happiness of the old people appears to depend far more upon the nature of the administration the kindliness of the master and matron, or the interest taken in them by the Guardians, than upon any scheme of classification, however elaborate. Another important factor in the happiness of the inmates is that the institution they inhabit should be small and home-like. It is not in the large and expensive institutions that the old people are most at home and comfortable. An old couch on which the more frail may take an occasional rest during the day has far more real luxury than glittering electric lights and lengths of shining corridors ; and a bright fire in a small in THE AGED 51 room, even if it does get too hot at times, is more homely than a spacious saloon scientifically heated with hot water apparatus. And more important than all is the skill of master or matron in finding congenial occupation for the inmates. Here the interests of economy and humanity are really identical. There are innumerable little tasks which the old people can do and are all the happier for doing, but which tend to be taken out of their hands in the large and expensive institu- tions. It is for these reasons that the Commission iv. 7, 354 have recommended that in future the institutions for old people shall be separate from those of other classes, and shall be small and simple. In some places where these conditions were not observed, we found that the old people, without being subject to any actual unkindness or harsh- ness, were nevertheless leading most dreary and even miserable lives. The following instances from the records of our visits to different places illustrate both good and bad : (i) "I saw the women's day wards in the workhouse. IV. 7, 326 They are old, but bright and fairly comfortable. I was struck by the pleasant relations between the inmates and the matron, an exceptionally pleasant woman. I also saw four cottages built for married couples. There is no demand for these, one is occupied, one is empty, and the others converted into the female tramp wards." E 2 52 THE POOR LAW REPORT CHAP. (2) "The Homes for the Aged and Deserving Poor were erected to comply with the urgent recommendations of Mr. Chaplin's Circular. They may be described as adequately supported almshouses, under disciplinary con- ditions, such as obtain and are enforced among the passengers of a mail steamer. The swing gate of the institution is always open. The inmates go out when they please, but we understood that they seldom go beyond the garden : they prefer that their friends should come and see them and, we were told, not a few look in for a l cup of tea.' ' (3). " The building includes a number of cottage homes for aged couples. They were quite simple in character, but bright, and the inmates seemed very happy. The meals are served to them in their own rooms, and they make their own tea." (4) " A street of four cottages with gardens has been bought for ji,2OO, and converted by inmates' labour into cottage homes for four married couples, and thirty-two old men of good character ; the cost thus being ^30 a head. The inmates of these homes seemed very happy, and we understood were free from all the more irksome regulations of workhouse life." (5 ) " The inmates, over 900 in number, were con- gregated in large rooms, without any attempt to employ their time or cheer their lives. There was a marked absence of any human interest, and though the super- intendent and matron impressed us favourably, it was impossible to avoid feeling that the lives of the inmates were not merely wanting in colour, but were aimless and listless. On more than one occasion there have been offers from outside to brighten the Sunday service, but in THE AGED 53 they have been refused by the Guardians owing to religious difficulties. It could not be better described than as a * human warehouse.' The dormitories, which in some cases accommodated as many as sixty inmates, were so full of beds as to make it impossible to provide chairs, or to walk, except sideways, between them." (6) "The . . . 'Home' which we visited in the after- noon seemed to us defective in every particular. It is rented by the . . . Union and used as an overflow house for the aged inmates from . . . The rooms were low, ill-lighted, and hopelessly overcrowded. The men were, in many cases, lounging in the bedrooms, there being no chairs except in the dining-hall, and there was a total absence of books or newspapers as far as we saw and it is impossible to conceive a more dismal and hopeless asylum for age. The administration consists of but two officers for 268 inmates. The officer in charge, however, stated that they had no difficulty in enforcing such dis- cipline as was necessary. The only outdoor space avail- able for the inmates was an asphalted roof-yard, some 35 feet by 25 feet, up so many flights of stairs that a large proportion of the inmates were unable to mount to it." There is another reason of no small weight for advocating greater simplicity in the provision made for the aged. While the large institutions do not really afford a happy life for the old, there is no doubt that they exercise a considerable power of attraction. The mere size of the buildings and grounds makes them in many places the most con- 54 THE POOR LAW REPORT CHAP. spicuous edifices in the neighbourhood. The expensiveness of the equipment, the number of the officials, the cost of maintenance get talked about, and serve as an advertisement of the Poor Law to those who are not unwilling to transfer their moral or legal responsibilities to the ratepayers. Nor is it an unimportant matter that the small homes can be provided at a very much less cost than is incurred in many of the large institutions. IV. 7, 354 At Kingston-upon-Hull cottage homes were pro- vided at a cost of 30 a head, and at Woolwich a home for forty-two aged women has been provided at a cost of 51 IQS. lid. per bed; while at Hammersmith a new workhouse has cost 286 a bed. It would be the height of administrative perversity to continue a policy which combines the maximum of cost to the ratepayer with the minimum of benefit to the old people. To sum up : Everywhere there is the desire now to deal gently with the old people in the workhouses ; but the success with which they are handled varies greatly in different places, according to the wisdom of Guardians and officials. It requires not only good-will, but special capacities to keep a number of old men and women happy and contented, especially when a large proportion of them have been forced to take refuge in the in THE AGED 55 workhouse owing to defects of character or temper which have made them unwelcome in the homes of their children. Experience has shown that small institutions under kindly management are the most successful ; and it is obvious that it will be much easier to select the right kind of person to supervise them when he (or preferably she) can be chosen for that task alone, and not for the management of a large general institution contain- ing all classes. If these recommendations are carried out it will be comparatively easy to ensure a uniformly wise and humane treatment of the aged throughout the country. One source of prejudice against the Poor Law I is the quite mistaken belief that old couples who go into the workhouse are separated. Notwith- I standing constant explanations of the law this belief is so widely spread, and so encouraged by opponents of everything connected with the Poor Law, that it is worth while repeating again, that an old man and wife over sixty have a right to live together in the workhouse, and that the Guardians are bound to provide married people's quarters for the old people who desire them. , That they are so seldom desired is difficult of explanation except on the ground that the type of people who end their days in the workhouse 56 THE POOR LAW REPORT CHAP. are those who have wearied each other with faults of temper and character. ! V. 7, 347 But the old people over sixty who are relieved in institutions form less than one-third of the whole number of those over sixty in receipt of relief, 69-7 per cent, being relieved in their own homes on March 3ist, 1906. Amongst those we found even greater divergency of treatment than \ in the institutions. When in an institution the ' old people are at least sure of sufficient food and clothing. For those relieved in their own homes this is unfortunately not the case. It is true that very frequently old people are receiving allowances who are in no real need of them ; but frequently also they are receiving allowances which are quite inadequate to their needs. This anomaly arises from the fact that in most Unions the Guardians make their allowances according to a fixed scale which they have laid down for themselves, and to which they adhere without taking into account what other resources the recipient may have. As we have seen, in many country districts an allow- ance from the parish is regarded as an old-age | pension of fixed amount to be claimed by almost ' anyone who chooses. When the amount is varied t it is generally on quite other grounds than the! ascertained needs of the recipient ; sex, or length ' in THE AGED 57 of residence in a neighbourhood, or greater age, or character, may all be found as pretexts for giving sixpence more or less. In some cases we have found that an allowance already quite inadequate has been reduced by half because the recipient drank or was suspected of drink : "A man and wife, aged 78 and 61 respectively, in IV. 7, 335 receipt of relief, 5*. a week. Both drink, and the woman had recently been found dead drunk. It was suggested that the best method of dealing with this case was that they should come into the house ; but this was considered too costly, and ultimately the merits of the case were held to be met by reducing the relief to 2$. bd. No other sources of income were known." In comparatively few Unions is it the practice to ascertain all the circumstances of the case, to deter- mine in view of them whether it was desirable to give relief in the home or in an institution, and if the former to make an allowance which should ensure a decent maintenance. As illustrating the great difference of practice IV. 7, 336 on different Boards the Reports quote the follow- ing instances noted during our visits : (i) "It is a rule to give 2s. 6d. to an aged person, sometimes 6d. less, but rarely ever more than 2s. bd. One case was that of a widow, 67 years of age, living alone ; the rent was 2s. 6d. ; they granted only 2s. ; there was no other known income." 58 THE POOR LAW REPORT CHAP (2) "Old couples would be given js. &/., 8x. or 10*., and single old people 4*. to $s. where little or no rent was being paid, and other help was available." (3) "Aged couple, three sons at home, earning 25*. &/., 27*., 22j. lid. respectively; total 3 151. 'jd. for five persons. Relief was continued." (4) " Couple, aged respectively 66 and 38, with two young children, 12 and 8. Son Edmund, not at home, earning 24*. s. d. Son Llewellyn, 19, at home, earning - 34 9 Son B., 1 6, at home, earning - - 8 6 Daughter, M. G., at home, earning -70 Total - ... 50 3 Relief, js. 6d. ; rent, I2J. 6J. per month." Other instances are given in the chapter on Outdoor Relief of inadequacy of relief, and of the very general custom, both of officers and, 1 Guardians, of neglecting their duty of making enquiries, and of assuming that the old people - iv. 6, 260 will get along somehow. The Report comments strongly upon the ill effects of " this wide-spread system of trying to compensate for inadequacy of knowledge by inadequacy of relief. Two points, however, seem quite obvious ; first, that when the applicants are quite honest in their statementsl they must often suffer great privation ; and! secondly, that when they are dishonest relief must j in THE AGED 59 often be given quite unnecessarily. The cases which touch the happy mean, where the resources which the Guardians assume are just those which the applicants conceal, must be comparatively very few." There are certain cases in almost every Union, for- tunately not very many, which are peculiarly diffi- cult for even the wisest and most humane adminis- trators to deal with. " Wherever we have gone iv. 6, 270 we have heard of the one or two cases, generally \ of old people, who are living in a terrible state of neglect, and to whom the Guardians are forced to give out-relief, because they are powerless to remove them to an institution against their will. Very often they are senile, and incapable of taking a resolution on their own behalf. Their homes and persons become indescribably loathsome, so much so that there are cases in which even district nurses and undertakers have refused their services; and they are a source of constant danger to them- selves and to their neighbours." A skilful relieving officer may sometimes succeed in persuad- ing these unfortunate people to allow themselves to be removed ; but failing that it ought to be , within the powers of the Relieving Authority, under due precautions, to order their removal. ' 60 THE POOR LAW REPORT CHAP. To give those powers may cause an outcry on the part of so-called humanitarians ; especially those who have never seen the horrors of such a case. But there can be no doubt that the true humanity lies in bringing a kindly compulsion to bear ; and the objections to such a course are no greater than those which can be brought against the compulsory removal of infectious cases. And, as with infec- tious cases, when once the removal has been effected it almost invariably ceases to be felt as a hardship. There are less urgent cases in which many difficulties might be met by better supervision of 7, 339 the old people, and even the worst cases might be diminished in number if they were properly looked after from the first. At present, when once an applicant has been placed on the relief list he may happen not to be visited again for many months. If he is unable to come for his relief himself it is often taken to him by another pauper, and he is not even seen by anyone in authority. Thus he may con- tinue to get more and more decrepit and helpless, and his home more neglected and squalid, without it being known or reported to the authorities. This would be avoided if from the first he were periodically visited, and his condition reported. It would then be possible very often to arrange for in THE AGED 61 him to be looked after by a neighbour or possibly a nurse, and to avert the extreme neglect which necessitates compulsory removal. In some few places the experiment has been tried with great success of appointing a woman to supervise the cases of the aged, and sometimes also of widows with children. The Commission iv. 7, 340 recommend both that this plan should be generally adopted, and also that the services of voluntary workers should be enlisted to ensure that every old person in need of assistance should be in constant touch with a friendly visitor. It is necessary before leaving the subject of the old people to refer to one really painful develop- ment of the present day which has been brought to the notice of the Commission. Witnesses from all parts of the country spoke of the growing reluctance of relatives to assist one another, and vin, 3, 83 more especially of children to maintain and nurse [their parents. The following extracts illustrate the point : " My general observation is that as far as I can remember in many cases I might almost say in most cases the children of the people that come to me would, if they possibly could get out of it, avoid contributing anything towards the support ot their parents." (London.) 62 THE POOR LAW REPORT CHAP. " Often at the relief committees you find sons in receipt of good wages endeavouring to evade contributing towards the support of an aged father and mother, or either, and in the case of lunatics the relatives will resort to any subterfuge to avoid paying a fair sum towards the support of a relative for whom they are liable." (Midlands.) " I have noticed that there is a growing disinclination on the part of sons and daugthers to help in contributing to the maintenance of their parents. ... I think York- shire is almost the worst place there is in that respect ; they are growing exceedingly lax in that way." (Yorkshire.) " With regard to the poorer classes there is not the same disposition to assist one another that there was years ago, and the younger generation have not the inclination to support their aged relatives, or take the same interest in them as formerly. It is a difficult matter to get them to contribute towards the maintenance of their relatives, even in the case of parents. Rarely do they visit relatives in the workhouses, and when information has been sent to them of the serious illness of a near relative in the workhouse, very often no notice is taken of it, or possibly a letter is sent saying that they are not able to visit them." (Eastern Counties.) It is difficult not to connect this decrease in the sense of filial affection and responsibility with the general feeling that if the children fail, the State in THE AGED 63 is bound to step in. The Commission believe iv. 7, 358 " that if the position is clearly defined .and a consistent policy laid down, both as to pensions and Poor Law relief, the natural feeling between parents and children will again assert itself.'* CHAPTER IV THE CHILDREN IN reporting as to the condition of the children who are maintained under the Poor Law, the Com- mission have found it necessary to speak in very different terms as to those who are maintained entirely by the Guardians, and those 'who receive relief while remaining under the care of their parents. For the second class the Guardians seem never to have felt any great responsibility ; technically the relief is given to the parent, it is very seldom that any care is taken to ensure that the children are adequately cared for, and it is certain that in a very great number of cases they are ill-nourished or neglected, or both. With the first class of children, on the other hand, those for whom they have assumed full responsibility, the Guardians have achieved a really remarkable success. For the most part these children are brought up in schools and homes of CH. iv THE CHILDREN 65 various types ; others are " boarded out " ; others less fortunate are still in the workhouse. The whole number of children in receipt of Poor Law relief on January ist, 1908, was n. 103 234,792, and of these only 62,426 were being maintained in institutions. Out of this number 16,221 were in workhouses. Of the condition I of these last the Commission report on the whole! unfavourably. In some workhouses they are much \ better cared for than in others, but almost universally their surroundings are dreary, and very unfit for children. ' u Where most of the children iv. 8, 392 have been removed to schools it would seem that the Guardians are apt to take less interest in the few that remain. In many unions, indeed, the children are treated with the utmost kindness and care, and in all unions the majority now go out to the public elementary schools, only 565 being still taught in workhouse schools at the commencement of the year 1907. Elsewhere we have ourselves found children in surroundings so dreary that it seems strange that Guardians who have families of their own could acquiesce in them." The following instances seen by the Commis- sioners illustrate this point : (i) "The nursery was bad, very messy, and the children looked miserable j some of the infants were r 66 THE POOR LAW REPORT CHAP. being nursed by old women, some lay in cradles with wet bedding, and were provided with ' comforters.' . . . The infirm and children over three are in the same building, apart from the main body of the house. The children are under the care of a woman who has been there twenty-seven years and has two helpers. She is a fairly capable, roughish sort of woman, hardly fit for such a responsible position. She was reluctant to show anything, and I had to push my way in everywhere. The three-year-old children were in a bare and desolate room, sitting about on the floor and on wooden benches, and in dismal workhouse dress. The older ones had all gone out to school except a cripple, and a dreary little girl who sat in a cold room with bare legs and her feet in a pail of water as a * cure ' for broken chilblains. The washing arrangements are unsatisfactory ; the children have no tooth-brushes, and very few hair-brushes. They do not wear workhouse dress to go to school, but I saw some coming in from school in the rain who were not properly dressed for a wet day. Altogether there is great need for reform in the treatment of the children." (2) "The children (thirty-nine girls and twenty-three boys) are housed in the workhouse under the care of a male and a female industrial trainer, but they are not kept separate from the adult inmates. Indeed the children's wards left on our minds a marked impression of confusion and defective administration. In appearance the children were dirty, untidy, ill-kept, and almost neglected. Their clothes might be described with very little exaggeration as ragged, and when the inspector told a group of children to take off their right boots large holes were displayed in six stockings out of thirteen. iv THE CHILDREN 67 The eyes of some of the children seemed suspiciously 1 weak,' and in two or three cases to be suffering from some serious inflammation." There have no doubt been difficulties in re- moving all the children from the workhouses ; some are in the sick wards, others are the children of that difficult class known as <* ins-and-outs," who come into the workhouse with their families for a few days or weeks at constantly recurring periods. The attempts to relieve these unfor- tunate children of their dirt and ignorance are frustrated anew every time the parents take their discharge for a bout of drinking, while their presence amongst the other children acts as a constant drag upon their progress. The powers of the Guardians to remove these children entirely from the vicious influence of their parents need to be much more freely exercised, but this can only be done concurrently with much sterner treatment of the parents themselves. But when all allowances have been made it still remains true that many children remain in the workhouses under unsatisfactory conditions, in consequence of the Guardians' failure to take sufficient interest in their welfare. It is a defect of local administration, for the central authority has been constant in its pressure in the direction F 2 08 THE POOR LAW REPORT CHAP. of removing children from workhouse surround- ings. IX. 83 The Commission's recommendations on this point are explicit : " We are strongly of opinion that effective steps should be taken to secure that the mainten- ance of children in the workhouse be no longer recognised as a legitimate way of dealing with tfcem. We put this in the forefront of our recommendations." And with regard to the children of vicious parents : ix. 89 " We think that the power to adopt children of vicious parents should be more frequently exercised and accompanied by a stricter dealing with the parent, and that the Public Assist- ance Authorities should in future retain super- vision of adopted children up to the age of twenty-one." For the most part this policy of removing children from the workhouse has been followed with success, and the difficulty has become one of restraining Boards of Guardians from launching out into unnecessary and wasteful expenditure. This is especially the case with what are known as " grouped cottage homes.'