“ The sick were in the same buildings as the healthy, and even the incurables had no special treatment or extra comforts, while the wards in which each were kept were too often unfit for human beings to be put in at all. As for the officials of those days, they were mostly persons appointed on the ground of favour rather than fitness, and as regards the then master and matron of the Strand Workhouse, though Miss Twining found them "tyrannical, passionate, and ignorant," the guardians nevertheless approved of them because they "kept order and were economical." ”

“ Clement Danes, in the Strand, and in 1853, as the result of a visit to an aged inmate of the Strand Union Workhouse, then situated in Cleveland-street, she saw how much there was that could be done by ladies from outside in improving the conditions prevailing in such institutions, where the care not only of the sick but of thousands of women and children was under the control of masculine boards of guardians, who, as she said could not be supposed to understand all that was required for them. ”

“ Miss Twining applied herself with great energy to the furthering of this branch of the movement and eventually, in 1879, the Workhouse Infirmary Nursing Association was established by Miss Twining, acting in co=operation with Lady Montagu of Beaulieu and Constance Marchioness of Lothian, with a view (1) to raising the standard of public opinion on on the whole question of workhouse nursing, (2) to securing the appointment of trained ladies as matrons in all separate infirmaries, and (3) to training and supplying nurses to workhouse infirmaries in London and the provinces. ”