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Apothercary 2016

Journal of the Worshipful Society of Apothecaries, Society year 15-16

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<strong>2016</strong>


APOTHECARY<br />

<strong>2016</strong><br />

ALL CORRESPONDENCE SHOULD BE DIRECTED TO:<br />

The Editor<br />

Apothecary<br />

© The Worshipful Society of Apothecaries of London<br />

Black Friars Lane<br />

London<br />

EC4V 6EJ


Contents<br />

The Court and the Livery Committee 1<br />

Editorial 2<br />

Profile of the New Master 3<br />

Profile of the Master’s Chaplain 5<br />

Master’s Chaplain’s Sermon 7<br />

Bioethics in Deep Space Exploration 9<br />

Clerk’s Report 11<br />

Past Master’s Report 2015-<strong>2016</strong> 16<br />

Treasurer’s Report 18<br />

Treatment of Vitamin B12 Deficiency 19<br />

The Centenary of the Society’s Roll of Honour 1916 23<br />

A Sabbatical in Italy 29<br />

Registrar’s Report 31<br />

Faculty of the History and Philosophy of Medicine and Pharmacy 32<br />

Curator’s Notes 34<br />

The Anniversaries Committee 35<br />

The Charity Committee 36<br />

Anniversary Year Events 37<br />

Faculty of Conflict and Catastrophe Medicine 39<br />

Livery Committee Chairman’s Report 2015-<strong>2016</strong> 41<br />

The Friends of the Archives 45<br />

Apothecaries on Vacation 46<br />

Society Contacts 48


Master:<br />

The Court<br />

<strong>2016</strong> - 2017<br />

Dr D W Adams BSc MA PhD FRPharmS<br />

Senior Warden: Dr C G Mackworth-Young MA MD FRCP<br />

Junior Warden: Prof M N Rossor MA MB BChir MD<br />

FRCP FMed Sci<br />

Immediate Past<br />

Master: Dr R N Palmer LLB MB BS FFFLM HonFRCPath<br />

Past Masters:<br />

Assistants:<br />

Mr M H Jourdan BSc PhD MS FRCS<br />

Dr P A Knapman DL FRCP FRCS DMJ<br />

Mr A M I Paris OStJ MB BS FRCS<br />

Mr N L Wood BPharm FRPharmS FIPharmM<br />

Professor T Beedham MB BS BDS FRCOG<br />

Hon DSc<br />

Dr R G H Bethel MA MB BChir MRCGP<br />

Dr T L Chambers OBE FRCP JP DL<br />

Professor R H Taylor BSc MA MBA MD FRCP<br />

DHMSA DPMSA<br />

Dr PJH Tooley LLM MB BS MRCGP MFPM (Dis)<br />

DMJ DFFP<br />

Dr J C Moore-Gillon MA LLB MD FRCP<br />

Prof M J G Farthing BSc MD FRCP<br />

Dr P D Simmons MB ChB FRCP<br />

Dr JJC Holliday MB BS DCH DObstRCOG<br />

MRCGP DFFP<br />

Prof J Anderson PhD MB BS FRCP<br />

Air Vice Marshal A Mozumder MB BS<br />

MSc FRCGP DTM&H DAvMed DMCC C Dir<br />

Dr. P.J.T. O’Mórdha MA MSc FRCP FRCGP<br />

MFMLM DPMSA<br />

*Dr M A Spencer MA MEng MB BS MRCGP<br />

DObstRCOG<br />

The Livery Committee<br />

<strong>2016</strong> - 2017<br />

Chairman:<br />

Dr Mike Spencer MA MEng (Cantab)<br />

MBBS MRCGP DRCOG DFFP<br />

Honorary Secretary: Colonel Jane Carey-Harris<br />

TD VR RGN RCNT DMS FRGS<br />

Honorary Treasurer: Mr Harry Crook<br />

BSc (Hons) FRPharmS FRI MIPharmM<br />

Dr Simon Bailey BSc MB FRCGP<br />

Dr Nicholas Cambridge MD LRCP MRCS FSA FLS FRSA<br />

Dr Alan Collett MBBS LRCP MRCS DObstRCOG<br />

Dr Judith Dixon (Lady Dixon) LRCP MRCS MB BS DCH<br />

Air Commodore Mike Gibson OStJ PhD MPhil MB ChB FRCP<br />

FFOM DAvMed DDAM RAF (retd)<br />

Dr Colin Gillespie MB BS DObst RCOG<br />

Dr John Harcup OBE OStJ LRCP MRCS DObst RCOG MRCGP<br />

Dr Susan Horsewood-Lee MB BS FRCGP<br />

Ms Wanda Jay B Pharm(Hons) MRPharmS<br />

Dr Vanessa Jenkins MBBS MRCS LRCP DObst RCOG<br />

Mr Omar Khan MB MS FRCS<br />

Mr Chris Khoo MA MB MChir (Cantab) FRCS (Eng) FRCS (Ed) ad hom<br />

Major Sean Kibbey<br />

Dr Joy Main MA MB B Chir DObst RCOG FRCGP FHEA<br />

Dr Brian Matthews B Pharm PhD FRPharmS FTOPRA<br />

Dr Celia Palmer MB BS DA AFOM<br />

Dr Elizabeth Stearns FFFLM MB BS BDS Barrister<br />

Dr Ralph Stephenson TD CStJ MBBS MRCS LRCP DA DObst RCOG<br />

Dr Frank Wells MBBS FRCP FRCPE FFPM<br />

Ms Nicola Whatley NNEB Dip HE Nursing<br />

* Appointed ex officio as Chairman of the Livery Committee<br />

1


Editorial<br />

As I become older and wiser, my career paths are<br />

starting to converge in pleasant ways I did not expect.<br />

Jerome Burne, who is writing about Vitamin B12<br />

deficiency in this issue, is not an Apothecary but he does<br />

sit with me on the Executive Committee of the Medical<br />

Journalists’ Association and is a prominent medical<br />

writer. The MJA also now use the beautiful<br />

Apothecaries' Hall for their annual Christmas quiz, to<br />

which the Master and the Clerk are always invited. I<br />

thought you would like to read his views on an issue<br />

which may mean that many people do not receive the<br />

medical treatment they need.<br />

Like many Apothecaries, I found that <strong>2016</strong> was a<br />

fruitful year for branching into the digital age. Back in<br />

March, I launched the world’s first global blogging site<br />

An Apothecary box of delights for you<br />

on medical issues, www.hippocraticpost.com, which<br />

features blogs by members of this Worshipful Society,<br />

under the section ‘An Apothecary Writes’ as well as<br />

many other distinguished medical professionals from<br />

all over the world. Read Dr Simon Read’s blog on his<br />

recent sabbatical in Italy – he is an Apothecary and a<br />

blogger and has recently launched his own secure<br />

intranet app for NHS GPs.<br />

My keen hope is that you will all soon be able to read<br />

this august journal in digital form online, as well as a<br />

paper version to browse at your leisure, and I know that<br />

many others feel the same. We shall be working to try<br />

and make that happen in the not too distant future.<br />

In this issue, there is also a fascinating discourse into<br />

the Bioethics in Deep Space Exploration by Andrew<br />

Papanikitas, Course Director, Diploma in Philosophy of<br />

Medicine. Among other things, he reports how<br />

members of the faculty considered whether someone<br />

who goes into space needs a different set of ethics to<br />

someone who stays on terra firma. He considers<br />

whether normal rules of Society can be suspended in a<br />

harsh and hostile environment and even strays onto the<br />

subject of sex.<br />

Finally, we feature a focus on the 1916 Roll of<br />

Honour which contains the names of many of the<br />

members of the Society who had a military role in the<br />

Great War. Authors Edward Wawrzynczak and Janet<br />

Payne have gone to some considerable trouble to<br />

describe the varied roles of those who served the nation<br />

during the Great War in the Armed Forces or as<br />

civilians; in particular, to remember those who lost their<br />

lives, to acknowledge some of those who received<br />

special honours related to their war work, and to<br />

highlight a number of their more memorable<br />

contributions. It is well worth the read.<br />

Thea Lord, Editor<br />

2


Profile of the New Master<br />

Dr Derek Adams<br />

I was born in Leeds in<br />

1941 and moved<br />

immediately to York<br />

where, a little later on, I<br />

attended Archbishop<br />

Holgate’s Grammar<br />

School. After a year<br />

and a term, I transferred<br />

to Roundhay<br />

School, at the age of 12,<br />

when my family<br />

moved back to Leeds.<br />

These two schools<br />

convinced me, with<br />

very little difficulty,<br />

that I was destined for<br />

a career in science and<br />

resulted in my securing<br />

a place at Manchester<br />

University Pharmacy<br />

Department. On graduating,<br />

I returned to<br />

Leeds and employment<br />

with Timothy Whites<br />

and Taylor’s. I soon<br />

decided that I was not<br />

temperamentally fitted<br />

to deal with poorly<br />

people and started<br />

looking for a change<br />

of career. While at<br />

Manchester, I had<br />

made a half-day trip,<br />

with the Pharmacy<br />

Students Association,<br />

to the Geigy factory<br />

at Macclesfield and<br />

Dr Derek Adams<br />

3


emembering how the sight of medicine being made<br />

on a grand scale had impressed me, I successfully<br />

applied for a job with Merck, Sharp and Dohme at<br />

Hoddesdon, where I was to remain for 33 years. My<br />

decision to leave the retail scene – as it was called in<br />

those days – was met by very definite advice from my<br />

District Manager that I was making a big mistake and<br />

how I had excellent prospects with the Company.<br />

Unbeknown to me, and I suspect to him, Timothy<br />

Whites was about to be taken over by Boots. What<br />

this would have done for my career is difficult to<br />

assess, but it certainly didn’t do much for his. My<br />

friends at the time divided into those who generously<br />

suggested that the firm had been unable to manage<br />

without me, and the remainder who declared that I<br />

had brought a once glorious enterprise to its knees<br />

within 18 months. I started at MSD in Pharmaceutical<br />

Development, creating new dosage forms for<br />

existing products and finding solutions to<br />

formulation related problems occurring in the market<br />

place. While remaining in Pharmaceutical<br />

Development, I then spent a period manufacturing<br />

clinical trial materials for use in studies worldwide.<br />

These were presented as sterile preparations and as<br />

solid and liquid oral dosage forms. After a while, I<br />

was looking for a bigger role and the half-day at<br />

Geigy came to mind. There was a vacancy for a<br />

Manufacturing Manager in the Production<br />

Department and I was lucky enough to be appointed.<br />

A further stroke of luck occurred six months later<br />

when the Production Manager left the Company and<br />

I was promoted to that position. After a good number<br />

of enjoyable years in Production, I was told that my<br />

portfolio would benefit from some commercial<br />

experience and I was put in charge of warehousing,<br />

transport, export shipping and importation. After<br />

about two years, I changed direction again to become<br />

head of Quality Operations in the U.K. with ultimate<br />

responsibility, under the terms of the Medicines Act,<br />

for the quality of all U.K. manufactured products. A<br />

reorganisation about two years later gave me<br />

responsibility for quality in two chemical and two<br />

pharmaceutical plants in Great Britain and Ireland<br />

and a later development saw me finishing my career<br />

as a Director of Compliance in Europe; a job that took<br />

me all over Europe and to much of the rest of the<br />

world as well. While all this was taking place, I<br />

managed to find time to seek out and marry Kay,<br />

who was working for a Stockbroking firm at the time<br />

and was one of the first few women to pass the Stock<br />

Exchange Examination and be admitted a Member of<br />

the Stock Exchange. Professionally, I was appointed<br />

by the Pharmaceutical Society as an assessor of those<br />

seeking Qualified Person status as defined by<br />

Directive 75/319 EEC. I served on the Antibiotics<br />

Subcommittee of the British Pharmacopoeia<br />

Commission for 10 years and was the Pharmaceutical<br />

Society’s representative on the committee that<br />

decided on the planned distribution of pharmacies in<br />

Hertfordshire. I was designated a Fellow of the<br />

Royal Pharmaceutical Society in 1989 for distinction<br />

in the practice of pharmacy. Having taken early<br />

retirement in 1999, I went on to read history at<br />

Cambridge and followed this with a PhD concerning<br />

the fortunes of the Apothecaries’ Assistants– just for<br />

the fun of it.<br />

4


Profile of the Master’s Chaplain<br />

The Rev’d Susannah Underwood<br />

I was born in Barnet – a 70’s power cut child - and<br />

grew up in Welwyn in Hertfordshire, three miles<br />

from the parishes I now serve.<br />

The Rev Susannah Underwood<br />

Apart from a fleeting desire, aged 10, to become a<br />

monk (they seemed so much more fun than the nuns<br />

I had met), I don’t think anyone would have guessed<br />

that I would enter into full-time ministry. Not least<br />

because, when I was growing up, women’s<br />

ordination was not yet authorized by the Church of<br />

England. Even some years after having completed a<br />

Theology degree at Westminster College, Oxford, it<br />

still came as a surprise to me, as much as to anyone<br />

else.<br />

I trained for ordination with the Cambridge<br />

Theological Federation of colleges, completing an<br />

MA in Pastoral Theology and allowing me to<br />

balance family life with work as well as studies.<br />

They were a busy three years, but set me up well for<br />

the practice of juggling the competing demands of<br />

parish ministry.<br />

I was ordained deacon in 2008 and served a<br />

curacy in Stevenage. It was a good place to be. The<br />

command to ‘love your neighbour’ is shown by the<br />

churches of Stevenage in a variety of ways. There<br />

was the historic establishing of ‘The Haven’, a<br />

shelter for the homeless. ‘Street Pastors’, see trained<br />

volunteers from the churches go out into the early<br />

hours of the weekend to ensure drunken revelers<br />

are given a bit of TLC and a safe passage to get<br />

home. ‘The Living Room’ is a Christian-run centre,<br />

supporting those wrestling with addictions, and a<br />

place I got quite involved with. If you struggle to<br />

believe in resurrection, that is the place to see it for<br />

yourself.<br />

It was also in Stevenage that I became connected<br />

to the charity Mercy Ships, which I talk about in my<br />

sermon for Master’s Day. This international charity<br />

had its UK office in our parish, and they asked me<br />

to act as chaplain for the three years I was there.<br />

In 2011, I moved to my current position as Team<br />

Vicar within the Welwyn Team of churches. I have<br />

particular responsibility for two beautiful village<br />

parishes, All Saints Datchworth (where I live), and<br />

St. Peter’s Tewin (where Derek Adams is a part of<br />

the congregation).<br />

5


At home I have two children. Annabel is studying<br />

childcare at a local college and Rebecca who, having<br />

graduated from Sheffield with a Geography degree,<br />

is currently training to be a solicitor. I’m married to<br />

Bob, a Director of a bespoke furniture-making<br />

company. We also have Tilly, a cockerpoo, and<br />

Oscar, a black cat who is beyond adorable.<br />

Small things make me happy; reading poetry,<br />

wallowing in jazz, pondering the pictures of Stanley<br />

Spencer. I am an expert in none of these, but all bring<br />

me to life.<br />

I am very pleased to have been asked to serve for<br />

this year as Master’s Chaplain and I look forward to<br />

sharing in the life of the Worshipful Society of<br />

Apothecaries with you.<br />

St. Peter’s Church Tewin<br />

6


The Master's Chaplain’s Sermon<br />

Master’s Day, 25 September <strong>2016</strong><br />

1 Kings 17:17-24, Luke 8:43 – 48<br />

Firstly I’d like to thank Derek for asking me to be his<br />

chaplain for this year. I’ve already tested the meals in<br />

Apothecaries’ Hall so I know I shall be well fed (it’s an<br />

important part of the discernment process for any<br />

chaplain). But also the invitation has provided me<br />

with the opportunity to explore a little of what you do<br />

as a society, which has been of great interest.<br />

I also think in Derek you will have a hard working<br />

and wise Master. He has vast and varied experience in<br />

his profession. His unassuming and steady manner<br />

will guide and serve you well.<br />

I do not have a scientific or medical background,<br />

but I did act as chaplain to the UK fundraising office<br />

of the charity Mercy Ships for a few years. You may<br />

have heard of this charity, they operate the world’s<br />

largest hospital ship, infact are in the process of<br />

building a brand new one. This floating hospital<br />

spends most of her time on the West coast of Africa<br />

offering free surgery and medical care to some of the<br />

world’s poorest people. They specialize particularly in<br />

maxillofacial and ophthalmic surgeries as well as<br />

other general medical procedures. Staffed entirely by<br />

volunteers - doctors, nurses, dentists and a whole host<br />

of extras make up the ship’s crew, people give two<br />

weeks, two months, two years and in some case over<br />

two decades of their time and skill for free, in what is<br />

an amazing place of healing and kindness.<br />

And one thing I learned in my time as chaplain to<br />

them, and I witnessed first hand on the occasion I was<br />

able to visit the ship in Togo, was something you will<br />

all know – that healing is rarely just physical – that ill<br />

health has most often a social, emotional, economic,<br />

sometimes political edge – and that the gift of<br />

medicine and skilled practitioners has the potential to<br />

transform not only physical health, but also restore<br />

livelihoods, relationships and mental wellbeing.<br />

I witnessed this whilst watching simple cataract<br />

surgery and surgery correcting a child’s squint. The<br />

