THE LIFE
OF
FLORENCE NIGHTINGALE
BY
SIR EDWARD COOK
IN TWO VOLUMES
VOL. II
(1862–1910)
MACMILLAN AND CO., LIMITED
ST. MARTIN'S STREET, LONDON
1913
COPYRIGHT
CONTENTS
PART V FOR THE HEALTH OF THE ARMY IN INDIA (1862–1865) CHAPTER I PRELIMINARY. THE LOSS OF FRIENDS (August–December 1861) PAGE Despondency after the death of Sidney Herbert—Sir George Lewis and the War Office—Lord de Grey reappointed under-secretary. II. “Saving things from the wreck”—The Herbert Hospital at Woolwich—Captain Galton at the War Office—Barracks inquiry extended to the Mediterranean—Miss Nightingale and the Volunteers. III. The American Civil War—Miss Nightingale and the nursing—British reinforcements to Canada—Miss Nightingale “working as in the times of Sidney Herbert.” IV. Miss Nightingale and Arthur Hugh Clough—His assistance to her—His death (Nov. 1861)—Her grief—Letters of condolence—Her yearning for sympathy—Illness 3 CHAPTER II THE PROVIDENCE OF THE INDIAN ARMY (1862, 1863) High rate of mortality among the British army in India: Miss Nightingale as a “saviour” of the army. Her determination to obtain a Royal Commission for India on the lines of the Commission of 1857 for the home army—Lord Stanley approves the idea: Sidney Herbert, chairman, succeeded by Lord Stanley—Selection of Commissioners. II. Miss Nightingale's work for the Commission (1859–1862)—Collection of evidence from India: her circular of inquiry—Preparation of statistical evidence at home: Miss Nightingale and Dr. Farr—Miss Nightingale and the witnesses. III. Her analysis of the written reports from India: “Observations by Miss Nightingale” thereon (1862)—Circulation of the “Observations”—Account of them —Abstract of the evidence by Miss Nightingale and Dr. Sutherland. IV. Death of Sir George Lewis—Her desire to see Lord de Grey appointed to the War Office—Press notices: letter to Lord Palmerston. V. Preparation of the Report of the Commission—Miss Nightingale's part in it—The recommendations—Her suggested machinery: (1) sanitary commissions in India, (2) supervision in England—Adoption of her policy—The Report signed (May 1863). VI. Miss Nightingale's “publicity campaign”—Distribution of early copies—Press notices—Omission of her “Observations” and Indian evidence from the cheaper official issue of the Report—Separate publication by her—Re-issue of the Report with her “Observations”: circulation of the re-issue by the War Office. VII. Physical disabilities under which Miss Nightingale worked 18 CHAPTER III SETTING REFORMERS TO WORK (1863–1865) “Reports not self-executive”: Miss Nightingale's determination to put the Indian Report into execution. Correspondence with Lord Stanley—His interview with Sir Charles Wood—Miss Nightingale asked to draft “Suggestions” to be sent out to India—Departmental criticism of the Report: delay. II. Death of Lord Elgin, the Viceroy—Question of his successor—Miss Nightingale's admiration for Sir John Lawrence—His appointment—Her interview with him. III. Sir John Lawrence announces the appointment of sanitary commissions in India and begs her to expedite the dispatch of the “Suggestions.”—More departmental delay—Miss Nightingale's impatience—Lord Stanley's intervention—The “Suggestions” approved and printed—Delay in sending them: circumvented by Miss Nightingale. IV. Sir John Lawrence's prompt action in India— Correspondence with Miss Nightingale—Reforms by Sir Hugh Rose (Lord Strathnairn)—Miss Nightingale's paper, How People may Live and not Die in India—Criticism of the Royal Commission's Report from India—Miss Nightingale's reply—Progress of sanitary reform in the army in India. V. Miss Nightingale as consultant and inspirer in Indian sanitary reform—Sir John Lawrence's difficulties—Lord Stanley's tribute to her—Importance of the co-operation between her and Sir John Lawrence 40 CHAPTER IV ADVISORY COUNCIL TO THE WAR OFFICE (1862–1866) Miss Nightingale and the War Office: her position as consultant. Explanation of the position—Her expert authority on certain questions—Official legatee of Sidney Herbert—Correspondence