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 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