strength of the sun in that part of the world, combined<br />

with constant dust in the air, and lack of early<br />

intervention meant cataract patients were literally<br />

blind. They would queue up in the morning and be<br />

admitted on to the ship, each one clinging on to the<br />

back of the other, their feet fumbling along the gang<br />

way.<br />

The skill of a surgeon’s fingers fascinated me, how<br />

transformation can happen with just the smallest of<br />

movements, and about 20 minutes in surgery led to<br />

the return not only of sight, but also of livelihoods.<br />

And the boy who I watched have his squint corrected<br />

was able to return to a village where his mother had<br />

been told she must throw him out, because he was<br />

seen as having an evil eye that would curse them all.<br />

And I saw this whilst having the privilege to share<br />

in a ceremony held regularly for women who had<br />

received fistula-corrective surgery. The constant<br />

leakage of urine caused them great embarrassment<br />

and stigma.<br />

One woman told me how her husband had taken a<br />

new wife. When she was very sick even her children<br />

were not allowed to help her. Another woman spoke<br />

about having lived with the condition for 20 years and<br />

the smell that people complained of.<br />

A third woman spoke of her traumatic experience<br />

of childbirth. ‘They thought I was dead’, she said ‘and<br />

they took me outside the village to bury my body. It<br />

was only when I started shaking that they knew I was<br />

alive’.<br />

But these women who knew not only physical<br />

suffering but also social stigma, before they leave the<br />

ship – are dressed in the most beautiful new clothes.<br />

Someone styles their hair and wraps colourful fabric<br />

7


around them. Their makeup is done and they are<br />

made new jewelry, and they enter the ward anew, a<br />

new start, a new beginning to the sound of a beating<br />

drum. When I was at the ceremony, the ward sister, a<br />

large beaming Ugandan woman, read from Psalm 103<br />

as they entered, the psalm we have sung together<br />

tonight:<br />

“Bless the Lord and do not forget all his benefits –<br />

who forgives all your iniquity and heals all your<br />

diseases. Who redeems your life from the pit.” These<br />

words which were followed by exuberant, excited,<br />

joyous, flamboyant dancing – and I too celebrated<br />

with them, in a slightly more British manner by stilted<br />

clapping and self-conscious, awkward bobbing from<br />

the sideline.<br />

And I saw it when I met 9-year-old Tanni, who had<br />

fallen into the fire as a young child, and lost her lips,<br />

ears, nose – which the surgeons had been patiently<br />

rebuilding. We played endless snap together -<br />

interrupted on occasion by the little phrase she would<br />

chant “You are beautiful” she would sing “I love you”.<br />

“You are beautiful and I love you” She, a girl who was<br />

quite unlikely to find a husband, in a society where<br />

that would make her vulnerable financially and<br />

socially, she knew these words well – as the American<br />

nurse who tended her said that to her over and over<br />

again, every day, morning and night – “you are<br />

beautiful, and I love you. You are beautiful and I love<br />

you”. Words, as well as medicine and scalpels, can be<br />

powerful agents of healing.<br />

Our lessons this evening are also aware of this mix<br />

of physical, social and spiritual healing. Elijah brings<br />

back to life the widow’s son; her grief and despair<br />

compounded not just by loss of her child, but coming<br />

also from a place of great poverty, her life completely<br />

at the fate of his wellbeing. And then we’ve heard the<br />

account of the healing of the haemorrhaging woman –<br />

blood and gender contributing to her uncleanness<br />

before others. Her healing, brought by her daring to<br />

trust in Jesus’ regard for her. Healing which would be<br />

more than just a physical restoration. So often, biblical<br />

accounts of healing, and Jesus’ interactions in<br />

particular, show God’s concern with those on the<br />

edges and margins - those whom the world rejects.<br />

Those where shame and sin, poverty and politics, are<br />

as much a part of the burden they bear as the ill health<br />

which marks them. In physical healing is revealed<br />

God’s desire for wholeness in all its forms.<br />

And it struck me, looking at the work of the<br />

Apothecaries Guild, and the educational programmes<br />

that you offer, that there also is a very gospel edge to<br />

the work you are investing in. Victims of sexual<br />

assault, people living with HIV and sexually<br />

transmitted diseases, refugees and others suffering<br />

catastrophes. You have in your commitments a<br />

distinctive social and marginal edge. We may see, in<br />

those very recipients of your concern, some of the<br />

most vulnerable and excluded people – for whom<br />

physical needs are woven tightly with social and<br />

emotional wellbeing.<br />

Perhaps those programmes won’t quite resurrect<br />

the dead, like Elijah, but they will, in their own way,<br />

bring life. They may not be instant in their cure, like<br />

Jesus and the bleeding woman, but they will play their<br />

part in compassionate reminding of a shared and<br />

valued humanity with some of the most traumatised<br />

and rejected people.<br />

We come today to begin a new phase in this<br />

society’s long and prestigious history in which you,<br />

with the Master, will all play your part – and with that<br />

we thank God for the people whose lives will benefit<br />

from the efforts of this guild, and we ask God to bless<br />

again, all the work, that together, you do. Amen.<br />

8


Ethics and Deep Space Exploration<br />

Andrew Papanikitas, Course Director, Diploma in Philosophy<br />

of Medicine, Society of Apothecaries<br />

When we attach the words ‘ethics and deep space<br />

exploration’, we might be forgiven for thinking of<br />

the Prime Directive of the television and movie series<br />

Star Trek. A community of virtuous people take<br />

what is ostensibly the best of Western cultural values<br />

out to beautiful worlds that support life in a<br />

spaceship that is luxurious even by ocean-going<br />

cruise-ship standards. The possibilities currently<br />

however are slightly grimmer. The best scenarios<br />

that are offered are of a one-way mission in<br />

conditions the human body is not evolved for, which<br />

may if successful, result in a subsequent generation<br />

reaching an inhospitable world that may be prepared<br />

in some way for human habitation.<br />

Last year the History and Philosophy Faculty<br />

Fellows of the Society of Apothecaries, prompted by<br />

the fact that people are nonetheless volunteering for<br />

such missions, considered the bioethics of the<br />

scenario. One of our group had been invited to<br />

discuss the issue on the radio, and he reflected on the<br />

fact that such individuals would require<br />

psychological preparation for a lifelong mission.<br />

Potentially they would need a different set of ethics<br />

to those of us who enjoy the freedoms of terra firma.<br />

We did not dwell on the reasons for deep space<br />

exploration. Species survival was a key reason – the<br />

Earth has finite resources and a limited (thought one<br />

no given human might truly appreciate) lifespan.<br />

Therefore for humanity to expand and flourish, the<br />

stars beckon. Our discussion included a<br />

consideration of current societal taboos and was<br />

conducted under Chatham House Rule – none of<br />

what follows should be attributed as the opinion of<br />

any one of our group.<br />

The first question is whether the normal rules of<br />

society should be suspended in a harsh environment.<br />

We can consider how a group of people might<br />

The Cybermen from the 1960s Doctor Who story 'The Tenth Planet.' In this<br />

story humans from a parallel earth enhance themselves with technology to<br />

survive the rigours of harsh environmental space travel. They also remove all<br />

illogical emotions and sentiments as love and compassion with the result that<br />

they are no longer fully human<br />

9


ehave differently stranded in a desert, in a lifeboat with<br />

limited supplies and no immediate prospect of rescue or<br />

deep in a warzone. Long term survival of the group and<br />

completion of the mission might become more<br />

important moral goals than the liberty or even survival<br />

of any one individual. We reflected that a military chain<br />

of command might be realistic. The further question we<br />

then asked was at what point a militaristic morality<br />

would end. Should deep space pioneers carry two<br />

moralities within them – that of the mission and that of<br />

home. Could a guardian of morality, some sort of earthpriest,<br />

be justified aboard the mission? It made sense<br />

that pioneers should in some way be prepared for those<br />

who would follow in less extreme circumstances.<br />

The second question we considered was how to<br />

tackle issues around sex and reproduction on-board a<br />

lifelong mission. Should either sex for relationships<br />

and/or sex for reproduction be abandoned or controlled<br />

in some way? One of the sillier examples in the media<br />

is the pairs of ‘beautiful people’ selected to repopulate<br />

the world in the movie adaptation of ‘James Bond:<br />

Moonraker.’ We reflected on how this phenomenon<br />

eventuates in arctic expeditions (again thinking about<br />

harsh environments). One approach offered was that<br />

pioneers might be matched or selected for attitudes to<br />

polygamy. Another was that an IVF process should take<br />

place before leaving earth or orbit so that there would be<br />

a bank of fertilised ova compatible with women on the<br />

mission. IVF is an arduous process for women in terms<br />

of ovarian stimulation and egg-harvesting, and might<br />

not be considered practical once a deep-space mission<br />

left orbit (arguably the same could be said for<br />

pregnancy). Conceptually, reproduction and<br />

relationships are treated differently in this instance. A<br />

lifetime spent in close proximity with little if any<br />

privacy would inevitably alter many of the conditions<br />

taken for granted in sexual relationships.<br />

We naturally considered rationing and medical<br />

treatment. When even the air is finite, rationing becomes<br />

a starker necessity. Justice – or treating equals equally<br />

and unequals unequally according to the relevant<br />

inequality- might take a more Marxist turn: From each<br />

according to their ability and to each according to their<br />

needs. Luxury and pleasure might been to be redefined<br />

and themselves rationed in the interests of morale.<br />

Anyone whose sickness or function fell below an<br />

acceptable threshold might need to be ejected into space<br />

or possibly recycled along with other ‘human waste.’<br />

We discussed the difference between the drive to<br />

survive, set against the horror of taboos being broken –<br />

the case of the shipwrecked sailors who ate the cabin<br />

boy was mentioned. Palliative care and medicines might<br />

only be appropriate for someone who could still<br />

contribute to the mission and the group. We reflected on<br />

whether this reflected utilitarianism or other schools of<br />

ethical thinking. The greater good might be a guiding<br />

principle, or ‘the commandments of space’.<br />

Finally we considered the morality of preparing<br />

people for such an endeavour. Should resilient and/or<br />

virtuous people be selected? Are survivors preferable to<br />

martyrs? We considered whether existing citizens of<br />

Earth should undergo preparation or whether children<br />

should be educated into the role. The novel and movie,<br />

‘Ender’s Game’ offers a thought provoking example of<br />

preparation for a role in space warfare. Two key issues<br />

arose here – the first was whether we might be prepared<br />

to effectively brutalise our children in order to give<br />

them the best chances of saving themselves and the<br />

human species. The second issue returned us to the very<br />

beginning of our discussion. As a society would we<br />

want to meet the survivors of our deep-space pioneer<br />

programme? Would they still be, ethically-speaking,<br />

human?<br />

This article represents insights from two discussion<br />

groups hosted by the Faculty of History and Philosophy<br />

fellowship scheme. All Faculty members are entitled to<br />

subscribe. The philosophy fellows meet 3-4 times a year<br />

to present work, discuss current issues and hear visiting<br />

speakers.<br />

For more information contact<br />

facultyhp@apothecaries.org<br />

10


Clerk’s Report<br />

The recent Activities of the Society<br />

At the Election Court held on 17 August <strong>2016</strong>, the<br />

following were elected for the year <strong>2016</strong>-17:<br />

Master Derek Westwood Adams<br />

Senior Warden Charles Gerard Mackworth-Young<br />

Junior Warden Martin Neil Rossor<br />

The Activities of the Society<br />

September 2015 – August <strong>2016</strong><br />

Mr WS Shand and Professor B Livesley retired from the<br />

Court on 13 August <strong>2016</strong> at the end of their tenure, with<br />

the gratitude of the Court for their long and exemplary<br />

service. The Court was joined on the same day by Dr PJT<br />

O’Mordha as Court Assistant.<br />

<strong>2016</strong> has been a year of change in the Society’s staff. After<br />

13 years dedicated service as Clerk, following his<br />

previous appointment of 11 years as Registrar, Mr<br />

Andrew Wallington-Smith took a well-earned<br />

retirement, for which the Society wishes Sarah and<br />

himself well in their new house in Southwold. Andrew’s<br />

successor is Mr Nick Royle, who joins us from the Royal<br />

College of Veterinary Surgeon’s charity RCVS<br />

Knowledge, having formerly served for nine years as The<br />

Cochrane Collaboration’s Chief Executive.<br />

A new Clerk’s Secretary joined us, Miss Rosanna Youssef,<br />

and we also saw the appointment of an Assistant Clerk,<br />

Miss Verity Mitchell, who will be managing the Society’s<br />

events, and functions in the Hall.<br />

In the Exams Office, Ms Rita Pulga returned to Italy, to be<br />

replaced by Ms Smita Shah as Examinations Officer.<br />

The 2015-16 Court<br />

Seated: (left to right) Prof B Livesley, Mr WS Shand, Senior Warden<br />

Dr DW Adams, Master Dr RN Palmer, Junior Warden Dr CG Mackworth-<br />

Young, Past Masters Mr MH Jourdan and Dr PA Knapman.<br />

Standing front row (left to right): the Registrar Mrs JME Maclean, Immediate<br />

Past Master Dr JC Moore-Gillon, Past Masters Mr AMI Paris, Mr NL Wood,<br />

Prof T Beedham, Dr RGH Bethel, Dr PJH Tooley, Dr TL Chambers, Clerk Mr<br />

NS Royle, Beadle Mr GR Howe.<br />

Standing rear row (left to right): Court Assistants Dr PD Simmons, Dr JJC<br />

Holliday, Prof MJG Farthing, AVM A Mozumder, Prof J Anderson.<br />

Not present: Past Master Prof RH Taylor, Dr MA Spencer, Chairman of the<br />

Livery Committee<br />

11<br />

Society Membership<br />

Congratulations are due to the following 27 Liverymen<br />

who were clothed by the Master during the year:<br />

Mr Jeremy Aspden, Dr Mahmoud Barbir, Dr Nicholas<br />

Cambridge, Dr Simon Chaplin, Mr Marshall Davies,<br />

Dr John East, Mr Richard Giangrande, Mr Terence<br />

Gosling, Mr Mohamed Hammadeh, Mr Richard Harker,<br />

Mr Jonathan Jewell, Mr Jonathan Johnson, Dr Lee Kayne,<br />

Prof Parveen Kumar, Dr Caje Moniz, Dr Beatrix<br />

Nagyova, Prof David Radstone, Mr Richard Rawlins,<br />

Dr Judith Rissik, Prof James Ryan, Dr Simon Scott,<br />

Dr Oliver Seyfried, Mr Andrew Wallington-Smith,<br />

Mr Alexander Watson, Prof Anthony Weetman, Miss<br />

Nicola Whatley, and Dr Fiona Wilcox.<br />

25 candidates made their declaration as Freemen and<br />

were welcomed to the Society by the Master:<br />

Dr Clive Archer, The Hon Dr Thomas Balchin, Mr David<br />

Britton, The Hon Richard Broadbridge, Dr Ian Cole,<br />

Dr Emma Dalton, Mr Mark Davis, Dr Craig Goldsack,


Dr Henrietta Hughes, Prof Michael Joy, Dr Fergus<br />

Keating, Maj Sidney Kibbey, Air Cdre Stephen Kilbey, Dr<br />

Robin Knill-Jones, Lt Col Deborah Malins, Miss Louise<br />

McCullough, Dr Kristian Mears, Mr Makarand Oak, Prof<br />

Robert Peckitt, Prof John Schofield, Prof Michael Seed, Dr<br />

Priya Singh, Dr Christopher Timmis, and Mr Andrew<br />

Wallington-Smith.<br />

All were admitted by redemption except Mr Wallington-<br />

Smith, who was admitted by gift, in recognition of his<br />

service to the Society.<br />

In addition, three Apprentices were bound, there was one<br />

resignation, and 26 notices of deaths.<br />

On 1 September, <strong>2016</strong>, the strength of the Society stood at<br />

