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Volume containing the first constitution of the charity and minutes from general meetings. The volume contains minutes from the general meeting held at the London Tavern on the 27 November 1854 for the first election to the 84th annual general meeting held on 25 November 1938. Meeting minutes include information about changes in the constitution, board and hospital appointments and other business matters including medical testimonials for the environmental benefits for Coulsden site in 1860; the Hospital's response to the report of the select committee to the House of Lords, which was critical of some aspects of the hospital administration, 1892. Later entries include attached annual reports and other reports and articles presented at the meetings.

Minutes of the finance committee, 1857-1864, includes entries relating to the purchase of Melrose Lodge, revisions of the admission form and inserts including a job outline for an office clerk.

Booklet, Long-term hospital care in the UK the R.H.H.I. Model, by John Wedgwood. Booklet No. 1/82. Reprinted from the international seminar on the long term care of disabled people, London, 13 January 1981.