The Life of Florence Nightingale, vol. 2 of 2 by Sir Edward Tyas Cook
CHAPTER IV
4819 words | Chapter 29
ADVISORY COUNCIL TO THE WAR OFFICE
(1862-1866)
We are trying to reduce chaos into shape. It is three years to-day
since I first felt what an awful wreck I had got myself into. I
interfering with Government affairs; and the captain of my ship,
without whom I should never have done it, dying and leaving me, a
woman, in charge. What nonsense people do talk, to be sure, about
people finding themselves in suitable positions and looking out for
congenial work! I am sure if any body in all the world is most
unsuited for writing and official work, it is I. And yet I have
done nothing else for seven years but write Regulations.--FLORENCE
NIGHTINGALE (_Letter to Julius Mohl_, Jan 1. 1864).
Though Miss Nightingale's main work during these years was connected
with the Army in India, she was also continuously engaged in work for
the War Office in relation to the army at home. Indeed in some respects
the work was as constant, and it was quite as varied, if not as
far-reaching in range, as in the days when Sidney Herbert was Secretary
of State. She was a kind of Advisory Council to the War Office on all
subjects within her sphere, and on some outside it; but the references
to her were far more frequent than is commonly the case with those
somewhat shadowy bodies; and besides she was a privileged person, with
the right of initiating suggestions. The picture of her relations to the
War Office as it is disclosed in her papers is remarkable. There are
scores of letters from the Ministers. There are hundreds from one of the
(non-political) Under-Secretaries. Her own letters in reply are equally
numerous. There is a large collection of Drafts, Minutes, Warrants,
Regulations. Her private letters tell of frequent interviews with one of
the Ministers. Was there ever another case in which nearly every vexed
question in War Office administration (other than of a purely military
kind) was referred almost as a matter of course to a private lady, and
that lady an invalid in her bed? It is not likely that the situation
will ever exist again; and it becomes of interest to trace "the
Nightingale power" in this matter to its sources.
* * * * *
The primary explanation is simple. In a large class of questions which
were occupying the attention of the War Office at this time Miss
Nightingale was regarded as the first expert of the day. One sees this
in the fact that she was consulted in connection with work, within her
sphere, for other departments than the War Office. Thus in 1865 Mr. R.
S. Wright (afterwards the judge) was appointed by the Colonial Office to
prepare a Report on the condition of Colonial Prisons. He went to Miss
Nightingale, asking (April 27) "to be allowed to submit to you for your
criticism the conclusions at which I may arrive. Supposing them to be
approved by you, it will be a great advantage if I may state that you
approve them."[42] Then, in the second place,--to repeat a phrase which
I have already applied to her, she was the official legatee of Sidney
Herbert. Everyone who was behind the scenes knew that his work had also
been her work, and Sidney Herbert's repute as a reformer stood very
high. The official Army world at this time was divided into two
camps--those who desired to complete Herbert's work, and those who tried
to undo it. Miss Nightingale, as the repository of the Herbert
tradition, was the indispensable ally of the former party against the
latter. Her friend, Lady Herbert, put the case from her point of view,
when she wrote (March 7, 1862), in reply to a letter telling of much
weakness and weariness, "If you never wish to live for your own sake,
yet bear to live, dearest, for a time to carry out his work, and to keep
his memory fresh in the hearts of men." Some questions of reform arose
to which Sir Benjamin Hawes had raised copious objections. "Would Miss
Nightingale oblige the Political Under-Secretary by suggesting an answer
to Hawes's points?" Sometimes she was the only person who possessed the
necessary documents. "Have you got a copy of the Report of the Committee
on the Organization of a Medical School? The War Office actually have
_no_ copy, and the Army Medical Department only a proof not signed and
supposed to have been altered?"
[42] Miss Nightingale must have enjoyed the correspondence that ensued;
for not only was Mr. Wright sound on sanitary matters ("it is no
part of a prisoner's sentence that he should be black-holed"), but
he wrote to her in a racy style. "I send you (Oct. 23) a specimen
of the materials sent home by colonial prison authorities with the
endorsement of a colonial Governor:--_Question_: What is the mode
of treating lunatic or maniacal prisoners? _Answer_: Maniacles is
not nor ever has been in use in this prison."
