Not really knowing where to start, I put in a request for old files from the Royal Free Hospital and its associated hostels in London. Within half an hour, several boxes had arrived in the reading room. Excitedly, I started going through the first one and, beneath the envelopes filled with receipts and manila files tied up with string, I found a smaller box containing almoners’ reports from the 1920s.
As I worked my way through the dusty papers I read about girls ‘very young, not more than sixteen or seventeen years old’, who had ‘fallen into trouble’ as a result of living in conditions that were ‘past belief … involving very grave and unusual risks of infection’. As well as being pregnant, homeless and ‘turned adrift’ by their families, some of the poor girls were in agony as a result of a double infection of syphilis and gonorrhoea.
One almoner recorded that one of her patients, a girl suffering from gonorrhoea, was ‘one of six siblings who all slept in one bed, in a room like a cupboard, with no outer air’. Another young girl ‘lived over a stable with no access except by a ladder-like stair’.
On arrival at hospital many were ‘in a state of nervous and physical exhaustion, and of resentment requiring great tact and care in dealing with them. Some [were] put to bed, till the irritable condition of their nerves [was] soothed, and many of them [slept] for days … some descend[ing] to the depths of despair [,] bringing them to the verge of insanity’.
As I leafed through the file of fragile papers, a small bundle of handwritten letters written by one of the almoners – here, I will refer to her as Alice – fell out from between the pages. Beautifully written in a gently sloping script of fading black ink, and without a trace of the toxic condemnation that awaited the girls in society at large, they showed the almoner reaching out to her contacts in the community in search of ‘well-disposed people’ who might find it in their hearts to take them in.
A picture of Alice began to emerge: a fiercely intelligent woman from a sheltered background, filled with a sense of purpose and unafraid to challenge the conventions of the day. In Letters From Alice, Alice’s character, her attitudes and motivations are drawn from the common experiences of women of her time and social station; she belongs to a generation of women emboldened by the progress of the Suffragette movement and ready to make their voices heard. Striding around some of the poorest parts of London in her ankle-length skirts, I imagined Alice immersed in a world of complex social problems, ones that resonate strongly with me as a foster carer today: homelessness and deprivation, incarceration, domestic violence, intoxication from opium and alcohol, and, inevitably, the neglect and deliberate abuse of children.
What follows is a retelling of the experiences of one of the girls (I will call her Charlotte) through the eyes of Alice, using the letters, almoners’ reports and case files from the LMA as inspiration. Quotes have been lifted directly from the archive material, unless otherwise stated. Weather reports have been sourced from the Meteorological Office. Where the records are scant or incomplete, I have drawn on my research of the morals and expectations of society through the 1920s and my own imagination, to inject character into the disembodied voices in the reports and bring the stories to life on the page.
Unlike doctors and nurses [the almoner] is a newcomer in the hospital world, but she finds all the benefits of its traditions at her disposal. Whether the almoner is there or not, a tapestry is being woven by the work of the hospital, but it may be an incomplete piece of work and apt to unravel if she does not play her part in gathering up and connecting the broken threads.
(The Hospital Almoner: A Brief Study of Hospital Social Science in Great Britain, 1910)
It was a little before seven o’clock in the evening on 17 April 1921 when twenty-eight-year-old almoner Alice Hudson summoned the police constable for help.
PC Hardwicke’s heavy boots tramped over the icy pavements in the east London district of Bow, Alice leading the way a few steps ahead. The weather during early April had been milder than usual, but over the last few days the temperature had plummeted, a depression from Iceland bringing gales over the eastern coasts and snow showers to the capital.
Daylight was beginning to fade as they reached their destination: a two-storey boarding house flanked by a derelict pub and a paper merchants. Alice had stopped by to see Molly Rainham half an hour earlier through concern for the young mother’s welfare, she later reported to the coroner. Despite knocking for several minutes and tapping on the frosted window pane, the only response had been an unidentifiable, plaintive bleat in the distance.
Hospital almoners were accustomed to a variety of reactions to their unannounced visits, but there was something strange about the silence echoing around the hall on the other side of Molly’s front door; a ghostly stillness that had sent Alice hurrying to the local police station.
From the notes in the almoner’s file back at the Royal Free Hospital, Alice knew that Molly may have been suffering from post-natal psychosis. According to reports she had initially coped well with motherhood, but seemingly overnight her demeanour had changed. With her husband on a military posting in Constantinople and no other family to speak of, Alice made a point of calling in on her patient whenever her schedule allowed.
‘We need to break in,’ the almoner insisted, as PC Hardwicke rapped again on the front door.
He was still tapping half a minute later as Alice scrabbled at the downstairs window and wrenched it upwards. Before the PC managed to reach the almoner, his long-tailed dark blue coat flapping behind him, she had already bunched the damp hem of her long skirt up in one hand and was clutching at the window frame with the other. In one motion she crawled forwards and hauled herself over the sill, the bobby pivoting on his heels and averting his eyes behind her.
A hundred yards to the east, the bells of St Mary le Bow boomed the hour. As the policeman followed Alice through the window, a seagull cried out mournfully in the darkening sky above, a reminder to the onlookers that had begun to gather outside the small property of their proximity to the docks and the wide sea beyond.
The passageway was dark. Perhaps to soften the impact of a sudden intrusion, Alice and the PC slowed when they reached the top of the stairs, then exchanged glances. Besides an unpleasant smell, there was an undertone of something else in the air, something disturbing. With a grim expression, the bobby turned towards the master bedroom at the front of the house.
A few steps later he faltered, stopping so abruptly that Alice almost walked into the back of him. The groan that escaped him should have offered some warning of the scene awaiting her, but when Alice stepped forwards she gasped in horror. Inside the room on a bloodstained mattress, Molly was stretched out on her back, her eyes and mouth gaping. The sinews in her neck were taut, her powdered cheeks etched with the chalky deposits of dried-up tears.
It was Alice who reached the bed first. The emergency drills she had learned as a Voluntary Aid Detachment (VAD) nurse assessing casualties during the war years came back to her instantly. She ran her eyes over Molly, methodically checking for vital signs. Half a second later, she turned to the constable, gave a grim shake of her head then hurried past him into the hall.
The door to the small bedroom at the back of the house stood open. Alice hesitated in the doorway for a brief moment, then ran over to the cot by the window, where Molly’s infant son lay. Bracing herself, she leaned over to feel the skin at the back of his neck. Her legs buckled then – it was warm to the touch. Had she been half an hour earlier in rousing the alarm, the deputy coroner for east London later reported to the inquest held in Stepney, the baby boy might have been saved.
The death of Molly and her son was the first in a series of shocking cases that Alice Hudson became involved