* When the system was first introduced it was intended that these iv THE CHILDREN 69 homes should really be cottages, so that the children's life in them should approximate as far as possible to those of the children of the inde- pendent working man. How far this intention has been lost sight of is shown in the fact that some of these institutions have cost as much as ^289 per child to build, whilst others have cost as little as ^42 I2J. Nor have we found that the less costly and pretentious institutions are in any way less efficient as regards the welfare of the children brought up in them. Indeed, it has been fairly argued by an experienced witness that the life in some of the most progressive, or perhaps, we iv. 8 375 should rather say, fashionable schools, is not really a suitable preparation for the children, and is likely to make their after life seem harder than it need. " It must be rather difficult for a girl who has spent her leisure time at school in playing hockey, croquet and organised games, who has been taken on half-holidays to places of interest, and has had free access to a library and recreation rooms, to settle down to an ordinary servant's work. A child in its own home has between school hours to help in various ways and learns early the necessity of real work, and has experience of the cost of clothing and food." It is sometimes argued that the greater capital expenditure in erecting these places is compensated 70 THE POOR LAW REPORT CHAP for by a diminished annual expenditure through the introduction of labour-saving apparatus, &c. As a matter of fact the annual cost seems tc increase almost in proportion to the magnificence of the building. In the Bermondsey cottage homes the cost per child per week, including all charges, comes to zos. id. ; and there are others where it is not much lower. The large institutions known as District or Associated Schools have never been very popular, and have recently fallen into disfavour owing to an adverse report from a Committee appointed to consider the subject in 1894. There is reason to think that this Committee's Report was unduly severe, but it led to some of the London schools iv. 8, 367 being broken up at a cost of 700,000, and the number of children maintained in this type of school has fallen from 7,358 in 1895 to 3>59 J * n 1907. Nevertheless some of our most experienced witnesses think that these large schools are best adapted for the type of children to be educated : IV. 8, 368 " The children who come under the care of the Poor Law have, as a rule, been neglected and subjected to bad example in such moral faults as dishonesty, in- temperance, idleness, lying and the like, and the reshaping of their characters needs expert handling. This, as it seems to me, can best be secured from experienced teachers and attendants in the Associated 'Schools. iv THE CHILDREN 71 " The bedrooms of Cottage Homes are liable to be sources of moral contamination. Too much importance cannot be attached to the grave danger incurred by placing a few children alone in a bedroom. There cannot be proper supervision, and it is not within the power of the most watchful * Mother ' so to classify her children as to guard against mischief. Many of the children in the Poor Law schools come from the lowest surroundings, where they have passed through experiences and witnessed scenes the description of which must be demoralising to the children who have been more carefully guarded. In the large dormitories of the Associated Schools such un- desirable conversation is less likely. There are attendants about, and there is the feeling that out of so many one might tell." The third type of institution is that known as the " Scattered Home." The object of these is to avoid massing the children together in large numbers, and houses are taken in different parts of the town in which groups of children pre- ferably not more than eight or nine are placed with a foster mother. They go to school in the public elementary schools and are brought up as far as possible in a natural home life. The success of the system depends upon the skill with which the foster mother is selected, and upon adequacy of supervision. Its chief advantages are its approximation to a normal life for the children, and absence of the large capital expenditure which 72 THE POOR LAW REPORT CHAP. characterises and tends to stereotype the two former methods. The Commission, after seeing all types of institutions, and examining into the condition of their children, came to the conclusion that much more depends upon the nature of the administra- tion than upon the particular system adopted. They also received strong evidence to the same effect. One witness who has had a wide experi- ence of girls coming from each type of institution says : IV. 8, 370 "There is no doubt that there are advantages peculiar to every way in which the Poor Law children can be maintained boarding-out, 'barrack' schools, cottage homes, scattered homes all have their various merits. The success or failure of any system must depend entirely i on the people by whom it is administered.'* The Association of Superintendents of Poor Law Schools maintain the same : " With reference to the question of the different systems of arranging for the care of the Poor Law child, I it is not a question of system, but of administration. The t infallible test of assessing the value of any arrangement is the examination of those living under the arrangement. It is impossible for a badly ordered barrack, block or cottage to produce alert, cheerful, upstanding and respon- sive boys and girls." Finally, in a Report on the educational work in iv THE CHILDREN 73 Poor Law schools issued in July, 1908, by the Board of Education, it is said : " Whatever opinions we may have been disposed to form on the vexed question of cottage homes v. barrack iv. 8, 372 schools as rival methods of boarding children, we are not able to detect in the schools of either class any general characteristic which can be held to be distinctive of the particular system adopted. Our principal conclusion on this point is that the success of the school depends almost entirely on the character of the supervision and the personnel of the staff." There has been a strong public opinion formed of late years in favour of the system of " boarding out " the children who came under the care of the Guardians. It is a system which prevails to a much larger extent in Scotland than in England, although it has been authorised in the latter - country since 1870. The Commission say with regard to it th^t " many difficulties in dealing with children are avoided where Guardians are able and iv. 8, 378 willing to adopt the system of * boarding out/ In this case the expense is comparatively small and involves no capital outlay; when the system . r , . . i ' j is well-managed a real home life is secured for the children, and they enter into industrial life upon the same terms as the children of the independent working class. On the other hand, it is more difficult to be certain that they meet with kindly 74 THE POOR LAW REPORT CHAP. l treatment ; and they share in none of the special advantages enjoyed in Poor Law schools." In England there are really two systems under which children are boarded out. The one which is most known and talked about is that under which committees of ladies are formed in country \ districts, who undertake to find suitable homes in their neighbourhood and to supervise the children sent to them. The children come from other unions, and are paid for by the Guardians sending them at the rate of 4^. to 5^. a week. The_cqm- mittees and homes are further supervised and inspected by lady inspectors under the Local Government Board. Great precautions are thus taken to secure that the children are properly looked after, and there is no doubt that in the majority of cases the system acts well. Never- , theless, the number of children boarded out under this system is small, and tends rather to diminish IV. 8, 38^ than to increase; on January ist, 1908, it was ' only J T 876. The reason appears to lie partly in j the limited number of children who can be dealt with in this way. It is not considered well to send them below the age of two nor above the age of ten ; and foster-parents object to children with parents living who may make rival claims upon them. Partly, again, there appears to be a serious iv THE CHILDREN 75 difficult^j.n finding suitable homes, and in forming committees of ladies willing to undertake the necessary supervision. Under the other system of boarding-out the children are placed with families within their own unions, and subject to supervision only by the Guardians and their officers. Though many more children are dealt with in this way 6,689 ^ does not appear to be nearly so satisfactory in its results, owing probably to the little interest taken in the children by the Guardians. The Investigator appointed by the Commission to inquire into the condition of the children under the Poor Law reports unfavourably upon this branch of the work : " It is clear from the accounts of these six unions that iv. 8, 381 effective supervision of boarded-out children and their homes is not obtained under the ordinary Poor Law administration. This fact becomes still clearer on contrasting the conditions found in these unions with those prevailing amongst the groups of children boarded out under boarding-out committees without their unions. Supervision of. homes and children by guardians and relieving officers was never found to be satisfactory." A much more favourable report was received upon the first system of boarding-out : " Taken as a whole the supervision of the boarding-out IV. 8, 384 committees visited in the course of this inquiry was 76 THE POOR LAW REPORT CHAP. wonderfully good and contrasted very favourably wixh supervision by Guardians and relieving officers." " Boarding-out, when properly supervised and with an active and wise boarding-out committee is, I believe, the ideal system both for boys and girls, but especially for girls. Suitable homes, however, are not easy to find." The medical investigator reported to the same effect : "I am strongly of opinion that, as far as possible, the rearing of pauper children should be done in the country, ! not in the town ; and the holding of that opinion is 1 partly why I prefer boarding-out to scattered homes." iv. 8, 398 The Commission note qne_graye defect common to nearly all Boards of Guardians in their dealings with children, and that is the absence of any systematic records as to what becomes of the children after they leave their care. They know that the children do not come back to them, and this, no doubt, is strong evidence that they are maintaining themselves in independence. But this is not sufficient. The few cases where such records are kept show extraordinarily good results, and it would be satisfactory to be able to prove that such results are general. The Commission recommend, not only that records should be systematically kept, but also that there should be regular supervision of the children for three iv THE CHILDREN 77 or four years after leaving. " It is not sufficient to send a child of fourteen to a situation which may prove unsuitable, and leave it there to look after itself. Children of this age are greatly handicapped by having lost their natural guar- dians, and may suffer from the loss even more severely at this critical age than earlier in life." The Commission think that this is work which might well be done by volunteer workers : "The evidence which we have heard convinces iv. 8, 399 us that voluntary agencies may be relied on to co- operate in this work. We think that such agen- cies should be recognised by the Public Assistance Authority and should report to it, and such reports should be entered on a record. We have been struck by the comparatively small attention given to the after-care of boys, and we should welcome develop- ment on the lines of those societies which deal with girls." By far the greater number of children who are dependent, or partially dependent, upon the Poor Law are those who live at home with one or both parents ; for the most part they are the children of widows. It is with regard to those children that the Guardians have failed most signally in their work. The question is no doubt made dirrTcuTr~l)y the fact that the primary respon- 78 THE POOR LAW REPORT CHAP. sibility lies with the parent ; but by the mere giving of relief the Guardians have recognised that they also have a responsibility, and it is a respon- sibility which cannot be discharged by the grant of an inadequate dole. If they intervene at all, they should intervene in such a way as to ensure that the children have a fair chance of being properly brought up. At present few Guardians seem to take any interest in the out-relief children, to know what conditions they are living under, or what is likely to become of them as they grow up. I The Commission report that nowhere have they found want of uniformity and inadequacy of relief more marked than in the allowances granted for iv. 8, 408 the maintenance of children. In illustration of this they quote the following instances which they noted whilst attending Relief Committees in different parts of the country : (i) "Altogether seventeen cases were heard and the applicants seen. The majority ot these cases were widows with children, the relief being on an unusually adequate scale. Thus a widow with three children dependent and earning 14*. a week and some food, was given js. a week relief, bringing her total weekly income up to 22s. and food. In another case a widow with four dependent children and one boy earning 151. a week, with a total income to the family of 255., received "js. a week, bringing their total income up to 32*. a week for iv THE CHILDREN 79 six persons. The rents mentioned were high, varying from 45. to 6*. There was no fixed scale of relief, but it seemed to average out very uniformly at 51. bd. a head, including the mother and children." (2) " The following cases illustrate the methods of the guardians, e.g.^ a man and his wife, aged twenty-four and twenty-two with two small children ; man broke his collar-bone, had been under treatment as out-patient in the general infirmary. Amount of relief which had been given during the previous month, 3*. and one loaf. The woman was looking after her husband and was earning nothing, and the rent was 2s. 6d. Thus leaving a family of four persons 6d. a week and a loaf to live upon." (3) c< Woman aged 33, with three children, aged respectively 7, 5, 2. Husband sent to Canada by public subscription six months ago. Earning 3*. Relief 2s. bd. per week." (4) "Woman with five children, aged respectively 1 1, 9, 5, 2, . Husband in prison (twenty-one days) for non-payment of rates. He had only been out of prison five weeks, having served twelve months for felony. Family relieved during that time with 4*. per week." (5) " We were told that there was no scale of relief, but we found that in practice a widow was supposed to keep herself and one child, and would receive is. 6d. a week relief for every child in addition to one." (6) " The scale as regards widows is 45. for the mother, 2s. each for two children, and is. for the rest." The case of one Union is noted as especially significant of the irresponsible attitude of the 80 THE POOR LAW REPORT CHAP. Guardians towards out-relief children. The rate of allowance in that Union for a widow is nothing for herself and the first child, and is. 6d. and a loaf for each subsequent child. The same Board of Guardians is maintaining children in cottage homes at a cost of ijs. 6d. a week per child, exclusive of education, for which a special grant is IV. 8, 499 made to the public elementary school. " Making every allowance for the fact that some of the mothers might be able to earn, or might be assisted by relations, we think that the discrepancy should have suggested to the Guardians that the amount per child was both too low in the one case and too high in the other." The great mistake here, as elsewhere, lies in the I application of a fixed scale without consideration of 1 the .circumstances. There is no doubt that with the assistance of friends and relatives many widows do, and still more might, bring up their children without any Poor Law relief ; but if relief is given at all it should be adapted to the needs of the family. Even worse than the inadequacy of the relief is the fact that it is often given to maintain children with drunken or immoral parents, or in thoroughly insanitary surroundings. The Commission was much impressed by the necessity of greater dis- crimination and supervision : iv THE CHILDREN 81 *' We think that the closer supervision which is iv. 8, 413 I required in the case of the aged is even more \ imperatively needed in the case of the children, and we quote from Dr. Williams's Report in support of our suggestions for improvement : "Where little supervision is exercised to see that out- relief is wisely used, large numbers of the children are brought up in homes fronting on to filthy streets or courts, and spend most of their time out of school playing amongst garbage. In Liverpool 45 per cent, of the families were living on roads which were in a bad and dirty condition, while in the same proportion of cases the sanitary condition of the house itself was bad. In Bradford, where an effort is made to see that out-relief is expended wisely, 19 per cent, of the cases only are living on dirty streets or courts, while in only 14 per cent, the sanitary condition of the house is bad." " We think that where out-relief is given care should be taken to ensure that the total income from whatever source is sufficient to afford proper food, clothing, and housing conditions for the whole family : " The lowest income possessed by any family investi- gated is 2.s.j and belonged to a family of three persons in Liverpool, but incomes of 3*. for four persons, 4*. for three persons, 5*. for five persons are found in the tables. It does not need much consideration to see that not only are these incomes insufficient, they are impossible. The families possessing them do not live on them j they beg G 82 THE POOR LAW REPORT CHAP. or borrow ; they pawn their furniture and clothes ; they do not pay rent, but move from place to place as landlords push them out. Such a life can be continued for a long time, and it is not necessary to emphasise the fact of how hopelessly demoralising it must be for children, and how small must be the chance children brought up in this fashion have of becoming decent and self-respecting citizens. Their schooling is often irregular owing to the frequent moves, and no regularity or order enters into their lives. ... In the large urban unions we have particulars of many families whose income may be con- sidered an impossible one. In Liverpool I saw a house into which out-relief was going, the whole household plenish- ing of which was a broken kettle, and another in which a heap of rags and an orange box represented the whole." " We think also that it should be the duty of the Public Assistance Authority to ascertain that the children are being properly nourished. "A large number of the children are fed almost entirely on bread and tea. Very few, if any, children of families in receipt of out-relief get sufficient fresh milk, most get none at all. How many go absolutely short of food it is difficult to say, but the evidence given by the condition of nutrition and intelligence of the children examined leads one to the conclusion that large numbers are underfed as regards the essential food elements, though they may possibly have sufficient bulk." " We think that unless satisfactory conditions in the home can be assured, the children should be maintained in a Poor Law institution or an iv THE CHILDREN 83 industrial school ; more especially we think that no children should be maintained by out-relief in immoral surroundings : " I saw in one instance out-relief children habitually sent out to pilfer in a small way, others to beg, some whose mothers were drunkards or living immoral lives. . . . These definitely bad mothers were but a small minority of the mothers whom we visited, but there were many of a negatively bad type, people without a standard, whining, colourless people, often with poor health. If out-relief is to be given at all, especially where children are con- cerned, those who give it must take the responsibility for its right use, and to do this there must be close super- vision of the homes. The negatively bad mothers spoken of above might in a very large proportion of cases be guided and stimulated by kindly and wise super- vision." " Great stress has been laid by our medical in- vestigator on the need for more medical super- f vision of all children under the Poor Law^_both. indoor In^LjQuJtdQQr, and this opinion we endorse. " We think that in the case of children of widows, care should be taken that they get a fair start on leaving school : " No board of guardians, so far as my investigations go, takes any interest whatever about the placing and starting in life of boys who have had out-relief, nor does it try to help them to any technical training. In some unions the women guardians help to place the girls in G 2 84 THE POOR LAW REPORT CHAP. domestic service, and the board generally tries to persuade mothers to send their girls to service. For a