History of nursing in the United Kingdom matrons, whose work was largely administrative, even more so. Nursing in the Poor Law infirmaries, such as it was, was largely carried out by able-bodied paupers, who were not paid. In 1866 there were a total of 53 nurses employed in the 11 metropolitan workhouses, at an average salary of £20 18s. Florence Nightingale is regarded as the founder of modern nursing profession. There was no hospital training school for nurses until one was established in Kaiserwerth, Germany, in 1846. There, Nightingale received the training that enabled her in 1860 to establish, at St Thomas' Hospital in London, the first
Florence Nightingale of the Red Cross instituted the Florence Nightingale Medal, which is awarded every two years to nurses or nursing aides for outstanding service. It is the highest international distinction a nurse can achieve and is awarded to nurses or nursing aides for "exceptional courage and devotion to the wounded, sick or disabled or to civilian victims of a conflict or disaster" or "exemplary services or a creative and pioneering spirit in the areas of public health or nursing education". Since 1965, International Nurses Day has been celebrated on her birthday (12 May) each year. The President of India honours nursing