But besides all this there were personal factors in the case. Miss
Nightingale had no longer, it is true, an intimate friend at the head of
the War Office, and with Lord Herbert's successor, Sir George Lewis, she
was not otherwise than by correspondence acquainted. Early in 1862 he
had made overtures through Sir Harry Verney, desiring to be given the
honour of making Miss Nightingale's personal acquaintance. She was,
however, too ill to receive him, and knowing perhaps her proficiency in
the classics he sent her some of his _jeux d'esprit_. The offering had
anything but a propitiatory effect. Many of her letters express
indignation that the Secretary for War should be writing trifles in
Latin instead of reforming the War Office. She was equally indignant
when he presently published learned works on Ancient Astronomy and
Egyptology. Mr. Jowett was somewhat of the same mind: "I agree with you
about Sir G. Lewis and his book. I felt the same disgust at Gladstone
for writing nonsense about Homer while the East India Bill was passing
through the House." It does not seem to follow, however, that
Mr. Gladstone would have been the more interested in the East India Bill
if he had not been engaged in finding the Trinity on Mount Olympus, or
that Sir George Lewis would have been any more in the mood to reorganize
the War Office if he had not been applying the Egyptological method to
modern history, or turning "Hey diddle diddle" into Latin verse. There
is a keener point in another of Miss Nightingale's reflections on the
Minister (Feb. 19, 1863): "If Sir George Lewis, instead of writing a
'Dialogue on the Best Forms of Government' would write (or rather
silently act) a _Monologue_ on the Dual Form being the Worst form of
Government, the War Office would be much the gainer." But during his
term of office the Under-Secretary was Lord de Grey; and with him she
was on very friendly terms, and he, as is obvious from the
correspondence, had the highest opinion of her knowledge, her ability,
and her influence. The part she played in Lord de Grey's appointment as
Secretary of State, after the death of Sir G. Lewis, has already been
described. Then in Captain Galton she had throughout these years a
standing ally within the War Office, and her daily attendant, Dr.
Sutherland, was a member of the Army Sanitary Committee. And in the last
resort, if a difficulty worthy of such adjustment arose, she had the ear
of the Prime Minister.
II
Such occasion did arise when, on May 15, 1862, death removed from the
War Office Miss Nightingale's old opponent Sir Benjamin Hawes, the
Permanent Under-Secretary. She had tried to reorganize him into
insignificance in 1861, but "Ben had beaten Sidney Herbert."[43] Now was
a chance of carrying out the plan which Mr. Herbert and she had often
discussed--of breaking the bureaucracy, and of dividing up the office.
Hitherto the Departments had reported through the Permanent
Under-Secretary; the reform scheme was that they should report direct to
the Secretary of State. Sir E. Lugard, Military Under-Secretary, was
already in part-possession. Let Captain Galton resign his commission,
and take the other half, as a civilian (and, what was equally in her
mind, a convinced and professional sanitarian). She carried the case to
the Prime Minister, and convinced him. Lord Palmerston told her
afterwards that when the appointment was first mentioned to the Horse
Guards they said it was "simply impossible." But the Prime Minister
advised Sir George Lewis to make the appointment nevertheless:--
(_Miss Nightingale to her Father._) 9 CHESTERFIELD STREET, _Poor
Queen's Birthday_, 1862. I must tell you the first joy I have had
since poor Sidney Herbert's death. Lord Palmerston has forced Sir
G. Lewis to carry out Mr. Herbert's and my plan for the
reorganization of the War Office _in some measure_. Hawes's place
is not to be filled up. Galton is to do his work as Assistant
Under-Secretary. This brings with it some other reforms. Lord de
Grey says that he can reorganize the War Office with Captain
Galton, because Sir G. Lewis will know nothing about it and never
inquires. Sir G. Lewis wrote it (innocently) to the Queen
yesterday, and Captain Galton was appointed to-day, resigning the
Army of course. No, Sir Charles Trevelyan would not have done at
all [in Hawes's place]. It would have been perpetuating the
principle (which I have been fighting against in all my official
life, _i.e._, for eight years) of having a dictator, an autocrat,
irresponsible to Parliament, quite unassailable from any quarter,
immovable in the middle of a (so-called) constitutional government,
and under a Secretary of State who is responsible to Parliament.
