Since the early 18th century public healthcare in Ireland had been funded by voluntary donations. The first hospitals in Ireland were founded in the 1720s. The dispensary doctor was formally established by legislation in 1805 under an Act of Parliament. The amount from voluntary donations was matched by county grand juries from local taxation. The Poor Law Act of 1838 improved the distribution of dispensaries and divided Ireland into 130 administrative units known as Poor Law Unions, with their own workhouse, governed by the Poor Law Guardians, who were elected by the local rate payers.

The dispensary doctor became the mainstay of healthcare in rural Ireland as many people lived too far from medical help in workhouses. The position of the dispensaries was clarified in the 1851 Medical Charities Act, which introduced a state-funded dispensary system to provide free medical aid to the poor. These were to be funded from local taxation and were subsidised by the Poor Law Commission. To attend the dispensary, a person needed to have a colour-coded ticket, dispensed by the committee. The Poor Law Commission was replaced by the Local Government Board in 1872.
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