boy, out- relief stops at fourteen, and he turns to the first job at which he can earn. Most likely this job will be one that leads to nothing. It may be street selling of some kind, it may be an errand or van boy's job. When it is over he finds, or tries to find, another, probably also leading to nothing, and so he drifts on." The difficult question of how far a widow should be expected to earn a living for her chil- dren as well as look after them is treated very differently by different Boards. Some make it a condition of giving any relief that the mother should earn as much as possible, others give enough to enable her to devote herself entirely to the children. In Glasgow, e.g., a "special roll" has been made of widows who have full mainten- ance allowed them ; but the experiment has not been very successful, and in a considerable propor- tion of the cases the women have lapsed into immoral habits. It is clear that here, as else- where, no general rule can be laid down ; " we iv. 8, 419 think that the circumstances in each case should be carefully considered and watched, and that the mothers should not be expected to earn unless satisfactory arrangements can be made for the children." The suggestion is further made that in cases iv THE CHILDREN 85 where the mother continues to work provision iv. 8, 420 might be made for the children to attend a day boarding school, managed on the same lines as the day industrial schools. An experiment has already been tried in this direction in Liverpool and Glas- \ gow. "When the children are too young to go to school we think that the mothers should not go out to work, as it is impossible to provide a sufficient substitute." The changes which the Commission recommend in dealing with these children would really revolu- tionise this department of work. It would certainly involve for the time being a large increase of expenditure, but it is an increase which would more than repay itself if it resulted in the children ; becoming efficient men and women. " To a very iv. 8, 422 large extent the money now spent in small doles of out-relief is wasted by reason of its inadequacy ; and it will be good economy to spend more in doing effective work." It cannot be doubted that under the present system many of the children are growing up anaemic, diseased, undisciplined and unskilled, and likely, therefore, to add to the pauperism of the country in the future. But far more important than the increase in expenditure involved will be the increase in care and supervision. If, as the Commission anticipate, 86 THE POOR LAW REPORT CHAP. this care and supervision is largely undertaken by voluntary agencies, that will probably result in a decrease in the number of cases requiring public assistance ; it will often happen that the help and advice of a voluntary agency is more appropriate and effective. When this form of help is not forthcoming it may prove necessary to appoint extra officials, " and these in many cases should be women capable of instructing and advising mothers." This, again, would involve increased IV. 8, 421 expenditure. But the Commission think " that to a large extent increased expenditure in this depart- ment should be met by a reduction of the ex- travagant expenditure at present incurred in many Poor Law Schools and Homes." It has already been said (Ch. i) that the Com- mission do not agree with the view that necessitous children should be transferred to the care of the Education Authority. The prime need of these children is maintenance, while the function of the Education Authority is education. So far as their general education is concerned the children already receive it either directly from, or under the supervision of, the Education Authority. But they need much more than this. Many of them, especially those who are in institutions, are seriously handicapped by their antecedents, and iv THE CHILDREN 87 need special discipline, attention, and training. That the elementary school-teachers do not succeed so well in this direction, even with their normal children, is evidenced by the Board of Education itself in a recent Report : " Teachers of public elementary schools which are attended by Poor Law children testify to their superior habits of cleanliness and obedience." One argument adduced in favour of transferring the children to the Education Authority consists in a good deal of vague talk about removing the " stigma of pauperism." The Commission rightly IV. 8, 437 protest against the way in which critics of the Poor Law apply this term without any considera- tion of its justice. In respect to the children especially, it has long ceased to have any ap- plication except for purposes of rhetoric. A considerable number of children (nearly iv. 8, 431 8,000) are sent by Boards of Guardians to specialised charitable institutions which are in- tended to meet the needs of special classes of children, such as training homes and training ships, homes for the crippled and feeble-minded, etc. These homes are inspected and certified by the Local Government Board, and form a valuable means of co-operation between public and private assistance. There are also, in addition to these 88 THE POOR LAW REPORT CHAP. special homes, very large charities for dealing with \ iv. 8, 432 fjpor children in general. " These institutions deal ' to a large extent with the same class of children as the Poor Law ; but their work is not always safeguarded in the same way, and there is no attempt at co-operation, or at dividing the field of work. The children in these institutions are prac- tically without outside control, and the^ question arises whether all institutions dealing with children should not be subject to the same supervision, and be required to co-operate with the public authority." It would no doubt give rise to some objection at first to ask that a private orphanage should submit to inspection, but when it is con- sidered how helpless the children in these institutions are, and how cut off from external supervision, it is probable that public opinion would support the change. iv. 8, 440 Finally the Commission recommend that the policy and terms of the Education (Provision of Meals) Act, 1906, should be reconsidered in its relation to relief generally, and that if relief for necessitous children is required, and is not and cannot be met from voluntary sources, it should become part of the duty of the Public Assistance Committees to provide such assistance as may be necessary by way of meals or otherwise. iv THE CHILDREN 89 This recommendation is made on the ground that when a child comes to school ill-nourished, there is need for careful and sympathetic enquiry at its home as to the causes of the difficulty. The Education Authority has no machinery for making this enquiry, nor for dealing with the distress which may exist there. The relief of a child should be in the hands of an authority capable of assisting the family as a whole, that is, the authority which is responsible for public assistance. CHAPTER V THE ABLE-BODIED IN the Report this subject is dealt with under two headings The Abie-Bodied under the Poor Law and Distress due to unemployment. Both in practice and theory, however, the two subjects are so closely connected that it will be convenient here to deal with them in one chapter. It might be thought, indeed, that no able-bodied man would be in economic distress and needing relief except in consequence of want of employment ; but this is far from being so. In one form or another it is true that the employment question enters into all these cases, but it is complicated with many other questions which have to be taken into con- sideration and which make remedies very difficult of application. Unemployment is of as many kinds and due to as many causes as employment itself, and there is no one panacea which can be CH. v THE ABLE-BODIED 91 applied to remedy all kinds. Every kind of work may bring with it sooner or later its correlative unemployment, in the sense that some of those who have chosen it as their work may find their services temporarily or permanently not in demand. This may be due to the inferiority of the service offered, or it may be due to some defect in the character of the man who offers it, or it may be due to the fact that more of the particular kind of service is being offered than the community has any use for. But whatever the cause, the only complete remedy is for the man to offer something which is wanted, and then he will cease to be unemployed. Short of this complete remedy many expedients have been tried, and many more suggested, to meet the difficulties and distress which arise out of want of employment. Generally they have con- sisted in the attempt, under very varied condi- tions, to devise work which can be done without any particular qualifications. For the most part they have failed, sometimes because the men did not really want the work, more often because the work did not really want the men. The demand on one side or the other was not a real one, and could not be maintained. Nevertheless, it may be worth while it is often 92 THE POOR LAW REPORT CHAP. held to be worth while to institute a temporary expedient which cannot be maintained, if it serves to make the way easier to a relation between the workman and his employment which can be main- tained. And that is a very fair test to apply. Is the man more fit for useful work, more capable of service wanted by the community, than he was before his period of exercise (for work which is not wanted, which is only instituted for the sake of the man who does it, is, after all, only exercise), or is he less fit ? In answering this question we have to consider, not only the man's physical health, but also his skill, industry and willingness to adapt himself to the conditions of the labour market. The administration of the Poor Law has, since 1834, proceeded on the assumption that the most important factor in the situation is the man's will to work and to adapt himself and his services to the demands of the community. It has been held, and rightly, that if that will is impaired or weakened, the situation becomes hopeless, and hence has arisen what is popularly known as the " deterrent " system of relief. When the Com- missioners of 1832 made their survey of pauperism, they found that the most striking feature of the situation was the unwillingness of the labourer to v THE ABLE-BODIED 93 work regularly for an employer whilst he could i get permanent or intermittent maintenance from the parish, and the object which they set before them- selves was to make him once more eager to be useful. " The workhouse test was based upon the iv. 9, 443 assumption that the first essential towards being useful is the desire to be useful, and that this desire was being extinguished by a policy of relief which made life easier for the man whom it was unprofitable to employ than for the man whose services had a real market value. When placed between the alternative of steady work for an employer and a light job for the parish (or even \ relief without any work), the labourer had chosen the easier course. When placed between the altern- ative of steady work for an employer and main- tenance in a workhouse under strict discipline, he again chose the easier course, and sought for the work he had before avoided. The Commis- sioners had no wish to drive the poor into the workhouse ; had they done so their policy would have been an utter failure. The object was to prove to the country, and above all to the labourer himself, that his labour still had a real value, and that it rested primarily with him to make that value appreciated." The application of this principle, and its success 94 THE POOR LAW REPORT CHAP. or failure through three-quarters of a century, is described in the Report. There is also an impor- vi. i tant and interesting description of the changes which have taken place in the conditions of indus- try during the same period. Here no more can be attempted than to summarise the position as we find it at the present day. In the first place unemployment has practi- cally ceased to exist m tHe rural districts and h;is concentrated itself in the towns. Hence it is not the country unions, but those in'the cities, more especially in the densely populated cities, i which are feeling the pressure of able-bodied , pauperism today. The ordinary returns as to the numbers of able- bodied in receipt of Poor Law relief are somewhat \ misleading, as they include persons who are ordinarily able-bodied but temporarily disabled. IL 118 Omitting these we find that the number of able- bodied men in health relieved in the workhouse on 3 ist March, 1906, was 10,060, while the number relieved in their homes was 8,103. The great majority of these men were comparatively young, between the ages of 25 and 55 ; and the number, especially of those in the workhouse, has increased rapidly of late years. The total number is not of course great com- v THE ABLE-BODIED 95 pared with the whole mass of pauperism ; but the fact that it is increasing, when taken in connection with the present conditions of life in many work- houses, suggests a serious evil. The Com- missioners were convinced, both from the evidence they received and from what they themselves saw, that there is a class of persons to whom work-* v ^__p^ BH ^ MMBHMBHHMMH ^HMMBiH^^ HH ^Qp HHaH M H BKHBHMWBIMlMaHIHiMM*MHVMiBMii^B J house life has ceased to be deterrent, and that/ many, even of those who shrink from it at first,' rapidly deteriorate under its influence until they come to prefer it to the more strenuous and responsible life of the outside world. One witness who has been in close contact with this class for many years says : " The pauper in the workhouse intends to be there ; IV. 9, 489 he is either going to be there or in some other institution all the days of his life. My experience is that the average have been in from ten to twelve years, and some of them nineteen years, and they are young men now. " The workhouse is no deterrent to any man. The workhouse simply harbours them, and as long as the workhouses exist, these men will exist. " That is your experience, not only from Poplar, but from elsewhere ? That is my experience of fourteen years, not only in Poplar, but in the provinces, in large provincial towns. " Would you say from your experience that that is one of the defects of the present system of Poor Law admin- istration that the workhouse is not a deterrent ? It is 96 THE POOR LAW REPORT CHAP. not. I say my experience is that it does not matter whether trade is good or bad, it is immaterial. When trade was good, and there was the Boer War and the Coronation, we had the same class of men in the Poplar Workhouse ; it makes no difference whether trade was good or bad, they were still there. It is simply a kind of thing that grows and gets into the bones, and it will take years to get it out j it wants a moral and mental instructor. It is like taking a child by the hand and teaching it to walk, to get those men to work properly and be independent." The Report points out that a considerable number of these men have probably been in bad health on their first admission, and having come to like the life have stayed on after their restora- tion to health. Under a proper system of administration this should be impossible ; but there is no doubt that in some of the enormous workhouses of to-day an inmate once admitted is practically lost sight of by the Guardians, and in the absence of any regular call-over stays on as long as he pleases. On the other hand he may become what is known as an " in-and-out." Another witness gives a graphic description of how we manufacture this class by our present system : IV. 9, 502 " This class of man is well known to the master of every London workhouse as the able-bodied loafer. As a rule, he is a strong, healthy fellow, knowing no trade, evincing great dislike to work, and possessing all the v THE ABLE-BODIED 97 attributes of the soft-shelled crab, willing to live upon the fruits of the labour of the worker, so long as he can avoid the sharing of responsibility himself. There is no doubt that the moment this class of man becomes an inmate so surely does he deteriorate into a worse character still. Unless rigorously dealt with and made to work under strict supervision, he has a fairly good time in the House and after a month or so he has mastered every trick of the trade, and becomes a con- firmed in and outer, taking his day's pleasure by merely giving the necessary notice, returning the same evening more contented than ever with his lot in the House. Something for nothing is degrading the man, until all the manhood has left him and there remains for the rate- payers to keep an idle, dissolute remnant." Another witness who had a long experience as iv. 5, chaplain in a large city workhouse said : " After an experience of some twelve years there is,'* he says, " no doubt in my mind that life in the work- house deteriorates mentally, morally, and physically the habitual inmates. Indeed, the life of these people is better described as more or less a miserable existence than a life. It must be admitted that the mental capacity of the average person who drifts into the workhouse is of a low order, but, nevertheless, I have seen in countless instances a gradual deterioration of intellect owing to the lack of almost all incentive to use the brain. The inmate finds at very least the necessities of life, and in many places far more than the necessities of life, provided for him with scarcely any thought or effort on his part, and in the majority of cases the sole ideas that fill the mind are to H 98 THE POOR LAW REPORT CHAP. get as much to eat and as much sleep, and as large an amount of immunity from even the lightest task as possible. A large number of cases have come under my notice of young persons of both sexes who oil their first admission to the workhouse have felt their position and surroundings most keenly, and yet in a very short space of time have found the life so congenial and free from responsibility and need of exertion that they made no effort to leave it, and after their discharge return to it as soon as possible. I have also seen many young people admitted who were at first bright and willing to perform their light duties, but who, under the influence of their associates, soon grow lazy and unwilling to do anything, though physically well able to work. Then follow short sentences for refusing to perform their tasks, and soon they become incorrigible rogues and vagabonds, and the result is the habitual criminal. Again, the ill-effect of the increasing tendency to make the life easier and to increase the dietary and general comfort of the inmate is shown in the increasing number of admissions of those who, earning wages for a portion of the year outside, place their money in safe keeping and enter the work- house regularly for periods of rest at the ratepayers' expense. I have come across many such cases, such people easily learn to complain of mysterious weaknesses, aches and pains which are hard to disprove, the supposed possession of which entitles them to the best of fare arid medical comforts which the institution has to offer." In conclusion, "the rapidly growing opinion amongst the poorer classes seems to be expressed by the remark of a man to me last week. * So long as I can get sixteen ounces of pie for my dinner and my two children kept v THE ABLE-BODIED 99 for life, and they don't ask me to do any more than polish the stair bannisters, I'm not going to work.' " Other witnesses speak of the bad effect of the life upon women, notwithstanding the fact that it is easier to find employment for them than for the men : " The commonest faults of able-bodied workhouse IV. 5, 193 women, as a body, are laziness and dishonesty. I have never yet seen a workhouse woman hurry. Every move- ment is taken in a leisurely way. Our best workers do not do in a day more than half of what a good charwoman outside would do. This is one of the difficulties in getting young women taken out of the workhouse to stop in the situations found for them. They cannot understand why the mistress objects to their dawdling through their work, as they have always been used to do inside. ... I fear that nearly all our able-bodied women steal when they get the chance. . . . The views which workhouse habitues express from time to time are interesting as showing their point of view. One woman said to the portress in my hearing : * I lives here ; you are only a paid person.' Another said to a policeman : c You're a beggar come over from Ireland to live out of the rates, that's what you are.' Another said to a gentleman holding an important post : * You're only a servant ; I want to see your masters.' A man told a group of our nurses : " If it wasn't for the likes of us, the like of you wouldn't be here.' ... It is difficult to believe, but it is an actual fact, that respect- able young married women, who enter our c class ' and maternity wards, not infrequently declare themselves un- H 2 100 THE POOR LAW REPORT CHAP. married, so that their husbands shall not run any risk of being asked to pay on their account." It would seem from evidence such as this that the workhouse of to-day is a complete failure as regards a certain class of able-bodied. The reason is to be found partly in the size of many of these institutions, partly in the mixed character of the population inhabiting them. It is no unfrequent occurrence to find town workhouses containing a thousand or more inmates of all types. In such cases there are few masters who can do more than preserve a certain amount of discipline, and even that fails sometimes. " The able-bodied are not IV. 5, 187 occupied, and spend their days in sullen idleness, and the old people suffer from the general atmosphere of repression and gloom." On the other hand, more especially in London, the diffi- culty is increased by every attempt to lessen the hardships of workhouse life for the infirm : IV. 9, 489 " Particularly if it is an overcrowded workhouse, it is impossible to prevent the able-bodied class sharing in the comfort, and I may say luxuries, of the older ones, you cannot prevent that class rinding the conditions of life in a mixed workhouse, such as, as a matter of fact, they are not entitled to, and which they ought not to share in." Another witness, speaking of the Marylebone Workhouse, says : v THE ABLE-BODIED 101 " I do not think the present condition of things in the workhouse is satisfactory. The master tells me