And, inasmuch as Trevelyan is a better and abler man than Hawes, it
would have been _worse_ for any reform of principle. I don't mean
to say that I am the first person who has laid down this. But I do
believe I am the first person who has felt it so bitterly, keenly,
constantly as to give up life, health, joy, congenial occupation
for a thankless work like this.... It has come too late to give
happiness to Galton, as it has come too late for me. He seems more
depressed than pleased. And I do believe, if he feels any pleasure,
it is that now he can carry out Sidney Herbert's plans in some
measure. And it may seem to you some compensation for the enormous
expense I cause you that, if I had not been here, it would not have
been done. Would that Sidney Herbert could have lived to do it
himself! Would that poor Clough could have lived to see it! He
wished for it so much--for my sake....
[43] See Vol. I. p. 405.
The high hopes which Miss Nightingale entertained from this slight
reorganization were doomed to disappointment. Neither as
Under-Secretary, nor after April 1863, when he became Secretary of
State, did Lord de Grey manage, and I do not know that he seriously
attempted, to reform the War Office root and branch.[44] He and Captain
Galton had, according to Miss Nightingale, "miscalculated their power."
She preached the necessity of reform to them unceasingly--in season and,
as they may sometimes have thought, out of season too, for she was a
very persistent person; and, with Dr. Sutherland's assistance, she
provided them with detailed schemes. Her principles were as admirable,
as was her criticism scathing when any breach of them came under her
notice. There must in all things, she said, be a clear definition of
responsibility, with a logical differentiation of functions; and the
business of the War Office was to prepare for war--not to jog along with
an organization which might hold together in peace, but would break down
in the field. Some papers were submitted to her criticism (June 1862).
"What strikes me in them," she wrote, "is the black ignorance, the total
want of imagination, as to a state of _war_ in which the _War_ Office
seems to be. Really if it was a Joint Stock Company for the manufacture
of skins, it could not, as far as appears, be less accustomed to
contemplate or to imagine or to remember a state of war." I am afraid
that most of us have lived through times when the same criticism could
have been made. Let us hope that it is all a matter of ancient history
now. Papers were sent to her dealing with the questions of Purveying and
Commissariat. The Commissariat had hitherto been the bankers of the
army, and some of the permanent officials saw no reason for a change.
From her experience in the Crimea she gave them the reason. The
confusion of functions worked badly in the field.[45] As it was bound to
do, for it was absurd. "Is a man who buys bullocks the best man to be a
banker? Would it not be better to have a separate Treasurer for the Army
to receive all moneys and issue them to all departments? In private life
nobody makes his steward or butler his banker. It would not be
economical. Finance is as much a specialty as marketing, and as much so,
to say the least of it, in the Army as in private life."
[44] There is a succinct account of organizations and reorganizations
between 1854 and 1868 in a _Memorandum on the Organization of the
War Office_ by Captain Galton, dated November 1868.
[45] See Vol. I. p. 231.
III
Complete reform of the War Office was, then, to remain a task for the
future; but Miss Nightingale thought that Lord de Grey and Captain
Galton did the administrative work well. Much of it was done with her
assistance. From Miss Nightingale's point of view, the most important
thing done under the Lewis-De Grey régime was the placing on a permanent
footing of the Barrack and Hospital Improvement Commission. It was
important, first, as keeping sound sanitary principles to the forefront
in the execution of new works at home. It also, as already explained,
provided machinery for promoting sanitary improvements in India. The
point, next to its permanence, on which she most insisted was that the
Commission should not be under the Army Medical Department, but should
be directly responsible to the Secretary of State. "Lord de Grey said,"
wrote Captain Galton (June 25, 1862), "that he had adopted exactly your
Minute about the Instructions to the Commission." With its Secretary,
Mr. J. J. Frederick, Miss Nightingale was on very friendly terms, and
Dr. Sutherland was its most active member. Most of the plans for new
barracks or hospitals were submitted to her, and her inspection and
criticism of them were searching. Then in 1862 the Government was about
to build a new Military General Hospital at Malta. With Dr. Sutherland's
aid, she went into every detail, and her Report on the plans occupies
twenty-four pages of manuscript. In 1865 Sir Hope Grant succeeded Sir
Richard Airey as Quarter-master General, and in that capacity as
chairman of the Barrack Commission, the name of which was now changed to
the Army Sanitary Committee. He went to see Miss Nightingale, "proud to
think that she remembered him"; and the conversation must have been
satisfactory; for "our new President is a Trump," reported Dr.