with Sir George Lewis—Her friends at the War Office. II. Death of the permanent under-secretary—Miss Nightingale and Captain Galton's appointment—Her hopes of re-organization in the War Office. III. The Army Sanitary Commission—Miss Nightingale and improvements in barracks—Nursing in military hospitals. IV. The Army Medical School, and position of army doctors—Miss Nightingale as the doctors' champion—Lord Panmure's attack on the Herbert Hospital—Miss Nightingale's case for the defence. V. Wide range of subjects referred to her advice—The Geneva Convention (1864)—Suggestions about soldiers' and sailors' pay—Miss Nightingale's methods. VI. The State regulation of vice—Miss Nightingale's efforts on behalf of soldiers' clubs, recreation-rooms, etc. VII. Her researches into the disappearance of aboriginal races. VIII. Spiritual comfort—Memories of heroism in the Crimea 59 CHAPTER V HELPERS, VISITORS, AND FRIENDS (1862–1866) The years of Miss Nightingale's most trying work. Her helpers—The indispensable Dr. Sutherland—His constant service—Miss Nightingale as task-mistress—Her method of “conversation”Nightingale Training School—Personal influence—Miss Nightingale's
School at King's College Hospital—Miss Nightingale's Notes on Lying-in Institutions. V. The Franco-German War—Miss Nightingale and the “National Society for Aid to the Sick and Wounded”—Communications with the Crown Princess of Germany—Red Cross Societies. VI. Miss Nightingale's continued ill-health—Dr. Sutherland's constant help 185 PART VII WORK OF LATER YEARS (1872–1910) CHAPTER I “OUT OF OFFICE.” LITERARY WORK (1872–1874) Miss Nightingale's thought of entering St. Thomas's Hospital (1872)—Dissuaded by Mr. Jowett—“This year I go out of office”—Meaning of her statement—Her connection with the War Office closed—Lord Northbrook did not come to her. II. Unsettlement and depression—Mr. Jowett's plea for literary work—Mr. Mill's plea that she should speak out recalled. III. Articles in Fraser's Magazine (1873): embodying some of her Suggestions for Thought—Froude's and Carlyle's opinions of the articles—Miss Nightingale and her critics. IV. Death of Mr. Mill—Appreciation of him by Miss Nightingale. V. Theological essays written at Mr. Jowett's suggestion—Discussions with him—Contributions to the revised edition of his Plato—Suggestions for his sermons—Collaboration in The Children's Bible—Remarks on such literary work 211 CHAPTER II THE MYSTICAL WAY Miss Nightingale's fondness for Catholic books of devotion—Idea of making a selection—Mr. Jowett's views of mysticism. II. Miss Nightingale's Preface to her Notes from Devotional Authors of the Middle Ages. III. Interruption of work by the death of her father (1874)—His character—Death of Mrs. Bracebridge: Miss Nightingale's tributes to her and her husband—Family worries. IV. Her book on the Mystics never finished—Her own mystical life—Her private meditations—The path to perfection 231 CHAPTER III MISS NIGHTINGALE'S SCHOOL (1872–1879) Miss Nightingale's increased attention to the Nightingale Training School. Opening of the new buildings of St. Thomas's Hospital—Appointment of a new Medical Instructor of the Probationers, and of a “Home Sister.” II. Miss Nightingale's interviews with the probationers—Her character-sketches and other records—Her sense of humour. III. District nursing in London—Miss Florence Lees—Selections and promotions—Some favourite pupils—Wide influence of the Nightingale nurses—Miss Nightingale's close relations with her old pupils in their new posts—Her affectionate solicitude for them—Typical letters—Extent of her correspondence. IV. Her “Addresses to Probationers”—Leading ideas in them—Style of address, reminiscent of school sermons. V. Her ideal of the nurse's calling—Her belief in individual influence, not in organization—Miss Nightingale as a “Founder” 246 CHAPTER IV AN INDIAN REFORMER (1874–1879) Miss Nightingale's work on Indian questions. Her sources of information and industrious study: her opportunities of effective action less than in earlier years. II. Continued interest in