that associating in large numbers in the able-bodied blocks becomes an attraction ; and it appears to me that some method of breaking up such associations, accompanied by systematic training under healthy conditions, would be advantageous. . . . The master feels very strongly that what the men require is to be given continuous work, which they are able to do, and to be separated the one from the other. He regards the workhouse as a kind of club-house, in which they put up with a certain amount of inconvenience, but have very pleasant evenings." It seems clear that persons of this class should ) from the first be dealt with in institutions by themselves, and under conditions quite different from those accorded to the infirm. It is probable that the majority, if properly handled from the beginning, might recover their desire and capacity for independence. For those who have become hardened in their mode of life nothing can be done under the present system. Some unions have established what is known as a test workhouse or able-bodied workhouse, to which none but the able-bodied are sent, and where an effort is made to exact work under strict discipline. But they are not very successful, owing chiefly to the fact that the Guardians' power of detaining the men is limited to a week at the outside, so that they can 102 THE POOR LAW REPORT CHAP. go and come as they please. The Inspector for Yorkshire says : IV. 9, 503 ut pointed out that the reform could not be effected except at an enormous cost, unless Boards of Guardians would combine for the purpose. There are not enough of each class of pauper, especially when we come to such small classes as the epileptic j or feeble-minded, to make it practicable to have a separate institution in each union. But by com- ' bining for the purpose different Boards could 154 THE POOR LAW REPORT CHAP. distribute their paupers amongst their several institutions in whatever way seemed best. Thus one workhouse might have been turned into an almshouse for the aged ; another into a home for the feeble-minded ; another into a workhouse for the able-bodied only. With this object in view facilities were offered in the Poor Law Act of 1879 which enabled Boards of Guardians to enter into combination " for any purpose connected with the administration i of the relief of the poor." But the Act is per- i . *_ missive only, and has been used to a very small I extent. There is a curious jealous narrowness about most Boards of Guardians which makes them unwilling to co-operate, not only with charitable persons and institutions, but even with each other. One witness of wide experience said : IV. 4, 164 " There is nothing on which the average Guardian is more sensitive than any change in his area. He looks upon it as his right, and he does not like to be mixed up with the neighbours at all. It is quite impossible, except by general legislation, to get over that prejudice." Again : " I think it is one of those things which, if it were left to the Local Government Board, would not be done ; I mean to say, even if we had a recommendation in favour of it, I do not think we could do it." vi THE AUTHORITY 155 There are no doubt many unions, especially in the country, where the need for reform in this direction is not very obvious. When there are no able-bodied paupers the workhouse, under good management, tends to become a fairly comfortable home for the aged and infirm, who have little to complain of when the master and matron are \ kindly people. But even in these workhouses will 1 generally be found a few children, a few feeble- I minded women, and a few epileptics, none of j whom are receiving the proper treatment. And (that the general workhouse may degenerate into something much worse than this is clear from the following notes made by the Commissioners on different workhouses seen by them : (i) "On the day of our visit there were eighty-seven IV. 5, 190 inmates, fifty-one men, twenty-seven women, and nine children. There was no attempt at classification. Thus, young women, girls, infants, and old women were all using the same dormitory. The master and Guardians apparently considered that this was inevitable, but in one case in which a sleeping-room had been allotted for six old women, the next dormitory thereto was occupied by old women, young women, and girls, and as we have pointed out, it would have been easy to have allotted the old women's room as a girls' dormitory. It seemed to us scandalous that local apathy should be allowed to condemn young girls to be put to sleep with women admitted by the master to be frequently of bad character." 156 THE POOR LAW REPORT CHAP. (2) "We visited the workhouse, but being short of time, we could only visit those sections of the building which the master was least unwilling to show us. We were accompanied by the acting chairman, who seemed quite unfamiliar with the house. In the infirmary there were ten beds for males, eight beds for females, and a lying-in ward. The charge nurse was absent on holidays ; there were no acute cases. The condition of the patients was unsatisfactory, and although (as we were informed) the doctor comes when sent for, the condition of the patients was such as to suggest reasonable ground for complaint. In the absence of the nurse, the patients were in charge of the assistant matron, who is quite ignorant of nursing. At night the patients, one of whom has fits of a somewhat serious kind, help one another. In the body of the house there were five imbeciles in charge of inmates. The children, eleven in number, are in the house ; they mix with the other inmates ; they go out to school, the two or three whom we saw seemed untidy and neglected. The Board is opposed to boarding-out. Our visit to the H Union has left an unpleasant, if not painful impression in our memories." (3) "The inmates were simply crowded together in ill-ventilated wards. With such overcrowding, classifi- cation is impossible. The beds in the infirm men's wards were so close together that it was scarcely possible to get between ; clothing and utensils were lying about every- where ; nails were driven into the walls in many places, evidently by inmates, and garments of various kinds hung on them. Men were lying on the beds in their day clothes ; others playing draughts around the fire in their vi THE AUTHORITY 157 shirt sleeves ; whilst others were permanently bed-ridden in a state of senile decay. There was only one day attendant for a pavilion with 190 inmates. The over- crowding applies to all parts of the workhouse." (4) " Most of the people looked even more dejected than usual ; hardly one seemed to have enough spirit to speak when spoken to." (5) " There is little or nothing to be said in praise of this house. Every place seemed dirty, and the fullest use was not made of what resources there were. The sanitary arrangements were disgraceful, the laundry was in a state of chaos, and the accommodation in the tramp wards was primitive. The inmates were sitting round fires in small rooms with low ceilings, and seemed morose and indifferent to their surroundings. The children looked far from happy. They were huddled together in a small room with no attempt at brightness." (6} " The whole of the workhouse reflects great discredit on the Board of Guardians ; it is overcrowded and ill-managed, and the staff is inadequate. Indeed, the detailed administration seemed so incompetent as to be almost cruel." The present state of affairs is clearly one which must be remedied, and the remedy cannot be delayed any longer. " Ever since 1834 the need iv. 4, 165 for classification has been felt, and has become increasingly urgent as the possibilities of specialised treatment for various kinds of distress have been realised." Full facilities have been offered the Guardians to effect the necessary reforms by means / I ' 158 THE POOR LAW REPORT CHAP. of combination, but they have opposed a stubborn resistance to all pressure. It seems necessary, therefore, to take the matter out of their hands altogether. This jthe Commission proposes to do by enlarging the area for Poor Law administration from the union to the county, 1 so that all the' I institutions within the county will be at the^ I disposal of one authority. That authority will then be able to carry out a complete scheme of classification, utilising the present workhouses where possible, and supplying additional institu- tions where necessary. The only real objection which has been raised to this policy is that it might involve hardship to the [ persons who were removed to a distance from their > IX. 7 friends. The Commission thinks that the risks of this are minimised by the great facilities of com- munication which now exist, and that they are far outweighed by the increased benefit to be derived from the change. Moreover, they point out that if their recommendation to house the old people in small homes is carried out, these will naturally be situated in the localities where they are needed. It is this County Authority which it is proposed to call the Public Assistance Authority of the future. To it will be assigned the responsibility I 1 The term "County" is used here and subsequently to include " County Borough." vi THE AUTHORITY 159 for the proper administration of all public relief within the county ; the responsibility which is now divided amongst many Boards of Guardians. It will still work under the general control and super- vision of the Local Government Board ; but in matters of detail it will have more freedom than is now left to the Guardians. Thus the first step in the reforms proposed by the Commission is the enlargement of the area of administration. Concurrently with this goes the enlargement of the area of finance. That is to say, the poor rate would in future be a county rate instead of a union rate. This would have the effect of equalising .the burden of pauperism throughout the county. At present that burden is very unequally distributed ; in some unions the rate levied for Poor Law purposes is as low as id. in the , whilst in others it is as high as is. $d. And the inequality is intensified by the fact that it is often the poorest districts which have to pay the highest rates. It is true that to a large extent Poor Law expenditure is determined by the wisdom or extravagance of local administration, j and the Commission have not lost sight of the theory that local responsibility tends to economy. But they have found that in practice the results ,- have not been what might have been expected. It is true that in country unions, where the farmers 160 THE POOR LAW REPORT CHAP. who pay the rates preponderate on the Board, there is an economy which amounts to parsimony in many directions ; but in the towns some of the most reckless extravagance and lavish expenditure have been in the poorest districts. For whatever reason, the ratepayer has certainly failed to exercise his influence on the side of economy. Hence it is considered that to make the charge uniform over the county will not only add to the uniformity and efficiency of administration, but will also be a check to local extravagance. The next important point is the constitution of the new authority. By some of the Commission it was thought that the enlargement of the area would suffice to avert most of the evils of popular \ elections, and that the new authority should be specially elected. This proposal was rejected, chiefly on the ground that it would be inadvisable to have two independent and co-ordinate authori- ties within the same area ; so it is recommended IX. 22 by the majority that the Public Assistance Authority should be a Statutory Committee of the County Council, appointed by the County Council partly from its own members, partly from outside, and after appointment acting independ- ently. In order to secure continuity of adminis- tration it is further recommended that the members vi THE AUTHORITY 161 of the Public Assistance Authority should retire one-third annually, and be eligible for re-appoint- ment. Although the responsibility for the administra- tion of public assistance throughout the county is to rest with this county authority, it is not pro- posed that it shall itself undertake the detailed work of dealing with individual cases. One of its most important functions will be the appointment of local committees, to be known as Public Assist- ance Committees, which will to a large extent take the place of the present Boards of Guardians. Within the limits of the general policy laid down by^ the county authority and the Local Govern- ment Board it will be left to these committees to receive all applications for assistance, to render such assistance as they consider adequate to the needs of the applicant, and to secure the proper supervision of all persons in receipt of assistance. ( They will also "inspect, supervise, and administer" such of the Public Assistance Authority's institu- tions as lie within their area, or any others which may be assigned to them. Their further duties are set out in detail in the Report, but the follow- ix. 25 ing may be noted here, (i.) It is made especially incumbent upon the Public Assistance Committee / to co-operate with other public and voluntary M 162 THE POOR LAW REPORT CHAP. agencies. The present jealous and exclusive attitude of Boards of Guardians has been such a hindrance to progressive work in the past that the Commission have felt it necessary that this co-operation should be an explicit instruction for the future. (2.) It is further to be an explicit instruction to \ the Committees to " decide upon the best method | of assisting applicants with a view to removing the caiise of distress" The intention of this is clear. The administration in future is to make a systematic and strenuous effort to get at the root of the evil of pauperism ; to find out what in each particular case has brought about distress, and then in co-operation with other agencies to endeavour to find the right remedy. This will I mean the abandonment of the old inadequate system of doles ; where allowances are made they will be sufficient to remove distress altogether, and they ' will never be used merely to enable the recipient to drag on a miserable life under degrading conditions (see Ch. 7). Success in carrying out a better administration ' will depend almost entirely upon getting the right men and women to serve upon the committees. The Commission believe that there is a better chance of this if the members are appointed than if vi THE AUTHORITY 163 it is left to the chances of election ; but in order to secure local interest and co-operation they pro- vide that the members so appointed shall include a certain proportion of persons nominated by the urban and rural district councils, and where a " Voluntary Aid Committee " has been established \ in a district a certain proportion nominated by that committee. "The persons so nominated shall be experienced in the local administration of ix. 26 public assistance or other cognate work and shall include a proportion of women, in our judgment not ordinarily less than one-third. One-third of the members shall retire each year, but shall be eligible for re-election." It will be seen that every facility is afforded here for enlisting anew the services of those Guardians who have done good work in the past, and whose experience will be invaluable in the future. For finance the Committees will draw upon the Public Assistance Authority, to which, they will submit half-yearly estimates of their expenditure. Officers to assist them in carrying out their work will also be assigned to them by the Public Assistance Authority, and will be under their supervision and control. It is suggested that in the first instance the areas within which the Com- mittees should work should be the present union M 2 164 THE POOR LAW REPORT CHAP. areas, or (in county boroughs) the relief areas ; but that these should be sub-divided, and adminis- tered by sections of the Committee when their size make it desirable. We have spoken of a " Voluntary Aid Com- mittee," and this, which is an integral part of the organisation proposed by the Commission, must now be explained. There is an immense amount of charitable work being done all over the country which is perhaps more potent, both for good and for evil, than that which is done officially under the Poor Law. The work which is paid for out of public funds, compul- sorily raised for a certain purpose, is and must necessarily be carefully defined and guarded by legal limitations. Thus what it gains in thorough- ness and certainty it loses in elasticity and com- prehensiveness. The voluntary worker is limited only by his own capacity and power of sympathy. He can risk his money on " forlorn hopes," he can try experiments, best of all he can intervene with timely help before his proteges have fallen to the point where a claim can be made upon the public funds. A corollary to this greater freedom is the greater power for evil involved in the absence of all outside control. There can be no doubt, no one indeed can have failed to notice, vi THE AUTHORITY 165 that a large amount of idleness and drink and incapacity is directly attributable to the ill- advised charities of inexperienced almsgivers. Chapter 7 of the Report contains a survey of the conditions under which the administration of charity, both endowed and private, takes place at the present time ; it describes the want of co-ordination and overlapping, and consequent demoralisation of the recipients ; and suggests the conditious under which these defects might be remedied. It is clear that to subject the charities to the , same sort of control and limitation as must neces- sarily govern the Public Assistance Authorities would tend to deprive them of just those charac- teristics which make them most valuable. But it is thought that a great step forward might be made by putting them in a position of greater responsibility, in which they will be recognised by the State as having undertaken a definite public service. It is with this intention that the Com- ix. 109 mission have recommended that in every county there shall be formed a Council of Voluntary Aid, representative of the important voluntary agencies of the county ; and correlative to each Public Assistance Committee a Voluntary Aid Com- mittee representing local voluntary agencies. These V.A 166 THE POOR LAW REPORT CHAP. 5 committees would include representatives, not only : of chanties in the narrower sense, but also of . Friendly Societies and similar institutions ; and as an essential step towards co-operation there would be mutual representation between the Public Assistance and Voluntary Aid Committees. These Voluntary Aid Committees would be " a recognised link between public assistance and charity." One of their most useful functions would be to serve as a centre for the registration of all the relief work done in the district, including that of the Public Assistance Authority, and a place where charitable workers could meet to discuss their work and devise plans for assisting the families in whom they were interested. There would be a continuous give-and-take between public assistance and voluntary aid, each under- taking the work for which it was best suited, and assisting the other where it was possible. Thus it is hoped that under the new conditions the Public Assistance Authority would be able to utilise the services of voluntary workers in certain depart- ments of their work where they would be of the greatest service, as in the constant visiting and supervision of the aged, or of widows with children. The occasional visits of officials, however important and necessary, can do little to help and strengthen vi THE AUTHORITY 167 such cases compared with what can be done by an I experienced volunteer devoting herself to a small number of families. In short, such a system of co-operation would realise the best features of the " Elberfeld system," and be in complete harmony with the new development of Civic Guilds and Friendly Visitors. The work of the Voluntary Aid Council to be ' established in each county would be of a somewhat j different nature to that of the committees in its area. " The executive work would be assigned to IX - *9 the Voluntary Aid Committees. The Voluntary Aid Council would supervise their operations generally, and would, as far as possible, main- tain the same principles of help and relief through- out county or county borough. It would collect \ funds for distribution to Voluntary Aid Committees, ] and it would allocate funds to poor districts. The ' county is already the accepted area for many benevolent and philanthropic purposes. The local infirmary or hospital is frequently a county institu- tion. There are county nursing associations, and the county is the recognised centre in connection with various military funds. We propose that the | Voluntary Aid Council, acting for the county, ! should promote any voluntary institutions or societies for which the county as a whole has 168 THE POOR LAW REPORT CH. vi need. Its duties would thus be important and distinctive." It is proposed that these Councils should be mainly representative of existing agencies, such as~endowed and other charities, the Public Assist- ance Authority, Friendly Societies, and trade asso- ciations, clergy and ministers, &c. In order to give the voluntary charities a standing, a scheme is suggested whereby they should register themselves on terms similar to those under which the Friendly Societies are registered. Finally, it is proposed that a statutory obligation should be imposed upon the Lords Lieutenants, the Chairmen of County Councils, the Lord Mayors and Mayors of County Boroughs, to draw up and submit to the Charities Commission schemes for the constitution of Volun- tary Aid Councils within their areas. For the sake of brevity the term County has been used throughout this Chapter to include both the County and the County Borough. CHAPTER VII THE USE AND ABUSE OF "OUTDOOR RELIEF*' OF all the many controversies which have been fought upon Poor Law questions the most persis- tent and irreconcilable has been that upon the respective merits of " indoor " and " outdoor " relief. The two sides of the controversy are supposed to be supported by two different schools of administrators, following two different and incompatible policies, though, as a matter of fact, the number of unions in which relief is adminis- tered consistently upon either the one policy or the other is very few. The opposition of most of the best and wisest administrators