Bound meeting minutes of the Hospital's Committee Board, who governed the charity. The Board met every fortnight and would make all decisions in relates to policy. When the charity first started the Chairman of the Board was the Treasurer until 1911 when an independent office of chairman was created. The Secretary (now Chief Executive) would prepare the agenda and circulate the minutes to the other committee members.
Committee members for the Board of Management were initially composed of businessmen working in the City of London and later retired military service men, with usually no less than twenty members present at one time.
The meeting minutes are predominantly handwritten but become typescript in the mid 20th century and usually include various inserts of papers discussed during meetings as well as letters and statements transcribed into the minutes.