1,583, discounting Honorary membership. 1,202 were<br />

Liverymen and 381 Yeomen and, of these, 83 were<br />

pharmacists, and 216 other non-medical members. 18% of<br />

the Society’s membership is female.<br />

In terms of Quarterage, 612 members have declared<br />

Guardant, 330 declared Couchant,118 are not yet eligible<br />

to declare, having less than five years’ seniority, and the<br />

remainder are Couchant by default.<br />

The Society’s Property<br />

The Society is fortunate to own the property immediately<br />

adjacent to the Hall. This has the great advantage of<br />

providing sufficient income to fund our activities, and to<br />

put some aside for long-term care and maintenance, but<br />

with property comes responsibility and potentially<br />

significant cost, and this year has brought that home to us.<br />

On the plus side, we are pleased to report that during the<br />

year all of the lettable property has became tenanted. There<br />

has been continuing work to ensure that our properties are<br />

of a high standard and attract competitive market rental<br />

rates, and this is now paying off.<br />

However, during the year a serious problem was<br />

discovered in the fabric of the Courtyard, which was<br />

identified as a dry rot infestation. The cause of this was<br />

water seeping behind cement render applied to the<br />

Courtyard walls in the mid-1980s. In retrospect this cement<br />

rendering was an unfortunate mistake. Not knowing the<br />

extent of the problem, and mindful of mitigating against<br />

future damage, with a heavy heart the decision was taken<br />

to remove all of the Courtyard render, and replace this<br />

with a more appropriate lime-based render.<br />

12<br />

During the Courtyard work a further problem has been<br />

found in the roof beams of the Great Hall. One of these in<br />

particular needs to be repaired as a matter of some<br />

urgency, as does the roof itself, the disrepair of which is the<br />

most likely culprit for the damage, and which we have<br />

known for some time needs to be replaced. This will entail<br />

major expenditure.<br />

The Courtyard in disguise<br />

This work has been very disruptive to the Hall and our<br />

tenants. However, once the work is complete and<br />

new decoration applied, we should have a glorious<br />

“new” Courtyard in good time to celebrate the 400 th<br />

Anniversary of the Charter. The cost is high, but as we<br />

start to celebrate our “first 400 years”, we plan for the<br />

next 400.<br />

Honours and Awards<br />

The Society is aware of the following members of the<br />

Society having been honoured by the Queen during the<br />

year:<br />

Dr RCD Staughton LVO<br />

Dr S Fitzpatrick MBE<br />

Mr Andrew Wallington-Smith received the Hon LMSSA<br />

on 17 March <strong>2016</strong> in recognition of his long and loyal<br />

service to the Society.


Service Affiliations<br />

The Society continues to enjoy affiliations with HMS<br />

Somerset; 256 Field Hospital, RAMC; 4626 (County of<br />

Wiltshire) Aeromedical Evacuation Squadron; 201<br />

(Harrow) RAMC Cadet Detachment; and the Middlesex<br />

and North West London Army Cadet Force. The Senior<br />

Warden and Liveryman Lt Col Jane Carey-Harris<br />

enjoyed dinner with the Officers and crew of HMS<br />

Somerset, followed by a passage from Devonport to<br />

Newcastle. The Apothecaries’ Prize for Excellence was<br />

awarded to Petty Officer Engineering Technician<br />

(Weapons Engineering) Neil Smith. The Master visited<br />

256 Field Hospital in Braganza, and the Society was<br />

pleased to welcome them to the Hall for their annual<br />

cocktail party.<br />

Cadets from 201 Detachment continue to provide stair<br />

guards for Society events, and were honoured and<br />

delighted to provide this for a visit by the Lord Mayor in<br />

June.<br />

Close and warm relations with the Chelsea Physic<br />

Garden have been maintained. Our representative on<br />

their Advisory Committee has for some years been Dr PA<br />

Knapman, and he will be replaced in October <strong>2016</strong> by Dr<br />

PJH Tooley. The Clerk visited the Garden during the<br />

summer, and was assured that the potting shed used to<br />

be the Apothecaries’ Boathouse.<br />

The original Apothecaries’ Boathouse, now Chelsea Physic Garden’s shed<br />

Events at the Hall<br />

On Sunday 18 September, <strong>2016</strong>, the Society again opened<br />

its doors for the City Open House Scheme. 1,387 visitors<br />

were received, and feedback was extremely positive.<br />

Cadets from 201 (Harrow) Detachment line the stairs for the<br />

Lord Mayor’s visit<br />

Visitors on<br />

Open House day<br />

13


The Galen Dinner, four Livery Dinners, the Livery Lunch<br />

and two Guest Nights were held. In addition, three<br />

dinners celebrated special links and events. In April, a<br />

joint dinner was held with the Courts of the Society and<br />

the Barbers Company (the “Pestle and Pole” Dinner)<br />

marking our common medical purpose in the City;<br />

Penfolds wines, continuing our special association with<br />

the company founded by Apothecary Dr William<br />

Penfold, in July sponsored a fundraising dinner to raise<br />

funds for the 400 Appeal; and a dinner was held at<br />

Barbers’ Hall to mark Andrew Wallington-Smiths’s<br />

retirement.<br />

The Galen and Farr Medals<br />

At a ceremony at the Hall on 19 May, <strong>2016</strong>, the Master<br />

presented the Society’s Galen Medal in Therapeutics to<br />

Professor Alastair Compston in recognition of his<br />

research into human demyelinating disease. Professor<br />

Martin Rossor delivered the citation.<br />

On 17 June, <strong>2016</strong>, the Court were pleased to welcome the<br />

Lord Mayor, The Lord Mountevans, Alderman and<br />

Sheriff Charles Bowman, Sheriff Dr Christine Rigden and<br />

their spouses to dinner, and a most pleasant and informal<br />

evening was enjoyed by all.<br />

Professor Alastair Compston receives the Galen Medal from the Master<br />

The William Farr Medal was presented on the same<br />

occasion to Professor Gillian Mead in recognition of her<br />

major contribution to the promotion of safe and effective<br />

exercise for frail and older stroke survivors. Dr Jonathan<br />

Holliday delivered the citation.<br />

Society Lectures<br />

The Lord Mountevans, The Master, and Lady Mountevans<br />

The Curator and Archives volunteers arranged displays<br />

of archival material to mark these events, which were<br />

much appreciated.<br />

A total of 1,068 Society guests, members and their guests<br />

were entertained at these functions.<br />

The Society of Occupational Medicine Apothecary<br />

Lecture was held on 20 May, <strong>2016</strong> at the Royal Society of<br />

Medicine and given by Lord Freud, Minister of State for<br />

Welfare Reform at the Department for Work and<br />

Pensions, on initiatives to improve mental health in the<br />

workplace, and particularly to support those with mental<br />

health problems into work. The medal was presented by<br />

the Senior Warden.<br />

The Strickland Goodall and Keats Lectures will next be<br />

held in 2017.<br />

14


Gifts<br />

On behalf of the Society, the Court received the following<br />

gifts:<br />

Penelope Hunting, <strong>2016</strong>, They Built London, The History of<br />

the Tylers and Bricklayers’ Company, Beaconsfield. A gift<br />

from the Worshipful Company of Tylers and Bricklayers,<br />

marking the 600 th anniversary of the Company’s first<br />

Master in 1416.<br />

Patrick J Pead, <strong>2016</strong>, Benjamin Jesty, Grandfather of<br />

Vaccination, Chichester, Timefile Books, from the author.<br />

Christopher J Duffin, 2008, “Fossils as Drugs:<br />

pharmaceutical palaeontology”, Natural History<br />

Museum of Luxembourg.<br />

Harold Lipman, <strong>2016</strong>, “ Preventive Cardiology: How can<br />

we reduce CVD risk?”, Lambert Academic Publishing<br />

A plaque from Dr JC Moore-Gillon and Dr RN Palmer, to<br />

mark their earlier gift of a piano.<br />

The Lord Mayor’s Show: 800 Years 1215-2015 from Dr BR<br />

Matthews, Liveryman<br />

Uncovering the Origins of Thomas Hamilton Ayliffe and<br />

Elizabeth, Countess of Egremont from the author Mr Jeremy<br />

Masters<br />

Two copies of The Syon Abbey Herbal AD 1517 from the<br />

editor Mr John Adams<br />

The Historical Apothecary Compendium from Sir Colin Berry<br />

The C19 Haselar Family Recipe and Cook Book [they were<br />

Licentiates & Apothecaries]<br />

from Miss Turner<br />

Indenture and Charter restored by the Friends<br />

A mayoral banner used during his term of office,<br />

presented by Past Master and former Lord Mayor Sir<br />

John Chalstrey.<br />

Andrew Caillard MW, 2013, “The Rewards of Patience”<br />

(Seventh Edition), Richmond, Victoria. A gift from Mr<br />

Peter Gago, Chief Winemaker, Penfolds.<br />

Portrait reproductions of Elizabeth Garrett Anderson,<br />

presented by the Immediate Past Master, the Senior<br />

Warden, and the Junior Warden.<br />

An armorial window bearing his arms, presented by the<br />

Master, Dr RN Palmer.<br />

The following bequest from members’ estates was<br />

received:<br />

Sir Ralph Dodds £1,000.<br />

Deaths<br />

The deaths of the following members are reported with<br />

regret:<br />

Wellesley Howin, BATSTONE<br />

George Hilary Lanyon BULLMORE<br />

Derek Hubert Patrick COPE<br />

John Pilkington CLAYTON<br />

Anthony John CLEMENT<br />

Michael Christopher Langton COX<br />

William Joshua Caddell CURRIE<br />

Maurice Frederick CUTHBERT<br />

Edward Walter Leslie FLETCHER<br />

James Malcolm GOLDIE<br />

Bernard, HARDISTY<br />

John Richard, HARPER<br />

Philip JAMES<br />

Brian Knight MADDEN<br />

Peter Stanley MAGAURAN<br />

John MARKS<br />

Edward John MCGUIRE<br />

Robin John Russell MOFFAT<br />

Kenneth Harry NIXON<br />

Jack Havill OAKLEY<br />

Robin Gooch ORR<br />

Vincent O’SULLIVAN<br />

Kirit Chimanbhai PATEL<br />

Thomas Henry TAYLOR<br />

Lord Walton of DETCHANT<br />

James Lyndall WHITBY<br />

15


Past Master’s Report 2015-<strong>2016</strong><br />

Every Past-Master tells the new, incoming Master A later challenge was the discovery of dry rot in<br />

that he or she will have a most enjoyable year and so<br />

it has proved to be. It is a somewhat daunting<br />

prospect, but once elected it is indeed a great privilege<br />

to serve the Society and the year has passed enjoyably<br />

and all-too-swiftly. Past Masters also warn that each<br />

Master has one or more challenges (crises might be a<br />

more realistic word!) during his year and so it has<br />

proved!<br />

My first challenge was to be put in charge of recruiting<br />

a new Clerk (effectively Chief Executive) to succeed<br />

Andrew Wallington-Smith, who was due to retire at<br />

Easter after almost a quarter-century of service to the<br />

Society. Andrew was a marvellous support to me in the<br />

one wing of the building (happily, not in the Great<br />

Hall). It has been treated with radical chemotherapy<br />

and the walls of the Courtyard are currently being<br />

restored to their full glory in good time for the<br />

quarter-centenary celebrations next year of the<br />

granting of our Royal Charter.<br />

I am grateful to so many for making my year such<br />

a pleasure. The staff of the Hall is unfailingly friendly<br />

and welcoming – nothing is too much trouble. My<br />

colleagues on Court have been helpful and supportive<br />

and forgiving of my shortcomings. My Chaplain, the<br />

Reverend Prebendary Bill Scott CVO, has graced all<br />

the dinners with friendship and good humour. Celia,<br />

first two-thirds of my year and<br />

I owe him great thanks.<br />

Members of the Society<br />

responded magnificently to<br />

my appeal for a leaving gift.<br />

He was made free of the<br />

Society and given a splendid<br />

‘send-off’, with a handsome<br />

cheque, the wherewithal for a<br />

Coat of Arms and, from the<br />

Court, a valedictory dinner at<br />

which he and his family were<br />

guests.<br />

I was pleased to welcome<br />

his successor, Nick Royle, in<br />

April and am delighted that he<br />

has settled in well and been<br />

welcomed by all with whom<br />

he has had contact. There is,<br />

inevitably, much for a new<br />

Clerk to learn about the quirks<br />

and quiddities of an ancient<br />

livery company but Nick is a<br />

keen student and fast learner. The Great Hall of the Merchant Adventurers of York<br />

