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customary, and would always be desirable, to provide near the hospital a building constructed in sets of chambers, where a proportion of the students may reside. A few words on points of a general nature still remain. First as to sites for Hospitals; Miss Nightingale says un hesitatingly that they ought all to be in the country. Certain it is that a pure air and plenty of space are the most important of all conditions of recovery, but many persons who have con sidered all sides of the question are unable to persuade them selves that it is necessary for all London hospitals, for example, to be transported to country sites. The arguments against such removal are—first, that such sites are out of reach of patients ; secondly, that they are out of reach of doctors; and lastly that they are out of reach of students. Each of these considerations has weight. The cases of accident which are now taken to the nearest hospital must still be received; this is admitted by uncompromising advocates of country sites, in some receiving house and severe cases treated there. Practically this would also be necessary, for many severe cases of disease, and of those cases which would bear removal many would not go to a distant hospital, for the sick in each London hospital are drawn in the main from its vicinity, and many would be unwilling to go to a London receiving house, from whence they would be sent to the country. Of course, on the other hand, there are many who would prefer it, but still the general feeling has been that a country hospital, however it benefitted those who came, would not actually obtain the London sick. A more serious and a vital objection is that the eminent medical mon who now give as much time as they can spare, and more, to the gratuitous advice of the sick in hospitals, could not give the additional time needed to run down, even by rail, to a remote building. And if they did not come it is considered that the patients would suffer, as no doubt they would, and the medical school would fail. I am not going to attempt to decide where doctors differ, but I have thought it right to name this difference of views. Less divergence of opinion will perhaps appear as to the proper sort of site for an hospital apart from all questions of getting patients and medical officers. The site must be spacious, airy, dry, sunny. It should not if possible be in an overcrowded neighbourhood, or with any nuisance near; no decaying organic matter should be near. A gravelly soil is preferable, and a sufficiently high elevation. A bed of concrete over the whole site is recom mended as a good preventive against moisture ; this has been done at St. Thomas’s. Having now gone through in some detail the different units of which so complex an organisation as that of a great hospital is composed, it becomes necessary to notice the manner in which they are to be harmonized and fitted into place. I can best point out how this is to be accomplished by briefly referring to the designs of a few well-known hospitals, and shewing how it actually has been done in each instance, premising that the designs ought to aim at combining in his ensemble great sim plicity of arrangement with as much compactness as is com patible with the most perfect airiness and free access of sun shine to all wards. 'These are shown on the plate (with the exception of the block plan of Blackburn Infirmary) to an uniform scale of 100 feet to one inch. The Lariboisiere, Paris. The plan of the typical hospital as it has been considered by modern writers, will be found in that of the Lariboisiere Hospital, Paris, (see plate 6). This building is planned round an oblong open quadrangle, bounded by long blocks of buildings in front and at the rear, and by a corridor uniting ten blocks of buildings, arranged end on at the sides ; of these blocks only six are for sick. The front building has in the centre the main entrance, of one story only in height; at the sides are the kitchen buildings on the left, the pharmacy on the right. On the first floor of these side buildings are quarters for the officers, and on the second floor of one block quarters for attendants, of the others for pupils. Of the rear Literal blocks one has a laundry with linen store room, and dormitories for female attendants over that; the other has sisters’ rooms and stores. The centre rear building contains the chapel, baths, two operating theatres, a stable, dead-house, &c. In this hospital, speaking from an inspection of the plan, beside the radical defect of the small distance apart of the wards, the position of the kitchens in one of the front blocks appears to be defective, I should be disposed to think that they ought to be where the chapel now is, in the centre of the rear block. The operating theatres are far from some of the wards, but, in the main, the plan is, no doubt, a very good one, and shews much of that simplicity which is the most desirable feature in hospital planning. The institution is designed for 606 beds. Bay-rooms are provided on the lowest storey. References to Plan, Plate 6. A- A. Entrance and Office. B. Kitchen, Officers’ Quarters over, Male Attendants’ Dormitories second floor. C. Pharmacy, Officers’ Quarters over, Pupils’ Domitories on second floor. D. D. Dining Rooms, one storey building. P. Pavilions, three stories of wards in each. R. Washhouse, Linen Store over, Female Attendants’ Dormitories, on second floor. S. Sisters’ Quarters and Stores, three story building. T. T. Baths. V. Chapel. X. X. Operating Theatres. Y. Y. Deadhouse, Stores, Stable, Stores, &c. a. a. Corrider, one storey only, with terrace over. b. b. Gardens. The Herbert Hospital, Woolwich. Somewhat dissimilar is the plan of the Herbert Hospital, Woolwich (see plate 7). A building much as though the whole quadrangle and one lateral corridor of the Lariboisiere had been omitted, and the wards then brought together. Economy of construction and simplicity of working seem on the whole promoted by this change of plan. There are seven blocks in this building ; four of these, that is two next each extremity being double blocks, the three near the centre being less complete. The centre block of all includes a day room, a library, and a chapel. The blocks are hardly so far apart even as at Lariboisiere, but then they are a storey lower. Parallel to the centre corridor, and at right angles therefore to the axes of the wards, is planted in a central position, an admi nistrative block containing most of the rooms for offices, &c., and the entrances and receiving rooms. The kitchen is excel lently well placed for supplying all parts; it is in the very heart of the building, in the basement under the library. There are only two stories of wards, the basement, where a basement exists under any of the wards, being unoccupied, except for stores. The large wards here hold 32 beds each. The building is designed for a total number of 620 beds in general hospital, and 28 beds in the prison ward. There is also an itch ward. The plans of this hospital are engraved and published in a small blue book and are valuable as a completely worked-out example. References to Plan, Plate 7. A. A. Pavilions of Wards. B. Day Room. C. Kitchen, with Library over. D. Pharmacy. E. Baths. F. Separate Wards. G. Operating Theatre and Ward. H. Entrance. I. I. Administrative Offices, Linen Store, &c. The Infirmary, Leeds. The Infirmary at Leeds, recently built from the designs of Mr. G. G. Scott, gives another variety of arrangement upon the same general basis. It contains five blocks of wards, having at each side of the building two blocks placed end to end like the end blocks of the Herbert Hospital (except that at Leeds these wards have a gap between them on top floor), and having also one single intermediate block. These are, however, arranged not as in the Herbert, on opposite sides of one long corridor, but on opposite sides of a quadrangle, the eon-idol’s round which only go up, however, to the height of one storey of wards. The site of the Leeds Infirmary slopes considerably, and the architect has skilfully arranged his administrative buildings on the lower side, so that those on the ground floor are above 28