c. 6) was an act of Parliament of the United Kingdom, the first in a series of major reforms that led to the gradual separation of the Poor Law's medical functions from its poor relief functions.

It also led to the creation of a separate administrative authority the Metropolitan Asylums Board.

An order was signed on 16 May 1867, combining all the parishes and unions in the Metropolis into a single Metropolitan Asylum District "for the reception and relief of the classes of poor persons chargeable to some union or parish in the said district respectively who may be infected with or suffering from fever, or the disease of small-pox or may be insane."

[5] It permitted the employment of probationary nurses who were trained for a year in the sick asylums.

These nurses gradually began to replace the employment of untrained paupers.