The group are photographed outside the Melbourne District Nursing Society After Care Hospital at 45 Victoria Parade, Collingwood. This photograph was taken three years after Miss Dorothy Tupper was appointed, in 1941, Matron of the District Nursing Division of 'Melbourne District Nursing Society and After Care Hospital'. She held this position until she retired at the end of 1962. In February 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded, the first Society of its kind in Australia, with one Trained nurse, called 'Nurse' in those days, and a second employed six months later, working in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society only employed qualified nurses (Nurses) trained under the Hospital training system and was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. As the Society expanded bicycles and public transport were used to reach outer districts; before an appeal, during the influenza epidemic, provided four T Model Ford vehicles so the Nurses could visit more patients. Constant change of drivers and lack of time for maintenance caused cars to be disbanded. In addition to bicycles and public transport, a Motor Auxiliary was formed in 1929 and the public drove the District Trained nurses, 'Sisters', to visit patients in outer districts until District had its own fleet of vehicles. The After-Care and District division separated with the District Division moving premises and becoming Melbourne District Nursing Service, then in 1966 with royal patronage, Royal District Nursing Service (RDNS). Expansion followed with RDNS Centres built throughout the Melbourne suburbs and outer regions. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Sitting from left to right in the front row of this black and white Melbourne District Nursing Society (MDNS), photograph is a District nurse (Sister), next is Matron Tupper, (District Nursing Division) next, the Matron of the After-Care Hospital Section of the Society, and two District nurses, one wearing her uniform brimmed hat. Seven Sisters stand behind them, the centre two in white uniform dresses, one with short blonde hair, the other dark. The two Matrons are wearing white veils. The rest of the District nurses are wearing grey long sleeved uniform dresses, and have short dark curled hair. They are in front of a concrete veranda with the brick building behind. To the left of the Sisters a hydrangea bush can be seenGreen Number 948Fmelbourne district nursing society, m.d.n.s., nurses, mdns matron, mdns uniforms, after- care hospital, rdns, royal district nursing service, dorothy tupper

The MDNS Trained nurses (Sisters) are about to board two motor vehicles outside their Nurses home, at 39 Victoria Parade, Collingwood, to be driven to give nursing care to their patients who lived a distance away. The lady Chauffeur is probably Miss Sword who was employed by MDNS in 1922-23; she was also in charge of the garage. This enabled the Sisters to do more visits in a day than when using Public transport all the time. This image also shows the style of cars driven in that era. The Sisters uniforms are grey and their hats have a red Maltese cross attached to the centre front of the hatband. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state two were sold in 1922 and the others later. In 1922-23 three Peugeot cars were purchased and a female Chauffeur, 'Miss Sword', was employed who lived in the Home and was also in charge of the garage. MDNS was expanding, and In 1929 Melbourne District Nursing Society (MDNS) formed a volunteer Motor Auxiliary to transport their Trained Nurses (Sisters) to make visits more patients who lived a distance away. At first wealthy people offered their car and chauffeur, but then the general public supplied their own vehicles. They operated on week days when able and could take up to three Sisters at a time, collecting them from the Nurses Home, 39 Victoria Parade, Collingwood, at 9 a.m; dropping each Sister at a patient then picking them up and taking them to the next patient before completing the morning round and returning to the Nurses Home at 1 p.m.. The Sisters were able to double the number of visits they did each morning and did their afternoon visits on public transport. At its peak there were 60 volunteers but this fell off during World War 11. In 1944 the Red Cross were assisting, and by 1953 were taking out 16 MDNS Sisters. Appeals for volunteers occurred over the years, particularly during the Tram and Tramway Bus strike in the 1950s, and when the Royal Women's Hospital had an influx of births and wanted to send the mothers and babies home on day four but could not do so if M.D.N.S. could not visit. During 1962 the Motor Auxiliary transported 34 Sisters who preferred not to drive themselves, but as the MDNS fleet of cars grew there was less need for their service and the Auxiliary was disbanded in 1971. Some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia cars 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters, though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. IA black and white digital image showing, in the left foreground, the frontal view of an early model, 1920s, soft hooded car parked on the road next to the gutter. Two front spoked wheels are seen, and headlights sit either side of the radiator at the front of the nose shaped bonnet.. '3758' is written in white on the black number plate below the radiator. The female Chauffeur is dressed in a dark coat and peaked hat and is standing by the partly open driver's door. The passenger door is open and a Melbourne District Nursing Society (MDNS) Sister is standing on the footpath behind the door. Another Sister stands behind her. There is another similar car parked behind the first one. It is partly obscured, its hood is down; it has spoked wheels and one of its headlights can be seen beside the partially obscured radiator. Part of the black number plate can be seen with two of its numbers, '69', written in white. A partly obscured Sister is standing by the driver's door and another behind the open passenger door. Another Sister is standing at the rear of this car..The five MDNS Sisters are wearing their uniform grey coats and felt brimmed grey hats with a Maltese cross applied to the centre hatband, Leafless trees and some buildings can be seen in the background.melbourne district nursing society, after-care home, rdns, royal district nursing service, mdns motor auxiliary, mdns uniforms, miss sword, female chauffeur