It required magistrates to send annual records of admissions, discharges, and deaths to the Home Office; and allowed the Secretary of State to send a Visiting Justice to any county asylum, although the visitor couldn't intervene in how the asylum was run.

[2] It also allowed counties to borrow money to build an asylum, but it had to be paid back within 14 years of the initial loan.

[4] It also imposed the requirement of a residential medical officer, whose permission was necessary to justify the restraint of a patient.

[5] Issues of mistreatment and abuse, raised in a 1817 select committee report, quickened reform, leading to this Act of Parliament.

[6] At the time of royal assent, nine county asylums had been established in England, and the need for more was growing due to overcrowding in public or charity asylums like St. Luke's Hospital for Lunatics and Bethlehem Royal Hospital.