army sanitation—Letter from Lord Napier of Magdala—Correspondence with Lord Salisbury and Lord Northbrook. III. Correspondence with Lord Salisbury and the Duke of Buckingham on the drainage of Madras. IV. Indian famines and an extension of Miss Nightingale's interests—Correspondence with Sir Arthur Cotton. V. An irrigation campaign—Miss Nightingale's appeal to Lord Salisbury for a Return of irrigation-results—Lord Salisbury on the experts—Miss Nightingale's continued advocacy of irrigation—Her article in the Nineteenth Century on “The People of India” (1878)—Correspondence with Lord Cranbrook. VI. Correspondence and interview with Mr. Gladstone—The death of Lord Lawrence. VII. Miss Nightingale's unpublished book on Indian Land Tenures and Irrigation—Her Irrigation maps. VIII. Her impatience at the slow rate of Indian reforms—Lord Salisbury's Philosophic Defence of the Policy of Draft 273 CHAPTER V HOME LIFE IN SOUTH STREET AND THE COUNTRY Miss Nightingale's house in South Street—Sir Harry Verney's house in the same street. II. Her servants—Housekeeping. III. Miss Nightingale as a hostess—Reminiscences by a nursing friend. IV. Miss Nightingale's room—Personal appearance—Rarely out of doors—Love of birds—Note on London sky-effects. V. Sojourns out of London—A “lobster-like villa” at Norwood (1875)—Annual visits with her mother at Lea Hurst—Miss Nightingale's interest in her poorer neighbours—Mother and daughter—Impression made by Miss Nightingale on her friends—Mr. Jowett—The Grand Duchess of Baden—Lady Ashburton. VI. Letters to M. and Mme. Mohl—Death of M. Mohl (1876)—Death of Dr. Parkes—Miss Nightingale's intervention once more to save the Army Medical School—The Eastern Question—Miss Paulina Irby. VII. Was Miss Nightingale's a happy life?—Letters from Mr. Jowett 300 CHAPTER VI LORD RIPON AND GENERAL GORDON (1880–1885) Death of Miss Nightingale's mother—Illness—Visits to the seaside and Claydon. II. The elections of 1880—Her special preoccupations and general work at this period—Visit to St. Thomas's Hospital. III. Friendship with General Gordon and his cousin, Mrs. Hawthorn—Inquiry into nursing by
ILLUSTRATIONS
FACE PAGE Florence Nightingale: 1887. (From the portrait by Sir William Richmond, K.C.B., R.A.)Florence Nightingale's Handwriting: facsimile of part of a letter to John Stuart Mill, August 11, 1867 216
PART V
FOR THE HEALTH OF THE ARMY IN INDIA
(1862–1865)
The question is no less an one than this: How to create a public health department for India; how to bring a higher civilization into India. What a work, what a noble task for a Government—no “inglorious period of our dominion” that, but a most glorious one! That would be creating India anew. For God places His own power, His own life-giving laws in the hands of man. He permits man to create mankind by those laws, even as He permits man to destroy mankind by neglect of those laws.—Florence Nightingale: How People may live and not die in India, 1864.
CHAPTER I
PRELIMINARY—THE LOSS OF FRIENDS
Can be through hours of gloom fulfill'd.
Matthew Arnold.
The years immediately after Sidney Herbert's death were among the busiest and most useful in Miss Nightingale's life. She was engaged during them in carrying their “joint work unfinished” into a new field. In the previous volume we saw Miss Nightingale using her position as the heroine of the Crimean War in order to become the founder of modern nursing, and to initiate reforms for the welfare of the British soldier. Among those who know, it is recognized that the services which she rendered to the British army at home were hardly greater than those which she was able to render to British India, and it was this Indian work which after Sidney Herbert's death became one of the main interests of her life. She threw herself into it, as we shall hear, with full fire, and brought to it abundant energy and resource. But first she had the memory of her friend to honour and protect; and then the hours of gloom were to be deepened by the loss of another friend hardly less dear to her.
