The average strength of the garrison was 6,160. Up to and including 1859, the system of army returns included the last 9 months of the preceding year and only the first 3 months of the current year (March 1858 to March 1859). The strength of the garrison for the half year 1 July to 31 December 1858 was 6,305. There were 766 fever cases treated in hospital with 8 deaths.
On 25 Nov 1858, Mary Horn aged 26 years 11 months, wife of Major General Horn CB was buried at Ta' Braxia Cemetery, Msida.
The Royal Warrant of 1 Oct 1858, Regulations for the Organisation of the Medical Department recognised four grades of Army Medical Officers: Inspector General of Hospitals, Deputy Inspector General of Hospitals, Staff or Regimental Surgeon. The ranks of Staff Surgeon 1st Class and Staff Surgeon 2nd class were discontinued. Military surgeons became known as either Staff Surgeons or Regimental Surgeons. After 20 yrs full pay service they were styled Surgeon Major, ranking as junior Lieutenant Colonels, and Staff or Regimental Assistant Surgeon.
Medical officers were granted relative rank which was to carry with it all the privileges of that rank. Thus, an Inspector General of Hospitals ranked as a Brigadier General; a Deputy Inspector General of Hospitals ranked as a Lieutenant Colonel or Colonel after five years' service; a Staff Surgeon or Regimental Surgeon ranked as a Major; and a Staff Assistant Surgeon or Regimental Assistant Surgeon ranked as a Lieutenant on appointment, and as a captain after six years' service.
The Royal Warrant stipulated that:
1. No candidate shall receive a commission as Assistant Surgeon, until he passes an examination in Military Medicine, Surgery, and Hygiene, after attending the authorised course in a General Military Hospital.
2. No Assistant Surgeon shall be eligible for promotion to the rank of Surgeon until he passes such examination as the Secretary of State for War may require, and shall have served on full-pay with the commission of assistant surgeon for 5 years, of which 2 years shall be with a regiment.
3. A surgeon must have served 10 years on full-pay, of which 2 years must have been passed with the rank of surgeon in or with a regiment, to be eligible for the next rank of DIGH.
4. A Deputy Inspector General of Hospitals must have served 5 years at home or 3 years abroad in that rank, before becoming eligible for the rank of IGH.
5. Assistant Surgeons shall be promoted to the rank of surgeon in order of seniority. In case of distinguished service, however, an Assistant Surgeon may be promoted without reference to seniority.
6. Six of the most distinguished medical officers shall be named Honorary Physicians to the Queen and six Honorary Surgeons to the Queen.
The Warrant of 1858 gave officers increased rank and pay and broadened their responsibilities. It organised a regular corps of orderlies and a staff of nurses; it increased and improved the supply of appliances and established a medical school at Chatham.
A separate school was required as the civil medical school did not provide the necessary training for a military surgeon. The school was opened in Oct 1860; the first competitive examination having been held the previous August.
The school moved from Chatham to Netley and then to Aldershot. A training depôt was established at Aldershot where a course of instruction in ambulance work and first aid to the wounded as well as infantry drill, military administration and law were taught.
Ferdinando Vincenzo Inglott
On 17 Dec 1858, Mr Ferdinando Vincenzo Inglott was appointed Comptroller of the Charitable Institutions and a member of the Council of Government. The Offices of Comptroller of Contracts and of Inspector of Charities were amalgamated under Ferdinand Inglott.
On 27 Sept 1888, his salary of £400 was increased to £500 a year, but he never obtained his increase. Inglott reformed the Charitable Institutions and abolished the system of restraining lunatics in irons.