Sarah Elizabeth Wardroper appointment as matron at St Thomas' Hospital in January 1854. Although nursing was still largely a disreputable occupation she made St Thomas' a model of reformed, professional, nursing and in 1860, with the creation of the training school for nurses by the Nightingale Fund at the same hospital, she was appointed superintendent. Florence Nightingale selected St Thomas' Hospital as the site for her new nurse training school, largely because of Wardroper's qualities (and those of the enlightened resident medical officer, R.G. Whitfield). Nightingale, Wardroper and Whitfield worked together to establish the new school, the first secular training school for nurses
Florence Nightingale into the workhouse system in Britain from the 1860s onwards. This meant that sick paupers were no longer being cared for by other, able-bodied paupers, but by properly trained nursing staff. In the first half of the 19th century, nurses were usually former servants or widows who found no other job and therefore were forced to earn their living by this work. Charles Dickens caricatured the standard of care in his 1842–1843 published novel "Martin Chuzzlewit" in the figure of Sarah Gamp as being incompetent, negligent, alcoholic and corrupt. According to Caroline Worthington, director of the Florence Nightingale Museum, “When