Consists of the report of the Committee of Visitors (A.Y. Spearman, chairman), report of the architect (James Harris), 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 (George Wood), statistical and financial reports (J.Morrison, Charles Wright, A.Y. Spearman, John W. Clift and C.M.E. MacFie) and the 43rd report to the Justices of the Peace of Messrs. Allen. (C. and J. Allen and Sons.)
The asylum is referred to as the "Hanwell Lunatic Asylum", the "County Lunatic Asylum at Hanwell", "Middlesex County Lunatic Asylum, Hanwell" and the "Lunatic Asylum for the County of Middlesex, at Hanwell".