16


my wife, a fellow Liveryman, was a great support both<br />

at events in Hall and in supporting me ‘behind the<br />

scenes’. The Livery Committee is one of the Society’s<br />

great assets and produced many splendid social<br />

events. To all of them I express heartfelt thanks.<br />

The Master has the privilege of seeing the<br />

Examinations Department in action, attending (as<br />

silent observer) the OSCE examinations and the<br />

Examiners’ Meetings. It was a pleasure to preside at<br />

the Diploma Ceremony and to welcome so many of<br />

our new Diplomates.<br />

Of external events there were many, all of them<br />

most enjoyable. I attended many lunches and dinners<br />

of other city livery companies and was able to view<br />

their Halls – albeit none quite as ancient as ours, save<br />

for the visit to the Merchant Adventurers of York and<br />

their hall, dating from 1357, which makes our 1672<br />

Hall seem positively adolescent! Visits to the Mansion<br />

House and to the Guildhall were especially<br />

memorable. The ceremonies to elect the Lord Mayor<br />

and the Sheriffs and the United Guilds Service in St<br />

Paul’s Cathedral were particularly colourful.<br />

Another happy memory, albeit shortly before I was<br />

elected Master, was to sail in HMS Somerset (the RN<br />

ship that we support) from Neath to Plymouth and to<br />

witness the calm efficiency of the ship’s company as<br />

well as to present the Society’s prizes to the three<br />

winners.<br />

Of the many, enjoyable internal events in Great<br />

Hall two remain especially memorable: first, the<br />

dinner to commemorate the 150 th anniversary (almost<br />

to the exact day) that Elizabeth Garrett (later Garrett-<br />

Anderson, after her marriage) received the Society’s<br />

Licence, the first woman on this side of the Atlantic to<br />

qualify as a doctor. The other was the visit of the Lord<br />

Mayor and Sheriffs and the dinner following the June<br />

Court meeting.<br />

I have already utilised more than the space allotted<br />

to a Past-Master by the Editor so I must desist from<br />

longer discourse. The one blessed relief on completing<br />

my year is that I shall never have to prepare and<br />

deliver another speech! Other than that challenge, I<br />

have had a marvellous year in office as The Master<br />

Apothecary and I am grateful indeed to all who<br />

helped make it such a happy one.<br />

Dr Roy Palmer<br />

17


Treasurer’s Report<br />

What words characterise the year? “Brexit”?<br />

“Trump”? …..no, for the Treasurer, the words must<br />

be “Dry Rot”! The Monarch’s sympathetic<br />

correspondent who, in 1992, coined for her the term<br />

“annus horribilis” might well suggest “annus<br />

cariosus” (if my schoolboy Latin is up to it).<br />

At the end of my report last year, I mentioned the<br />

discovery of dry rot in the building. This has been<br />

thoroughly investigated and more than one<br />

professional opinion has been obtained. We have<br />

acted upon the advice and the courtyard is scheduled<br />

to emerge from its covering of scaffolding and plastic<br />

sheeting early in 2017 when the (incorrect) cement<br />

rendering of the 1980s has been replaced by the<br />

(correct) lime mortar version and, moreover,<br />

redecoration is complete. We have every confidence<br />

that the courtyard will look splendid for the Society’s<br />

400 th birthday.<br />

So far, the cost of the work is between £300,000 and<br />

£400,000.<br />

Alas, in October, <strong>2016</strong>, further dry rot was<br />

discovered in some beams above the Great Hall.<br />

Initially, we were alarmed about possible safety issues<br />

if we continued to use the Great Hall, but were quickly<br />

reassured by structural engineers that there was no<br />

hazard. Nevertheless the situation has to be remedied<br />

and this will be done alongside the courtyard work.<br />

The cost of this extra work is, as yet, unknown but will<br />

run into several thousands.<br />

Last year we were able to put £190,000 back into<br />

reserves (£1.2 million having been needed to refurbish<br />

the Warehouses prior to re-letting) but, this year we<br />

have already withdrawn £205,000 to cover the extra<br />

and unexpected costs.<br />

How valuable and sensible it is to have reserves! If<br />

we need convincing about this, the unheralded but<br />

essential dry rot works are surely enough to persuade us.<br />

Additionally, this year we have needed more<br />

expenditure on Human Resources with the<br />

recruitment of several new staff and sickness cover for<br />

others. Nevertheless, I am pleased that the Court<br />

approved an appropriate improvement in staff<br />

salaries and an increase (to 10%) in the employers’<br />

contribution to all staff pensions.<br />

As I write, all our rental properties are let and<br />

generating income and the market is showing our<br />

portfolio of investments to be in rude health having<br />

risen in value by almost 17% over the last 12 months.<br />

The portfolio has weathered the Brexit storm<br />

reasonably well. Movements in the Economy have led<br />

our investment managers to put some possible future<br />

inflation protection into the portfolio.<br />

By the end of the Society’s next year, I am confident<br />

that visitors to the Hall will see significant<br />

improvements in its appearance. There is ambition for<br />

other works to be scheduled including internal relighting,<br />

re-carpeting, and improvement in audiovisual<br />

equipment. The Hall always needs repair and<br />

maintenance and to assist in planning for these<br />

eventualities we have instituted a regular professional<br />

structural assessment of our properties.<br />

The Grand Old Building needs continuous care and<br />

frequent attention but it is one of which we are<br />

privileged to be the present custodians.<br />

Dr. Robert Bethel<br />

18


Treatment of Vitamin B12 Deficiency<br />

Time for a Reassessment?<br />

Jerome Burne is a medical writer and editor and is also<br />

on the executive committee of the Medical Journalists’<br />

Association which holds its annual festive gathering at<br />

Apothecaries’ Hall.<br />

As far as the official medical guidelines are<br />

concerned vitamin B12 deficiency is pretty<br />

straightforward to diagnose and treat. Like any<br />

deficiency it certainly should be. But many patients<br />

report the current system fails to meet their needs,<br />

claiming the treatment they get is unreliable and<br />

inadequate.<br />

According to NHS choices the most common cause<br />

is a lack of ‘intrinsic factor’ in the stomach which is<br />

needed for B12 absorption from food, a condition<br />

known as pernicious anaemia.<br />

(http://www.nhs.uk/conditions/Anaemia-vitamin-<br />

B12-and-folate-deficiency/Pages/Introduction.aspx)<br />

Other causes recognised by the NHS include a diet<br />

very low in extractable B12 or a side effect of the drugs<br />

metformin – for diabetes – and the stomach acid<br />

suppressing PPIs. Recommended treatment is a<br />

limited number of replacement injections<br />

Complications, such as damage to the nervous system<br />

or during pregnancy, are said to be rare.<br />

Among the patients who don’t share this<br />

reassuring assessment is Tracey Witty. She runs a<br />

campaigning website http://www.b12deficiency.info<br />

that receives over 20,000 hits a month and paints a<br />

very different picture of the realities of life for those<br />

who are permanently unable to absorb vitamin B12 for<br />

a variety of reasons and have to rely on injections for<br />

life.<br />

Tracey Witty<br />

Witty suffered from a number of non-specific<br />

symptoms including memory problems, a sore swollen<br />

tongue and blurred vision. There are many others<br />

symptoms listed on her site which indicate a possible<br />

deficiency and should trigger a test for it but all too often<br />

don’t. These include tremor, numbness, confusion,<br />

dizziness, impotence, IBS, constipation and anaemia.<br />

19


The range of symptoms is wide because being<br />

deficient in B12 can gradually cause very fundamental<br />

damage to the nervous system (loss of the myelin sheath)<br />

as well as problems with repair of DNA and with<br />

making new red blood cells. What that means is that if<br />

the problem isn’t correctly diagnosed and effectively<br />

treated, the long term results can be disastrous. As<br />

patients deteriorate they can be wrongly diagnosed with<br />

conditions such as diabetic neuropathy, bipolar disorder,<br />

Parkinson’s disease, blindness, paralysis and dementia.<br />

(doi:http://dx.doi.org/10.1136/bmj.g5226)<br />

What Witty claims is that she and tens of thousands<br />

of other patients aren’t being speedily diagnosed or<br />

properly treated. Instead they are ‘at the mercy of<br />

health professionals who are not educated adequately<br />

about this condition and as a result frequently label<br />

those who are deficient as lazy, depressed<br />

hypochondriacs.’<br />

This can happen when patients visit their GP to say<br />

the supplement they have been given is not relieving<br />

their symptoms. The response is often to treat them<br />

with anti-depressants even though depression may be<br />

a perfectly reasonable response to their continuing<br />

symptoms and is also a well documented deficiency<br />

symptom.<br />

(http://www.twitlonger.com/show/n_1s0ggga)<br />

A correct diagnosis and being treated with a<br />

sufficient number of injections usually results in a<br />

seemingly miraculous recovery from such symptoms<br />

linked with a serious deficiency as: becoming mentally<br />

impaired, debilitating pain, being bed-ridden, chronic<br />

fatgue, memory loss and losing the ability to walk.<br />

Yet a recent survey<br />

(https://www.ncbi.nlm.nih.gov/pubmed/24732991)<br />

by the Pernicious Anaemia Society found that nearly<br />

66% of 889 respondents were dissatisfied with current<br />

treatment and that 14% of patients had waited more<br />

than 10 years for a correct diagnosis.<br />

What’s going wrong, according to Witty, is that,<br />

rather than treating symptoms, doctors rely on<br />

unreliable blood tests to decide who is deficient and<br />

guidelines on how frequently injections need to be<br />

given that are not based on any research at all.<br />

Of course her critique can be dismissed as mere<br />

anecdotes, since she is not a medical researcher and<br />

has no clinical background; she trained as a furniture<br />

maker and upholsterer. But with extensive<br />

information available on the internet and increasing<br />

calls for patients to take more responsibility for their<br />

chronic conditions, her voice and those using her<br />

website deserve to be more widely heard. They<br />

provide just the kind of feedback that should be<br />

welcomed.<br />

http://www.b12deficiency.info/what-to-do-next<br />

Witty’s first encounter with B12 deficiency was not<br />

due her own problems but the result of the psychiatric<br />

problems one of her family was having. ‘My online<br />

researches suggested low B12 was a possible factor so<br />

I asked the GP to test for it,’ she says. ‘She refused.<br />

Subsequently I found a reluctance to test or treat was<br />

common. Later many other patients contacting me via<br />

the website reported experiencing the same problem.’<br />

When the test was eventually carried out, the GP<br />

claimed the result showed she was normal. In fact it<br />

showed a deficiency.<br />

When her relative was sectioned the psychiatrist<br />

told Witty that B12 was not a relevant factor. But she<br />

won this battle too and after being given regular<br />

injections of vitamin B12 a dramatic recovery<br />

followed. The psychiatrist later agreed that lack of B12<br />

was the culprit.<br />

This experience allowed Witty to understand that<br />

her own chronic B12 deficiency had been a factor in<br />

her failure to conceive rather than her doctor’s<br />

diagnosis of an early menopause. She arranged a gene<br />

test for herself which revealed several mutations,<br />

including MTHFR and MTRR, which interfered with<br />

absorption and meant she would require<br />

supplementation for life.<br />

20


At first she was reassured by her by her doctor’s<br />

kindly comment: ‘We’ll have to look after you. But it<br />

soon became apparently she and many other patients<br />

weren’t being ‘looked after’ at all. The route to<br />

effective treatment for B12 deficiency was littered with<br />

obstacles.<br />

To start with the routine test is seriously flawed<br />

because measures both the version of the vitamin from<br />

animals that the body can use (holotranscobalamin)<br />

and the version from plants (holohaptocorrin) that is<br />

inert. This problem, known about for years according<br />

to a recent review in The BMJ<br />

(doi:http://dx.doi.org/10.1136/bmj.g5226), generates a<br />

large number of false positives.<br />

Then the result of the test is compared with the<br />

Serum B12 reference range, which also has a major<br />

flaw. The results it gives varies greatly between UK<br />

labs. One NHS Trust, for instance, rates a test result of<br />

over 110 pg/mL as sufficient, while others define<br />

deficiency as below 220pg/mL. There are other tests<br />

that establish deficiency more reliably, such as ones<br />

for homocysteine and for methylmelonic acid, but<br />

they are not routinely used in the UK.<br />

Even when a patient is diagnosed as deficient there<br />

can still be a problem. Guidelines mandate an initial<br />

series of six injections over two weeks. But then<br />

standard practice is to give everybody, regardless of<br />

symptom severity or individual differences, exactly<br />

the same amount - one injection every three months.<br />

‘For some this is fine,’ says Witty ‘but it is quite<br />

obvious that a great many patients do extremely badly<br />

on 3 monthly injections,’ says Witty. ‘I certainly do<br />

and patients email me regularly with phrases in the<br />

subject line such as; ’Desperate’, ‘Please help’ or ‘Am I<br />

going mad?’<br />

This rationing, one-size fits all, rule seemed to<br />

Witty not just unnecessary - B12 is cheap and has<br />

virtually no toxic side-effects - but also potentially<br />

very damaging. Insufficient replacement significantly<br />

raises the risk of further diagnoses of far more serious<br />

conditions.<br />

When she asked the medical bodies responsible for<br />

guidelines what the evidence base for this ruling was,<br />

none could provide any. The Parliamentary Health<br />

Committee said that unfortunately they couldn’t track<br />

this information, and suggested contacting NHS<br />

England/Department of Health.<br />

But NHS England couldn’t help and suggested<br />

trying the National Institute for Health and Care<br />

Excellence (NICE), but a spokesperson said it had no<br />

guidelines because no one had asked them to produce<br />

any. Public Health England said it was outside their<br />

remit. BNF (British National Formulary) said they<br />

couldn’t check what the evidence was as they were<br />

‘unable to access our archives’.<br />

Witty is well aware of the distress this arbitrary<br />

rule can cause. If she has an injection once a week she<br />

remains well. ‘Without it the old symptoms start to<br />

return: my memory fails, my tongue starts to swell, I<br />

bump into things, I can’t sleep. I get the amount I need<br />

because I’m assertive and I know the literature. But<br />

others shouldn’t have to suffer because they don’t<br />

have my advantages. And it’s not just horrible for<br />

them, failing to treat their symptoms costs the NHS a<br />

fortune in the long run.’<br />

Her solution has been to start a campaign to allow<br />

patients to buy injectable B12 at the chemist so they<br />

can treat themselves. That’s what happens in several<br />

countries in the EU,’ Witty says. ‘Patients with<br />

diabetes aren’t rationed in this way, in fact they have<br />

access to all the insulin they feel they need.’<br />

But even if treatment was given with the aim of<br />

reversing symptoms that still wouldn’t mean that<br />

everyone with a deficiency got adequate treatment.<br />

That’s because the common medical assumption about<br />

B12 deficiency is that it always goes hand in hand with<br />

macrocytic anaemia and due to a lack of “intrinsic<br />

factor’ in the stomach.<br />

(http://www.nhs.uk/conditions/Anaemia-vitamin-<br />

B12-and-folate-deficiency/Pages/Introduction.aspx)<br />

21


So patients with classic symptoms of pernicious<br />

anaemia – pale, thin, with overly large blood cells,<br />

