The Mediæval Hospitals of England by Rotha Mary Clay
CHAPTER I
2231 words | Chapter 48
HOSPITALS FOR WAYFARERS AND THE SICK
“_Founded for the maintenance of poor pilgrims and other infirm
persons resorting thither to remain until they are healed of their
infirmities._”
“_For the poor, for persons going to Rome, for others coming to
Canterbury and needing shelter, and for lying-in women._” (St.
Thomas’, Canterbury.)
[Illustration: 1. ST. JOHN’S HOSPITAL, OXFORD]
The earliest charitable institutions of England were houses of
hospitality. In sketching the development of these guest-houses we must
bear in mind that the hospital (derived from _hospes_, a host or guest)
was a wayside shelter for all comers.
FIRST PERIOD (_circa_ 925–1170)
Travellers were exposed to peril by the rudeness of the times, but in
those early days hospitality was regarded as a solemn obligation. To
receive any stranger was a [p002] duty: to welcome the passing pilgrim
was a sacred privilege. Although the private entertainment of guests
was widely practised, some public institutions were required. Tradition
tells of at least two “hospitals” or hospices founded in the tenth
century (925–940). Both were in Yorkshire,[3] one being in the distant
country parts, the other in the populous town. At Flixton in Holderness
was a house of refuge “to preserve travellers from being devoured by
the wolves and other voracious forest beasts.”[4] The city of York,
on the other hand, was so great a place of thoroughfare that it was
impossible to entertain all who came. Athelstan, recognizing that the
Canons of the Minster were men of holy life, active in helping the
needy who flocked to them, assisted them in their hospitality by the
foundation of St. Peter’s hospital.
Two other early houses of charity are ascribed to the Saxon bishops
Oswald and Wulstan of Worcester. In the eleventh century at least we
emerge from tradition, for it seems clear that St. Wulstan founded that
hospital near his cathedral city which afterwards bore his name. It
will be remembered that bishops were especially bound by their vows at
consecration to be given to hospitality. In pre-Norman days, the solemn
question was in substance what is asked to-day: “Wilt thou shew mercy
and kindness, for the name of the Lord, to the poor, the stranger, and
all in want?” (_pauperibus et peregrinis omnibusque indigentibus_). To
this the elected bishop [p003] replied, “I will.” This formula occurs
in the Exeter Pontifical, compiled about nine hundred years ago, and is
repeated in Osmund’s Sarum Use.
There were, of course, pilgrims among those who sojourned in early
hostels. Englishmen have always loved travel. Not only did our Saxon
forefathers journey to Rome (receiving shelter by the way in hospitals
of English foundation), but they constantly visited their national
shrines. Probably a fresh impetus was given to pilgrimage by the
coming of the Normans. Monastic life was strengthened, and this was
a guarantee of hospitality. “Guests are to be received as if they
were Christ Himself,” said the rule of St. Benedict. In the century
after the Conquest, as in those which preceded it, the chief works of
mercy were done in the monastery. There was the _hospitium_ within
the abbey-gate, as at St. Mary’s, York; and the “Strangers’ Hall” at
Winchester. Then followed the shelter outside the walls, as at Battle,
referred to (_circa_ 1076) as “the house of the pilgrims which is
called the hospital.” During the twelfth century more independent
foundations became common. All sorts and conditions of men were
lodged—wayfarers, invalids, and even lepers.
About the year 1148, St. Bartholomew’s, Smithfield, was the resort of
sick pilgrims, of whom “many and innumerable were schewid tokynnys of
myracles.” The patients who flocked to the famous shrine and hospital
were “langwissyng men greuyd with uariant sorys”; one sought “remedie
of his akynge hede,” another suffered from “bleriednes of yen” (eyes),
and yet another from “ryngyng of his erys.” Victims of the falling
sickness [p004] (epilepsy), paralysis, dropsy, fevers, insanity, found
relief; deaf and dumb were healed; a child born blind received sight
from “the heuenly leche.”
Theobald, Archbishop of Canterbury, about 1141, invited help for “the
hospital house of Dover, which two brethren, Osbern and Godwin, are
diligently building for the reception of the poor and strangers.” This
hospital of St. Bartholomew (Buckland) was also used for lepers. The
need of further provision for travellers was felt, and a benefactor
made extensive grants on condition that a house was provided for
the reception of needy people disembarking from ships: before 1163
reference is made to the _hospitium_ for strangers. It was doubtless
frequented by voyagers returning from the Crusades; but before long
an event occurred which brought multitudes to Dover, and then the old
hospital proving insufficient, became chiefly the resort of lepers, and
a new Maison Dieu was built near the quay. (See Frontispiece.)
