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CHESTER NURSING ASSOCIATION. ANNUAL MEETING. The annual meeting of the Chester District Nursing Association was held at the Town Hall on Friday afternoon, the Mayor (Mr. R. Lamb) presiding. The Hon Secretary (the Rev. F. Tilney Stonex) read the annual report of the General Committee, which shewed that the work, under the superin- tendence of Mrs. Batoson. with the 'assistance of five nurses, had been regulaily and satisfactorily carried out throughout the year. 20,087 visits paid to 988 patients had been made by the nurses during the twelve months and the ladv superin- tandent had paid 297 visits during that time to see the nurses in the performance of their duties. On all sides the oommittee received' most gratify- ing testimony to the value of the services of the nurses but no testimony could be more valuable than the following letter of Dr. Hamilton, the president of the Chester Medical Association:- "I have much pleasure in bearing testimony to the good work done by the Chester District Nursing Association and its nurses among the poor of tho city, and I know of no institution which is more deserving of support. Unfortunately for the association its nuises work so quietly and un- obtrusively thÜ the general public do not realise their value, and, I may also say the absolute necessity of such an institution. Having had ex- perience of the old order of things in the past. when the nursing of the sick poor (if nuising it could ba called) was done entirely by well- meaning but "gnoraiit neighbours. I am better able to appreciate the value of the work done by the district nu ses than the younger generation of medical men. I feel sure however, that all the medical men of Chester will support me as to the valuable and indispensible services which the district nurses render to the sick poor. I should regard it as nothing short of a ca11m:tv for the poor of the city if the district nurses are obliged, from want Of funds, to discontinue their work I sincerely hope that when the public of Chester knows the good work which this association is do'ng and the absolute necess ty of increased sub- scriptions. it will come forward and prevent the closing of so valuable an institution." The ex- penditure for the year 1903 had been E671. The actual receipts fioin subscriptions, donations and offertories £ 448 lea.ving a deficiency of £ 223 to be met. Towards the considerable deficiency £ 100 had been provided through the kind per- sonal exertions of Mrs James Taylor, to whom the grateful thanks of the institution and the public were due. The actual financial position was as follo-,vs--A debt to the bank to the ex- tent of J385. an annual cost of £ 670 or thereabouts and an in ome (which must be to some extent un- certain) of JS450. It was obvious that if the in- stitution was to I've it must have a largely increased and an assured income. With that in view a committee of hdies interested in the work had been formed, who would almost immediately commence a personal application to all who were not yet contributors to the funds, soliciting their heip either as annual subs- ribers or donors. By the valuable help of this committee it was confidently anticipated the public of Chester would be made aware of the value of the institution and that they would rea-dilv and generously come to its aid The work of the institution being limited to the borough of Chester t' e larger part of Salt- nev which lay outside the borough did not come within the scope of their work. The committee was, however, glad to say they had, on the invi- tation of the committee formed at Saltney for the purpose, come to an arrangement to undertake the nursing of the sick poor of the entire d'strict of Saltney as far as Sandy lane, in payment of £ 60 per annum. That would necessitate an ad- dition to the staff but it was thought no material increase of costs to the institution The commit- tee placed on record their appreciation of the valuable wo k done by the lady superintendent and her -staff, and of the zeal and ability with which their several duties were performed. Their grateful thanks were aarain tendered for their generous support to the institution to their presi- dent, his Grace the Duke of Westminster, to the Hospital Saturday Fund, and Cycle Parade Com- mittee, to the trustees of the various municipal and parochial charities, to the hon. surgeon tor his-valuable servires to the editors of the "Chester Chronicle" and "Cheshire Observer" for their courtesy in publishing the weekly statistics, and to a large number of friends for special gifts. Although not ooming within the time covered by this report the committee desired to express their very warm thanks to Mr. and Mrs. Arthur Pres- ton for their kindness in giving to the funds a share of the proceeds of their recent amateur theatrical performance. The £29 received from that