317 last Founder’s Day are an open science scholarship at Christ The statistical tables are presented in the new form and have Church, Oxford, an open classical exhibition at Keble College, entailed a large additional amount of labour, which it is Oxford, and a pass into Woolwich (forty-second place). 19 hoped will enhance their value. boys have passed the matriculation examination of the Uni- Leicester Asylum, West Hu,mberstone.-The total number versity of London, and 19 have passed in the first class of under treatment in this asylum for the year ending the art examination held by the Society of Art Masters. March 31st was 962, the average number resident being After leaving the schoolroom the visitors inspected the 732. The admissions during the year were 177. In the " various new buildings, including the "Markham Skerritt discharges, of which there were 254, the percentage of laboratories, erected through the kindness of the late Mrs. recoveries on the admissions was 48’ 2. The rate of Markham Skerritt, which cost over £5000 ; the new lavatory mortality upon the average number resident was 7’1. At block and the carpenter’s workshop, all of which have been this asylum there were 142 epileptic patients under treatment completed ; also the new music block and gymnasium which and 11,554 fits were recorded. are in process of erection. County and City of Worcester Asylum, Powick.-The total number under treatment at this asylum for 1908 was 1107, the average number resident being 979. Discharges amounted to 84 patients, and of these 50 were discharged recovered. METROPOLITAN HOSPITAL SUNDAY This gives the high percentage of 71’ 4 of recoveries, but FUND. this is explained by the small number of the admissions on which the percentage was calculated. The deaths numbered 69, at the rate of 7’ 04 on the number resident. AT a of the Council of the Fund held at the being average meeting Donn Distract total number Mansion House on 28th it was announced that Asylum, Downpatriok.-The July .667,212 of cases under treatment at this for the were available for distribution. We to a list of asylum year hope publish March 31st was 868, the average number awards in an issue of THE LANCET. ending daily early rresident being 739. The admissions numbered 143 and the The following are the amounts which have been among ( showed a recovery-rate of 49 per cent. The received at the Mansion House since our last issue :- discharges deaths( numbered a of 6’8 8 on the £ s. d. 40, giving percentage number resident. For the first in the St. Mary Abbots, Kensington ...... 439 0 0 daily average year (St. Mary Abbots, JE268 ; St. Paul’s, Vicarage-gate, knowledge of Mr. M. J. Nolan, resident medical superin- .E107 ; Christ Church, Victoria-road, JE64) there has been no case of which in former , tendent, dysentery, West London Synagogue ...... 315 00 St. Mary’s, Graham-street ...... 261 0 0years was a scourge in this asylum. It is hoped that in con- Great Synagogue ...... 240 0 0sequence of the various hygienic measures adopted by the Hampstead Synagogue ...... 165 0 0committee the disease will not again assert itself. The St. Westbourne Park ...... 143 00: Stephen’s, is illustrated with views of the Holy Trinity, Kensington Gore ...... 135 00) report exceedingly pleasant St. Michael and All Angels, Paddington ...... 126 00) looking accommodation provided for the patients. St. Paul’s, Avenue-road ...... 123 00 Lebanon Hospital for the Insane, Asfitriyelt, near Beyrout, St. Luke’s, Hampstead ...... 109 00 of this was at the New West End Synagogue ...... 103 0 0) Syria.-The report hospital presented Central Synagogue ...... 97 0 )0 annual summer meeting for 1909. The work of the Bayswater Synagogue...... 95 00 represents the only attempt that has been made St. Bartholomew’s, ...... 94 00 Sydenham 0hospital 0 to for the affected. The native Spanish and Portuguese Synagogue ...... 82 0 0in0 Syria provide mentally St. John’s Presbyterian Church, Forest Hill...... 72 0D0 methods of treatment of the insane appear to be both St. Luke’s, Hackney ...... 67 00 and cruel, and there can be no doubt that St. John’s Wood Synagogue...... 