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“… was Bethlem Hospital.”

      And there it was. Hawkwood stared at the Chief Magistrate. Save for the ticking of the clock in the corner and the crackle of burning wood in the grate, the room had gone uncannily silent.

      Because not many people called it that.

      In the same way the Public Office was known, at least to the personnel who worked there, by a nickname, the Shop, so too was Bethlem Hospital; and not just by its staff, but by the entire city, if not the entire nation. Bethlem had been its founding name, but it had another: a single word synonymous with incarceration, misery and madness.

      Bedlam.

       2

      Hawkwood stared stonily through the railings at the state of the building he was about to enter. Despite having dominated the area for centuries and become ingrained in the public consciousness, the place still held a morbid fascination, even if it was collapsing into ruin.

      The original façade had been some five hundred feet in length, modelled, so it was said, on the Tuileries Palace in Paris. In its prime, the building must have been a magnificent sight.

      Not any longer. The place had been falling apart for years, subsidence and rot having taken its toll. The east wing had already been demolished, following a damning surveyor’s report. Only half of the original building remained and that was little more than a shell. It was no longer a palace but a slum, as shoddy and as run down as the houses and second-hand furniture shops that occupied the narrow streets around it.

      Hawkwood had never visited the hospital, though he’d lost count of the times he’d walked past the place, and he couldn’t recall a single occasion when he hadn’t experienced a dark sense of foreboding. Bethlem had that effect.

      He glanced up. Above him, surmounting the posts either side of the entrance gates, were two reclining stone statues. Both were male, naked and badly eroded, victims of more than a century’s exposure to wind and rain and the capital’s filthy air. The wrists of the right-hand figure were linked by a thick chain and heavy manacles. The statue’s head was tilted, the carved mouth was open in a silent scream of despair, as if warning passers-by of the cruel reality concealed behind the gates.

      He heard laughter, the happy sound at once at odds with the cheerless surroundings. He looked over his right shoulder. There’d been a time when Moor Fields had been counted among the capital’s greatest visitor attractions, its landscaped lawns and wide walkways framed by neat railings and tall, elegant elm trees inspiring tributes from artists and poets.

      Most of that had long since disappeared. What had once been a smooth, green, manicured meadow was now a meagre desert of bare earth and weeds. What remained of the railings were bent and broken. The trees that lined the pathways looked listless and unkempt in the dull morning light. Parts of the encompassing lawn had suffered from chronic subsidence, creating, after stormy nights, rainwater-filled depressions. It was from the edge of one of these shallow ponds that the laughter had originated. Two small boys were playing with a toy galleon, re-enacting some naval engagement, totally immersed in their imaginary battle, oblivious to the incongruity of the moment.

      Hawkwood turned away. Climbing the steps, he entered the courtyard and made his way across to the hospital’s main entrance. There were niches either side of the door. In each one there stood a painted wooden alms box. One was in the shape of a male youth. The other was a bare-breasted female figure. Above them was an inscription encouraging the visitor to make a contribution to the hospital funds. Ignoring the carved inducement, Hawkwood pulled on the bell, and waited.

      A small hatchway was set in the door. The hatch cover slid back and a pair of hooded eyes appeared in the opening.

      “Officer Hawkwood. Bow Street. Here to see Apothecary Locke.”

      The face disappeared from view and the hatch slammed shut. There was the sound of a bolt being released and the door swung open.

      Inside, the building was pungent with the smell of piss and shit and damp straw. Hawkwood had skirted Smithfield on his way to the hospital and the reek from the piles of horse, cattle and sheep dung left behind from the previous day’s market hung in the air, strong enough to make the eyes water. For a moment he thought he might have tracked something in on the sole of his boot and he lifted his foot to check. Nothing; the fetid odour must be part of the building’s fabric.

      The door closed heavily behind him.

      A cleaning operation was in full spate. Mops and pails were in liberal use in a bid to restore some semblance of order after the night’s storm. Judging by the amount of dark seepage still trickling down the walls and across the uneven floor, it looked like a losing battle. Despite the activity, the atmosphere appeared subdued. Most of the workers were toiling in silence. Present among the cleaning gang were several unsmiling men in blue coats. Hospital staff, Hawkwood supposed.

      The porter who had let him in, a thin man with a long nose and lugubrious expression, stepped away from the door. “Apothecary’s in ’is office. I’ll have someone take you up.” The porter caught the eye of one of the blue-coated men and beckoned. “Mr Leech? Officer Hawkwood. He’s from Bow Street.”

      The blue-coated attendant nodded. “Been expectin’ you. Follow me.”

      Hawkwood fell in behind his guide as he climbed the stairway to the first-floor landing. Conditions here didn’t look to be any better than those at ground level.

      The upstairs gallery ran the full length of the building, divided at intervals by floor-to-ceiling openwork grilles. The left-hand side of the gallery was occupied by cells, so the grey morning light could only enter by the windows along the opposite north wall. It barely supplemented the inadequate candle glow.

      The smell was worse than down below and when he passed one of the open cell doors and saw what lay in the cramped room beyond, Hawkwood understood why.

      There was a low wooden cot with a straw-filled mattress. Seated upon the mattress was a man, or at least what appeared to be a man. He was desperately thin. His face was as pale and as pointed as a shrew’s. A soiled woollen blanket covered the lower half of his body except for his feet, which protruded from beneath the filthy material like two pale white slugs. It was clear that beneath the covering the patient was naked from the waist down. He was wearing a grey shirt and yellow handkerchief around his neck but it was his headwear that caught Hawkwood’s attention: a red skullcap, beneath which was wrapped a loose, once-white bandage. Hawkwood found himself transfixed, not just by the man’s expression, which was one of abject misery, but by the iron harness fastened around his chest and upper arms and the iron ring around his throat. The ring was attached by a chain to a wooden pole that ran vertically from the corner of the cot to a bracket in the ceiling. As the blanket slipped off one scabby leg Hawkwood saw that there was another strap around the man’s ankle, attached by a second chain secured to the edge of the cot. It was clear from the state of him that the man was sitting in his own waste.

      The attendant spotted the revulsion on Hawkwood’s face and followed the Runner’s gaze. A sneer creased his lip. “What you lookin’ at, Norris?”

      Hawkwood watched as a single tear trickled slowly down the shackled man’s emaciated cheek.

      The attendant seemed not to notice but turned abruptly and continued along the gallery. Hawkwood tore his eyes away from the open door and followed his guide.

      Most of the cells they passed were occupied, with the majority housing more than one patient. It was clear that Norris wasn’t the only one who was chained up. Even in the darkened interiors Hawkwood could see that a number of patients, both male and female, were similarly restrained. Several more blue-coated keepers were in attendance, some supervising patients or else engaged in cleaning duties.

      The attendant led Hawkwood along the wing, finally stopping outside a door with a brass plate upon which was etched Apothecary. Leech knocked on the door and awaited the summons from within. When

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