Having finished her Paper upon Sidney Herbert, Miss Nightingale left the Burlington Hotel, never to return, and took lodgings in Hampstead (Aug.–Oct. 1861). Her mood was of deep despondency. She was inclined to shut herself off from most of her former fellow-workers. Against the outside world she double-barred her shutters. Her uncle was strictly enjoined to give no one her address; she asked that all her letters might be addressed to and from his care in London. The formula was to be that “a great and overwhelming affliction entirely precludes Miss Nightingale” from seeing or writing to anybody. “For her sake it is most earnestly to be wished,” wrote her cousin Beatrice to Mr. Chadwick (Sept. 18), “that you may come into some immediate communication with her. It is your faith that her working days are not yet over, that she may work in another field, her own being now closed against her. I cannot find that any of those who have been with her lately would share this hope, less on account of her health, than of her state of extreme discouragement.” It was a case not only, perhaps not chiefly, of personal loss, but also of public vexation; it was not only that the Minister had died, it was that his work seemed like to die also. The point of view appears in her letters to Dr. Farr:—
Sept. 10. We are grateful to you for the memorial of my dear Master which you have raised to him in the hearts of the nation.[1] Indeed it is in the hearts of the nation that he will live—not in the hearts of Ministers. There he is dead already, if indeed they have any. And before he was cold in his grave, Gladstone attends his funeral and then writes to me that he cannot pledge himself to give any assistance in carrying out his friend's reforms. The reign of intelligence at the War Office is over. The reign of muffs has begun. The only rule of conduct in the bureaucracy there and in the Horse Guards is to reverse his decision, his judgment, and (if they can do nothing more) his words.
October 2.… My poor Master has been dead two months to-day, too long a time for him not to be forgotten.… The dogs have trampled on his dead body. Alas! seven years this month I have fought the good fight with the War Office and lost it!
November 2. My dear Master has been dead three months to-day. Poor Lady Herbert goes abroad this next week with the children and shuts up Wilton, the eldest boy going to school. It is as if the earth had opened and swallowed up even the Name which filled my whole life these five years.
But there were things to be done in her friend's name, and she turned to do them. The power of the bureaucracy to resist was strong, because the new Secretary of State was a novice at his task, and Lord Herbert, by failing to carry through any radical reorganization of the War Office, had as she said, failed to put in “the mainspring to his works.” “The Commander-in-Chief rides over the learned Secretary of State as if he were straw.” But there was one hopeful and helpful factor in the case. Now that the Secretary for War was in the Commons, Lord de Grey was reappointed Under-Secretary. He was a genuine reformer. He knew the mind of his former Chief. He was most sympathetic to Lady Herbert. He was acquainted with Miss Nightingale. The power of an Under-Secretary is very small, but what he could do, he would. A letter which she received from a friend, both of Lord de Grey and of herself, gave her encouragement:—
(R. Monckton Milnes to Miss Nightingale.) October 21. I knew how irreparable a loss you and your objects in life had in Herbert's death, but I should like you to know how you will find Ld. de Grey willing to do all in his power to forward your great and wise designs. I say “in his power,” for that, you know, is extremely limited, but he may do something for you in an indirect way and, without much originality, he has considerable tact and adroitness. You won't like Sir G. Lewis, but somewhere or other you ought to do so; for in his sincere way of looking at things and in his critical and curious spirit he is by no means unlike yourself. He makes up his mind, no doubt, far better to the damnabilities of the work than you would do,—tho' one does not know what you would have been if you had been corrupted
II
So, then, there were some things perhaps which might yet, as she put it, be “saved from the wreck.” Lord de Grey had already given earnest both of his good will and of his courage. He had seen Lady Herbert and asked about her husband's intentions. She knew them generally, but referred for details to Miss Nightingale, who was thus able to be of some use in carrying through Lord Herbert's scheme for a Soldiers' Home at Aldershot. Then there was the question of the General Hospital to be built at Woolwich. The Commander-in-Chief was opposed to the scheme, and asked Sir George Lewis to cancel it. Economy was, perhaps, behind the Minister tempting him. But Lord de Grey, who was present at the interview, stood firm. “Sir,” he said, “it is impossible. Lord Herbert decided it, and the House of Commons voted it.”[2] In the end, the Horse Guards and the War Office accepted the inevitable with a good grace; the order was given for the building to proceed, and Miss Nightingale's suggestion was adopted that it should be christened “The Herbert Hospital.”