numbness and tingling in hand and feet are very likely<br />

to be tested. People complaining of a different<br />

combination of deficiency symptoms, such as,<br />

memory loss, depression, blurred vision and<br />

constipation, but who have no macrocytic red blood<br />

cells are likely to find it far harder to get a test or<br />

achieve a diagnosis.<br />

My hope is to persuade health professionals to<br />

familiarise themselves with the many surprising<br />

symptoms and causes of this deficiency and to make a<br />

point of ruling it out first. It could save a fortune and<br />

prevent a lot of misery.’ For all the basics please see<br />

(http://www.b12deficiency.info/what-to-do-next/).<br />

By Jerome Burne<br />

Many doctors, in Witty’s<br />

experience, are not aware of<br />

B12’s crucial role in<br />

methylation, a biochemical<br />

process that is involved in a<br />

wide range of essential<br />

functions such as: thinking,<br />

repairing DNA, turning on and<br />

off genes, fighting infections<br />

and getting rid of<br />

environmental toxins. Without<br />

adequate amounts of B12 some<br />

of these will begin to fail,<br />

generating a wide variety of<br />

symptoms.<br />

‘I’m not suggesting that B12<br />

deficiency is at the root of many<br />

common problems that GP’s<br />

have to deal with’, says Witty.<br />

‘But it can be a reversible cause<br />

of conditions such as fatigue,<br />

depression, infertility, balance<br />

problems, widespread pain and<br />

neuropathy.<br />

22


The Centenary of the Society’s Roll<br />

of Honour 1916<br />

Edward Wawrzynczak and Janet Payne<br />

INTRODUCTION<br />

On 18 May 1915, the Court of Assistants resolved:<br />

...that a Roll of Honour be made containing the names of all<br />

those members of the Society employed in active service in His<br />

Majesty’s Navy or Army during the present War...<br />

The Clerk was instructed to address a circular letter<br />

to all members of the Society enquiring whether they<br />

were in any way so engaged. More than a year later, at<br />

the beginning of October 1916, it was proposed that:<br />

... the names and ranks of such members should be engraved<br />

upon a Copper Tablet to be placed in some conspicuous<br />

position on the Society’s premises to be chosen later...<br />

After further consideration, however, the Court<br />

resolved:<br />

...that the preparation of the Tablet and the engraving thereof<br />

should stand over until after the War and the Clerk was<br />

meanwhile directed to add to the list from time to time and to<br />

keep a Type written copy in a Book in the Court Room...<br />

This typewritten manuscript, produced in October<br />

1916 and updated with handwritten amendments up to<br />

1920, was preserved in the Society’s archives and<br />

represents a contemporary record of the service of<br />

Society members engaged in the Armed Forces and warrelated<br />

civilian roles.<br />

On 18 October 1920, the then Clerk, Bingham<br />

Watson, wrote to members inviting them to send<br />

particulars of their rank and any honours held so that<br />

the Roll of Honour could be brought up to date. His<br />

request evoked a mixed bag of letters in response: some<br />

brief, some detailed; many from those who served, a few<br />

from those who did not; the majority confirming entries<br />

in the Roll of Honour, a minority providing new<br />

evidence. There is no record that an updated list was<br />

compiled, however, and it seems that the planned<br />

copper tablet was never commissioned.<br />

The centenary of the first compilation of the Roll of<br />

Honour serves as a fitting anniversary on which to bring<br />

the information contained within the original<br />

manuscript, subsequent correspondence and other<br />

documents in the Society’s archives together with that<br />

contained in readily accessible professional, military<br />

and biographical records to create an updated and more<br />

complete picture of the activities of the Society’s<br />

members. This article aims to describe the varied roles<br />

of those who served the nation during the Great War in<br />

the Armed Forces or as civilians; in particular, to<br />

remember those who lost their lives, to acknowledge<br />

some of those who received special honours related to<br />

their war work, and to highlight a number of the more<br />

memorable contributions.<br />

THE ROLL OF HONOUR<br />

The list of names in the updated Roll of Honour refers<br />

exclusively to the period of the Great War: it includes<br />

any individuals admitted to freedom of the Society up to<br />

1920 but excludes any who may have served in the war<br />

and were admitted later. In the Official Year Book and<br />

List of Members of 1913-14, the members of the Society<br />

numbered 325 in total, comprising the Master, the two<br />

Wardens, eighteen Assistants, 129 Liverymen, 174<br />

Yeomen and one Honorary Freeman. Between 1914-15<br />

and 1920-21, the Society had 45 new members including<br />

thirty-nine admitted to the Yeomanry and six elected to<br />

Honorary Freedom of the Society.<br />

From the potential membership of 370 from this<br />

period there is documentary evidence for the<br />

involvement of 135 members of the Society –<br />

representing more than a third of the total – in warrelated<br />

work. The majority – four-fifths of the total –<br />

served in the Armed Forces, predominantly the Army.<br />

A similar proportion of this group – four-fifths – served<br />

23


in the Royal Army Medical Corps (RAMC), Army<br />

Medical Service (AMS) or as Surgeons in the Royal<br />

Navy (RN) and its Volunteer Reserve. Of the civilians,<br />

the majority – again some four-fifths – undertook a<br />

direct medical role. Overall, then, eighty per cent served<br />

in some medical capacity and more than fifty per cent<br />

were commissioned in the RAMC.<br />

A few of the members who served in the Armed<br />

Forces had undertaken military careers prior to the<br />

Great War, often achieving some distinction, and were<br />

part of the British Expeditionary Force (BEF) which left<br />

for France and Flanders in August 1914. For instance,<br />

Algernon Cautley Jeffcoat (Liveryman) had graduated<br />

from the Royal Military College, Sandhurst and entered<br />

the Royal Inniskilling Fusiliers in 1897. In 1901, he<br />

received the Distinguished Service Order (DSO) in<br />

recognition of his service during operations in the South<br />

African War of 1899-1902. He served with the BEF in<br />

France, was Assistant Adjutant and Quartermaster<br />

General, 9 th Division, British Armies in 1916 and given<br />

the Brevet of Lieutenant-Colonel in 1917. Mentioned in<br />

Dispatches five times, he received the Legion of<br />

Honour, Croix de Chevalier and Belgian Croix de<br />

Guerre.<br />

Others enlisted when the Great War began. A<br />

notable example is Ronald Ogier Ward (Liveryman<br />

1918), a urological surgeon who had served with the<br />

British Red Cross during the Balkan War of 1912-13. In<br />

the Great War, he served in a military capacity as Major,<br />

The Honourable Artillery Company, commanding C<br />

Battery, 293 rd Brigade, Royal Field Artillery. In 1918,<br />

under attack from a German advance, C Battery found<br />

itself on the front line, and was forced to abandon its<br />

five guns. That night, under the cover of a heavy mist<br />

and working as quietly as possible with teams of men<br />

and horses, Ward rescued four of the guns from No<br />

Man’s Land. He was awarded the DSO for his bravery<br />

and ingenuity, having been already Mentioned in<br />

Dispatches and awarded the Military Cross (MC).<br />

Two members commissioned in the Army were<br />

killed in action. Captain Mortimer Fisher (Yeoman) had<br />

joined the West Yorkshire Regiment in 1900 and served<br />

with the 2 nd Battalion in South Africa. He accompanied<br />

the 1 st Battalion (Prince of Wales’s Own) as part of the<br />

BEF and was involved in severe fighting during the<br />

early stages of the campaign. He died, aged 31, on 20<br />

September 1914 at Troyon in France and is remembered<br />

with honour at La Ferte-Sous-Jouarre Memorial.<br />

Captain Charles Gordon Paramore (Yeoman) enlisted in<br />

September 1914, being commissioned in the 8th<br />

Battalion, The Royal Berkshire Regiment. He was killed,<br />

aged 30, leading his company on 25 September 1915, the<br />

first day of the Battle of Loos. He is remembered with<br />

honour at Dud Corner Cemetery, Loos.<br />

Some of the Society’s more senior members, either in<br />

terms of their experience of military or naval medicine<br />

or through their association with the RAMC Territorial<br />

Force (TF), had their talents used at a high level within<br />

the Army’s medical services. Notably, Benjamin<br />

Bloomfield Connolly (Master 1918-19), Colonel, AMS<br />

(retired) had had a distinguished career as a military<br />

surgeon starting with the Franco-German War of 1870-<br />

71 and including a number of later conflicts for which he<br />

received several decorations. He had retired in 1891 but<br />

was re-employed as principal Medical Officer (MO) at<br />

the Royal Arsenal, Woolwich during the South African<br />

War. During the Great War, he acted as Assistant<br />

Director of Medical Services (ADMS) in the Sussex<br />

District and was brought to the notice of the Secretary<br />

State of War for his valuable services.<br />

Others took on important responsibilities at home<br />

and abroad. Sir George Henry Makins (Liveryman),<br />

who had travelled to South Africa as a civilian<br />

24


consulting surgeon, became an expert on gunshot<br />

injuries. He was commissioned Major in the RAMC<br />

Territorial Force (TF) on its formation in 1908. In<br />

September 1914, he left for France as consulting surgeon<br />

to the BEF and supervised newly established hospital<br />

centres at Camiers and Etaples, He retired in March<br />

1918 with the rank of Major-General, AMS. Sir William<br />

Arbuthnot Lane, Bt. (Liveryman), who had also joined<br />

the RAMC (TF) in 1908, held the rank of Captain at the<br />

2 nd London General Hospital at the outbreak of the war<br />

and was gazetted Colonel, AMS in September 1917. He<br />

worked with the French Red Cross, served as consulting<br />

surgeon to the Aldershot Command and acted as<br />

supervisor of Queen Mary’s Hospital, Sidcup, which<br />

pioneered the treatment of facial injuries. He was made<br />

CB and was a Chevalier of the Legion d’Honneur.<br />

A number of members who served in the Great War<br />

had begun their military careers in the Medical<br />

Department of the Army before the RAMC had been<br />

formed in 1898. Charles Thomas Samman (Liveryman,<br />

Master 1928-31), Lieutenant-Colonel, RAMC had been<br />

commissioned Surgeon Lieutenant in the Army Medical<br />

Department in 1893. He served in France with the 10 th<br />

General Hospital and the 2/2nd London Field<br />

Ambulance. Ernest Carrick Freeman (Liveryman, Master<br />

1931-32) had joined the Army Medical Department in<br />

1887 and served in the South African War. In the Great<br />

War, he was Colonel, RAMC and ADMS, 54 th (East<br />

Anglian) Division (TF), which deployed to Gallipoli in<br />

July 1915 and later to Egypt. He was Mentioned in<br />

Dispatches and created CMG for his work. Robert<br />

James Blackham (Yeoman 1917) had joined the Army<br />

Medical Staff in 1895. He served in France from 1915 as<br />

ADMS, 23 rd Division and was promoted Colonel,<br />

RAMC. Also serving in Belgium, Italy and Russia, he<br />

was made Deputy Director, Medical Services, 11 th<br />

Corps. Mentioned in Dispatches five times, he received<br />

the DSO, CMG, CB, French Croix de Guerre, and made<br />

a Chevalier of the Legion d’Honneur.<br />

The majority of members commissioned in the<br />

RAMC after the start of the war served abroad on many<br />

fronts. John Oglethorpe Wakelin Barratt (Liveryman,<br />

Master 1933-34), Captain, RAMC (TF) served as<br />

Commanding Officer (CO), 71 st Sanitary Section, 1 st<br />

London (City of London) Sanitary Company. The<br />

Section deployed to Egypt in December 1915 as part of<br />

the 31 st Division. He later served as MO to a variety of<br />

general, base and veterinary hospitals in France and<br />

Italy. Thomas Bramley Layton (Yeoman, Master 1940-<br />

41), Major (acting Lieutenant-Colonel), RAMC (T) had<br />

been mobilised at the outbreak of the war. He served as<br />

CO, 2/4 London Field Ambulance in France from June<br />

1916 and later in Salonika, Palestine and Egypt. In 1918,<br />

he was twice Mentioned in Dispatches and awarded the<br />

DSO for distinguished service in connection with<br />

military operations in Egypt.<br />

25


Three others who served in the RAMC are worthy of<br />

mention. Captain William Linnell Partridge (Yeoman)<br />

was Regimental MO, 14 th Battalion, The Gloucestershire<br />

Regiment in France from January to September 1916 and<br />

later in Egypt and Palestine. He was awarded the MC in<br />

1917 for distinguished service in the field. Captain Eric<br />

Morse Townsend (Yeoman) was commissioned in<br />

March 1915, and served as Regimental MO, 11 th<br />

Battalion, The King’s Royal Rifle Corps, 1915-17 and 20 th<br />

Division, Royal Engineers, 1917-19. He was Mentioned<br />

in Dispatches and awarded the MC. Major John<br />

Bernard Cavenagh (Yeoman 1915) was awarded the MC<br />

in 1917 for conspicuous gallantry and devotion to duty.<br />

Later, attached to 113 th Field Ambulance in France, he<br />

was awarded a Bar to the MC.<br />

Two members lost their lives while serving in the<br />

RAMC during the war. Lieutenant William<br />

Trengweath Harris (Yeoman), a medical practitioner in<br />

private practice, was commissioned in February 1917<br />

and sent to serve in Egypt though he was never to reach<br />

his destination. He drowned, aged 40, on 15 April 1917<br />

when the transport ship on which he was travelling<br />

HMT Arcadian was torpedoed in the Eastern<br />

Mediterranean. He is remembered with honour at the<br />

Mikra Memorial. Major Percival Thomas Priestley<br />

(Yeoman) completed his medical studies in 1913 and was<br />

commissioned at the end of July 1914. He accompanied<br />

the BEF to France in August and later worked with 25 th<br />

Casualty Clearing Station in Salonika where he died,<br />

aged 30, on 28 September 1918. He is remembered with<br />

honour at Salonika (Lembet Road) Military Cemetery.<br />

A number of members had volunteered to serve in<br />

France under the British Red Cross Society and Order of<br />

St. John before accepting a commission in the RAMC.<br />

Hugh Lett (Yeoman, Master 1937-38), a general surgeon,<br />

served in France as MO, the Anglo-American (Lady<br />

Hadfield’s) Hospital, Wimereux, France from<br />

November 1914 to March 1915. He was also visiting<br />

surgeon, The King George Hospital, Waterloo from May<br />

to October 1915. He later served in Belgium and Egypt<br />

and was promoted Major, RAMC. He was made CBE in<br />

1920. John Prescott Hedley (Yeoman 1915, Master 1944-<br />

45) was an obstetrician and gynaecologist who served as<br />

MO and Captain, RAMC (TF) at the Duchess of<br />

Westminster’s (No.1 British Red Cross) Hospital, Le<br />

Touquet from November 1914 and was later surgical<br />

specialist to the 5 th London General Hospital.<br />

26<br />

A significant proportion of those commissioned in<br />

the RAMC served in military hospitals at home, often<br />

though not exclusively in London. Captain Reginald<br />

Whiteside Statham (Liveryman, Master 1927-28) was in<br />

charge of No.4 War Hospital at Topsham Barracks,<br />

Exeter. Lieutenant-Colonel Christopher Thackray<br />

Parsons (Liveryman, Master 1946-47), formerly medical<br />

superintendent of the Fulham Infirmary, acted as CO of<br />

the Fulham Military Hospital, Hammersmith and also<br />

served in Mesopotamia from July 1916. Captain Robert<br />

Lauder Mackenzie Wallis (Yeoman) was MO in charge<br />

of Fishmongers’ Hall Hospital for Officers from October<br />

1914 to June 1915 and then served in France, Egypt and<br />

India.<br />

Sanitation was another important role on the home<br />

front. At the beginning of the war, Sir Shirley Forster<br />

Murphy (Master 1920-21) was commissioned<br />

Lieutenant-Colonel, RAMC (TF) and made Senior<br />

Sanitary Officer to the London Command, organising<br />

the billeting of troops, ensuring the hygiene of quarters,<br />

and dealing with problems caused by cerebrospinal<br />

fever and other contagious diseases. He was appointed<br />

KBE.