60 0 0 inadequate work done at the is of all com- Barking Parish Church, with St. Paul’s and Missions ... 54 00 the hospital worthy St. Luke’s, Chelsea ...... 54 0omendation.0 In the year reported on 122 patients were Ascension Balham Church, Hill ...... 54 00 admitted to the hospital, making a total of 197 patients Trinity Church, Hampstead ...... 53 00 the The numbered 115 and St. James’s, Clapham Park ...... 52 00 treated during year. discharges " F." ...... 50 00 of these 26 were recovered and 26 improved. To account for Dr. Ludwig Mond ...... 50 00 the large number of discharges it appears that the relations St. Mark’s, Marylebone-road ...... 49 00 insist on their removal before are St. Simon’s, Upper Chelsea ...... 43 00 of patients long they really St. James’s, Holloway...... 41 0 0 well. Those who would wish to learn more of the work of St. Luke’s, Westbourne Park ...... 39 00 this medical mission can obtain of the from St. John’s, Walham Green ...... 37 00 copies report at E.C. St. Peter’s, Streatham ... 35 0 0the Secretary, 35, Queen Victoria-street, London, St. George’s. Presbyterian Church, Brondesbury, and Mission ...... 32 00 English Martyrs Church, Streatham ...... 31 00 St. Anne’s, Stamford Hill ...... 30 00 MEDICINE AND THE LAW. St. Andrew’s, Ashley-place ...... 30 00 Dalston Synagogue ...... 30 0 0 Stratford Parish Church, with St. Stephen’s ...... 29 00 St. Stephen’s and Church of the Transfiguration, Lewisham 29 00 The Liability of Hospitals to their Patients. Highbury Quadrant Church ...... 28 00 THE Court of Appeal recently delivered judgment upon a St. Pancras Parish Church ...... 28 00 of law of considerable to hospitals. In North London Synagogue ...... 28 00 question importance arose the Stoke Newington Synagogue ...... 26 00 the action out of which the appeal plaintiff, Mr. St. Barnabas’s, Pimlico ...... 23 00 W. H. Hillyer, a medical man, sued the Corporation of the St. Winchmore Hill ...... 23 00 Paul’s, City of London, in their capacity of governors of St. Brondesbury Synagogue ...... 21 00 Bartholomew’s Hospital, for damages for injuries alleged to have been received by him through the negligence of them- selves or their servants. He had been operated upon in the ASYLUM REPORTS. hospital and it was for injuries alleged by him to . haveI been caused to him by the negligence of those Jl1onm01.dhshi’l’e Asylum, Abergavenny.-The total number concernedc in the operation that he sought to recover of patients under treatment during the year ending damages.< The decision of the court was delivered by Lord March 31st was 1123 and the average number resi- Justicea Farwell, who, with regard to the main point of whether dent was 932. There were 98 patients discharged an1 the surgeons, anaesthetists, and nurses present at and taking of these 63 were recovered, the recovery rate for the part] in an operation are "servants" of the governors of a year being 32’ 4 per cent. This rate is 6’ 4 per cent. hospital,1 pointed out that the surgeons and aneasthetists are lower than that obtained in 1907, and 4’4 per cent. lowernot under the direction of the governors or bound to obey than the average obtained in this asylum. The deaths their orders, and therefore cannot be regarded as being their during the year numbered 88 and the death-rate calcu- servants for whose acts they would be liable. The governors lated on the average number resident was 9’4 per cent. were only subject to the obligation to use care and At this asylum there is a great disproportion between the, skill in selecting proper persons as members of the hospital numbers of male and female patients. There are now 134. staff. With regard to nurses, although primarily the servants more male patients than female patients, and the male of the governors, they took their orders from and were admissions during the year were nearly double the female under the control of the surgeons during an operation, and admissions. This appears in part to be due to the increasedL thus in respect of duties so performed ceased to be the industrial development in the mineral portion of the county.. servants of the governors. His lordship, with regard to the