to granting outdoor relief has its justification in the abuses to which such relief is liable. Students of Poor Law history know what reason England has to dread any recurrence of such a flagrant abuse of outdoor relief as was 170 THE POOR LAW REPORT CHAP. revealed by the Poor Law Report of 1834 ; and it is probably because other countries have no such history behind them that they generally accept outdoor relief as the normal method of assist- ances. But that the abuse of outdoor relief is not a mere matter of history will be shown directly from the Report of the present Commission. It is also necessary to realise that indoor relief has developed abuses of late years which were never anticipated by its early advocates. The method of relieving distress by means of maintenance in an institution has, of course, been practised for centuries. The policy of making maintenance in an institution the normal system, with exceptions in favour of certain classes, found its most weighty advocates in the Commissioners of 1834, more especially with reference to the "able- bodied." iv. 5, 182 " In order to justify the policy of the Royal Commissioners of 1834 in connection with this class,, it is necessary to consider what they had in mind in substituting for partial outdoor relief the offer of total maintenance within a well- managed workhouse, where employment should be given under conditions less favourable than those of the independent labourers. They were certainly not influenced by any desire to " penalise poverty " vii OUTDOOR RELIEF 171 or to prevent people from applying for necessary relief. On the contrary, they claimed that their policy was based upon that adopted by the working classes themselves as the only safe principle for the government of their Friendly Societies. " On this point, as on many others, the independent labourers may be our best teachers. We have seen that in the administration of the funds of their friendly societies, they have long acted on the principle of rendering the condition of a person receiving their relief / less eligible than that of an independent labourer. We have now to add, that they also adopt and enforce most unrelentingly the principle that under no circumstances. and with no exceptions, shall any member of their societies receive relief while earning anything for himself." The significance of the distinction for our present purpose lies in the fact that when the Guardians grant relief in an institution, whether workhouse, infirmary, or school, they make themselves entirely responsible for the lives of the recipients. The advantages of this complete control and supervision are great. By means of it they can ensure that the children are properly fed, clothed, and educated ; that the patients in the infirmary are treated appro- priately and made to carry out the doctor's instructions ; and that the inmates lead a sober, clean, and orderly life. Such control is far more 172 THE POOR LAW REPORT CHAP. I difficult when the people receive assistance in their own homes, and as a matter of fact it is seldom, if ever, attempted. The Guardians, with few excep- tions, consider their responsibility fulfilled by the grant of a small allowance ; and do not regard it as incumbent upon them to ensure either that it is adequate, or that it is properly expended, or that the recipients are leading satisfactory lives. This irresponsible attitude of the Guardians towards outdoor relief is the more serious in that j the number of persons receiving it is twice as great as the number maintained in institutions. In country districts, indeed, there are nearly four-and- a-half outdoor paupers to every one indoor pauper ; and though it is not generally in the country dis- tricts that the worst forms of abuse are to be found, there is room even there for very great reforms. The first defect we may note in the frequent inadequacy of the relief given at the home. This has already been dwelt upon in speaking of the aged and the children. It is largely due to the want of supervision and control, in the sense that the Guardians have seldom any real knowledge of the circumstances of the persons to whom they grant allowances. They know every detail as to the food, and clothing, and shelter of vii OUTDOOR RELIEF 173 the inmates of their institutions, and would feel themselves guilty of cruelty and neglect if these were insufficient ; but in the case of the outdoor paupers their ignorance enables them to avoid all sense of responsibility. It is true that in the forms filled in by the relieving officer he is supposed to state what the resources of the applicant are, but frequently the entry under this heading is " un- known," and it is quite the exception that it is even supposed to be exhaustive. If the relieving officer happens to know that some one is helping he may enter it, but generally speaking he does not go out of his way to make enquiries. The following extracts from notes made by the Com- missioners illustrate this point : (i) "The practice of the Boards (six unions) with iv. 6, 255 respect to out-relief varies considerably. Most of them seem to work from a fixed standard, which varies from 2.$. to 2s. 6d. per head for adults, and about 15. 6d. for children. Cases are seldom discussed with reference to their needs : l She will be content with that,' or ' That is what the other old women are getting,' or * She is over eighty, give her another sixpence,' were the sort of considerations brought forward. Here and there the relieving officer had ascertained the income, but that was exceptional. Generally speaking, the relief given seemed on the face of it quite inadequate ; but the assumption that there were undisclosed resources was probably justified in many cases." 174 THE POOR LAW REPORT CHAP. (2) " Relief was apparently granted on the assumption that it was supplemented from other unascertained sources. Unless this assumption was correct, the scale of relief seemed inadequate." (5) "A widow, living alone, received 3*. 6d. a week, out of which is. was given to a girl for attending to her room, as she was helpless. She said that coals and rent cost her is. 4<^., leaving her is. 2d. a week on which to live. She was trying to eat a dinner which she said was not cooked, and she could not finish it." (7 ) " Enquiries as to resources are, I should say, practically not made at all. The first two cases I saw were an old groom and an old gardener, who had worked for good families, and were very comfortably housed. I asked whether their employers allowed them anything, and the relieving officer replied that he had never asked, as he made a point of not asking about private charity. Sons he may happen to see, but trusts to his general knowledge to judge whether they do or should contribute. I do not think there was a single case amongst those I visited, or amongst those we heard called over at the Board meeting, in which he really knew what the children were doing for their parents ; with one exception, the relief given was on the face of it glaringly inadequate, but the homes were comfortable, and there were no signs of extreme poverty." The Guardians are wont to justify the smallness of their allowance on two grounds : first, that the recipients probably have " undisclosed resources " of which they know nothing, and secondly, that vii OUTDOOR RELIEF 175 to give adequate relief to so many people would be too costly. They fail to realise that in many cases mey are giving to people who have no real need of it ; and that proper knowledge would enable them to give a sufficiency to those in real need without increasing the burden on the rate- payers. Said one witness : " I consider there are numberless cases in the West IV. 6, 256 Derby Union who ought to be receiving considerably more than they are receiving ; but it is very difficult to get Guardians to understand that it is better to have 500 on outdoor relief at js. 6d. than 1,500 at 2s. 6d. But this irresponsibility of the Guardians extends to matters which are even more serious from the point of view of the community than the superfluity or insufficiency of the relief given. The Commissioners report that they have found instances in which out-relief is being supplied to subsidise dirt, disease, and immorality, and where the strictest enforcement of an indoor policy would have been more humane as well as more wise. " Opinions may differ as to the degree of iv. 6, 261 strictness desirable in Poor Law administration ; but no possible justification can be advanced for the granting of out-relief in such a way as to perpetuate pauperism and the conditions which give rise to pauperism." 176 THE POOR LAW REPORT CHAP. The instances cited in the Report to illustrate this point have been selected as coming from different parts of the country, and some of them are typical of many others in the same district. One feature which is especially to be deprecated is the way in which phthisis is being propagated in many homes, by relieving the patient in the midst of his family under conditions of over- crowding and insanitation. Another even more disastrous, is the permitting children to grow up amongst immoral and drunken relations. The following cases illustrate these points : IV 6 262 ( J ) " Mrs. W., a widow with five children, receives lOs. per week. She is a notorious drunkard, and has lately been turned out of a house in a street where drunkards abound, because her drunken habits disturbed the whole street. When we called she refused to open the door ; the relieving officer concluded she was drunk." (2) "T., married, with three children, is partly paralysed, and seems mentally deficient. His wife is crippled by rheumatism. The Guardians allow 6s. per week for man and wife, and 6s. for the children. The tenement consists of two rooms . . . and there are living in the house in addition to the foregoing, Mrs. T.'s mother, one male lodger, about 40, and Mrs. T.'s sister with an illegitimate child. In these two rooms it will be observed there are five adults, three children and one baby. I was told by the relieving officer that the Guardians do not attach importance either to cleanliness, vii OUTDOOR RELIEF 177 sanitation, decency, or the ordinary standards of morality. As a result of my own observation, I am prepared to endorse the statement." (3) " Case of phthisis. Man been ill three years (56 years of age), been getting out-relief for three years. Has five children, youngest 8 months, another expected. Wife, aged 41, getting I2s. 6d. from parish. The children are made up as follows : A girl, 20, out of work, living at home ; a son, 17, working as miner, earning i6s. a week j and three young children. The whole seven sleep in one filthy, dirty room with a gable roof at the sides, about 3 feet high, running up to 8 feet in the middle. The room was about 14 feet by 8 feet." (4) " Case of phthisis. Man about 40, and wife same age ; two children dependent ; $s. out-relief. Son, aged 19, earns 185. a week. Man, wife, son and two children all in one room ; filthy is a mild word to use to describe the condition of things here. . . . The boy is delicate already, and will, without doubt, follow his father. Never works a full week." It is significant that many of the worst cases found by the Commissioners were in places where the Sanitary Authorities had grossly neglected their duties, and were very largely responsible for creating the pauperism which the Guardians were making futile attempts to relieve. It is realising this which makes it obvious how futile it would be to entrust any part of the work of relieving pauperism to the Sanitary Authorities. 178 THE POOR LAW REPORT CHAP. The following extracts from the Reports of Commissions on their visits illustrate this point : " i. I visited some thirty to forty out-relief cases. For the most part they are living in homes which reflect most serious discredit on the sanitary authority and on the great companies which have attracted to the district a large population. The overcrowding is of such a kind that ordinary decency is impossible ; both sanitary accommo- dation and water supply are most inadequate." " 2. The first row of houses were built on the side of a hill, as if the houses had been let into the earth. The houses consist of three floors, with one room on each floor, no back at all. Almost every house I went into was of a similar character : no convenience for washing, no sink, only a tap at the door, and flag-stones for floor. I ought to explain that there are two entrances, one for the ground floor, which would be called the back, and one for the floor above it, which would be called the front, though both entrances faced a road and opened right on to it in each case, and as the road was unpaved it was simply a quagmire of filth and dirt. I believe the Medical Officer of Health has closed some of the bottom rooms ; but after people have been ejected he was told they return again, as they have nowhere to go. These houses are allowed one w.c. for each two houses. This was convenient for the downstairs people, but those who lived above had three or four minutes' walk round, or were obliged to go down a ladder and through the down- stairs room. We counted in several instances that at least twenty persons would have simply one of these places at their disposal, the results being seen along the vii OUTDOOR RELIEF 179 pavements and in the corners, especially at the front or top entrance streets. To make matters worse, the Corporation, having nowhere else to dispose of the town street and house refuse, is simply piling it up on an open space surrounded by houses. A proposal has been made for a dust and refuse destructor, but so far the authorities appear to think it quite right to poison the inhabitants* ... I cannot describe all I saw, but as a sample I saw one row of twenty of these places in which were sixteen cases of out-relief." 1 The impressions gained by the Commissioners during their own visits were confirmed by a subsequent investigation undertaken by the General Inspectors of the Local Government Board. They found that whilst it could be fairly said to be exceptional that the recipients of out-relief were living under such conditions as we have described, nevertheless they were sufficiently prevalent to , constitute a very serious evil. The following > extracts, the one from the north of England, the other from Wales, reveal an abuse which ought not to be tolerated : " i. This class (Class C.) contains those concerning IV. 6, 263 whom the present enquiry is made. Too frequently they represent the most demoralised and diseased of the population. They include some epileptics, imbeciles and cripples of the lowest class. Their homes are nearly 1 This is not quoted in the Report. N 2 180 THE POOR LAW REPORT CHAP. always to be found in the poorest quarters where popula- tion is densest. Cleanliness and ventilation are not considered of any account. The furniture is always of the most dilapidated kind. The beds generally consist of dirty palliasses or mattresses with very scanty covering. The atmosphere is offensive, even fetid, and the clothing of the individuals, old and young, is ragged and filthy. Bankrupt in pocket and character, this class look to the rates to support them, and are never backward in making application. The children are neglected, furnish the complaints of the National Society of Prevention of Cruelty to Children inspectors, and fill the homes of the Guardians. The men are drunkards, gamblers, workshy corner boys, and often criminals. The women are too often immoral, as well as unclean and neglectful. Souteneurs may be included in this class. ... It is impossible with the present powers to deal satisfactorily with the various subsections of it which come before the Guardians and the Sanitary Authorities. The Guardians feel forced to give relief to bad cases because of the children, or for fear of some allegation of want of con- sideration to destitute ruffians or drunkards." (2) " There is no doubt whatever that a large number of the outdoor paupers are living in an environment of filth and immorality, and in many cases I fear they are participants in, and abettors of, these foul, insanitary, and degrading conditions. ... I found far too much in- temperance and sometimes even drunkenness in cases to which relief was being granted. . . . Closely allied to it, and as a rule the fruits of it, were filth, both of person and surroundings, and sadder even was the neglect and resultant cruelty to children, who were ill-fed and ill-clad vii OUTDOOR RELIEF 181 . . . During the periodical visits of the relieving officer. I consider that each room ina dwellingshould be thoroughly- inspected, for frequently I found that though the living- room might be fairly clean, the rest of the house was a mass of filth, the bedding dirty, a heap of ill-smelling rags for bed clothes, and the atmosphere vile and vicious. In some instances even the living-room was a disgrace to humanity." It would be incomprehensible that respectable hard-working people should have allowed them- selves to be taxed in order to maintain such people under such conditions if we had not seen what a general ignorance and apathy prevail amongst the electors, and what irresponsibility amongst the Guardians. The Commissioners endorse the following explanation offered by one of the Inspectors : " Potent factors towards producing such a state of things iv. 6, 267 as that suggested by the Commissioners are the views taken by a not inconsiderable proportion of Guardians : first, that the disposal of the relief granted by them is a matter for \ which not they but the recipients are responsible ; and secondly, that, however small the relief given to a person with little or no other apparent means of subsistence, it is no one's business to enquire further if the applicant is ! satisfied. The first of these views. ... is almost an incitement to a careless parent to waste on drink money which should be devoted to the nourishment and clothing of the children, while the second may mean a bargain 182 THE POOR LAW REPORT CHAP. between a parsimonious Board of Guardians and liberty or licence-loving paupers, for the lowest terms on which they will keep out of the workhouse." The remedy with which the Commission propose to meet this evil is, that in future no out-door relief shall be given, except to persons leading respectable. lives in decent houses. As an immediate step in ,26 this direction, and having regard to the fact that instances such as those described are generally to be found in certain quite limited and well-defined areas, often single streets, it is recommended that the relief authorities should proscribe such areas for the purpose of out-door relief. There will, no doubt, be found persons to protest against this as inhuman, to say that it is to penalise poverty, since people are driven by poverty to live in such places. But this view really indicates ignorance of social conditions amongst the poor. Except in a very few places where there is a great scarcity of houses, it is not the pressure of poverty which drives people to live in these degraded areas ; it will nearly always be found that the rents are higher, often considerably higher, than in respectable streets. The real attraction is the absence of restraint and the liberty to overcrowd, and to lead irregular lives, which is to be found under the slum landlord. But even if vii OUTDOOR RELIEF 183 this were not so, it would always be open to the Relief Authority to remove a family from such surroundings, and if necessary assist it on a more \ liberal scale. In the cases of families with children such a policy is indeed imperative, if they are to be saved from carrying on the tradition of pauperism to another generation. To insist upon this restriction of out-relief to persons leading orderly lives in decent homes is only to make general a practice that has already been tested by some Boards. One Inspector says of his district : " I gathered from nearly all the relieving officers that IV. 6,269 there were certain streets in their district of such a reputation that an application for outdoor relief from a resident therein could not meet with success." It was a question very seriously weighed by the Commission whether the simplest and most effec- tive reform would not be to abolish all outdoor relief, and to insist that anyone desiring to be maintained at the cost of the community must consent to live in an institution and under super- vision. And if they had felt it to be impossible to secure proper control and supervision otherwise^ it is likely that such would have been their j _ -. \ recommendation. 