A small number of members served as Surgeons in<br />

the Navy. For example, Gerald Roche Lynch (Yeoman,<br />

Master 1951-2) acted as Surgeon-Lieutenant<br />

(Temporary) to the RN Hospital in Malta, RN College in<br />

Greenwich and RN Depot at Crystal Palace. He was<br />

awarded the OBE for valuable services in 1919.<br />

Among those engaged in civilian roles, some of the<br />

more experienced members had volunteered to work in<br />

hospitals abroad at the beginning of the war. Samuel<br />

Osborn (Master 1919-20) was a general surgeon who<br />

had experienced several conflicts including the Greco-<br />

Turkish War of 1897, the South African War and the<br />

Balkan War. In August 1914, accompanied by three<br />

dressers and three nurses, one of whom was his<br />

daughter, he took charge of a Belgian hospital in a<br />

private house in occupied territory before moving to the<br />

English convent at Bruges. For his work with the<br />

Belgian Red Cross he received the Croix de Chevalier de<br />

l’Ordre de la Couronne. He later served as MO in charge<br />

of the Countess of Dundonald’s Hospital, attached to<br />

Queen Alexandra’s Military Hospital, Millbank.<br />

The majority of civilian members who volunteered to<br />

help with the war effort acted as physicians or surgeons<br />

attached to military or auxiliary hospitals at home. For<br />

instance, William Frederick Richardson Burgess (Court<br />

of Assistants, Master 1921-22) acted as civilian surgeon<br />

attached to the Royal Field Artillery Military Hospital,<br />

Preston Barracks, Brighton and as civilian MO, Grove<br />

Hospital, Tooting. He was awarded the OBE.<br />

There were various other wartime roles that civilians<br />

fulfilled. For example, Reginald Hewett Hayes<br />

(Liveryman, Master 1938-39) was a member of the<br />

Emergency Surgical Aid Corps of the Royal Society of<br />

Medicine, which had been created to offer volunteer<br />

surgical assistance in the event of air raids striking<br />

London or the East Coast.<br />

Finally, between 1915 and 1919, the Society elected<br />

six Honorary Freemen who had made outstanding<br />

contributions in the medical field, both in the Armed<br />

Forces and in public life. Prominent among them was<br />

Sir Ronald Ross (1915) who as Lieutenant-Colonel<br />

(Temporary), RAMC acted as consulting physician on<br />

tropical diseases to the Mediterranean Expeditionary<br />

Force based in Alexandria in 1915. Later he was<br />

consultant to the Southern, Eastern and Aldershot<br />

Commands and the London District, including the<br />

Malaria Department at the 4 th London General Hospital.<br />

He was appointed KCMG in 1918.<br />

27


CONCLUSION<br />

A high proportion of the members of the Society of<br />

Apothecaries who served during the Great War did so<br />

in some medical capacity. The brief biographies<br />

included in this overview underline the many and<br />

diverse roles that members undertook in wartime: frontline<br />

duty with regiment, casualty clearing station, field<br />

ambulance or sanitary company; general and specialist<br />

surgical roles in stationary hospitals and on hospital<br />

ships; high-level administrative and advisory roles; the<br />

running of military and auxiliary hospitals involved in<br />

treating and rehabilitating casualties at home; and a<br />

variety of supporting roles.<br />

It is evident that there was wide spectrum of<br />

expertise among the membership. Some of the senior<br />

members already had extensive experience of battlefield<br />

medicine, either as part of the Army’s medical staff or<br />

by having acted as consulting surgeons in previous<br />

conflicts. The lack of a commission in the military was<br />

no obstacle to those determined to contribute their skills<br />

in France and Flanders by working in Red Cross<br />

hospitals, several of whom were later absorbed by the<br />

RAMC. Others left their established medical positions to<br />

serve with the RAMC, sometimes with tragic<br />

consequences, as noted above. It is also clear that<br />

civilian physicians and surgeons made an important<br />

contribution supporting the war effort at home.<br />

This short summary can only hint at the extent of the<br />

contributions made by the members of the Society who<br />

performed war-related work. Many did their bit but<br />

received no special honours owing to their youth, a<br />

short period of service or the routine nature of their role.<br />

In some instances, the records are brief because<br />

members did not volunteer the relevant information<br />

perhaps out of modesty or a reluctance to dwell on the<br />

past. Lastly, there is an unheralded group beyond the<br />

ordinary age of enlistment who took on the day-to-day<br />

work of general practitioners, hospital physicians and<br />

medical officers of health in order to free their younger<br />

colleagues to join the Armed Forces.<br />

The authors wish to thank Dr. John Ford for his advice,<br />

encouragement and comments on the manuscript. Members<br />

with additional information or enquiries are invited to contact<br />

the Archivist@apothecaries.org.<br />

28


A Sabbatical in Italy<br />

Dr Simon Read<br />

Rigoletto was the catalyst. It had been 12 years since<br />

I last lived in Italy and sitting in Covent Garden<br />

listening to this opera, I suddenly really wanted to go<br />

back. I closed my eyes and was back among the<br />

Umbrian hills with my wife, singing opera in our Mini<br />

while driving to Assisi. The town had glimmered on<br />

the side of Monte Subasio like a gold coin.<br />

Singing in our Mini<br />

In 2002, between finishing 80 hour a week hospital<br />

jobs and starting the GP registrar year, we had driven<br />

down to Italy to live in Perugia. We had rented a tiny<br />

14 th century monolocale (bedsit) in the heart of the old<br />

town and signed up at the University for Foreigners.<br />

In the mornings we learnt Italian with views of the<br />

Umbrian hills and in the afternoon sipped espressi on<br />

the Corso Vannucci, pondered our competi (home<br />

work) and went home to cook. It was fabulous. We<br />

returned to London half decent in Italian, full of<br />

enthusiasm for GP training.<br />

For that sabbatical, we had no big commitments<br />

but we now had six small children. Logistics should<br />

never get in the way of a good plan. My cousin, a<br />

respiratory consultant, had done it with his own<br />

family and gave the idea a resounding “DO IT.” Most<br />

surprisingly for me was the similar reaction of my GP<br />

partners.<br />

We returned to Perugia having found a house to<br />

rent in the centro storico. We didn't do any other<br />

planning as our Italian friends had told us that trying<br />

to organise anything in Italy in advance would be<br />

futile. This approach was validated by some early<br />

failed phone calls to the local schools. When the time<br />

came, we packed up our red transit van as if we were<br />

heading off for a week in the New Forest, adding in<br />

the guinea pig, my sourdough starter and some bikes.<br />

The girls finished school for the summer holidays, and<br />

off we went.<br />

Setting up home was fun: re-familiarizing<br />

ourselves with Perugia’s maze of medieval streets, its<br />

hill top views from every corner, cooking over an<br />

open fire and enjoying the evening passeggiata. We<br />

swam in the warm seas around Ischia, visited the<br />

capital of Umbrian truffle hunting and loved<br />

revisiting old haunts with our new brood. To keep us<br />

on our toes the school admissions procedures were<br />

suitably challenging. It took numerous visits to<br />

different offici, which all had slightly different very<br />

narrow morning-only opening times which are<br />

different for each day of the week. We grew<br />

accustomed to never quite having the right document,<br />

‘Yes I have my daughter’s birth certificate and<br />

passport photocopied and paper-clipped to the<br />

application form with her photo signed by our local<br />

GP, I didn’t realised I would also need her tax code,<br />

would my tax code be sufficient?’ Of course not, I<br />

29


Sabbatical in Assisi<br />

will have to come back tomorrow with the documents<br />

and large family. But we got all six children into the<br />

best local schools.<br />

Now for “sabbaticalling”, visions of long bike rides<br />

and then lazing around in the Italian sun? Not quite.<br />

Family life in many ways remained unchanged: the<br />

organising (very slow or no internet connection),<br />

shopping (no Tescos round the corner), cooking (don’t<br />

use the kettle at the same time as the oven or the lights<br />

fuse), sorting (all school children must wear a white<br />

jacket uniform and have a named glue stick etc) has<br />

the same dose of fun, happiness, joy, frustrations,<br />

tears and tantrums as in London. There are some<br />

broad differences of course. And much of what gives<br />

Italian life its charm has on the flip side of the coin its<br />

frustrations.<br />

The world revolves around<br />

the family in Italy, and<br />

children in particular.<br />

Children are welcomed everywhere,<br />

and indeed expected to<br />

be present and taking centre<br />

stage of attention. There are no<br />

bedtimes. Everyone is late.<br />

Lifestyle takes precedent over<br />

work and priorities of family<br />

life and food are evident in<br />

opening times (late opening,<br />

long lunches), school drop off<br />

(more dads than mums), and<br />

pace (obligatory mid morning<br />

coffee at the bar). The school<br />

day finishes at 1pm when the<br />

town comes to a stop for<br />

several hours for the long<br />

lunch.<br />

The emphasis on family and<br />

eating together is refreshing.The<br />

overbearing nature of<br />

parenting, however, is less charming. I like our<br />

children to play with bare feet, go swimming in cold<br />

water, head out into a head wind with wet hair, wear<br />

shorts and t-shirts if they feel warm in autumn, and<br />

then get cold and wet and dirty knowing that there is<br />

a hot shower and cosy fire at the end of the day. Italian<br />

parents seem so anxious about any possible freddo<br />

(cold) or sporco (dirt) for their children. Italy is<br />

beautifully beguiling but at the same time the culture<br />

is somewhat over protective.<br />

London has the advantage of anonymity when you<br />

want it and huge diversity. It has made me value<br />

London even more as a place to live. Our girls have<br />

gained in confidence: the ability to welcome change<br />

and set up their bedrooms in a new country. For me<br />

the biggest pleasure of the sabbatical has been having<br />

time with my family - volumes of time. I have had the<br />

space to re-evaluate my life. The performance of<br />

Rigoletto seems like a long time ago now. But I am<br />

pleased we brought those tickets…<br />

30


Registrar’s Report<br />

Mrs Jennifer Maclean<br />

2015-16 has<br />

been another<br />

busy year in the<br />

Examinations<br />

Department.<br />

Twelve examination<br />

diets<br />

were held: four<br />

Medical Care of<br />

Catastrophes,<br />

i n c l u d i n g<br />

two staged in<br />

the Netherlands<br />

to fulfil the contract<br />

with the<br />

Dutch Ministry<br />

of Defence, two<br />

each of Genit<br />

o u r i n a r y<br />

Medicine and HIV Medicine, and one each of Medical<br />

Jurisprudence (Pathology), History of Medicine,<br />

Philosophy of Medicine and Forensic Medical Sciences.<br />

Apart from the DMJ (Path), the London-based<br />

examinations, written and practical, are held in the Great<br />

Hall; the photograph shows the Hall when set up for an<br />

objective structured clinical examination (OSCE).<br />

There were 205 candidates over the seven diplomas,<br />

resulting in 175 diplomates. The weather held on the day<br />

of the annual Diploma Ceremony, and some 170<br />

diplomates and their guests enjoyed the Society's<br />

hospitality, mingling with members of the Court and<br />

taking tea in the courtyard. Some had travelled from the<br />

Netherlands while others came from as far afield as<br />

Malaysia.<br />

An important part of the Society's quality assurance<br />

procedures involves assessing the psychometrics of the<br />

examinations. This is achieved via the good offices of Dr<br />

John Patterson, Liveryman and Honorary Senior Lecturer,<br />

Centre for Medical Education, Barts and the London<br />

School of Medicine and Dentistry, who provides reports<br />

on the examinations and attends examination committee<br />

meetings to explain the outcomes to the examiners.<br />

The GMC’s “Standards for Curricula and Assessment<br />

Systems” requires, inter alia, that those who examine are<br />

trained and regularly updated in the appropriate<br />

assessment techniques. Although not all of the Society's<br />

examinations are accountable to the GMC, the<br />

Examinations Board observes the standards as best<br />

practice. Thus, every year to 15 months we stage a<br />

training day for newly-appointed examiners, attendance<br />

at which is compulsory before they are permitted to assess<br />

in a practical examination. The day provides an<br />

opportunity for examiners to learn of the theory of<br />

assessment and to take part in discussions and mock<br />

assessments. Refresher training focuses on the theory and<br />

practice of standard setting and blueprinting, as the<br />

rationale behind those aspects of examination preparation<br />

tends to fall into place more readily once examiners have<br />

been actively involved with their examination committee.<br />

CPD credits are sought from the RCP on each occasion.<br />

A large number of people each play their part towards<br />

the whole examination effort, and I am grateful to them<br />

all, not only for their efforts but also for helping to make<br />

my role so enjoyable. The three groups are: the<br />

Examinations Board, which oversees the Department in<br />

its entirety, and whose advice and broad range of<br />

expertise is so valuable; the Society's 150+ examiners, and<br />

particularly the conveners, deputies and panel chairs,<br />

who voluntarily contribute vast amounts of their "spare"<br />

time to set, support and assess their respective<br />

examinations; and last, but by no means least, my<br />

assistants Maria Green and Rita Pulga, who decided to<br />

return home to Italy after 10 years in London and who<br />

was succeeded by Smita Shah. The dedication, patience<br />

and good humour of all these contributors are an asset to<br />

the Department and to the Society.<br />

31


Faculty of the History and Philosophy of<br />

Medicine and Pharmacy<br />

Fantasy Faculty<br />

Tina Matthews – President<br />

There’s a lot of it about; fantasy this and<br />

fantasy that, teams and leagues and so on.<br />

What about a fantasy Faculty then? ‘Well,<br />

yes’, I hear you say ‘That’s never going to be<br />

mainstream is it? A bit too esoteric perhaps?’<br />

But if you were going to play, how would it<br />

go for you? Take some dreaming spires in<br />

an ancient university city, (too obvious), or<br />

maybe a 17 th century Livery Hall in the city<br />

of London hidden in a narrow cobbled lane<br />

through an arched double wooden door into<br />

a neatly proportioned courtyard.<br />

Then take more tall wooden doors<br />

straddled by a carved coat of arms, leading<br />

into a wood-panelled atrium with sweeping<br />

stairway to a first floor adventure in history<br />

through rooms quaintly termed The Parlour<br />

and The Court Room. These rooms, lined by<br />

antique furniture and fine paintings, could<br />

host lectures for the finest diploma courses<br />

in history, philosophy, ethics of medicine<br />

attended by students, the retired and all between, and<br />

once a year, these studious ones would take<br />

examinations, writing essays to the slow clock tick in The<br />

Court Room, and they would all pass. The Faculty would<br />

be ambitious, and work towards higher qualifications<br />

such as a Masters in Medical History.<br />

There would be entertainment in the evenings<br />

throughout many months of the year; tales of historic<br />

daring-do shared by echoing oration in that classic Hall,<br />

sometimes by a well-known figure, thanked and feted<br />

and rewarded with a medal to rival the Olympics. Follow<br />

this with feasting, wine and passionate debate with new<br />

and old friends.<br />

A sparkling reception in the courtyard<br />

Sometimes there could be the intense exchange of<br />

information, an oasis for those with a thirst for<br />

knowledge in places named Apothecaries’ Hall and<br />

Wellcome Collection with many learned scholars<br />

imparting their colourful threads of information. We<br />

would call them Fellows, some philosophy and some<br />

history, and the latter would creep through the<br />

archives extracting juicy tidbits of the Society’s past.<br />

Once a year, in June when the weather is clement, they<br />

would assemble a glittering symposium to entertain<br />

and inform, with a sparkling reception in the<br />

courtyard.<br />

32


Short courses bursting with information would be<br />

scattered through the academic year, and there would<br />

be development of new ones such as the History of<br />

Pharmacy and the Pharmaceutical Industry.<br />

Does all this sound wonderful? Such a beautiful<br />

fantasy, but wait; this is all true, this is the Faculty of<br />

the History and Philosophy of Medicine and<br />

Pharmacy, of the Worshipful Society of Apothecaries<br />

of London - my fantasy is real! Many real human<br />

beings have been involved in making my dream<br />

reality, and I would like to thank them. Maria Ferran<br />

and the inhabitants of the offices upstairs for<br />

administering, co-ordinating, organising, greeting and<br />

being super friendly and helpful, all the hall staff for<br />

preparing for lectures, symposia and courses. Thanks<br />

also to the support team that constitutes the Executive<br />

Committee, to Edward Wawrzynczak and his band of<br />

followers for producing the symposium in June;<br />

“Doctors and Medicine at the time of the Great War:<br />

Changes, Challenges and Consequences”. Thanks to<br />

Briony Hudson for development of the new short<br />

course in History of Pharmacy and the Pharmaceutical<br />

Industry to debut in November <strong>2016</strong>, and for hours of<br />

hard slog and brain storming by Hilary Morris and<br />

Christopher Gardner-Thorpe to devise a Masters in<br />

Medical History. The “bread-and-butter” of the<br />

Faculty are its diploma courses, now definitely at the<br />

level of deli speciality bread, admirably directed by Dr<br />

Andrew Papanikitas (Philosophy) and Dr Christopher<br />

Gardner-Thorpe (History). The Eponymous lectures<br />

continue as a staple of the Faculty educational<br />

offerings, with programmes arranged in a timely<br />

manner by the Meetings Secretary, Dr Andrew Hilson.<br />

Congratulations are in order for those who have<br />

passed the examinations for our diplomas; especially<br />

those awarded distinctions with the Selwyn Prize<br />

going to Daniel Di Francesco and Maccabaean prizes<br />

winners to be confirmed. Also to Dr Ruth Richardson<br />

and Dr David Misselbrook who became Honorary<br />

Fellows of the Faculty in recognition of their work for<br />

the Faculty.<br />

Finally I would like to thank the Faculty members<br />

and lecture audiences for their continued support, and<br />