Sutherland to her.
In examining plans, she always had a thought for the horses. When the
plans for some cavalry barracks were sent for her criticism she put in a
plea (June 4, 1863) for windows in the loose-boxes out of which the
horses could see. "I do not speak from hearsay," she wrote to Captain
Galton, "but from actual personal acquaintance with horses of an
intimate kind. And I assure you they tell me it is of the utmost
importance to their health and spirits when in the loose-box to have a
window to look out at. A small bull's-eye will do. I have told Dr.
Sutherland but he has no feeling." To which Dr. Sutherland added: "We
have provided such a window and every horse can see out if he chooses to
stand on his hind legs with his fore-feet against the wall. It is the
least exertion he can put himself to, and if your doctrine is right, he
will no doubt do it." Miss Nightingale had learnt to love the army
horse in the Crimea. Many years later, some very bad barracks were
closed in Ireland, and men and horses were moved to the Curragh. It was
the horses, she wrote, who had done it. "If we are not moved, they said,
we shall mutiny. _Military_ horses are quite capable of organizing
movements. Did you ever hear of Jack? Jack was a riderless horse (his
master having been killed) at the Charge of Balaclava. And he was seen
collecting about 30 riderless horses, and at the head of his troop
leading them back to, I suppose, Cavalry Headquarters. I have failed to
discover whether Jack allowed horseless men to mount some of his horses.
These men certainly returned on horseback--but when they found that a
comrade, or an officer, was missing, they rode back, one and another,
mounted the wounded man, and fought their way out of the Russian melée,
but many died in the attempt--a glorious death. And when I see in the
hansom-cabs horses who by their beautiful legs must have been hunters or
even racers, galloping up Park Lane as long as they can stand, I say too
'a glorious death'; and horses should teach _us_, not we them, duty--do
you think."[46]
[46] Letter of April 12, 1896, to Mrs. Henry Bonham Carter.
All regulations for military hospitals and for their nursing staff were
similarly submitted to Miss Nightingale. She had a poor opinion of the
capacity of the male mind to frame rules for female nurses. "By the
united skill," she wrote (Feb. 16, 1863), of "Mess^{rs.} ---- and ----,
the following Regulations for Female Hospitals were put together:--(1)
Kennel your nurses and chain them up till wanted; (2) When the number of
Patients does not exceed----, chain up the Nurses without food; (3) Let
the number of Nurses vary every day as the number of Patients varies. I
send you an _amended_ copy which, if you approve, might be put into
type." She was constantly appealed to in connection with disputes caused
at Netley by the difficult temper of Mrs. Shaw Stewart, the
Superintendent of the Female Nursing Staff. She and Miss Nightingale
were no longer close friends, but Miss Nightingale's sense of justice
was strong, and she continuously supported Mrs. Stewart's authority.
IV
Another large batch of the semi-official correspondence is concerned
with Miss Nightingale's favourite child, the Army Medical School, and
with the position of the Army doctors generally. The troubles of the
professors were still many; the relation of the School to the Secretary
of State on the one hand, and to the Army Medical Department on the
other, was much vexed; and, when the School was moved to Netley (1863),
a fresh set of difficulties cropped up. Miss Nightingale was constantly
appealed to, sometimes by the staff, sometimes by the War Office, to
smooth over difficulties, to suggest ways out, to settle disputed
questions. She was recognized by the War Office as a kind of
super-professor. One of the staff sought official sanction for a book on
the work of the School: "Lord de Grey wants to know whether he is
capable; also whether his proposed syllabus is good. Also to have any
critical suggestions upon it which Miss Nightingale could kindly
communicate." Her verdict was favourable. I have been told that some
Army doctors of to-day, knowing little about Miss Nightingale except
that she found fault with medical arrangements in the Crimea, suppose
her not to have been their friend. Nothing could be further from the
truth. What she blamed was not the doctors (for most of whom she had the
greatest admiration), but the system. From first to last, she was the
most efficient friend that the Army Medical Service ever had. In 1862-63
there is a long series of letters from her to the War Office, in which
she persistently pleaded for improvement in their status and emoluments.
