Broth, on days when boiled beef is not served, shall be made with 2 oz. of meat exclusive of bone, 2 oz. of barley, oz. of peas, 1 oz. of carrots, turnips, or other vegetables, for each ration of 14 pint.

Peasoup shall be made from 2 oz. of meat, exclusive of bone, and shall contain, in each ration of 1 pint, 2 oz. of whole or split peas, 1 oz. pease flour, 1 oz. vegetables, and seasoning.

12 oz. of meal pudding shall contain 6 oz. oatmeal, 2 onions.

12 oz. of suet dumpling shall contain 6 oz. flour and 2 pudding must contain fruit or be seasoned.

oz. suet, ‡ oz.

oz. suet. The

The ration of coffee shall contain oz. coffee, oz. sugar, 1 oz. new milk. The ration of tea shall contain oz. tea, oz. sugar, 1 oz. new milk. Patients should receive one porridge meal daily, but it is recommended that as a rule more than one such meal daily should not be given, unless at a patient's request.

Out-door workers shall receive an extra allowance of 1 oz. of cheese, with 2 oz. of bread and half a pint of milk or beer. These extras to be given as a luncheon and not with any ordinary meal.

Fresh vegetables, rhubarb, apples or other fruit should occasionally be given when in season.

Should the scarcity of any articles of diet render it advisable to depart temporarily from the scale laid down in the table, the medical officer shall take care that substances of equal nutritive value are supplied in their stead. The medical officer may prescribe extra diet or alter the diet in the case of any patient for whom it appears to him to be necessary.

N.B.-The Board, being of opinion that a satisfactory dietary constitutes a most important element in the successful management of the insane, strongly recommend that special consideration should be given to the preparation of the food, and the comfortable serving of the meals. Not only should the food be well cooked and served in season, but the manner of cooking it should be varied, and the arrangements of the table should be neat and attractive. Table-cloths should be used, and knives and forks, salt-cellars, pepper-boxes, mustard-pots, and tumblers or drinking mugs should be supplied. The free use of succulent vegetables, such as cabbage, cauliflower, beetroot, carrots, and turnips, will, as a rule, exercise a very beneficial influence on health. Patients must be allowed a reasonable time for their meals.

The foregoing table has been submitted to Dr. James Craufurd Dunlop, Joint Medical Adviser to the Prison Commissioners for Scotland, and has been approved by him.

Appendix C.

List of registers to be kept in Lunatic Wards of Poorhouses:

1. The Statutory Register of Admissions.

2. The Statutory Register of Discharges.

3. The Statutory Register of Deaths.

4. A Daily Register according to the form annexed.

5. A Register of Restraint or Seclusion, in which a record shall be made of every instance in which a patient is mechanically restrained, or is placed by day alone in a room with locked doors.

6. A Register of Visitors to Patients, in which shall be made an entry of every refusal to admit a visitor. Notice of such refusal shall be sent within two days to the board.

7. A Register of Accidents, in which shall be entered an account of every accident occurring on the establishment, whether to a patient, officer, or attendant, within twenty-four hours after its occurrence. A copy of every such entry shall be transmitted to the board within the same twentyfour hours.

8. A Register of Escapes of Patients.

9. A Register of Attendants, in which shall be recorded the dates of entering and leaving the service of the establishment, the capacity in which employed, the amount of wages, and the cause of leaving or dismissal of

every attendant, within three days of the commencement and cessation of duty. A copy of every such entry shall be transmitted to the board within the same three days.

10. A Case Book, kept by the medical officer, in which shall be entered an account of the physical condition of every patient, founded on medical examination, made whenever possible immediately after admission, and in which the history of every patient shall from time to time be recorded, an entry being made by the medical officer soon after admission and at least once every six months thereafter. In every case a copy of the report of the first examination shall be transmitted to the board by the Governor within three days after the admission of the patient; but whenever any evidence of injuries, or previous neglect or maltreatment, is apparent, the notice shall be sent immediately.

11. A Medical Attendant's Book, in which medical officers who are nonresident shall record their visits to the wards, with any remarks which may be thought desirable on the conditions of the wards and the treatment of the patients.

12. A Book, kept by the Governor, recording investigations into complaints of ill-usage and reports of the forcible control or compulsion of patients by attendants when they relate to occurrences not calling for record in the register of accidents.

2. Exchequer Contribution Grant.

CONDITIONS AND INSTRUCTIONS TO BE OBSERVED IN THE DISTRIBUTION OF THE CONTRIBUTION TO THE COST OF MAINTENANCE OF PAUPER LUNATICS, APPROVED BY THE SECRETARY FOR SCOTLAND, JUNE 10, 1890.

1. The cost of the maintenance of any pauper lunatic shall be deemed to be the amount which has been actually paid out of the rates for the maintenance of such pauper lunatic during the year or portion thereof during which he was chargeable, under deduction of the sums recovered or recoverable from relatives and other sources.

2. Payments for certificates, or for quarterly visits under the Lunacy Acts, or for removals to and from places of detention, are not to be included in the cost of maintenance, and any claim in respect of such payments will be disallowed.

3. If the expenditure on maintenance has been in excess. of 8s. per week, no claim will be admitted in respect of the excess, but the expenditure on which the parochial board* will be allowed to claim will be limited to 8s. per week.

4. When the claims have been audited and the total expenditure on which the contribution from the Local Taxation (Scotland) Account is to be distributed has been ascertained, the contribution will be divided among the various parochial boards* who have established their claims at such rate per £ as will exhaust, or as nearly as may be exhaust, the whole amount of the contribution.

5. No claim on account of any pauper lunatic will be recognised unless the certificate from the General Board of Lunacy is to the effect that, in their opinion, the lunatic has been necessarily detained and properly cared for in the place in which the said lunatic has been maintained.

6. All claims, without exception, must be made in the subjoined form.

7. The pauper lunatics are to be entered in the subjoined form in the class to which they belong:-Class I., those in which the net cost to the parochial board* has been 8s. and upwards per week; and Class II., those in which the net cost has not amounted to 8s. per week. In the case of a lunatic who has been chargeable in both classes, the name will be entered in each class with the same number.

8. The inspector of the parish in which a pauper lunatic has his admitted settlement at 14th May, 1890, will enter the name of the pauper lunatic in the claim. Accounts between