I hope enjoyment of the programme we offer and for<br />

making this Faculty my fantasy come true!<br />

33


Curator’s Notes<br />

Nicholas Wood – Curator and Past Master<br />

Work in the Society’s collections has continued for<br />

another year, with progress being made on<br />

cataloguing the collection of photographs, images and<br />

engravings. General cataloguing has continued as<br />

well, an example being the transfer to our Archives<br />

from the Royal Colleges of Surgeons of a number of<br />

our Licences from the 19th century. We have also<br />

continued to provide a few more discreet labels where<br />

possible but one piece of important news is that the<br />

Court has agreed to new lighting in the two main<br />

display cases: the Fairleigh Collection drug jar case in<br />

the Entrance Hall, and the large display cases in the<br />

Parlour. Better lighting will improve the displays and<br />

also, being cooler, will be safer, especially to some of<br />

the more delicate wooden items that we would like to<br />

have on display.<br />

Our Adopt a Book scheme to support conservation<br />

and restoration of the some 250 rare books in the<br />

Society’s library is now in place and a number of<br />

volumes have been restored following generous<br />

sponsorship from a number of individuals and also<br />

from the Friends of the Archives. Of special note is the<br />

restoration of two 1809 Pharmacopoeias Londinensis,<br />

one of which is interspersed with the 200-year-old<br />

working notes from our laboratories. This is a great<br />

resource of 18 th and 19 th century laboratory practice<br />

and has already been consulted by one of our<br />

researchers. We are grateful to the many who have<br />

given this financial support and hope that others will<br />

feel encouraged to make a contribution to our<br />

conservation efforts through the Adopt a Book<br />

scheme. Details of the scheme, including a<br />

sponsorship form, are available around the Hall<br />

during various events, on the web site, and when the<br />

Library is open, now a regular event prior to Faculty<br />

and Friends lectures,<br />

Work continues to index the Court Minutes, and to<br />

review the data base of medical and other artefacts.<br />

We have also hosted a number of researchers, some of<br />

whom have produced books (including a children’s<br />

mystery thriller!) using material supplied by the<br />

Archives. One researcher, Marion Mackonochie from<br />

UCL has written her MSc. dissertation on the Society’s<br />

Materia Medica cases, the largest of which stands on<br />

the Hall landing.<br />

Perhaps the most welcome news is the gift of a “400 th<br />

Birthday Present” from the Royal College of General<br />

Practitioners of the services of their archivist, Sharon<br />

Messenger, for one day a week during our anniversary<br />

year of 2017. We are very grateful to the College and<br />

look forward to having Sharon work with us.<br />

Finally, I am grateful to all the volunteers who<br />

have enthusiastically given of their time this year to<br />

assist in the archives, library and around the Hall<br />

including Roy Sinclair, Liz Wood, Peter Homan, Fiona<br />

Davidson, John Ford, Ann and Norman Smith, John<br />

Ferguson, and Brian Matthews with a special mention<br />

to Janet Payne who keeps the whole show on the road<br />

answering e-mails and undertaking archival<br />

researches.<br />

34


The Anniversaries Committee<br />

Charles Mackworth-Young<br />

Our 400 th Anniversary is not far away. James I<br />

granted us our Charter on 6 December 1617, and we<br />

are hoping that members of the Society will enjoy<br />

celebrating this great moment in our history. The<br />

Anniversaries Committee has been preparing a wide<br />

range of events. They will include:<br />

• The Master’s Day Service: instead of being held<br />

in September, as is usual, it will take place<br />

immediately after the Election Court on<br />

17 August. This will be followed by dinner in<br />

the Hall.<br />

• Evensong in St. Paul’s Cathedral on Tuesday<br />

20 September, which will include a specially<br />

commissioned anthem by the celebrated<br />

composer Michael Berkeley.<br />

Much of the focus of the Committee has been on<br />

the 400 th Appeal. We are particularly grateful to<br />

Members of the Society and to others who have so<br />

kindly contributed to this very worthwhile cause, or<br />

who have taken part in the 400 Club. Thanks to<br />

everyone’s generosity, the Appeal has so far raised<br />

over £200,000; and it is of course still open to<br />

donations. We plan to use this fund for three<br />

purposes: an annual scheme to provide bursaries for<br />

medical student electives abroad; an annual<br />

academic prize for junior doctors at pre-consultant<br />

level; and – in view of our crest, and the prestige that<br />

we have derived from the animal – a grant towards<br />

saving the rhinoceros. If you have not had a chance<br />

to contribute to the Appeal and would still like to do<br />

so, please contact the Clerk’s Office.<br />

• A Banquet in the Guildhall on 6 December.<br />

Details of these and other celebratory events are<br />

given on page 37.<br />

We are also extremely grateful to the Livery<br />

Committee for generously funding the repair and<br />

repainting of the clock in the Courtyard, which will<br />

look very fine indeed, particularly in the context of<br />

the newly restored and decorated walls and<br />

windows.<br />

The Society helps to save the Rhino<br />

35


The Charity Committee<br />

Simon Bailey<br />

I have just taken over the chairmanship of the<br />

Charity Committee from Derek Adams, our current<br />

Master. There has been a decline in direct giving to the<br />

charity and I am sure that this relates to members<br />

giving to the 400 th Appeal and also to assist in the<br />

restoration of the Hall. The charitable giving is so<br />

central to the ethos of the Society and I hope, after our<br />

400 th Celebration, we can look at new ways to increase<br />

the amount of money we have to support the many<br />

worthy causes that come to our attention.<br />

Grants of £1000 were made this year to 32 medical<br />

students and three pharmacy students. Because of<br />

historic funding, seven awards are designated Society<br />

of Apothecaries Colman Kenton Educational Grants,<br />

four awards as Society of Apothecaries Lord Tanlaw<br />

Educational Grants and six awards Society of<br />

Apothecaries Ruth Hoffman Educational Grants. The<br />

remainder were styled Society of Apothecaries<br />

Educational Grants. The recipients of these awards are<br />

in their final two years of training and have been<br />

recommended to the committee by the Deans of their<br />

medical or pharmaceutical colleges. The committee<br />

chooses from the Deans' suggested candidatures. Most<br />

are doing medicine as a second degree and are<br />

carrying a heavy weight of debt.<br />

Additionally £3,500 was given to the Faculty of<br />

History and Philosophy of Medicine and Pharmacy to<br />

assist undergraduate students who are doing our<br />

diploma course. £400 was given to St Paul's Cathedral<br />

Foundation and £650 to the Sheriff and Recorder fund.<br />

£400 was given to St Paul’s Cathedral Foundation<br />

36


Anniversary Year Events<br />

As we prepare for the 400 th Anniversary of the<br />

granting of our Charter on 6 December 2017, here's a<br />

reminder of some of the Anniversary events.<br />

Up to and throughout the year, we're raising money<br />

for our Apothecaries’ charities, supporting medical<br />

education and rhino conservation. For more details<br />

about any of these events contact the Clerk’s Office.<br />

Instant Sunshine Concert<br />

17 February, 2017<br />

The brilliant witty all-singing doctors group "Instant<br />

Sunshine," of BBC Radio 4 fame, will be live on stage<br />

at the Cadogan Hall to celebrate their 50 th<br />

Anniversary, our 400 th , and the baby charity,<br />

Tommy's, 25 th . The band are very generously<br />

performing for free, with all proceeds going to the<br />

Apothecaries' and Tommy's charities.<br />

This should be a fabulous evening, and a great<br />

opportunity to raise money for great charities. Tickets<br />

£15 to £75 from Cadogan Hall.<br />

Advertise, send a message of support in the<br />

programme, or donate direct – all donors of £100 or<br />

more will have their name listed in the programme!<br />

Master's Day Service and Dinner<br />

17 August, 2017<br />

In a change from our usual routine, the Master's Day<br />

Service 2017 will be held immediately after the<br />

Election Court on 17 August, followed by a dinner<br />

rather than the usual lunch. All Guardant Members<br />

are welcome to attend the service and/or dinner.<br />

Provisional timings are 5.30 pm for the service, 7.00<br />

for 7.30 pm for dinner, with booking details to follow<br />

later in the year.<br />

Anniversary Evensong at St Paul's<br />

20 September, 2017<br />

The Society is honoured to be holding a special<br />

evensong at St Paul's, where we will be joined by<br />

Masters and Clerks from other Livery Companies,<br />

invited guests, and the Members of the Society.<br />

The service will see the first performance of a newly<br />

commissioned anthem by Michael Berkeley, which<br />

will become a firm fixture of future Apothecaries<br />

events.<br />

Following the service, there will be a reception at the<br />

Hall, with free entry for Guardant Members.<br />

Booking details later in the year.<br />

Guildhall Banquet<br />

6 December, 2017<br />

400 years to the day, the Society will celebrate the<br />

Charter with a magnificent Banquet at the Guildhall.<br />

After a Reception in the Old Library, there will be a<br />

four-course white tie dinner in the magnificent<br />

surroundings of the Great Hall, in the presence of key<br />

figures in the life of the Society: Royal Freemen, the<br />

Lord Mayor and Sheriffs, Presidents of the Medical<br />

Royal Colleges, the Grocers, the Barbers, and the<br />

Patrons of the 400 th Appeal.<br />

37


Due to the demand for additional tickets, and in a<br />

change to the original dates, "early bird" tickets will<br />

now only be available until March 1 2017, and will<br />

remain limited to two per Guardant Member - this is<br />

to ensure that as many Members as possible are able to<br />

attend, at the special price of £100 per ticket.<br />

From 1 March 2017, tickets will cost £120 per person,<br />

and all Members (Guardant and Couchant) may book<br />

as many tickets as they need for their parties for the<br />

evening. You may apply now to the waiting list (but<br />

please don't send money yet), and receive your<br />

allocation after 1st March.<br />

Tickets from assistantclerk@apothecaries.org<br />

Other Anniversary Year events:<br />

6 February 2017<br />

The Rose Prize is a biennial award presented jointly<br />

by the Faculty of the History and Philosophy of<br />

Medicine and Pharmacy and the Royal College of<br />

General Practitioners. The prize commemorates<br />

William Rose and Fraser Rose. Submissions now<br />

welcome.<br />

23 February 2017<br />

“Keats and Medicine – An Exploration of their<br />

Relationship” with Professor Sean Hughes, Emeritus<br />

Professor of Orthopaedic Surgery at Imperial College<br />

London.<br />

22 November 2017<br />

The Fitzpatrick and Copeman Lectures, in conjunction<br />

with the Royal College of Physicians, presented by Sir<br />

Paul Nurse and Dr David Starkey. Lecture at the RCP,<br />

supper afterwards at Apothecaries Hall. Details to follow.<br />

38


Faculty of Conflict and Catastrophe Medicine<br />

Air Vice-Marshal Aroop Mozumder<br />

CB FRCGP FFPH MSc DTM&H DAvMed DMCC<br />

Last year I opened by mentioning that the relevance of<br />

what we teach and examine in this Faculty has perhaps<br />

never been so starkly exposed, highlighting the brutal<br />

civil war in Syria. The world now is, if anything, in an<br />

even worse position than last year, with a larger number<br />

of humanitarian emergencies, fragile and failing states,<br />

and mass movements of refugees and internally<br />

displaced people than in recent memory. Although<br />

some progress has been made worldwide in the<br />

Millennium Development Goals (now the Sustainable<br />

Development Goals) and towards the control of diseases<br />

such as malaria, TB and polio, it is still shocking to think<br />

that 15 of the 20 poorest<br />

countries in the world are<br />

still affected by significant<br />

conflict. We are being<br />

daily exposed to pictures<br />

of suffering on our TV<br />

screens. This is perhaps<br />

one of the reasons for the<br />

popularity of our course<br />

and why more medical<br />

schools have also<br />

expressed an interest in<br />

this area of medicine.<br />

Care of displaced<br />

populations and the<br />

wider health issues facing<br />

societies dealing with<br />

health emergencies, is a<br />

core part of what we teach<br />

to doctors and nurses on<br />

the Conflict & Catastrophe Medicine course. Indeed, so<br />

popular has the course become, that last year we had to<br />

very reluctantly declare the course numbers at capacity<br />

for the first time. We introduced a ceiling of 50 new<br />

students for each course year starting in January. With<br />

39<br />

over 280 students enrolled, the Saturday lectures are<br />

lively and busy, with often around 70 students<br />

attending. We are now full at the time of writing for the<br />

courses in 2017 and 2018 and the waiting list on the 2019<br />

course is also significant and well over 30. Although<br />

gratifying, in one sense this is also deeply worrying, in<br />

that we are clearly not able to fulfill the demand among<br />

young and enthusiastic healthcare professionals for<br />

teaching in this area.<br />

Due to the importance of evolving the syllabus to<br />

keep up with the requirement to deliver a relevant and<br />

up-to-date course, we increased the number of teaching<br />

days to 13 Saturdays per<br />

year. Course days are<br />

lively and busy and it is<br />

wonderful to see so many<br />

motivated students in<br />

our venerable Hall. This<br />

success is once again due<br />

to the very hard work of<br />

our Course Director Dr<br />

Tim Healing and our<br />

Faculty administrator<br />

Goldy Gullo.<br />

Our evening public<br />

lectures have been once<br />

again excellent this year.<br />

In May we had an<br />

innovative three-part<br />

briefing on the Ebola<br />

Briefing in the Great Hall<br />

crisis in West Africa last<br />

year, given by three of<br />

our distinguished Apothecaries, Dr Tim Healing<br />

(Course Director), Professor Richard Williams (DMCC<br />

Convenor) and Dr Gordon Gancz (DMCC Examiner).<br />

They spoke eloquently and knowledgeably on the<br />

epidemiology and control of the disease, the


psychosocial effects on those affected and those treating<br />

the victims and, lastly a personal view on what it was<br />

like to be treating the patients in the field. In October we<br />

heard a lecture from Sir Mark Walport, the Government<br />

Chief Scientific Advisor, himself an Apothecary, on<br />

Advising Government on how to deal with<br />

Emergencies. It proves to be fascinating and<br />

informative.<br />

This year we are again conducted a 4-day<br />

introductory course in Ireland in the principles and<br />

practice of conflict and catastrophe medicine, which has<br />

been well received in the past two years, and perhaps<br />

even more so this year.<br />

We again awarded the medical student prizes this<br />

year, to support elective year projects in developing<br />

countries. The short-listed contributions continue to<br />

impress with their quality and innovative thinking, we<br />

hope to further expand this support in future. This year<br />

we awarded prizes for an elective to two medical<br />

students studying low-cost prosthetic limb replacement<br />

for amputees after natural disasters in Bangladesh,<br />

which was innovative and inspiring. We also supported<br />

another student who supported mental health problems<br />

amongst the Karen refugees from Myanmar, who have<br />

sought asylum in the Minnesota area of the US. These<br />

excellent projects were selected having been whittled<br />

down from over 30 original applications. We as a<br />

Faculty have agreed to support at least two such<br />

projects a year at £750 each.<br />

Our collaboration with the Conflict & Catastrophe<br />

Section at the Royal Society of Medicine is developing,<br />

with their focus being symposia and wider academic<br />

debate, with our Faculty concentrating more on<br />

teaching and examining in a more practical sense.<br />

Although the RSM C&C section is being subsumed into<br />

their larger Global Health programme, we hope to<br />

develop increasing synergy with them and indeed<br />

hopefully host a symposium in the Hall in 2017.<br />

Lastly the financial health of the Faculty remains<br />

good and improving year-on-year, largely due to the<br />

success of the diploma course. Our problem seems to<br />

be that we even more urgently need more capacity to<br />

teach, perhaps remotely broadcast, and we are<br />

looking at innovative web-based or recorded learning<br />

methods to allow the teaching to be more widely<br />

available. The issue, as ever, is finding enough<br />

capable volunteer staff to move these time consuming<br />

projects on further.<br />

I am very pleased to report that the Faculty remains<br />

in good health and good heart and we look forward to<br />

our final few months with this year’s students and to<br />

welcoming our next batch of students in 2017.<br />

Sir Mark Walport addresses members of the Society<br />

40


Livery Committee Chairman’s Report<br />

2015-<strong>2016</strong><br />

Last year’s report was the valedictory report of my<br />

predecessor, Simon Bailey, who served as Chairman<br />

with such distinction. I personally owe him a huge debt<br />

of gratitude which I acknowledge now and I thank him<br />

for his thoughtful and hardworking stewardship of the<br />

previous three years.<br />

The work of the Livery Committee continues as<br />

before, with an interesting programme of events,<br />

varying in location, diversity and length.<br />

Space limitations prevent anything but the barest<br />

bones of individual reports on events, but to continue<br />

the narrative from where Simon’s report finished, our<br />

Secretary, Jane Carey-Harris organised a tour of East<br />

Malling Research Centre and Bradbourne House in<br />

September 2015. Two guides related their talks to the<br />

Society. In October, Chris Khoo and Simon Bailey<br />

organised a visit by Bampton Opera to the Hall for a<br />

lively and engaging performance of Joseph Haydn’s<br />

opera “Lo Speziale”, (The Apothecary ). The two had<br />

just returned from the Livery Committee’s annual<br />

“away trip”, which they had organised, to the<br />

Peloponnese. 32 travellers enjoyed a week visiting the<br />

majority of the most famous sites of the region including<br />

Nafplio, Salamis, Corinth, Mycenae, Epidauros, Tiryns,<br />

Sparta, Mistras, Olympia and Delphi. October<br />

concluded with a visit organised by Ibby Ibrahim to the<br />

annual Regent Street Motor Show.<br />

In November, Brian Matthews and Alan Collett<br />

organised a visit to Spencer House, restored by Lord<br />

Rothschild to one of London’s most splendid residences.<br />