source would appear in the accounts for the year 1904 -Mr. Stonex then read letters of apology for non-attendance from the Bishop, the Sheriff (Mr. D. L Hewitt), Dr. King. Dr. Roberts. Dr. James Taylor, and Miss Emily Birch —In addition to the report Mr Stonex gave some in- teresting figutes concerning the work of the institution. He said 988 case-s had been attended. against 924 iast year. Though there had been more cases, there had been fewer visits, on ac- count of the less sr rious nature of the cases. The lady superintendent had made 297 visits, against 402 in the previous year, when one of the nurses was away and the lady superintendent had to do some of the ordinary work. Colonel H. T. Brown, in the absence of the hon. treasurer (Mr. W. Conway), presented the ac- counts, shewing that the expenditure amounted to £ 671 lis. lOd and the receipts to :6448 5s. 3d., leaving a deficiency of JB225 6s. 7d.. which had been reduced by the contributions of Mrs. James Taylor and a balance to the good iii the previous year of E37 9s. 4d. obtained from the sale of work, to JB85 17s 3d. The Cha.irman proposed that the report and statement of accounts be adopted. He expressed the hope that the adverse balance would soon be wiped off. Colonel Evans-Lloyd seconded. Alluding to the Infirmary Board, he said they looked on the Nursing Institution as a valuable handmaid in carrying on their work. As to an adverse balanoe, he did not think that a credit balance was always desirable. Dr. Mann supported, and paid an eloquent tribute to the good work done by the institution. He felt it a privilege to have the opportunity of stating ai a member of the medical profession how very much he appreciated the work the associa- tion was doing in the city. Ho wa.s sure there was not one who had had to attend the poor and sick who was not constantly impressed by the valuable work which was being done by that association. He was sure that all medical men agreed with wtiat Dr. Hamilton had written. He personally had been acquainted with district nursing for 17 years, and he could speak with personal knowledge as to the extreme value of the work. Great as it was. however, he thought it might well be extended. He wished that some- thing could be done in the way of providing night nurses. He wished there could be some pro- vision for specially bad cases where the nurses might stay in the house. He had also heard it suggested that it would be a good thing in most oases where a nurse remained in a house, she might have the help of some able-bodied paupers from the workhouse to do the rough work. He recommended that suggestion to the favourable consideration of the Board of Guardians. That plan had been tried in Peterborough with great success. He also knew something of the great appreciation the poo; had for the nurses. The nurse was much more popular than the doctor, and she even rivalled the clergyman. (Laugh- ter.) The nurse was a great civilising influence. She was one of the greatest missioners in the land. She penetrated the dark and dangerous corners of great cities and brought to the poor people a decidedly good influence. She taught them the virtue of personal cleanliness, self- respect, and patience and fortitude under acute suffering. He did not think the noble work of the association ought to be dependent on spas- modic efforts. They wanted an income derivable from regular subscribers. He suggested that more subscribers should be obtained, or that people should be asked to double their subscrip- tions. The Archdeacon also supported, and pointed out how very much tha clergy valued the adminis- trations to the sick poor. The work was carried on with strict loyalty to instructions. He hoped the operations of the new ladies' committee would be most. successful. The resolution was carried. The Rev. Father Chambers testified, on behalf of the Catholic community, to the excellent work of the association. He moved that the retiring members of the committee be re-elected, namely, Mr. J. Maclean Graham, the Rev. H. Grantham, Mr. J. Gooddie Holmes, the Rev. J. F. Howson, Dr. King, and Dr. Lees Mr. Yates, representing the Hospital Saturday Committee, seconded, and Dr. Newall supported. The motion was carried. Colonel Brown pioposed a vote of thanks to the Mayor, and remarked that he was quite sure that if the work cowld be made universally known the people would readily, and with great generosity, come forward and place the association in such a position as to retrieve them from debt and care and anxiety in the future. Canon Cooper Scott, in seconding, said he did not agree with Colonel Evan^-Lloyd that a credit balance was undesirable. When the deficit amounted to one-third of the expenditure, and recurred every year. it was a very serious matter. The resolution having been approved, the Mayor briefly acknowledged it.

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