184 THE POOR LAW REPORT CHAP. iv. 6, 292 " We have dwelt at length upon the question of out-relief, believing it to be of the utmost import- ance that the evils connected with the system as now conducted should be fully exposed. If these evils were inherent in any system of out- door relief, and could not be got rid of unless the system itself were abolished, we should feel ourselves bound to recommend the cessation of all outdoor relief after a certain date. But we think that this course, though it might be preferable to continuing the present system, would be attended with considerable hardship, that it would give rise to a feeling of harshness and injustice on the part of those who could not be expected to understand the reasons for the change, and, more- \ over, that it would deprive the administrators of a method of assistance which may be turned to good account in skilful hands." One good result which the Commission think would follow from a system of " conditional out- relief" would be the gradual raising of the standard ' of cleanliness and decent living amongst the IV. 6, 270 poor. " A policy such as this (i.e. of proscribing bad areas) gradually but steadily pursued until it was generally recognised, would, we are convinced, do much to diminish the evils of dirt, overcrowd- ing, and immorality, not only amongst the actual vii OUTDOOR RELIEF 185 recipients of relief, but also amongst their neigh- bours. At present such evils are condoned by the action of the Guardians, and the mere insistence on a higher standard would be an influence for good, both upon the people themselves, upon the owners of slum properties, and upon the Sanitary Authorities." While the slum landlord or his agent can get his rents paid by the simple ex- pedient of going upon the Board of Guardians and granting out-relief to his tenants, there is little inducement to him to set his house in order. But another point which had to be taken into consideration by the Commissioners in determining their attitude towards out-relief was the question how far institution relief continued to be more desirable, even from the point of view of the community. We have seen that the workhouses have ceased to a large extent to be deterrent ; that to the lowest class they are actually attractive ; and that the expenditure on them is increasing to an alarming extent. Not many years ago it was easy to refute the argument that out-relief was cheaper than indoor-relief, by pointing out that for every three people who would accept out-door, only one would accept indoor, and that therefore it paid better to offer only indoor. But to-day 186 THE POOR LAW REPORT CHAP. it is doubtful whether even in the proportion of ^^^*im "' ' a ""' "' '^""^"^-fcM^pp*' three to one it would not be cheaper to have out-door relief. It was a curious experience in visiting a large number of workhouses to find, as one went from one place to another, that what one had to look for was the most spacious and prosperous looking institution in the place, set in the best-kept grounds, surrounded with expensive walls and handsome gates. Though this is not yet the universal type, it is rapidly becoming so ; and constitutes a new danger in itself. For as we have seen the modern workhouse, even when attractive, is not effective. It represents an attempt to combine functions which are incom- patible, and conduces only to the degeneration of its inmates. "Indoor-relief" has bred a class of lazy parasites, willing to submit to any conditions so long as they are well fed and relieved from all responsibilities. They are not even precluded from injuring the outside community, inasmuch as the law permits them to go in and out at their pleasure, using the workhouse as a convenient resort and a protection to their noxious lives from the discipline of hunger and cold. Even from the point of view of the old people, the workhouse proves to have failed in very many places, and shows the paradoxical vii OUTDOOR RELIEF 187 result of rapidly increasing cost with diminished efficiency. Under the circumstances, and whilst the workhouse is continued on its present lines, it is impossible to recommend that it should olay an increased part in the system of Public Assistance. Jut supposing the workhouse to be broken up as the Commission desire, and to be replaced by a series of specialised institutions adapted to the requirements of different classes, would it riot then have been possible to limit Public Assistance to maintenance within one or another of these institutions ? There is no doubt that such a system would be quite possible, and, if good administration could be secured, might achieve remarkable results. Whether the country could ever have been brought to understand and accept it is another matter, and it is noteworthy that none of the witnesses before the Commission, though all schools were fully represented, urged the adoption of so stringent a policy. In any case the Commission have preferred that no method of relief should be excluded which might be capable, under skilful administration, of yielding good results. Our system of relief has suffered in the past from its narrowness and rigidity ; the 188 THE POOR LAW REPORT CHAP. narrowness of the workhouse on the one hand, and of the allowance to scale on the other. If any \ new attempt to root out pauperism is to be effective there must be a far greater elasticity and adaptability in its methods. There must be a determination to seek out the causes of distress 4b>>* B MMM >HI>aiMMMnwl _ >BMVMt in each case, and a generous application of the remedy whether that remedy be discipline, or food, or medicine, or money. Another difficulty which has always been con- nected with out-relief lies in the fact that it is * ! frequently given to subsidise low wages. It is clear that in so far as this enables an employer to pay his workers a wage which is less than sufficient to main- tain them, it is a direct encouragement to sweating. But if the employer can say, " it matters nothing to me whether you give these people relief or not ; if they give up the work there are hundreds of others ready to take it, on whatever terms I like to offer," then the issue becomes less clear. If, as \ would seem to be the case, the low wages are \ inevitable, then surely it is essential that someone j shall step in and make up the deficiency ? Or is this simply condoning an evil, and must we seek some other way out ? It is almost entirely with regard to women's : vii OUTDOOR RELIEF 189 work that the question arises to-day, but in this connection it arises constantly. There is hardly a Board of Guardians throughout the country which is not giving doles of out-relief to supplement the earnings of women. Generally these women are widows with children, or old people over 60. In the hope of getting more light upon the question the Commission appointed investigators to enquire into the effect of out-relief upon wages and the conditions of employment. Their reports are full of interesting material, but it is always difficult in " social investigations " to isolate causes so as to show a clear relation of cause and effect. Still certain points stand out clearly. One is that women's work, in the trades which are subsidised by out-relief, is in the condition described above that it matters nothing to the employer whether they receive relief or not. Those who do receive iv. 6, 276 it form an exceedingly small proportion of the workers in any trade, while there is always a ' surplus of women waiting to be taken on. " In London and many of the larger towns the supply of unskilled women's labour is still far beyond the demand for it." The low-class employer can deal with his hands as he likes ; he can lower their wages, fine them, dismiss them ; whatever he 190 THE POOR LAW REPORT CHAP. does he can be sure of having as many as he wants as soon as he needs them : " As a rule the large employer has not the least idea what becomes of his discharged workers. All he knows is that when he wants to take them on again they will be on the steps in larger numbers than are required." (The only remedy for this state of things is to diminish the number of women willing to do unskilled work on such terms. This out-relief, as at present administered, certainly does not do. Its effect upon the situation may be small, but it is all in the wrong direction. Many women would rather earn low wages and receive out-relief in addition than earn enough to keep themselves at better work. The feeling of getting " something for nothing " is irresistible : IV. 6, 280 " We are convinced, however, that some paupers con- serve their energies so as to ensure the continuance of relief. This was brought home to us by the statement of a partner in Firm No. 15. His forewoman on offering an outworker more work met with a refusal, as the worker feared she might lose her out-relief if she earned more. Such cases are significant, and there are probably more than we have found." One table of wages in the Investigators' Report is interesting. It shows that the average earnings of forty-three out-workers in receipt of relief vii OUTDOOR RELIEF 191 averaged 4.5. \od. per week, while the average earnings of 131 workers in the same trades not in receipt of relief were js. ^d. " But the paupers iv. 6, 277 I are not paid lower rates than the independent \ workers ; they are merely enabled by the receipt jof the relief to work less hard." Many of them, no doubt, are compelled to work less hard, either by bodily infirmity, or by the pressure of home duties ; and if the rate at which they were paid were such as to afford a proper maintenance to whole time workers, tlje position would be less objectionable. But js. ^\d. is not sufficient for a proper maintenance in London, and nothing should be done which makes it more possible for women to work at such rates. For a public authority to (supplement the earnings from these industries is really like an official condonation of the " sweating " system. The right method of dealing with these cases is onl)Tto be found by individualising the case ; by ascertaining the needs and possibilities of each family and taking steps to put it on a proper footing. In some cases it might be wise and right, under proper supervision, to give the mother full maintenance for herself and children so long as she was fully occupied in caring for them. In others it might be wiser to arrange for the 192 THE POOR LAW REPORT CHAP. children's maintenance in day or boarding schools, and thus to set the mother free to earn a good wage. Underpaid industries might be proscribed just as insanitary areas were proscribed, and, if necessary, steps should be taken to train the mother to skilled work. Account would have to be taken of the woman's aptitudes ; and if she proved hopelessly inefficient as a mother the policy of schools would be best for her and the children alike. Deserted wives are in much the same position as widows, but there is an added difficulty for the administrator in the fact that there is frequently collusion between the wives and the deserting husbands. The desertion, in short, may be a mere matter of arrangement between man and wife, devised to obtain a maintenance for the family at the expense of the ratepayers. Hence the IV. 6, 286 recommendation of the Local Government Board u That outdoor relief should not, except in special cases, be granted to any woman deserted by her husband during the first twelve months after desertion." At present this recommendation is very generally ignored; and collusion is practically connived at by the Guardians. Another class which has its wages subsidised by outdoor relief is that of the old women : vii OUTDOOR RELIEF 193 " One of the most painful features of the present iv. 6, 287 system of inadequate relief is the vast army of aged women, whom it keeps clinging to the outskirts of industry at an age when they are quite unfit for work of any kind. Mr. Jones and Miss Williams report : 1 At Leicester in March, 1906, there were 2,008 women recipients in receipt ot out-relief, the total being composed of 823 under sixty and 1,185 over sixty. . . . Special notice should be taken of the cases of the old women in receipt of out-relief who work at glove stitching. Their earnings are exceedingly low, working out at 15. fyd. a week on the average j but it has to be pointed out that the average age of the women is 67-7 years.' " The amount of relief given is 3^. 6 provision of a weekly allowance rather than of medical attendance. The proportion of members who insure in them for medical aid varies very much in the different societies. " In the Foresters' Society about 95 per cent, of the members are in- sured for medical aid. In the Hearts of Oak Benefit Society, on the other hand, the majority of members do not insure." It may be noted that the latter society pays relatively high benefits, and it is likely that many members prefer to pay their own doctor. Moreover, in many provincial towns the members of the various societies have combined to lease a house, provide their own drugs and ap- V. 95 point their own medical officer, who devotes his Q 226 THE POOR LAW REPORT CHAP. whole time to the association. This plan has the additional advantage that members' families are allowed to join. These associations have a total membership of 250,000. Next in importance come the provident dis- pensaries. These are at present very local in their development, owing partly to the need of some initiative to start them, partly also to the rivalry of charitable agencies. When well worked they seem excellently adapted to meet the needs of the class they serve. The fees are very low, vary- ing from id. to \\d. per week for an adult, while children are admitted for about \d., and a reduction is generally made if the whole family are mem- bers. Special fees can be paid for the services of a midwife ; and the members can select their doctor from the staff of the dispensary. Membership is generally limited to persons with an income below a certain limit, which varies from 14^. to 50^. a week. There are no statistics to show the total membership of provident dispensaries, but the following figures show their success in certain towns : V. 94 " In London there are forty-three provident dispensaries issuing over 60,000 cards, represent- ing about 116,650 individuals. In Leicester there are two provident dispensaries with about 6o,oco vni MEDICAL RELIEF 227 members, or i in 4 of the population ; in Reading there are 17,578 members, or I in 4 of the population; in Northampton there are 18,000 members, or I in 5 of the population ; in Shrews- bury there are 6,000 members, or about i in 5 of the population ; and in Salisbury there are 9,190 members, or i in 2 of the population. Provident dispensaries exist also in some of the smaller towns, e.g. Market Drayton and Leominster ; but in rural districts the * medical club ' is more prevalent. These medical clubs may include several medical men, in which case they differ little from the provident dispensary, or they may be organised by one doctor only. There are many varieties, but in one form or another they are almost universal and within the reach of almost everyone. Of the rural district of Hardingstone we are told : " ' Medical clubs have become so common in the district that it is only in exceptional cases that recourse is had to the Poor Law.' " And again : " ' They are almost universal in Northamptonshire. I do not know any village without a club.' " In Suffolk, the county medical club has 9,000 members, though a rule limits membership to Q 2 228 THE POOR LAW REPORT CHAP. persons whose earnings per family are under 2os. a week. At Bosmere and Claydon a very great many belong to medical clubs outside the county club. In the neighbourhood of Bury St. Edmunds, says Dr. Stork : " * There is only one [doctor] that I can think of who has not got a private medical club of his own.' " In towns also medical clubs are very common, and in certain districts, e.g. South Wales, the * works' clubs' include almost the whole of the male working population, while medical clubs provide for the remainder. In seven towns Coventry, Eastbourne, Hartlepool, Kidderminster, Norwich, Southampton, and Taunton a * public medical service ' has been organised amongst the doctors for treating the poorer working class on a provident basis." The fact that provision of this kind for medical assistance is found amongst the wage-earners of all grades in some places, makes it the more remark- able that in others it fails almost entirely. There can be little doubt that this is due to the competi- tion of other agencies. Of the ease with which medical relief can be obtained through the Poor Law we have already spoken. Its effect is illus- trated by the following statement from a medical officer : vm MEDICAL RELIEF 229 "There is absolutely no difference, except in individual V. 101 character, between the man who comes to me as a private patient and who comes through the Poor Law. One puts into a dispensary, or saves money and pays the doctor, the other finds it leaves more for drink if he sends to the relieving officer. They find it so easy to get medical relief, why should they bother to provide in any other way ? " In some places the Guardians have realised this v. 97 effect of their work, and have endeavoured to substitute provident institutions. " The Paddington and St. Pancras Boards issue handbills encouraging applicants to become members of provident dis- pensaries, and these are given by the relieving officers to applicants for medical relief. The Reading Guardians paid the entrance fee of appli- cants to the provident dispensary until the practice was stopped by the Local Government Board. At Brixworth the Guardians started a medical club which superseded parish relief and developed into clubs for each parish in the union. At Frimley a medical club was started by a Guardian as an alternative to Poor Law relief, and now practically all the people except the members of friendly societies belong to it. At Ipswich the district medical officer has a medical club, and the Guardians bring pressure to bear on applicants to join it wherever possible. While from Risbridge 230 THE POOR LAW REPORT CHAP. comes the suggestion that medical officers should be required to start clubs at such rates as the Guardians may approve of as being within the reach of the wage-earning power of the district." V. 86 In London another powerful rival to the provi- dent institutions is to be found in the out-patient departments of the voluntary hospitals. The number of patients treated in these in 1906 was 1,607,945 ; the corresponding figure for all other voluntary hospitals in England and Wales was 884,478. The pressure on these departments is enormous, and the people who resort to them vary in class from the pauper to the well-to-do. One great advantage which the patients have there is the chance of a highly skilled opinion in difficult cases, and the possibility in " interesting " cases of being detained for treatment as in-patients. But a serious disadvantage, which obtains in the great majority of cases, is that they are not attended in their own homes. This is a disadvantage to doctor as well as to patient, inasmuch as he has no personal knowledge of the home conditions, and is unable to supervise the carrying out of his instruc- V. 189 tions. It was strongly represented to the Com- mission that the proper use of these out-patient departments is for casualties, consultations, and cases requiring expensive equipment for the treat- vm MEDICAL RELIEF 231 ment of special diseases and defects. If they would consent to restrict their work in this way, then cases would be referred to them by private practitioners, or by the medical men attached to provident institutions, when a special opinion was required, and they would thus obtain the interest- ing and difficult cases necessary for their work without being swamped by a multitude of appli- cants suffering from trifling or chronic ailments. But in addition to the hospitals there are also in certain towns free dispensaries doing a very extensive work. Perhaps the largest of these is v. 102 the Newcastle Dispensary. It has seven whole- time officers; it treats about 12,000 patients per annum, and does the greater part of the outdoor medical work for the poor of the city. Similar institutions on a smaller scale are to be found in other towns. The treatment given at these dis- pensaries is said to be of a high order, and there is no doubt that they are doing much useful work. There is also no doubt that their usefulness would be much enhanced if they were placed upon a provident basis. As it is, they deal not only with the very poor, but also with many who could v. i^o well afford to pay ordinary fees to a doctor, and by still more who are in a position to join a provident dispensary. 232 THE POOR LAW REPORT CHAP. In Birmingham it is said : "A person attending a Bible Class or P.S.A., on payment of \d. or id. per month can obtain a subscriber's ticket entitling him to six weeks' continuous medical advice, attendance, and medicine, and also extras in the shape of food, notwithstanding that the person may be in full work, and the recipient of a wage up to ^6 per week." A witness from Newcastle stated : " I get a big number of tickets to give away every year ; if I gave them to everybody that applied, I should be giving them to men with ^2 ids. and ^3 a week wages who come and apply, not isolated cases, but weekly." V. 106 " Witnesses have told us that the free dispen- saries are powerful and successful competitors of the provident dispensaries and medical clubs, and operate with hardship on the medical profession." Many of the free dispensaries are old endowed in- stitutions, but all of them are more or less dependent upon charitable subscriptions. They could all of them with very little difficulty be converted into provident or partially provident dispensaries. V. 107 "... Several witnesses have given instances of free dispensaries having been transformed into provident dispensaries. One of the largest provident dis- pensaries in the country, the Leicester Provident viii MEDICAL RELIEF 233 Dispensary with 50,000 members, began as a free dispensary, and in London two free dispensaries have recently adopted provident principles. The latter, being endowed dispensaries, were converted under schemes of the Charity Commissioners, which retained a portion of the income for the use of a certain number of free patients. Such a change is wholly beneficial." Finally, a certain amount of work, very limited in extent except in a few towns, is done by the sanitary authorities in addition to providing hospitals for infectious diseases. This work is for the most part confined to services in connection ! with infectious cases, such as disinfection, the provision of certain drugs and appliances, and the i diagnosis of doubtful cases. In Brighton special work has been undertaken in connection with j phthisis. But, speaking generally, the sanitary | authorities deal with disease mainly from the point of view of prevention. It is on the basis of the few instances in which they have gone beyond their normal work that the proposal has been made to hand over to the sanitary authorities the whole task of providing medical assistance to the community. The proposal naturally meets with the support of the few eminent men who have ex- tended the sphere of work of their own sanitary 234 THE POOR LAW REPORT CHAP. authorities ; but a circular letter sent to medical officers in charge of sanitary work throughout the country, resulted in a considerable majority ex- pressing an adverse opinion. There are, indeed, two fatal objections to the scheme. The first is that the number of places in which the sanitary authority has shown itself both competent and willing to perform even its present duties with any real adequacy is comparatively small. In many places it is more unprogressive than the majority of Boards of Guardians, and its officers are often powerless to carry out the most necessary sanitary work owing to the dead weight of opposition which they encounter. It would be the height of folly to hand over to such an authority the additional task of providing medical assistance merely because in a few towns energetic men had done good work. And it should be noted that some even of the best of these men are opposed to putting further duties on the sanitary authority, as tending to hinder them in the prosecution of their present work. The second great objection to the proposal is that it ignores entirely the work of the great provi- dent institutions we have described. Those who support it find it convenient to disparage the work of those institutions, as well as that of the private practitioner, and in so doing show the weakness vm MEDICAL RELIEF 235 of their hand. The real forward movement must be one which utilises all the forces in the com- munity, and combines them into an efficient organisation. It is this principle of utilising existing forces, and developing them to greater completion, which has guided the Commission in their recommendations concerning medical relief. They take as the basis [ of their scheme the provident dispensary, or, what is the same thing in a slightly different form, the public medical service as organised in the towns ; already referred to. The essence of both institu- tions is the organisation of the medical services of the district on a basis which shall bring them within reach of the poorer inhabitants of the district while affording an adequate remuneration to the medical men concerned. Under their scheme the whole v - Recom- 111 i menda- country would be mapped out into convenient tions. medical districts or " dispensary areas." " The nature of the ' dispensary ' to be established in each area would vary with the nature of the district. In large and sparsely-populated districts a room in a cottage, with a locked cupboard for drugs, might be sufficient. In a crowded area, a complete building with waiting rooms, etc., and a dispenser might be necessary ; while in medium districts attendance at the doctor's own house 236 THE POOR LAW REPORT CHAP. might be preferred." In the latter case no special building would be needed. The determining fac- tor would be the distance to be travelled by the patients. If, as might be expected, existing insti- tutions fell in with the scheme, their buildings would often be available. It would be open to any local practitioner to be on the staff, and the members of the dispensary would have their choice of doctors. With a view to securing the co-opera- tion of the medical profession, the British Medical Association would be asked to frame "a general scheme or scale of fees and wage limit, to be applied by their local branches as local circumstances may suggest." What would be the relation of the Public Assistance Authority to this organisation ? That there should be some quite definite relation is essential if it is not to continue the competition of the present Poor Law system. 