The visit concluded with lunch at the nearby Mark<br />

Mason’s Hall. Later that month, John Harcup organised<br />

the annual UK “away trip”, this time to Bath for two<br />

nights. The packed programme included tours of the<br />

city, the Roman baths, the Pump Room and new<br />

thermal spa, the Royal Mineral Water Hospital and the<br />

Old Theatre Hall, rounded off by seeing a production of<br />

An Inspector calls. The final visit in November,<br />

organised by Judith Dixon and Vanessa Jenkins, was to<br />

the Parliamentary Archives in the Houses of Parliament.<br />

Two groups were given escorted tours of the Well and<br />

Original Act Room. The Apothecaries Act of 1815 and<br />

other relevant documents had been specially prepared<br />

for the visit.<br />

In December we had our AGM when I had the<br />

honour and privilege to be elected Chairman for the<br />

next three years. Eight members of the Committee were<br />

due to rotate off, another resigned for personal reasons<br />

and yet another changed roles. Our current Master had<br />

relinquished his position as our long term Treasurer<br />

earlier in the year to become Senior Warden. I thank him<br />

for the tremendous amount of work he has put in over<br />

about nine years, in getting and keeping our accounts in<br />

such good order before handing over to Harry Crook<br />

(an appropriate name for a treasurer perhaps?). Celia<br />

Palmer, due to rotate off the Committee anyway,<br />

became Mistress before the year end, having<br />

contributed massively to the activities of the Livery<br />

Committee as did Ibby Ibrahim, Tony Taylor and David<br />

Verity. Others were later co-opted back onto the<br />

Committee following vacancies after the elections. We<br />

therefore started <strong>2016</strong> with a very strong Committee<br />

consisting of new blood and experienced “old” hands –<br />

an ideal situation. As ever, our annual Carol Service<br />

followed by supper, organised this time by Nicholas<br />

Cambridge, rounded off a busy year.<br />

The events of <strong>2016</strong> started in mid-January with a<br />

wonderful four day trip to Venice for 24 Apothecaries<br />

and partners organised by Celia Palmer. Entitled<br />

“Music and Medicine”, the group enjoyed visits to sites<br />

41


of historical medical interest, Venice having been at the<br />

forefront of Apothecary evolution. We enjoyed La<br />

Traviata in a Palazzo and visited the world renowned<br />

La Fenice Opera House. At the end of January, 72 people<br />

enjoyed a traditional Burns Night Supper organised by<br />

Mike Gibson who also played the pipes and recited Tam<br />

o’Shanter. Sir Christopher Colville toasted the lasses<br />

and was skilfully rebutted by Agnes Ibrahim.<br />

Apothecaries in Venice<br />

In February, the first visit was to the Bethlem<br />

Museum of the Mind, organised by Brian Matthews.<br />

The Museum Archivist gave a talk on the history of<br />

Bethlem Hospital followed by a viewing of patient<br />

ledgers and an exhibition of paintings by the renowned<br />

Richard Dadd. The second event, organised by Frank<br />

Wells, was a visit behind the scenes at the Royal Albert<br />

Hall. Two groups explored this iconic building and saw<br />

the props set out for a performance by Cirque du Soleil.<br />

The final event of the month, again organised by Brian<br />

Matthews was a visit to the Museum of London<br />

Archives. The tour visited many areas of the facility<br />

which houses the largest archeological archive in the<br />

world.<br />

In early March, Susan Horsewood-Lee organised a<br />

trip “Behind the scenes at Glyndebourne” where we<br />

learnt about the history of Glyndebourne and how<br />

operas are produced there. Our guide, Richard Joiner,<br />

took us on stage as well as behind the scenes. In mid-<br />

March, the busy Brian Matthews organised a fascinating<br />

if slightly macabre visit to the Crime Exhibition at the<br />

Museum of London. The curator gave a talk about the<br />

selection of crimes and artefacts for display, and<br />

about the ethics and potential effects such a<br />

display may have on victims, their relatives, the<br />

investigators and the perpetrators. The final<br />

March event was organised by Mike Gibson. We<br />

met at the Gurkhas base in Winchester where<br />

we had a talk from the Curator of the Museum<br />

about the history of the Gurkhas, their selection<br />

and training and their many campaigns, after<br />

which we had a curry lunch prepared by the<br />

Gurkha wives.<br />

The first April event, again organised by<br />

Brian Matthews, was a visit to 2 Temple Place.<br />

The building was commissioned by William<br />

Waldorf Astor in the early 1890s.The result was<br />

“a little masterpiece” ( Betjeman) and “a perfect<br />

gem” (Pevsner) and was Grade II listed in 1960.<br />

The second was a visit to the Greenwich<br />

Museum and Naval Complex organised by<br />

Colin Gillespie. Two dozen met at the Cutty<br />

Sark. They were given a history of the ship and<br />

then walked along the Thames to the three main<br />

attractions namely, the education centre, the Painted<br />

Hall and the Naval Chapel.<br />

Three events in May commenced with a tour of<br />

Kenwood House and Gardens. This trip was organised<br />

jointly by me and mainly by Alan Nathan who took the<br />

tour of the House. The Adams architecture and<br />

paintings by, amongst others, Gainsborough, Turner,<br />

Vermeer and Rembrandt were astounding and<br />

plentiful. After lunch in the old kitchen, we had a tour<br />

of the gardens with the Senior Gardener and of the old<br />

dairy. The second was a visit to the Phytochemistry<br />

Lab at Kew, organised by Wanda Jay. Lunch preceded<br />

a stroll through Kew Gardens where the Director of<br />

Economic Botany gave a brief history of the<br />

42


development of Kew on the way to the Jodrell<br />

Laboratory. Here, talks on the various aspects of their<br />

work were given by staff members. Concluding the<br />

May trips was a Talk and Tour of the Dulwich Picture<br />

Gallery organised by Alan Collett. The museum<br />

educator gave an illustrated talk on Rubens, his life<br />

and work both as a painter and a high level diplomat.<br />

The group then moved to the gallery to view the<br />

current exhibition.<br />

One week tour of Puglia<br />

The solitary event in June was a visit to Rochester<br />

organised by Omar Khan. 22 Apothecaries enjoyed a<br />

visit to the Huguenot Museum and heard about the<br />

history of their arrival (including our founder Gideon<br />

de Laune). After lunch, the visit moved to Restoration<br />

House which derives its name from a visit by Charles II<br />

on his way from Dover to London for his restoration to<br />

the throne.<br />

Three July events started with a visit to the Langdon<br />

Down Museum and Normansfield Theatre organised by<br />

Brian Matthews. 15 Apothecaries were given a talk<br />

about Langdon Down and his career at the Royal<br />

Earlsfield Asylum. The group visited the restored<br />

Normansfield Theatre and the Museum of Learning<br />

Disability. The next was a visit to the Museum of Army<br />

Music organised by Wanda Jay. A talk by the Archivist<br />

was followed by a rehearsal for the Last Night of the<br />

Proms and then a tour of the Museum. The final July<br />

event was a visit to the Royal Hospital, Chelsea<br />

organised by Brian Matthews and Jane Carey-Harris. 25<br />

Apothecaries visited the home of the Chelsea<br />

Pensioners. Our tour guide was a redoubtable Inpensioner<br />

named Dave Thomson, a real character. We<br />

visited the “show” living quarters, the Hospital, the<br />

Chapel, the Hall and part of the grounds. There was a<br />

talk from the Matron on the Thatcher Infirmary and the<br />

work of the medical staff.<br />

Our event in August was a visit to the Houses of<br />

Parliament organised by Mike Gibson. Fifty<br />

Apothecaries and guests in two groups had a<br />

comprehensive tour of Westminster Hall, St Stephen’s<br />

Hall, the Central Lobby, the Robing Room, the Royal<br />

Gallery and Prince’s Chamber, the Lord’s Chamber and<br />

the Commons. Tea was taken in the splendid setting of<br />

the Terrace Pavilion.<br />

In September, Brian Matthews organised a tour to<br />

the Fire of London Exhibition at the Museum of London.<br />

Following an introductory talk by the Curator,<br />

individuals were free to visit the Exhibition at their own<br />

pace. 36 had a one week tour of Puglia, the “bread<br />

basket“ or garden of Italy. Organised by Chris Khoo,<br />

ably assisted by Simon Bailey, it was a wonderful and<br />

comprehensive tour which covered the geography,<br />

geology, agriculture, religious connections, art and<br />

architecture and gastronomy of this lovely region. It<br />

culminated with a three night stay in Lecce – the<br />

“Florence of the South”. A fuller account of the visit to<br />

Puglia can be seen in an accompanying article.<br />

In October, Jane Carey-Harris organised a visit to the<br />

Military Intelligence Museum. The role of the SOE,<br />

intelligence activities from the Cold War to the present<br />

day in the Middle East and the role of photographic<br />

intelligence were viewed and discussed in three<br />

sessions. These were followed by lunch at in the<br />

Officers’ Mess at Chicksands and this in turn was<br />

followed by a tour of the Priory. Busy Brian Matthews<br />

organised two visits to the Chocolate Factory in Brixton.<br />

All aspects of producing chocolates were covered, from<br />

pod to mouth. Each individual had the opportunity to<br />

design and make their own chocolates.<br />

43


In November, Simon Bailey organised a three-day<br />

trip to Cambridge, Ely and Newmarket. 21 participants<br />

thoroughly enjoyed visiting the Round Church, Trinity,<br />

St Johns and Sidney Sussex. After evening service at<br />

King’s College Chapel, we visited the Parker Library at<br />

Corpus Christi College where we dined the first<br />

evening. The following day we visited the Fitzwilliam<br />

Museum and Peterhouse after which we were punted<br />

up to Magdalene Bridge and visited the College. After<br />

lunch and free time, we had an early evening tour of the<br />

Scott Polar Research Institute. On the last day we visited<br />

Ely Cathedral and then had lunch in the beautiful<br />

dining room of the Jockey Club in Newmarket before<br />

going our separate ways. Also in November, Simon<br />

Bailey organised a talk given in the Hall by Henrietta<br />

McBurney on an exhibition in the Hall of Mark<br />

Catesby’s watercolours from the Royal Collection. The<br />

viewing of the paintings was followed by a buffet<br />

supper. The event had been organised earlier in the year<br />

to celebrate the Queen’s 90 th birthday but had had to be<br />

postponed.<br />

As a gift from the Livery Committee to our Society to<br />

commemorate the 400th Anniversary of the granting of<br />

our Charter, and after much discussion of a number of<br />

options, it was decided that we would have the<br />

Courtyard clock refurbished with a new, Apothecary<br />

blue face which has been agreed by English Heritage. A<br />

new PAR (a “pendulum arrestor regulator”) will be<br />

installed to give the clock excellent accuracy over the<br />

next 400 years! Following a suggestion by Dr Robert<br />

Bethel, the Private Court has agreed that the Livery<br />

Committee should be allowed to commission a small<br />

stained glass window to commemorate the<br />

refurbishment of the Courtyard Clock.<br />

At the time of writing this report, Simon Bailey,<br />

Judith Dixon, Mike Gibson, Colin Gillespie, John<br />

Harcup, Susan Horsewood – Lee, Wanda Jay and Brian<br />

Matthews are due to rotate off the Livery Committee. I<br />

would like to thank them for all the hard work they<br />

have put in during their time on the Committee, their<br />

ideas and execution of events and most importantly for<br />

the enjoyment they have brought to members of the<br />

Society. Owing to a dearth of applicants to join the<br />

Livery Committee this year, I expect we may see some<br />

of them back on the Committee by the time Apothecary<br />

comes out!<br />

Mike Spencer<br />

Chairman of the Livery Committee<br />

44


The Friends of the Archives<br />

Paul Simmons<br />

The Friends support the Society’s Archive<br />

financially by raising funds for its conservation and<br />

also by undertaking research and cataloguing projects<br />

while working as volunteers. We work closely with<br />

the Curator, Past Master Nicholas Wood who is now a<br />

full Committee member.<br />

Our long-serving Chairman, Dr John Ford,<br />

demitted at this year’s AGM but he will continue to<br />

volunteer in the Archives. He deserves a special<br />

mention for his dedicated work in cataloguing the<br />

Society’s 400 years of paperwork as well as leading the<br />

Committee from the front and reporting twice yearly<br />

to the full Court on the Friends’ affairs. Dr John<br />

Moore-Gillon has joined the Committee and kindly<br />

took the chair whilst I was out of action for the early<br />

part of the year.<br />

The lecture after the AGM was given by Caroline<br />

Shenton, Parliamentary Archivist and author of The<br />

Day Parliament Burned Down, who took us hour by<br />

hour through the day of 16 October 1834 as the awful<br />

catastrophe enveloped our seat of government of 800<br />

years.<br />

The Friends’ Spring lecture was given by Helen<br />

Wakely, Archive Project Manager, Wellcome Library:<br />

Making space for different voices in the archive; her title<br />

disguising a very interesting presentation to a smaller<br />

audience than normal.<br />

Our Summer Party in June in glorious sunshine<br />

was probably the most well–attended ever and<br />

squeezed into the Courtyard before the major works<br />

started in earnest.<br />

Mrs Janet Payne continues to reply to archival<br />

queries. Progress has been made in sorting and<br />

naming the vast collection of photographs in the<br />

archives. We supported the research by those involved<br />

in the bicentenary symposium of the Apothecaries Act<br />

1815, and are girding up for the archival support for<br />

the 400 th anniversary celebrations in 2017.<br />

Following the Curator’s launch of an ‘Adopt a<br />

Book’ scheme, the Friends supported the conservation<br />

of the 1809 Pharmacopoeia Londinensis volume,<br />

interspersed with the 200 year-old working notes from<br />

our laboratories and which is now back in the<br />

Archives.<br />

We asked Bridget Mitchell of Arca Preservation to<br />

proceed with conservation of the 1722 Charter (with<br />

Shellac/wax seals) which has been damaged by<br />

rodents; but will only ‘make safe’ a 1676 copy of the<br />

ordinances which is heavily infected with mould until<br />

such time as repair techniques improve.<br />

The Friends were prominent at Open House Day in<br />

September when nearly 1400 members of the public<br />

visited the Hall and they too were able to appreciate<br />

the nature of the treasures possessed by the Society<br />

and supported by the Friends.<br />

Some Friends went on a private tour of the new<br />

Museum of the Royal Pharmaceutical Society in East<br />

Smithfield kindly arranged by Briony Hudson in<br />

association with the British Society for the History of<br />

Pharmacy.<br />

If you haven’t yet joined, there is always a welcome<br />

for you. Just £10 per year for our subscription.<br />

Contact friends@apothecaries.org<br />

or write to us at the Hall.<br />

45


Apothecaries on Vacation<br />

by Gillian Nicholson<br />

This was our first excursion abroad with the<br />

Apothecaries and what a treat it was. We met our<br />

fellow travellers and Tony the tour agent at the lovely<br />

home of Chris and Naomi Khoo one Sunday in<br />

August. This was not just an introduction to each<br />

other but also to southern Italian food and wine. The<br />

occasion set the tone for a series of delicious meals<br />

when we arrived in Puglia, the high point of which<br />

was dining in a beautiful restaurant under the harbour<br />

walls in Trani. Organised, like the trip itself, by Chris<br />

Khoo, the weather was perfect, 24 to 25 degrees<br />

centigrade most days. With a geographical position<br />

that meant successive settling or invasion by all<br />

peoples active in the Mediterranean throughout<br />

history, we visited the site of the battle at Cannae<br />

where Hannibal defeated the Roman army<br />

with a classic pincer movement strategy. We<br />

also admired evidence of successive<br />

civilisations stretching from pre-Roman and<br />

Roman, through to Byzantine, Sicilian<br />

Norman, Angevin and Aragonese – all layered<br />

on top of one another. This was especially<br />

obvious in Lecce, a Baroque masterpiece,<br />

where we admired both extravagant church<br />

facades and interiors as well as the private<br />

excavations of a family who had noticed the<br />

damp in their home and dug down to a Roman<br />

cistern with evidence of earlier habitation!<br />

Successive Apulian/Puglian builders have<br />

been able to use the plentiful local limestone<br />

for their buildings many of which, for<br />

example, the Castel del Monte, had just had or<br />

were under recent repairs. The Castel was built<br />

in 1240 by Frederick II in a perfect octagonal<br />

shape with trapezoid internal rooms. Now a<br />

UNESCO World heritage site and very<br />

impressive in location and construction,<br />

46<br />

nobody was very sure why he built it and what it was<br />

for! We had ample opportunity to see the Adriatic<br />

coastline, generally rocky and a stunning colour with<br />

flat terrain nearer the coast rising to the tail end of the<br />

Appenines centrally where we stayed in Martina<br />

Franca. A pool at our hotel there attracted only two<br />

ladies for early morning swims before we set off for<br />

our days sightseeing. Puglia produces much of Italy’s<br />

olive oil, different in taste across the country as we<br />

were interested to discover. The fish, fruit and<br />

vegetables were all delicious as were the ice creams! A<br />

high point for many of us in our sightseeing was the<br />

visit to Alberobello to see the trulli. These are dry<br />

stone constructed dwellings made of limestone with<br />

no mortar. They have conical roofs and inside have a<br />

Lovely roofs of the true dwellings in Alberobello


oof space upper floor accessed by ladder.<br />

Now mainly for tourist rental, these houses<br />

were once local homes for all. Whitewashed,<br />

they were extraordinarily picturesque in this<br />

little town and surrounding countryside. A<br />

further highlight was a visit to the ancient city<br />

of Siponto where the basilica (according to<br />

legend the gospel had been preached here by<br />

Saints Peter and Mark) had been ‘realised’ by<br />

a wire construction which was superb as it<br />

allowed visualisation of remains and helped<br />

us to imagine it as it once was. Conducted<br />

throughout Puglia by Rosanna who made<br />

sure we ‘paid attention’ and primed each day<br />

by Chris’ newsletters (produced overnight<br />

with pictures from the day before) this was a<br />

memorable trip and apparently we are at the<br />

forefront of trendy places to holiday!<br />

A wire construction, helps us imagine the long gone basilica at Siponto<br />

A church on our travels<br />

47


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