SECOND PERIOD (_circa_ 1170–1270)
The year 1170 marks an epoch, ushering in the great pilgrimage within
and towards England. When the shrine of St. Thomas of Canterbury became
the goal of pious wayfarers it was necessary to find accommodation for
them. The hospitals of Canterbury and Southwark bearing the martyr’s
name were among the earliest. Within a few years such houses (often
called _Domus Dei_) were founded in most of the southern ports and
along the Pilgrims’ Way, as at Dover, Ospringe, and Maidstone. At
Strood “the poor, weak, infirm and impotent, as well neighbouring
inhabitants as travellers from distant [p005] places,” were cared for
“until they die or depart healed.” Norfolk, like Kent, was studded with
houses of charity, especially near the highway to Walsingham. Thirteen
pilgrims were lodged at Bec, near Billingford. At Thetford there was
a hospital near the passage of the river. Among other early hostels
we may enumerate those of Newcastle, Hexham, Ripon, Stamford, Aynho,
London (St. Mary’s), Bridgwater, and Ledbury.
[Illustration: _PLATE I._ REFRESHMENT FOR WAYFARERS]
The hospital was a guest-house and infirmary in one. That on
the outskirts of Oxford was called in a charter (_circa_ 1194)
_Herebergeria Hospitalis S. Joh. Bapt._; in 1233 this was refounded
(Fig. 1) “that therein infirm people and strangers might receive
remedy of their health and necessity.” The inmates of St. Nicholas’,
Salisbury, are described as passengers (_transeuntes_) and as sick and
infirm (_egroti et infirmi_). The same two-fold work of charity was
carried on at Chichester, as shown by St. Mary’s statutes:—
“If anyone in infirm health and destitute of friends should seek
admission for a term, until he shall recover, let him be gladly
received and assigned a bed. . . . In regard to the poor people who
are received late at night, and go forth early in the morning, let
the warden take care that their feet are washed, and, as far as
possible, their necessities attended to.”
There is a MS. in the British Museum entitled _The Pilgrim_. It is an
allegorical poem in the manner of the “Pilgrim’s Progress,” and sets
forth the adventures of the traveller. The illustration (Pl. I) and
description were probably taken from experience of earthly pilgrimage.
“Charity” is seen welcoming strangers, [p006] at which work she was
always busy in mediæval England:—
“And I suppose for my beste
There to herborewe and to reste
On ther cam and preyed me
And her name was _Charite_
To pylgrymes in goodly wyse
Sche dyde moste trewely the seruyse
With chere benygne and glad uysage
She brought hem to ther herbergage.”[5]
Among shrines which the pious Englishman visited may be mentioned Bury
St. Edmunds, Westminster, Durham, Beverley, St. Albans, Waltham.[6]
THIRD PERIOD (1270–1470)
[Illustration: 2. A PILGRIM]
(a) _Pilgrimage and Vagrancy._—The greatest century of pilgrimage was
past, but vagrancy was an ever-increasing problem, and inasmuch as it
affected the social life of England, it affected hospitals, directly or
indirectly. In the Statute of Labourers, drawn up in 1350, an attempt
had been made to restrain desultory wandering, idleness, mendicancy
and indiscriminate almsgiving. This was followed by many ordinances,
local and general. By a proclamation in 1359 the municipal authorities
of London declared that such unworthy beggars “do waste divers alms,
which would otherwise be given to many poor folks, such as lepers,
blind, halt, [p007] and persons oppressed with old age and divers other
maladies.” In 1369 they issued a precept “for mendicants, vagrants and
pilgrims to leave the city.” The Statute of Westminster (1383) ordered
inquiry concerning vagabonds “wandering from place to place, running in
the country more abundantly than they were wont in times past.” The Act
of 1388 declared that those who “go in pilgrimage as beggars” when fit
for employment, should be dealt with according to the previous Statute.
It will be observed that these measures were framed from an economic
standpoint, not to check pilgrimage as such.
Although pilgrimage was declining, there were still many pilgrims.
