Welfare Systems and the Parish Nurse in Early Modern London, 1650–1725

Abstract This article argues that the part played by parish nurses in the capital's welfare system requires radical reassessment. Such women were playing a central role in the lives of the poor by the early 18th century. It will demonstrate that, at least in some of London's large suburban parishes, there existed a surprisingly sophisticated network of parish nurses who played an important part in the overall care package delivered to paupers. Such nurses, often operating on a very substantial scale, were running what were in effect nursing homes for the homeless and sick poor. These women were running multi-functional enterprises. In addition to caring for the sick poor, they looked after abandoned and orphaned children, pregnant women and lunatics. The existence of these individuals has not been hitherto identified in the metropolis, has been almost completely missed by those interested in the history of women's work, and hardly features in the small but growing literature on nursing in early modern England. Such neglect is not surprising, because, as the article concludes, such 'multi-functional' parish nurses, in all probability, only existed in the metropolis for a relatively short period of time. The metropolitan workhouse movement undermined many functions of the London parish nurse. By the mid-18th century, the roles and responsibilities of 'the parish nurse' had become restricted largely to the rearing and nursing of children and infants.