Consists of the report of the Committee of Visitors (A.Y. Spearman, chairman), plans and details for the proposed changes to the asylum (James Harris, architect), reports of the medical superintendents (W.C. Begley and W.H.O. Sankey), report of the chaplain (John May), report of the matron (Catherine M.E. MacFie), report of the Farm and Garden Committee (William Elsey for W.Buchanan), statistical and financial reports (J.Morrison, Charles Wright, A.Y. Spearman, John W. Clift, C.M.E. MacFie, W.C. Begley and W.H.O Sankey) and the 42nd report to the Justices of the Peace of Messrs. Allen. (C. and J. Allen)
The asylum is referred to as the "Hanwell Lunatic Asylum" and the "County Lunatic Asylum at Hanwell".