Some of these were professional palmers, and hirelings fulfilling
vows by proxy; for there are numerous bequests in the fourteenth
century to persons undertaking journeys on the testator’s behalf
to Canterbury, Walsingham, and Bury St. Edmunds, as well as to St.
James of Compostella, Rome, or the Holy Land. The special “Jubilee”
at Canterbury in 1420 was attended by 100,000 persons, and in 1434
thousands set sail for Compostella.
(b) _Provision for temporary relief._—Existing houses of hospitality
were kept up, but a growing tendency to discriminate amongst applicants
may be noticed. In many cases more beds were reserved for chronic
invalids than for casual comers. St. Thomas’ hospital, Canterbury,
carried on its old work, but the renewed statutes of Archbishop
Stratford (1342) direct “that poor pilgrims in good health shall be
entertained only for one night . . . that greater regard shall be
had for the sick than for the well pilgrims.” With some diplomacy it
describes itself, in a petition to the Pope, as designed “for persons
going [p008] to Rome (_Romipete_), for others coming to Canterbury and
needing shelter,”[7] etc.
The chief building period was over, as far as this particular kind
of temporary provision is concerned, but one or two new foundations
must be mentioned. St. John’s, Winchester, was built about 1275 “for
the relief of sick and lame soldiers, poor pilgrims, and necessitous
wayfaring men, to have diet and lodging thereto fit and convenient for
one night or longer, as their abilities to travel gave leave.” In 1393,
the Bishop of Ely offered an indulgence to persons contributing to the
sustentation of a hospital at Brentford, which consisted of a chapel,
newly constructed, “with two houses built there, furnished with beds
and other necessaries for the entertainment of poor travellers.” The
old hospital at Brackley was reconstituted for the same purpose (1425).
It was, however, suppressed sixty years later, because hospitality was
being neglected.
One special form of temporary relief came to the front about this time.
The assistance of women in childbirth was named in the Petition and
Statute of 1414 as part of the recognized aim and scope of hospital
charity. The heading to this chapter alludes to the work undertaken at
St. Thomas’, Canterbury, in 1363. The foundation deed of Holy Trinity,
Salisbury, sets forth that “lying-in women are cared for until they are
delivered, recovered and churched.” The Spital near Blyth was newly
constructed in 1446 for the lodging of strangers and distressed women.
[Illustration: _PLATE II._ HOSPITAL OF ST. THOMAS, CANTERBURY FOR
PILGRIMS]
It is recorded that the two London infirmaries of St. Mary without
Bishopsgate and St. Bartholomew [p009] undertook this work; in
both institutions the touching provision was made that if the mother
died, her child should be brought up there until the age of seven.[8]
In the year 1437 privileges were granted to the latter hospital “in
consideration of their great charges in receiving the poor, feeble
and infirm, keeping women in childbirth until their purification,
and sometimes feeding their infants until weaned.” William Gregory,
a citizen of London, describing in his commonplace book various
foundations, says of “Bartholomewe ys Spetylle”:—
“Hyt ys a place of grete comforte to pore men as for hyr loggyng, and
yn specyalle unto yong wymmen that have mysse done that ben whythe
chylde. There they ben delyueryde, and unto the tyme of puryfycacyon
they have mete and drynke of the placys coste, and fulle honestely
gydyd and kepte.”
General hospitals for the sick were thus in process of development.
St. Bartholomew’s was steadily fulfilling its founder’s vow to provide
a place for the “recreacion of poure men.” After three and a half
centuries of usefulness, a roll of 1464 records with approbation “works
done within the hospital in relief of poor pilgrims, soldiers, sailors
and others of all nations.”
FOURTH PERIOD (_circa_ 1470–1547)
(_a_) It is evident that pilgrimage was no longer an important factor
in the social life of the country. The daily resort to shrines had
practically ceased, but the special anniversaries were kept. Such
pious travellers as there were, lodged chiefly in inns. At Glastonbury
a Pilgrims’ Inn was built by Abbot John, about the year 1475, to
accommodate those visiting the holy places of [p010] St. Joseph of
Arimathæa and St. Dunstan. A later abbot, Richard Beere, writing to
Archbishop Warham to defend the genuineness of St. Dunstan’s relics,
stated that people had come from far and near to visit the new shrine,
especially upon St. Dunstan’s Day (1508).[9] Although the regular
stream of pilgrims to Canterbury was no longer seen day by day, the
great “Jubilee” celebrations were popular, the last one being kept in
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