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104 enlarged. A small payment, weekly, is looked for, if the patient can afford it, but a fair number are admitted free, and a much larger number visited, the average number of patients being nearly 5,000 per annum. Information given on enquiry.

Hospital for Women.—This establishment in the Upper Priory was opened in October, 1871, for the treatment of diseases special to females. No note or ticket of recommendation is required, applicants being attended to daily at two o'clock, except on Saturday and Sunday. If in a position to pay, a nominal sum of 2s. 6d, a month is expected as a contribution to the funds, which are not so flourishing as can be wished. The in-patients' department or home at Sparkhill has accommodation for 25 inmates, and it is always full, while some thousands are treated at the town establishment. The number of new cases in the outpatient department in 1883 was 2,648, showing an annual increase of nearly 250 a year. Of the 281 in-patients admitted last year, 205 had to undergo surgical operations of various kinds, 124 being serious cases; notwithstanding which the mortality showed a rate of only 5-6 per cent. As a rule many weeks and months of care and attention are needed to restore the general health of those who may have, while in the hospital, successfully recovered from an operation, but there has not hitherto been the needful funds or any organisation for following up such cases after they have left Sparkhill. Such a work could be carried on by a District Nursing Society if there were funds to defray the extra expense, and at their last annual meeting the Managing Committee decided to appeal to their friends for assistance towards forming an endowment fund for the treatment of patients at home during their convalescence, and also for aiding nurses during times of sickness. An anonymous donation of £1,000 has been sent in, and two other donors have given £500 each, but the treasurer will be glad to receive additions thereto, and as early as possible, for sick women nor sick men can wait long. The total income for 1883 amounted to £1,305 16s. 4d., while the expenditure was £1,685 4s. 11d., leaving a deficit much to be regretted.

Lying in Hospital.—Founded in 1842, and for many years was located in Broad Street, in the mansion since formed into the Children's Hospital. In 1868 it was deemed advisable to close the establishment in favour of the present plan of supplying midwives and nurses at the poor patients' homes. In 1880 the number of patients attended was 1,020; in 1881, 973; in 1882, 894; in 1883, 870. In each of the two latter years there had been two deaths in mothers (1 in 441 cases) about the usual average of charity. The number of children born alive during the last year was 839, of whom 419 were males, and 420 females. Four infants died; 37 were still-born. There were 6 cases of twins. The assistance of the honorary surgeons was called in 24 times, or once in 37 cases. The financial position of the charity is less satisfactory than could be wished, there being again a deficiency. The subscriptions were £273, against £269 it; 1882 and £275 in 1881. There was a slight increase in the amount of donations, but an entire absence of legacies, which, considering the valuable assistance rendered by the charity to so many poor women, is greatly to be deplored. The medical board have the power to grant to any woman who passes the examination, the subjects of which are defined, a certificate as a skilled midwife, competent to attend natural labours. One midwife and four monthly nurses have already received certificates, and it is hoped that many more candidates will avail themselves of the opportunity thus readily afforded to them, and supply a want very generally felt among the poor of the town. Subscribers have the privilege of bestowing the tickets, and the offices are at 71, Newhall Street.