2 37 The Commission propose in the first place that the primary responsibility for organising and initiating medical assistance within each county shall rest with the public Assistance Authority ; and that its function in this department shall be : (i.) To co-ordinate and, when necessary, supple- ment the medical institutions of the county or county borough, and to suggest methods of co- vm MEDICAL RELIEF 237 operation with the Sanitary Authorities and the Authorities in charge of Voluntary Hospitals. (ii.) To organise an outdoor and provident medical service easily accessible in all parts of the | county or county borough, the service to include the provision of competent midwives. (iii.) To develop an adequate nursing service throughout the county or county borough, prefer- ably in connection with voluntary nursing associa- tions. (iv.) To subscribe, when necessary, towards these purposes. (v.) To arrange for adequate supervision of, and report on the efficiency and adequacy of the medi- \ cal institutions and medical service through the county or county borough. It is recognised that in order to carry out the work effectively it will be very necessary to have the assistance and active co-operation of all the agencies concerned. It is therefore proposed : " That to assist the Public Assistance Authority in carrying out the above functions they shall appoint a committee from among their number, to which shall be added representatives of the Health Committee of the County Council or of the County Borough Council, and of the local branch or branches of the British Medical 238 THE POOR LAW REPORT CHAP. Association. This committee shall be called the County or County Borough Medical Assistance Committee, as the case may be, and shall have power to co-opt representatives of local hospitals, county or county borough nursing associations, dispensaries, and registered friendly societies." It is further proposed that a local committee on similar lines shall be appointed by each local Public Assistance Committee for the purposes of the local administration of medical assistance. This committee shall be termed the Local Medical Assistance Committee. The main responsibility for making co-operation with the Provident Dispensaries effective will rest with the local Public Assistance Committees in their dealing with particular cases. With a view to diminishing delay in the treatment of sickness the Commission recommend that when any applicant for medical assistance is not a member of a provident society he shall apply direct to the district medical officer and be treated at once. The case will then be enquired into by the Assistance Officer and reported to the Public Assistance Committee, which will have power to recover the full cost of the treatment if they think that the applicant should have belonged to the Provident Dispensary, or to remit vm MEDICAL RELIEF 239 payment on condition of his becoming a member. In this way it is hoped that an application for medical assistance might in future become the introduction, not to pauperism, but to a Provident Dispensary. The Public Assistance Committee would further be empowered to enrol all cases permanently in receipt of public assistance (e.g. widows with children, or old people) as members of a Provident Dispensary by paying the necessary fees. These persons would then enjoy the coveted privilege of selecting their doctor, while the children would be brought into close touch with the dispensary, and might be expected to join it on an independent footing as they grew up. These are the main outlines of the scheme by v. 236 which it is hoped that " the medical community, the Public Assistance and Sanitary Authorities, and the people themselves, would combine to provide an adequate and honourable system of co-operative medical assistance at the minimum cost, and a genuine attempt would be made to transform into a living and helpful organisation the existing medley of independent and often harmful agencies for dealing with the sick poor." Further details of the scheme are given in the Report. The general recommendations of the 240 THE POOR LAW REPORT CH.VIII Commission under which the scheme was framed are as follows : 1. That medical assistance should be re-organised on a provident basis. 2. That in certain cases power of compulsory removal to and detention in an institution should be given to the authorities under proper safe- guards. 3. That there should be systematic co-operation between the Public Assistance Authorities, the Sanitary Authorities, and the voluntary medical institutions, based on a clearer definition of their respective functions. 4. That no disfranchisement should be attached to any form of medical assistance. 5. That the arrangements for indoor and outdoor medical assistance should be periodically inspected by medical inspectors on behalf of the Local Government Board. CHAPTER IX DETENTION. UNMARRIED MOTHERS. INSUR- ANCE. DISFRANCHISEMENT ONE fact which has become increasingly clear in the course of our examination of the present system is the inadequacy of its powers with respect to certain classes. If the administrators of to-day are encouraging disease and idleness and immorality it is largely because, while they are bound to give temporary relief to the idle and profligate and diseased, they are unable to detain them until, by continuous treatment, the disease may be cured or the bad habit eradicated. There are others, again, for whom powers of detention are needed as a protection to their helplessness, such as the feeble- minded, the children of vicious parents, and the friendless and decrepit old people. With regard to the children it has already been indicated in Chapter 4 where the chief need lies. R 242 THE POOR LAW REPORT CHAP. " Under existing Acts the Guardians already have the power to take over the rights of the parents of children until the age of eighteen, when they are of opinion that by reason of mental deficiency or of vicious habits or mode of life, a parent of a child is unfit to have control of it." These Acts have hitherto not been applied in the case of children of " ins-and-outs," vagrants, &c. ; and the Commission recommend that in future they should be applied to them, and in general to IX. 151 children " of parents whose mode of life is so harmful to the children that, in the interests both of the children and of the State whose future citizens they will be, the children should be separated from parental control." They also recommend that the control should be continued till the age of twenty- one. The chief objection which is likely to be brought forward to this recommendation is the serious one that, if carried out, it will relieve the worst parents of their responsibilities and leave them free to pursue their evil courses unburdened. It is clear that this objection can only be met by also giving effect to the recommendations of the Commission with regard to the parents of such children. With regard to the aged also we have indicated where the need lies in Chapter 3. Cases are ix DETENTION 243 known of old people so decrepit that they have fallen into the fire ; of others who cannot feed or clean themselves properly, and such cases " should clearly be dealt with either in almshouses or, if ix. 151 necessary, in infirmaries, where their wants and ailments could be properly attended to." But an order enabling such cases to be removed to an institution could only be granted under very care- fully guarded conditions, which the Commission define as follows : 1. A medical certificate that continuous care ix. 151 and treatment are essential in the interests of the health or safety of the person concerned. 2. A certificate that neither such person, nor his or her friends or relatives, are able and willing to provide the continuous care and treatment. Closely analogous to the decrepit aged are the cases of persons suffering from serious or malignant disease which could not properly be treated in their own homes. The conditions under which such persons should become liable for continuous treatment in an institution would be those specified for the aged. Another class which requires continuous super- vision and control as a protection to their helplessness consists of the persons known as feeble-minded. The needs of this class were R 2 244 THE POOR LAW REPORT CHAP. investigated and reported upon by the Royal Commission on the Care and Control of the Feeble- Minded, which recommended that they should in future be cared for by a new authority fully armed with powers of detention and control. With their recommendations the Commission concur. There are certain cases of infectious or contagious diseases which cannot at present be removed or detained, although they are a source of danger to those with whom they come in contact. We have already noted in previous chapters what havoc is wrought by phthisis, especially amongst the poor. It does not seem practicable with an illness of such long duration to isolate all cases ; moreover, in its earlier stages the risk of infection can be diminished to a large extent by simple precautions. In an advanced stage it becomes more dangerous, and the Commission recommend that there should be power to order continuous treatment " in advanced cases where a medical certificate is produced certifying that the patient is likely to affect others, or where the home conditions of the patient are such as to lead, with practical certainty, to the spread of the disease." In the case of children suffering from ophthalmia, or from infectious complaints of such a character as to be a source of danger to the ix DETENTION 245 children of the school they frequent, similar power should be given, " an order for continuous treat- ment should be obtainable upon the production of a medical certificate to the effect that the diseased child is either in a state dangerous to others, or else is likely to communicate the disease to others, and that such danger or likelihood is not being obviated by the treatment provided by the parents, guardians, relatives or friends." Those affected by venereal diseases come under a different category. " In the vast majority of cases ix. 151 they have contracted this ailment by their own misconduct. We have received evidence to the effect that these diseases work terrible havoc with the physique and stamina of the community, and that much of the infant mortality and bad health of children is due to their after consequences. If the object be the arrest and stamping out of these poisonous ailments, caution must be exercised in not prescribing treatment so drastic as to lead to their concealment. We are, however, clearly of opinion that whenever a medical certificate is pro- duced stating that an individual is in such a condition as to be a danger to the community amongst whom he or she may be living, an Order J for Detention or Continuous Treatment should j be obtainable." 246 THE POOR LAW REPORT CHAP. Another class for whom it is highly desirable to I have powers of detention are a certain section of the unmarried mothers who at present frequent the workhouses. One of the greatest failures of our present administration is the failure to differentiate sufficiently between the different classes of women who come under this head. They are broadly three : the young mothers who have lapsed for the first time, the feeble minded women who are not responsible for their lives, and the more depraved women who habitually make a convenience of the workhouse for the purpose of being confined with illegitimate children, who in their turn become a permanent charge upon the rates. The Commissioners' recommendations with regard to the first of these follow later ; they believe that many might be rescued from further harm who are lost under the present system. The feeble minded mothers will in future be under supervision and control, and thus a great source of misery and pauperism will be at once and effectively stopped. There remain the more depraved women, and with regard to them the Commission think " that women of this class should be liable to an Order by Justices for a period of Continuous Treatment, and that after ix DETENTION 247 recovery from confinement they should be sent to some suitable institution for a fixed period and placed under reformatory influence. " We commend this course in the interest of the woman herself. Unfortunate women, when they have fallen thus low, have often no means of subsistence except through a resumption of their vicious mode of life. The treatment we suggest may afford them some chance of regaining a respectable existence." There is finally the class of persons referred to in dealing with the able-bodied in Chapter 5, whose character and conduct make it essential that they should be dealt with in a " Detention Colony " under conditions more suitable to the administration of the Home Office than to that of the Public Assistance Authority. The Com- mission recommend that those persons should be committed to a " Detention Colony " for any period between six months and three years who have been guilty of wilful and persistent repetition within a given period of any of the following offences : " ( I ) \Yilful re f usa l or neglect of persons to main- tain themselves or their families (although such persons are wholly or in part able to do so), the 248 THE POOR LAW REPORT CHAP. result of such refusal or neglect being that the persons or their families have become chargeable to the Public Assistance Authority. " (2) Wilful refusal on the part of a person receiving assistance to perform the work or to observe the regulations duly prescribed in regard to such assistance. " (3) Wilful refusal to comply with the con- ditions, laid down by the Public Assistance Authority, upon which assistance can be obtained, with the result that a person's family thereby becomes chargeable. " (4) Giving way to gambling, drink, or idleness, with the result that a person or his or her family thereby becomes chargeable. " The results of this provision will be, we hope, that the loafer, the * in-and-out,' the person who neglects his family, or who makes them chargeable owing to habits of gambling, drink, or idleness, etc., etc., will be submitted to a course of severe discipline and training, which, even if it does not restore the man to a comparative state of industrial efficiency, will at the least for a certain period prevent him from further demoralisation, and will to some extent deter both himself and others from indulging in the vice or habit responsible for his downfall." This completes the list of cases in which the ix DETENTION 249 Commission think that there should be powers of Detention or Continuous Treatment. It is not proposed to leave it to the Public Assistance Authority to exercise these powers without further authorisation, but that an order should only be obtainable after an application on behalf of the Public Assistance Authority before Justices of the Peace and upon such Justices being satisfied that the conditions specified as rendering persons liable to continuous treatment have been fulfilled. Upon the granting of the powers here asked for depends very largely our success or failure in stemming the stream of pauperism in the future. Unless we can cut off some of the sources from which that stream is being fed the attempt to do more constructive work, whether by Public Assist- ance or by Voluntary Charity, will continue to be swamped by " hopeless cases " ; men and women ruined by bad habits or diseased from infancy, who propagate their own misery and hand on still another generation of " hopeless cases " to the future. A great evil justifies strong measures to remedy it, and those strong measures the Com- mission now ask the Government to authorise. 250 THE POOR LAW REPORT CHAP. viii. 4 In the section of the Report dealing with Bastardy the Commission make definite recom- mendations with regards to the future treatment of young unmarried women who apply for mainten- ance during their first confinement. Hitherto these cases have been dealt with in the workhouse or workhouse infirmary under conditions which have too often led to a life of permanent degrada- tion. A witness of great experience states : VIII. " The experience I have gained impresses upon me the 4 *54 duty of representing to the Royal Commission that, for social reasons, I am of opinion that provision should be made for securing separate treatment for the large class which consists of young unmarried women who come into the maternity wards for the first time. A great deal has been said in favour of the classification of the aged poor, and the withdrawal of children from workhouses and infirmaries, but nowhere is classification more needed than in the maternity wards. The unavoidable and close inter- course between the young girl, who often enters upon motherhood comparatively innocent, and the older woman who is lost to all sense of shame and who returns again and again to the maternity ward for the birth of her illegi- timate children, constitutes a great danger. Too often the older woman invites the friendless girl to share her home on leaving and so leads her on to further ruin. A young girl comes from the country to seek her fortune as a servant in London, she is led astray, and, not daring to return to her friends, she applies in her lonely despair to ix UNMARRIED MOTHERS 251 the workhouse maternity ward. Now while I feel sure that the matron and the nurses make every endeavour to shield and to help such a patient (and as a class they are easily distinguishable) it is impossible to avoid contact and conversation with the older women." In many places much excellent work is done by ladies who endeavour to help these girls to make a fresh start when they leave the workhouse. But those of the witnesses who were experienced in this work were generally agreed that it cannot be made really effective under present conditions : " The result has been most encouraging, but the com- VIII. mittee have felt that for some long time their work has 4> I ^ been very sadly handicapped for the want of a home to which these young girls might be sent, instead of mixing for long periods of time as many often have to do with the degraded and vicious women who haunt our workhouses all over the country. We believe that the list of these women, which now appears to be so large, would be wonderfully decreased in the future if we could only rescue all our young unmarried mothers and help them to regain their footing. The moral atmosphere of a work- house is such that no young girl should be introduced into it if we have any hope or wish to reclaim her." The same witness says : "We would urge that a sufficient number of homes VIII. should be started by charitable agencies all over the 4> l62 252 THE POOR LAW REPORT CHAP. country to which Guardians should subscribe, and after due consideration send suitable cases and maintain them in the home for the requisite period." vin. The Commission are " strongly of opinion that these recommendations should be carried out in so far that all first cases should be dealt with in insti- tutions apart from the workhouse. Where suitable I. voluntary homes are available, it would be well that these should be utilised ; and the authorities should directly endeavour to promote their estab- \ lishment as certified voluntary homes to which patients may be admitted direct on the order of the Public Assistance Committee, subject to their making such payments as may be agreed for the 1 maintenance and care of the individual case. Fail- ing these, the Poor Law Authorities should insti- tute homes of their own." With a view to securing the services of charitable workers to watch over the girls on their first return to the world, vni. tne Commission further recommend " that there l67 l should be a Women's Committee connected with every Public Assistance Committee, consisting of members of that Committee and of other volun- tary helpers, to advise in regard to all maternity cases ; and