It was in connection with this matter that she wrote to Captain Galton
(Dec. 24, 1863): "_In re_ Medical Warrant, I am meek and humble, but 'I
cut up rough.' I am the animal of whom Buffon spoke, _Cet animal féroce
mord tous ceux qui veulent le tuer_. You must do something for these
doctors; or they will do for you, simply by not coming to you." A series
of letters to Sir James Clark in the following year shows with what
pertinacity she fought the battle of the Army doctors, and how
indignant she was at any slights cast upon them:--
_April_ 6 [1864]. I have written threatening letters both to Lord
de Grey and to Captain Galton about the [Medical Officers']
Warrant; and after pointing out that both restoration of Warrant
and increase of pay are now necessary, I have shown how, when we
are exacting duties from the Medical Officer, such as sanitary
recommendations to his Commanding Officer, which essentially
require him to have the standing of a gentleman with his Commanding
Officer,--we are doing things, such as dismounting him at parade,
depriving him of presidency at Boards, etc., which in military
life, to a degree we have no idea of in civil life, deprive him of
the weight of a gentleman among gentlemen.
_April_ 7. The W.O. seem now willing to listen to some kind of
terms. They are frightened. They sent me your letter. It was very
good, very firm. Don't be conciliatory.
_April_ 9. I wrote _for the tenth time_ a statement of eight pages,
with permission to make any use of it they pleased, with my
signature, as to Lord Herbert's intentions. But I positively
refused to write to Mr. Gladstone, who certainly ought not to grant
me what the Secretary of State of War does not urge.
_April_ 11. What is wanted is to put a muzzle on the Duke of
Cambridge, and to tell him that he _must not_ alter a Royal
Warrant.
_April_ 15. You may think I am not wise in being so angry. But I
assure you, when I write civilly, I have a civil answer--_and
nothing is done_. When I write furiously, I have a rude
letter--_and something is done_ (not even then always, _but only
then_).
In the following year there was a debate in the House of Lords upon the
Military Hospitals which greatly interested, and personally affected,
Miss Nightingale. Early in March Lord Dalhousie (the Lord Panmure of
earlier days)[47] gave notice of a motion to call attention to the
expenditure on the Netley Hospital and the Herbert Hospital
respectively, and it was rumoured that the ex-Minister intended to
deliver a set attack upon two of his successors, the late Lord Herbert
and Lord de Grey. The War Office, in order to be fully prepared, sent to
Miss Nightingale for a brief. She gladly supplied it, and she entered
into the fray with great spirit. She was very angry that the memory of
her "dear master" should be assailed, but I think that she enjoyed not a
little the prospect of yet another encounter with "the Bison." She had
beaten him before, and was determined that he should be beaten now. She
advised Lord de Grey to avoid giving an advantage to the enemy by
withholding any credit to which he was justly entitled. She recalled
that at the last time they met, Lord Panmure had complained to her that
she ascribed every sanitary reform in the Army to Sidney Herbert, though
some of the reforms had been started by himself. She admitted, and
advised Lord de Grey to admit, that Lord Panmure had deserved well of
the Army by the measures which he took in the Crimea, and by initiating
some steps for reducing the mortality at home. These things being
admitted, the defence of Lord Herbert would carry the more weight.
Having armed the Secretary of State with materials to meet any attack
that might be made, Miss Nightingale turned to organize a second line of
defence. Sir Harry Verney was dispatched to ask Mr. Gladstone's advice.