Lord de Grey was also influential in securing a redefinition of Captain Galton's duties at the War Office. Lady Herbert told Lord de Grey that this was one of the last official matters on which she had heard her husband speak. Miss Nightingale again supplied the details, and to her ally was committed responsibility (under the Secretary of State) for new barrack works. On some other questions Miss Nightingale had the bitterness of seeing projects abandoned which she and Lord Herbert had almost matured. “It is really melancholy now,” wrote Captain Galton to her (Aug. 19), “to see the attempts made on all hands to pull down all that Sidney Herbert laboured to build up.” She recounted some of the disappointments in a letter to Harriet Martineau, and that lady, whose genuine sympathy in the cause was perhaps heightened by a journalist's scent for “copy,” was eager to go on the war-path. “No harm can come,” she wrote to Miss Nightingale (Oct. 4), “of an attempt to shame the Horse Guards. I have consulted my editor [of the Daily News], and if I can obtain a sufficiency of clear facts, I will gladly harass the Commander-in-Chief as he was never harassed before—that is, I will write a leader against him every Saturday for as many weeks as there are heads of accusation against him and his Department. We don't want to mince matters.” Miss Nightingale was to supply the powder and shot; Miss Martineau was to fire the guns. The partnership was declined by Miss Nightingale. The reason she gave was that she was no longer in the way of obtaining much inside information. But she doubtless had other reasons. There were things which she had just managed to carry through. There were other possibilities of usefulness before her. She was playing a difficult game. She did not think that her hand would be strengthened by newspaper polemics, for the form of which she would not be responsible, but the information in which would be traced back to her. Among the points which she had just managed to score was the appointment of the Commission already mentioned,[3] for extending the Barracks Inquiry to the Mediterranean stations. Headquarters tried to stop it. “And I defeated them,” she had told Miss Martineau (Sept. 24), “by a trick which they were too stupid to find out.” Her papers do not disclose the nature of the “trick” by which this excellent piece of work was carried through.
And there was another thing which she did in order to forward Sidney Herbert's work, though in a field outside that of their collaboration: she wrote a stirring letter (Oct. 8) on the Volunteer Movement, which he had organized in 1859. It brought her several “offers,” as we have heard already[4]; and, displayed in large print on a card, must have attracted many recruits. She wrote it as one who had experience of war and its lessons; as one, too, who had worked for the Army, “seven years this very month, without the intermission of one single waking hour.” She made eloquent appeal to the patriotic spirit of the British people; and she included this piece of personal feeling: “On the saddest night of all my life, two months ago, when my dear chief Sidney Herbert lay dying, and I knew that with him died much of the welfare of the British Army—he was, too, so proud, so justly proud, of his Volunteers—on that night I lay listening to the bands of the Volunteers as they came marching in successively—it had been a review-day—and I said to myself, ‘The nation can never go back which is capable of such a movement as this; not the spirit of an hour; these are men who have all something to give up; all men whose time is valuable for money, which is not their god, as other nations say of us.’” I do not know if the name of Florence Nightingale be still—as it ought to be—a name of power with the people. If it is, then her letter of 1861 might well be reprinted in connection with recruiting for the Territorial Force. She laid stress upon the voluntary spirit, as opposed to compulsion. But she laid stress also on the supreme importance of efficient training: “Garibaldi's Volunteers did excellently in guerilla movements; they failed before a fourth-rate regular army.”