that members of the Women's Com- mittee, or others suitable for the work, shall keep in communication with the mothers leaving the ix UNMARRIED MOTHERS 253 homes, for the purpose of befriending them and their children." One other important recommendation the Commission make in the interest of this class. Under the Bastardy law the father of an illegiti- mate child is liable to contribute an amount not exceeding 55. a week towards the maintenance of the child ; and the practice is for the order to make these contributions payable direct to the mother. It is strongly urged by experienced rescue workers that this practice is productive of much evil : (1) "The great aim of all rescue workers is to sever all VIII. connection between the putative father and the mother 4 ' I4 of an illegitimate child. For very obvious reasons the man should never be allowed to pay directly to the woman. At present no one but the mother is legally authorised to receive it. By threats or persuasions the man when paying directly has every opportunity to induce the woman either to return to him or relinquish her claim upon him." (2) "If, on the application of a solicitor acting on behalf of some rescue association or of the mother herself, an affiliation order is granted, payment is required to be made direct by the father of the child to the mother. But the great aim of the rescuer is to break off all connection between the father and the mother. A weekly payment on a magistrate's order involves constant meet- ings which not only prevent the mother settling down in a respectable way of life, but most undesirable 254 THE POOR LAW REPORT CHAP. results almost inevitably ensue. Either she has to hang about on pay day at the shop where he works (and it very soon becomes well known why she is there), or she has to haunt his home or the place where he lodges ; with the result that her shame is blazoned abroad and she becomes at least the centre of a degraded notoriety. If, as is often the case, the father regains his hold upon her, he works upon her affections, and not infrequently drags her down again, with the result that the Boards of Guardians are apt to regard her as an altogether depraved woman, when the blame, as a matter of justice, should be laid on other shoulders." vni. i The Commission recommend accordingly that 41 14 bastardy orders should invariably be made payable through the agency of some person other than the mother of the illegitimate child. It remains to notice two points on which the Commission have made recommendations which will need justification in the eyes of those who rightly dread an injudicious extension of the sphere of public relief. The first point is that of the introduction of schemes of insurance to meet the distress arising out of invalidity on the one hand, and un- employment on the other. With regard to invalidity it is clear that this is a very much wider problem than that of old age, and that it would be only partially met by any old age ix INSURANCE 255 pension scheme, however extensive. It does not indeed seem that old age is the right criterion to take in framing a general plan of assistance. Many a man of sixty or sixty-five is fully able to earn his living, while others are incapacitated by illness or accident at a very early age. A great work is already done by the Friendly Societies in meeting the needs of temporary sickness, some few make superannuation allowances. But they have not found the way as yet to meet permanent disability on a comprehensive scale. Moreover, there are indications that the Friendly Societies have reached their limits on their present basis, and that they have become practically stationary. The best means of promoting invalidity insurance would seem to be to induce and enable the Friendly Societies so to extend their work as to cover permanent disability on the one hand, and on the other to attract the multitude of workers who still stand outside their organisation, largely on the ground of their low earnings. Without definitely recommending any scheme in particular, the Commission call attention to one which has been successful in Belgium. Under it a State subsidy is paid to Friendly Societies in proportion to the number of members contributing to the insurance fund against old age and invalidity, and 256 THE POOR LAW REPORT CHAP. the contribution of each member is met by a further subsidy. The growth in Friendly Societies, and in the number of those insuring under this scheme, has been very remarkable, and has been due partly to vigorous propagandist work on the part of the State. One of the most promising features, by which it is hoped to reach the poorest class of all, is that the movement is taking hold in the elementary schools, where satieties are formed by the teachers, who collect the smallest subscriptions from the children, and are paid a small premium in proportion to the sums *paid in. The benefit to be derived from such a scheme of insurance, if it became at all general, would be far greater than could be attained by any exten- sion of old age pensions, and its cost would be relatively small. The Commission have attempted no estimate of what the charge to the State might be, but the following paragraph is instructive : VIII. i, " We have consulted three eminent actuaries as '4 to the weekly premiums for which a man aged twenty-one in good health and employed in a healthy occupation could insure the receipt of los. 6d. a week during the first twenty-six weeks of illness, and yj. 6d. a week during the remainder ix INSURANCE 257 of illness up to age sixty-five. Mr. T. G. Ackland, F.I. A., taking a 3 per cent, basis, places the amount at 3-9^. ; Mr. George King, F.I.A., assuming 2^- per cent, as the rate of interest, esti- mates the amount at 3*74^., and Mr. F. G. P. Neison, F.I.A., at y6id. These sums are little in excess of the average weekly fee payable per child at school up to 1891, and remitted by the Act of that year." If the payments began when the child entered school they would, of course, be much lower. The Commission's recommendations as to a system of insurance against unemployment have already been quoted in Chapter 5. Here, again, they think the matter of such importance, and the benefit to be derived so great, as to justify a con- tribution on the part of the State. It can hardly be doubted that if the practice of insuring became at all general amongst the working-class it would result in a great saving to the nation, both in money and in the well-being of the workers. At present the expenditure due to this cause, if we include that of private charity as well as that of the Distress Committees and the Poor Law, is enormous ; and the accompanying demoralisation of the recipients is even more to be deplored. Nor can we leave out of consideration the sufferings of s 258 THE POOR LAW REPORT CHAP. those who do not apply for assistance. There are many who do not and cannot belong to trade unions at present, who might be drawn into a trade organisation for the purpose of insurance if the payments were brought within their reach ; and when a comprehensive system was in working order it would be a fair proof of a man's desire for independence if he had availed himself of it. If after the lapse of a sufficient time it became clear that any large number still continued to apply for public assistance in periods of unemployment, it might become necessary to make insurance com- pulsory. But there is no doubt that a voluntary system is more in accordance with the development of provident institutions in England, and would be more easily adapted to meet the needs of the workers in various branches of industry. The second point which calls for justification is the Commission's recommendation that dis- franchisement should not follow upon public assistance, except in the case of those who receive other than medical relief for more than three months in the year. In the case of medical relief it seems clearly illogical that a man should be disfranchised for receiving treatment in a hospital or infirmary which he could not possibly provide for himself, ix DISFRANCHISEMENT 259 while no such penalty attaches to receiving medical attendance, which a very small amount of foresight would have enabled him to provide. The alterna- tive lies between repealing the Medical Relief Dis- qualification Removal Act and extending its provi- sions to indoor medical treatment. One consideration t which tells in favour of the latter course is, that it will facilitate the much-to-be-desired co-operation and division of work between the voluntary hospitals and those belonging to the Public Assistance Authority. In drawing a distinction between those who are driven to seek public assistance by temporary mis- fortune and those who habitually rely upon it, the Commission have made a new departure. They greatly desire that in future all distress, including that due to unemployment, should be dealt with by one authority only, and that as far as possible no reasonable ground should be left for introduc- ing or continuing competing authorities. If this end can be attained it will greatly outweigh any risk which might be involved in the concession contained in their recommendation. S 2 APPENDIX I CONTENTS OF THE REPORT OF THE ROYAL COMMISSION ON POOR LAWS, 1909. PART I. : Pp. i to n. Description of Procedure of Commission, and of the Sources from which Evidence has been Obtained. PART II. : Pp. 13 to 52. A Statistical Survey of Poor Law Problems. (a] The Number of Paupers at Different Times, of Different Ages, in Different Classes, of Different Occupations, and in Receipt of Various Kinds of Relief ; () The Cost of Relief, of Officials and of Institutions, and the Growth of Expenditure ; (c) The Distribution of Pauperism ; (d) The Extent and Cost of Pauperism in Relation to Education, Wages, Cost of Living, Thrift, Public Health, the Death Rate, and Illegitimacy. 262 APPENDIX I PART III. : Pp. 53 to 80. History of the Poor Laws down to 1834. The Poor Law before and after 1601 : Legislation in the Eighteenth Century : Poor Law Commission of 1832, and Analysis of their Report : The Principles of the Poor Law Amendment Act, 1834. PART IV. : Pp. 81 to 232. Historical Development and Present Condition of the Various Branches of the Poor Law. Chap. I. Introduction and Central Authority. Chap. II. The Local Authorities. Chap. III. Officers of the Local Authority. Chap. IV. Areas of Administra- tion. Chap. V. Indoor Relief. Chap. VI. Out- door Relief. Chap. VII. Aged. Chap. VIII. Children. Chap. IX. Able-bodied. Chap. X. The Causes of Pauperism. PART V. : Pp. 233 to 302. Medical Relief. Chap. I. Historical Outline of the Development of the System of Medical Assist- ance to the Poor. Chap. II. Review of the System of Medical Relief to the Poor. Chap. III. General Conclusions and Proposals. PART VI. : Pp. 303 to 445. Distress Due to Unemployment Chap. I. Social and Industrial Development since 1834. Chap. II. The New Problems. Chap. III. Criticism of Existing Methods of Relief. Chap. IV. Proposals. APPENDIX I 263 PART VII. : Pp. 447 to 526. Charities and the Relief of Distress. Including a survey of endowed and other charities, their administration through the Charity Commissioners, Boards of Trustees and other agencies, the extent and causes of poverty, the effects of charity upon poverty, the suggestions and criticisms of the investigators, the system of poor relief in Germany, co-operation between Poor Law and charity, and proposals for future organisation and co-operation. PART VIII. : Pp. 527 to 594. Miscellaneous. Chap. I. Insurance. Chap. II. Settlement and Removal. Chap. III. Recovery of Cost of Relief. Chap. IV. Bastardy. Chap. V. Vagrancy. Chap. VI. Stock-taking and Work- house Accounts. Chap. VII. Public Assistance and Inebriety. Chap. VIII. Compounding for Rates. Chap. IX. The Statistics of the Future. PART IX. : Pp. 595 to 670. Review of Existing Conditions and Proposed changes. APPENDIX II LIST OF APPENDIX VOLUMES TO THE REPORTS OF THE POOR LAW COM- MISSION FOR ENGLAND AND WALES, SCOTLAND, AND IRELAND. APPENDIX VOL. I. ENGLISH OFFICIAL EVIDENCE. Minutes of Evidence mainly of the Officers of the Local Government Board for England and Wales, ist to 34th Days : 8th January to 22nd May, 1906 : Questions I to 14,880. APPENDIX VOL. I. A. ENGLISH OFFICIAL EVIDENCE. Appendices to the Minutes of Evidence included in Vol. I., being mainly the evidence of the Officers of the Local Government Board for England and Wales. APPENDIX VOL. I. B. INDEX. Index to Appendix Vols. I. and I. A. APPENDIX VOL. II. LONDON EVIDENCE. Minutes of Evidence (with Appendices) mainly of London witnesses. 35th to 48th Days: 28th May to 23rd July, 1906 : Questions 14,881 to 2 4>739- APPENDIX II 265 APPENDIX VOL. II. A. INDEX. Index to Appendix Vol. II. APPENDIX VOL. III. ASSOCIATIONS AND CRITICS. Minutes of Evidence (with Appendices) mainly of critics of the Poor Law and of witnesses repre- senting Poor Law and Charitable Associations. 49th to yist Days: ist October to ijth December, 1906 : Questions 24,740 to 35,450. APPENDIX VOL. III. A. INDEX. Index to Appendix Vol. III. APPENDIX VOL. IV. URBAN CENTRES. LIVERPOOL, MANCHESTER, WEST YORKS, AND MIDLANDS. Minutes of Evidence (with Appendices) contain- ing the oral and written evidence of the British Medical Association and of witnesses from the following provincial urban centres Liverpool and Manchester districts, West Yorkshire, Midland Towns. 72nd to 8gth Days : I4th January to 26th March, 1907 : Questions 35,451 to 48,347. APPENDIX VOL. IV. A. INDEX. Index to Appendix Vol. IV. APPENDIX VOL. V. URBAN CENTRES. SOUTH WALES AND NORTH EASTERN COUNTIES. Minutes of Evidence (with Appendices) contain- ing the oral and written evidence of witnesses from urban centres in the following districts : South Wales and North Eastern Counties, goth to 94th Days : I5th April to 30th April, 1907 : Questions 48,348 to 53> 6 7- 266 APPENDIX II APPENDIX VOL. V. A. INDEX. Index to Appendix Vol. V. APPENDIX VOL. VI. SCOTLAND. Minutes of Evidence (with Appendices) relating to Scotland. 95th to iioth Days, and I39th and I49th Days : 6th May to 2ist June, 1907, and i3th January and 2nd March, 1908 : Questions 53,068 to 67,565 J 88,667 to 89,046 ; 94,629 to 95,323. APPENDIX VOL. VI. A. INDEX. Index to Appendix Vol. VI. APPENDIX VOL. VII. RURAL CENTRES. FRIENDLY SOCIETIES, ETC. Minutes of Evidence (with Appendices) contain- ing the oral and written evidence of witnesses from various rural centres in the South Western, Western, and Eastern Counties, from the Parish of Poplar Borough and from the National Conference of Friendly Societies. mth to I22nd Days: gth July to 7th October, 1907 : Questions 67,566 to 77,734- APPENDIX VOL. VII. A. INDEX. Index to Appendix Vol. VII. APPENDIX VOL. VIII. UNEMPLOYMENT. Minutes of Evidence (with Appendices) contain- ing the oral and written evidence of witnesses relating chiefly to the subject of " Unemployment." I23rd to 1 38th Days: I4th October to loth December, 1907 : Questions 77,735 to 88,666. APPENDIX II 267 APPENDIX VOL. VIII. A. INDEX. Index to Appendix Vol. VIII. APPENDIX VOL. IX. UNEMPLOYMENT. Minutes of Evidence (with Appendices) contain- ing the oral and written evidence of further witnesses relating to the subject of Unemployment, etc. I40th to 1 48th Days : i5Oth to if6th Days, and 15 8th Day: I4th January, 1908, to nth May, 1908. Questions 89,048 to 94,628 j 95,324 to 99,350 ; 100,020 to 100,590. APPENDIX VOL. IX. A. INDEX. Index to Appendix Vol. IX, APPENDIX VOL. X. IRELAND. Minutes of Evidence (with Appendices) relating to Ireland. I57th and I59th Days : 25th April and I2th May, 1908 : Questions 99,351 to 100,019 ; 100,591 to 100,928. APPENDIX VOL. X. A. INDEX. Index to Appendix Vol. X. APPENDIX VOL. XI. MISCELLANEOUS. Miscellaneous Papers. Communications from Boards of Guardians and Others, etc., etc. APPENDIX VOL. XII. COMMISSIONERS' MEMORANDA. Reports, Memoranda, and Tables prepared by certain of the Commissioners. 268 APPENDIX II APPENDIX VOL. XIII. DIOCESAN REPORTS. Diocesan Reports on the Methods of administering Charitable Assistance and the extent and intensity of Poverty in England and Wales. APPENDIX VOL. XIV. INVESTIGATORS' REPORTS. MEDICAL RELIEF. Report on the Methods and Results of the present system of administering Indoor and Outdoor Poor Law Medical Relief in certain Unions in England and Wales, by Dr. McVail. APPENDIX VOL. XV. INVESTIGATORS' REPORTS. CHARITY. Report on the Administrative Relation of Charity and the Poor Law, and the extent and the actual and potential utility of Endowed and Voluntary Charities in England and Scotland, by Mr. A. C. Kay and Mr. H. V. Toynbee. APPENDIX VOL. XVI. INVESTIGATORS' REPORTS. INDUSTRIAL AND SANITARY CONDITIONS. Reports on the Relation of Industrial and Sanitary Conditions to Pauperism, by Mr. Steel Maitland and Miss R. E. Squire. APPENDIX VOL. XVII. INVESTIGATORS' REPORTS. OUT-RELIEF AND WAGES. Reports on the effect of Outdoor Relief on Wages, and the Conditions of Employment, by Mr. Thomas Jones and Miss Williams. APPENDIX II 269 APPENDIX VOL. XVIII. INVESTIGATORS' REPORTS. CHILDREN : ENGLAND AND WALES. Report on the condition of the Children who are in receipt of the various forms of Poor Law Relief in certain Unions in London and in the Provinces, by Dr. Ethel Williams and Miss Longman and Miss Phillips. APPENDIX VOL. XIX. INVESTIGATORS' REPORTS. UN- EMPLOYMENT : ENGLAND AND WALES. Report on the Effects of Employment or Assis- tance given to the Unemployed since 1886 as a means of relieving Distress outside the Poor Law in London, and generally throughout England and Wales, by Mr. Cyril Jackson and the Rev. J. C. Pringle. APPENDIX VOL. XIX. A. INVESTIGATORS' REPORTS. UNEMPLOYMENT : SCOTLAND. Report on the Effects of Employment or Assis- tance given to the Unemployed since 1886 as a means of relieving Distress outside the Poor Law in Scotland, by the Rev. J. C. Pringle. APPENDIX VOL. XIX. B. INVESTIGATORS' REPORTS. UNEMPLOYMENT : IRELAND. Report on the Effects of Employment or Assis- tance given to the Unemployed since 1886 as a means of relieving Distress outside the Poor Law in Ireland, by Mr. Cyril Jackson. 270 APPENDIX II APPENDIX VOL. XX. INVESTIGATORS' REPORTS. BOY LABOUR. Report on Boy Labour in London and certain other Typical Towns, by Mr. Cyril Jackson, with a Memorandum from the General Post Office on the Conditions of Employment of Telegraph Messengers. APPENDIX VOL. XXI. INVESTIGATORS' REPORTS. REFUSAL OF OUT-RELIEF. Reports on the Effect of the Refusal of Out-relief on the Applicants for such Relief, by Miss G. Harlock. APPENDIX VOL. XXII. INVESTIGATORS' REPORTS. OVERLAPPING OF MEDICAL RELIEF IN LONDON. Report on the Overlapping of the Work of the Voluntary General Hospitals with that of Poor Law Medical Relief in certain districts of London by Miss N. B. Roberts. APPENDIX VOL. XXIII. INVESTIGATORS' REPORTS. CHILDREN : SCOTLAND. Report on the Condition of the Children who are in receipt of the various forms of Poor Law Relief in certain parishes in Scotland, by Dr. C. T. Parsons and Miss Longman and Miss Phillips. APPENDIX VOL. XXIV. INVESTIGATORS' REPORTS. ABLE-BODIED AND " ORDINARY " PAUPERS IN ENGLAND AND SCOTLAND. Report on a Comparison of the Physical Condition of " Ordinary " Paupers in certain Scottish Poor- houses with that of the Able-bodied Paupers in certain English Workhouses and Labour Yards, by Dr. C. T. Parsons. APPENDIX II 271 APPENDIX VOL. XXV. STATISTICAL. Statistical Memoranda and Tables relating to England and Wales, prepared by the Staff of the Commission and by Government Departments, and Others, and Actuarial Reports. APPENDIX VOL. XXVI. CHARITIES. Documents relating more especially to the Ad- ministration of Charities. APPENDIX VOL. XXVII. REPLIES OF DISTRESS COM- MITTEES. Replies by Distress Committees in England and Wales to Questions circulated on the subject of the Unemployed Workmen Act, 1905. APPENDIX VOL. XXVIII. VISITS. Reports of Visits to Poor Law and Charitable Institutions and to Meetings of Local Authorities in the United Kingdom. APPENDIX VOL. XXIX. REPORT BY GENERAL ASSEM- BLY OF CHURCH OF SCOTLAND. Report on the Methods of Administering Chari- table Assistance and the extent and intensity of Poverty in Scotland, prepared by the Committee on Church Interests appointed by the General Assembly of the Church of Scotland. APPENDIX VOL. XXX. SCOTLAND. Documents relating specially to Scotland. APPENDIX VOL. XXXI. IRELAND. Statistical Memoranda and Tables relating to Ireland, etc. 272 APPENDIX II APPENDIX VOL. XXXII. FOREIGN LABOUR COLONIES COMMITTEE. Report on Visits paid by the Foreign Labour Colonies Committee of the Commission to certain Institutions in Holland, Belgium, Germany, and Switzerland. APPENDIX VOL. XXXIII. FOREIGN POOR RELIEF SYSTEMS. Foreign and Colonial Systems of Poor Relief, with a Memorandum on the Relief of Famines in India. APPENDIX VOL. XXXIV. LIST OF WITNESSES. Alphabetical Lists of Oral and Non-oral Wit- nesses. THE END RickardClay and Sons, Ltd., Brunswick St., Stamford St., S.E. Globe 8vo. Is. net per Volume 1. LEAVES FROM THE NOTE- BOOKS OF LADY DOROTHY NEVILL. Edited by RALPH NEVILL. 2. H.M.I. Some Passages in the Life of one of H.M. Inspectors of Schools. By E. M. SNEYD- KYNNERSLRY. 3 TALES OF OLD JAPAN. By A. B. FREEMAN- MITFORD (Lord Redesdale). Illustrated. 4. AT LAST: A Christmas in the West Indies. By CHARLES KINGSLEY. Illustrated. 5. THE RELIEF OF CHITRAL. By Colonel G. J. YOUNGHUSBAND and Sir FRANCIS YOUNGHUSBAND. Illustrated. 6. BARRACKS, BIVOUACS, AND BATTLES. By ARCHIBALD FORBES. 7. REMINISCENCES OF THE GREAT MUTINY. By WILLIAM FORBES-MITCHELL. 8. CAWNPORE. By the Right Hon. Sir G. O. TREVELYAN, Bart. 9. NORTH ITALIAN FOLK. Sketches of Town and Country Life. By Mrs. COMYNS CARR. Illustrated by RANDOLPH CALDECOTT. io ALCOHOL AND THE HUMAN BODY. An Intro- duction to the Study of the Subject, and a Contribution to National Health. By Sir VICTOR HORSLKY, F.R S , and MARY D. STURGB, M.I). With a Chapter by ARTHUR XEWSHOI.ME, M.D. 11. A POOR MAN'S HOUSE. By STEPHEN REYNOLDS. 12. THE INTELLECTUAL LIFE. By PHILIP GILBERT H \MERTON. 13. LETTERS FROM HELL. Given in English by JULIK SUTTER. With a Preface by Dr. GEORGE MACDONVLD. 14- SOUTH SEA BUBBLES. By THE KARL and THE DOCTOR. 15. THE POOR LAW REPORT OF 1909. By Mrs. B. BoSANatlET. 16. ESSAYS. By R. W. EMERSON. 17 ESSAYS IN CRITICISM. First Series. By MATTHEW ARNOLD. 1 8. MAN'S PLACE IN NATURE. By THOMAS HENRY HUXLEY. 19. THE MAN-EATERS OF TSAVO. By Lieut.-Colonel J. H. PATTERSON. MACMILLAN AND CO., LIMITED. 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