There was, however, one point in which he triumphed over Miss Nightingale: the building of Netley Hospital had been begun under his orders, before her return to England. Soon after her arrival she examined the plans, and found that they reproduced all the worst faults of an out-of-date and mischievous system of hospital construction. She therefore urged that the matter should be reconsidered, and in the meantime the building stopped. But the Bison was obdurate; it would be very expensive, and in any case it was too late. Unable to make any impression on him, and convinced of the extreme importance of the question, she determined to appeal to a higher authority. Lord Palmerston was Prime Minister; she had known him from her childhood; he was a near neighbour of her father's in the New Forest. She went down to the New Forest, armed with the plan of the proposed hospital and all the relevant information, stayed the night at Lord Palmerston's house, and convinced him of the necessity of rebuilding Netley. 'It seems to me,' Lord Palmerston wrote to Lord Panmure, 'that at Netley all consideration of what would best tend to the comfort and recovery of the patients has been sacrificed to the vanity of the architect, whose sole object has been to make a building which should cut a dash when looked at from the Southampton river... Pray, therefore, stop all further progress in the work until the matter can be duly considered.'
But the Bison was not to be moved by one peremptory letter, even if it was from the Prime Minister. He put forth all his powers of procrastination, Lord Palmerston lost interest in the subject, and so the chief military hospital in England was triumphantly completed on insanitary principles, with unventilated rooms, and with all the patients' windows facing northeast.
But now the time had come when the Bison was to trouble and to be troubled no more. A vote in the House of Commons brought about the fall of Lord Palmerston's Government, and, Lord Panmure found himself at liberty to devote the rest of his life to the Free Church of Scotland. After a brief interval, Sidney Herbert became Secretary of State for War. Great was the jubilation in the Nightingale Cabinet: the day of achievement had dawned at last.
The next two and a half years (1859-61) saw the introduction of the whole system of reforms for which Miss Nightingale had been struggling so fiercely--reforms which make Sidney Herbert's tenure of power at the War Office an important epoch in the history of the British Army. The four Sub-Commissions, firmly established under the immediate control of the Minister, and urged forward by the relentless perseverance of Miss Nightingale, set to work with a will. The barracks and the hospitals were remodelled; they were properly ventilated and warmed and lighted for the first time; they were given a water supply which actually supplied water, and kitchens where, strange to say, it was possible to cook. Then the great question of the Purveyor--that portentous functionary whose powers and whose lack of powers had weighed like a nightmare upon Scutari--was taken in hand, and new regulations were laid down, accurately defining his responsibilities and his duties. One Sub-Commission reorganised the medical statistics of the Army; another established in spite of the last convulsive efforts of the Department an Army Medical School. Finally, the Army Medical Department itself was completely reorganised; an administrative code was drawn up; and the great and novel principle was established that it was as much a part of the duty of the authorities to look after the soldier's health as to look after his sickness. Besides this, it was at last officially admitted that he had a moral and intellectual side. Coffee-rooms and reading-rooms, gymnasiums and workshops were instituted. A new era did in truth appear to have begun.
Already by 1861 the mortality in the Army had decreased by one-half since the days of the Crimea. It was no wonder that even vaster possibilities began now to open out before Miss Nightingale. One thing was still needed to complete and to assure her triumphs. The Army Medical Department was indeed reorganised; but the great central machine was still untouched. The War Office itself--! If she could remould that nearer to her heart's desire--there indeed would be a victory! And until that final act was accomplished, how could she be certain that all the rest of her achievements might not, by some capricious turn of Fortune's wheel--a change of Ministry, perhaps, replacing Sidney Herbert by some puppet of the permanent official gang-- be swept to limbo in a moment?
Meanwhile, still ravenous for yet more and more work, her activities had branched out into new directions. The Army in India claimed her attention. A Sanitary Commission, appointed at her suggestion, and working under her auspices, did for our troops there what the four Sub-Commissions were doing for those at home. At the same time, these very years which saw her laying the foundations of the whole modern system of medical work in the Army, saw her also beginning to bring her knowledge, her influence, and her activity into the service of the country at large. Her "Notes on Hospitals" (1859) revolutionised the theory of hospital construction and hospital management. She was immediately recognised as the leading expert upon all the questions involved; her advice flowed unceasingly and in all directions, so that there is no great hospital today which does not bear upon it the impress of her mind. Nor was this all. With the opening of the Nightingale Training School for Nurses at St.
Thomas's Hospital (1860), she became the founder of modern nursing.