Mr. Gladstone thought that Lord Harrowby should be retained for the
defence, and he was approached. Miss Nightingale sent watching briefs
also to her own friends, Lord Shaftesbury and Lord Houghton.[48] When
Lord Dalhousie's motion was taken, the rumours turned out to be well
founded. He extolled his Netley (the non-"pavilion" hospital) as
perfect, and criticized the Herbert Hospital ("pavilion") as a costly
toy in the "glass-and-glare" style, and in a long speech attacked the
"wasteful" system which Lord Herbert had introduced by paying attention
to "hygienists who had carried their opinions too far." He had, I
suppose, "that turbulent fellow," Miss Nightingale, in his mind when "he
could not help thinking that all these unnecessary knick-knacks in
hospitals were introduced partly from the habit, which prevailed at the
War Office, of consulting hygienists not connected with the army." The
personal animus in the attack was thought so obvious that the speech
fell very flat. And Lord de Grey's reply--"quite admirable" according to
Miss Nightingale--was so courteous, yet so conclusive, that her
"counsel" were unanimously of opinion that not another word was
necessary. Apart from any personal question, Lord Dalhousie's speech[49]
has a certain historical interest as embodying some of the prejudices
against which Miss Nightingale as a Hospital Reformer had to contend. A
little later in the year a military attack on the sanitarians was
threatened in the House of Commons, but this only took the form of
questions about the vote under which payment by the War Office to Dr.
Sutherland appeared.[50] Miss Nightingale sent a note to the War Office,
setting forth the facts and emphasizing the value of his services in the
cause of sanitary improvement.
[47] He had succeeded to the earldom of Dalhousie on the death of his
cousin, the 10th earl and first marquis, in Dec. 1860.
[48] Mr. R. Monckton Milnes had been created Baron Houghton in 1863.
[49] It is in _Hansard_ on March 6, 1865.
[50] _Hansard_, June 19 and 30, 1865.
V
These were subjects in which Miss Nightingale was directly concerned,
but questions of many other kinds were referred to her. I find in the
correspondence with the War Office during these years that, in addition
to matters otherwise mentioned in this chapter, her advice was asked
upon such subjects as an Apothecaries' Warrant, barracks for Ceylon,
"Fever Tinctures," Instructions for Cholera, fittings for Military
Hospitals, the proposed amalgamation of the Home and Indian Medical
Services, the organization of Hospitals for Soldiers' Wives, Sanitary
Instructions for New Zealand, revision of soldiers' rations, staff
appointments at Netley, appointment of West Indian staff surgeons, an
outbreak of Yellow Fever in Bermuda, the relation of Commissariat
Barracks and Purveying at Foreign Stations, victualling on transports
and the Mhow court-martial.[51] On one occasion she was asked to send
hints for a speech in the House of Commons. Lord Hartington, then
Under-Secretary for War, would have to defend a large increase in the
votes for Hospital and Medical Service. The Crimean War and Miss
Nightingale's crusade had raised the expenditure from £97,000 in 1853-54
to £295,000 in 1864-65. "Could you send me a paragraph for Lord
Hartington's speech," she was asked, "to show the salient points of what
the nation gets for its money? Something pithy, put in your best
manner." "There is nothing in the world I should like so much," she
replied (Feb. 29, 1864), "as to have to do Lord Hartington's speech and
stand in his shoes on such an occasion." She sent some pithy
comparisons; and, in case the Minister wanted something heavier, a
detailed memorandum. I suppose Lord Hartington chose the heaviness and
rejected the pith; for when Miss Nightingale read the parliamentary
report, she thought the speech a poor performance.[52] The same kind of
references to Miss Nightingale went on when in 1866, on Lord de Grey's
transference to the India Office,[53] Lord Hartington became Secretary
of State for War. "Can you throw light," she was asked (June 21, 1866),
"on the position of the medical officers of the _Guards_? This is very
pressing. The whole matter is an awful mess, and Lord Hartington is
anxious to leave it in some way of settlement." On the following day a
lucid and exhaustive Memorandum on the subject went in from her.
[51] The history of this affair, which excited a prodigious interest in
Parliament and the press, may be read by the curious in vol. xxxiii.
of the Parliamentary Papers of 1863, and vol. xxxv. of those of
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