III
Presently some old work in a new form came in Miss Nightingale's way. She had returned to London in November, chiefly in order to be on the spot for consultation and suggestion in connection with the Memorial to Sidney Herbert. It was her suggestion, for one thing, that the Memorial should include a Prize Medal at the Army Medical School. For this sojourn in London, Sir Harry Verney lent his house in South Street[5] to Miss Nightingale. The American Civil War now kept her busy. “Did I tell you,” she wrote to Dr. Farr (Oct. 8), “that I had forwarded to the War Secretary at Washington, upon application, all our War Office Forms and Reports, statistical and other, taking the occasion to tell them that, as the U.S. had adopted our Registrar-General's nomenclature, it would be easier for them to adopt our Army Statistics Forms. It appears that they, the Northern States, are quite puzzled by their own want of any Army organization. I also took occasion to tell them of our Chinese success in reducing the Army mortality to one-tenth of what it was, and the Constantly Sick to one-seventh of what they were during the first winter of the Crimean War, due to my dear master.” When the Civil War broke out, Miss Nightingale's example in the Crimea had produced an immediate effect. A “Woman's Central Association of Relief” was formed in New York. In co-operation with other bodies they petitioned the Secretary of War to appoint a Sanitary Commission, and after some delay this was done. Camps were inspected; female nurses were sent to the hospitals; contrivances for improved cooking were supplied, and in short, much of Miss
IV
Miss Nightingale's work in connection with the Canadian expedition was done in the midst of a personal sorrow of her own, second only in poignancy, if second at all, to that caused by the death of Sidney Herbert. This was the death of Arthur Hugh Clough. He had broken down in health and been ordered abroad in April 1861, and she had urged him to go. He died, however, at Florence on November 12. They had been close friends since her return to England from the Crimea. His sweetness of disposition, his humour, his lofty moral feeling, alike attracted her. He on his side had deep admiration for her, and he devoted such strength—alas! but little—as remained to him from work in the Privy Council Office to her service. He fetched and carried for her. He made arrangements for her journeys, as we have heard, and escorted her. He saw her printers, he corrected her proofs. He became, at a modest salary, secretary to the Nightingale Fund. It was poor work to set a poet to, but he did it with cheerful modesty. He was intent, he told Miss Nightingale, upon “doing plain work”; he had “studied and taught,” he said, “too much for a man's own moral good.” In 1860 his health began to fail. Miss Nightingale was sometimes a little impatient. His loyalty and zeal she could never have doubted; but she was inclined to think him lacking in initiative and energy. She was always inclined to drive willing horses a little hardly. In the case of Clough, as in that of Sidney Herbert, she sometimes attributed to infirmity of will what was in fact due to infirmity of body. And in each case her grief, when the end came, was not free, I think, from some element of self-reproach. “I have always felt,” she had written to her uncle (Dec. 7, 1860), “that I have been a great drag on Arthur's health and spirits, a much greater one than I should have chosen to be, if I had not promised him to die sooner.” “She saw my father,” wrote her cousin Beatrice to Mr. Nightingale (Dec. 4), “to speak only of Arthur, as only she can speak. She was quite natural, very affectionate, very, very much moved.” But in her state of loneliness and nervous exhaustion her feeling for lost friends was sometimes morbid. She said that for months after the death of Sidney Herbert, and again after that of Clough, she could not bear to open a newspaper for dread of seeing some mention of a beloved name. Some years later she was sent a book by Mrs. Clough. “I like very much,” she replied (Nov. 13, 1865)—“how much I cannot say—to receive that book from you. But it would be impossible to me to read it or look at it, not from want of time or strength, but from too much of both spent on his memory, from thinking, not too little, but too much on him. But I don't say this for others. I believe it is a morbid peculiarity of long illness, of the loss of power of resistance to morbid thoughts. I cannot bear to see a portrait of those who are gone.” The depth of her grief at the death of Mr. Clough is expressed or reflected in letters which she wrote or received at the time:—