Shroud for a Nightingale

Book : Adam Dalgliesh Mystery

by P.D. James

Genres: Mystery; Traditional Mysteries; Suspense

Synopsis

The young women of Nightingale House are there to learn to nurse and comfort the suffering. But when one of the students plays patient in a demonstration of nursing skills, she is horribly, brutally killed. Another student dies equally mysteriously and it is up to Adam Dalgliesh to unmask a killer who has decided to prescribe murder as the cure for all ills.

Release date: September 11, 2001

Publisher: Scribner

Print pages: 368

Sample

Chapter One: Demonstration of Death

I

On the morning of the first murder Miss Muriel Beale, Inspector of Nurse Training Schools to the General Nursing Council, stirred into wakefulness soon after 6 o'clock and into a sluggish early morning awareness that it was Monday, 12th January, and the day of the John Carpendar Hospital inspection. Already she had half-registered the first familiar sounds of a new day: Angela's alarm silenced almost before she was conscious of hearing it; Angela herself padding and snuffling about the flat like a clumsy but benevolent animal; the agreeably anticipatory tinklings of early tea in preparation. She forced open her eyelids, resisting an insidious urge to wriggle down into the enveloping warmth of the bed and let her mind drift again into blessed unconsciousness. What on earth had prompted her to tell Matron Taylor that she would arrive shortly after 9 A.M. in time to join the third-year students' first teaching session of the day? It was ridiculously, unnecessarily early. The hospital was in Heatheringfield on the Sussex/Hampshire border, a drive of nearly fifty miles, some of which would have to be done before daybreak. And it was raining, as it had rained with dreary insistence for the past week. She could hear the faint hiss of car tyres on the Cromwell Road and an occasional spatter against the window-pane. Thank God she had taken the trouble to check the map of Heatheringfield to find out exactly where the hospital lay. A developing market town, particularly if it were unfamiliar, could be a time-wasting maze to the motorist in the snarl of commuter traffic on a wet Monday morning. She felt instinctively that it was going to be a difficult day and stretched out under the bedclothes as if bracing herself to meet it. Extending her cramped fingers, she half-relished the sharp momentary ache of her stretched joints. A touch of arthritis there. Well, it was to be expected. She was forty-nine after all. It was time she took life a little more gently. What on earth had led her to think she could get to Heatheringfield before half past nine?

The door opened, letting in a shaft of light from the passage. Miss Angela Burrows jerked back the curtains, surveyed the black January sky and the rain-spattered window and jerked them together again. "It's raining," she said with the gloomy relish of one who has prophesied rain and who cannot be held responsible for the ignoring of her warning. Miss Beale propped herself on her elbow, turned on the bedside lamp, and waited. In a few seconds her friend returned and set down the early morning tray. The tray cloth was of starched embroidered linen, the flowered cups were arranged with their handles aligned, the four biscuits on the matching plate were precisely placed, two of a kind, the teapot gave forth a delicate smell of freshly made Indian tea. The two women had a strong love of comfort and an addiction to tidiness and order. The standards which they had once enforced in the private ward of their teaching hospital were applied to their own comfort, so that life in the flat was not unlike that in an expensive and permissive nursing home.

Miss Beale had shared a flat with her friend since they had both left the same training school twenty-five years ago. Miss Angela Burrows was the Principal Tutor at a London teaching hospital. Miss Beale had thought her the paradigm of nurse tutors and, in all her inspections, subconsciously set her standard by her friend's frequent pronouncements on the principle of sound nurse teaching. Miss Burrows, for her part, wondered how the General Nursing Council would manage when the time came for Miss Beale to retire. The happiest marriages are sustained by such comforting illusions and Miss Beale's and Miss Burrow's very different, but essentially innocent, relationship was similarly founded. Except in this capacity for mutual but unstated admiration they were very different. Miss Burrows was sturdy, thick-set and formidable, hiding a vulnerable sensitivity under an air of blunt common sense. Miss Beale was small and birdlike, precise in speech and movement and threatened with an out-of-date gentility which sometimes brought her close to being thought ridiculous. Even their physiological habits were different. The heavy Miss Burrows awoke to instantaneous life at the first sound of her alarm, was positively energetic until teatime, then sank into sleepy lethargy as the evening advanced. Miss Beale daily opened her gummed eyelids with reluctance, had to force herself into early morning activity and became more brightly cheerful as the day wore on. They had managed to reconcile even this incompatibility. Miss Burrows was happy to brew the early morning tea and prepare breakfast and Miss Beale washed up after dinner and made the nightly cocoa.

Miss Burrows poured out both cups of tea, dropped two lumps of sugar in her friend's cup and took her own to the chair by the window. Early training forbade Miss Burrows to sit on the bed. She said: "You need to be off early. I'd better run your bath. When does it start?"

Miss Beale muttered feebly that she had told Matron that she would arrive as soon as possible after nine o'clock. The tea was blessedly sweet and reviving. The promise to start out so early was a mistake but she began to think that she might after all make it by 9:15.

"That's Mary Taylor, isn't it? She's got quite a reputation considering she's only a provincial matron. Extraordinary that she's never come to London. She didn't even apply for our job when Miss Montrose retired." Miss Beale muttered incomprehensibly which, since they had had this conversation before, her friend correctly interpreted as a protest that London wasn't everybody's choice and that people were too apt to assume that nothing remarkable ever came out of the provinces.

"There's that, of course," conceded her friend. "And the John Carpendar's in a very pleasant part of the world. I like that country on the Hampshire border. It's a pity you're not visiting it in summer. Still, it's not as if she's matron of a major teaching hospital. With her ability she easily could be; she might have become one of the Great Matrons." In their student days she and Miss Beale had suffered at the hands of one of the Great Matrons but they never ceased to lament the passing of that terrifying breed.

"By the way, you'd better start in good time. The road's up just before you strike the Guildford by-pass."

Miss Beale did not inquire how she knew that the road was up. It was the sort of thing Miss Burrows invariably did know. The hearty voice went on:

"I saw Hilda Rolfe, their Principal Tutor, in the Westminster Library this week. Extraordinary woman! Intelligent, of course, and reputedly a first-class teacher, but I imagine she terrified the students."

Miss Burrows frequently terrified her own students, not to mention most of her colleagues on the teaching staff, but would have been amazed to be told it. Miss Beale asked:

"Did she say anything about the inspection?"

"Just mentioned it. She was only returning a book and was in a hurry so we didn't talk long. Apparently they've got a bad attack of influenza in the school and half her staff are off with it."

Miss Beale thought it odd that the Principal Tutor should find time to visit London to return a library book if staffing problems were so difficult, but she didn't say so. Before breakfast Miss Beale reserved her energy for thought rather than speech. Miss Burrows came round the bed to pour out the second cups. She said:

"What with this weather and with half the training staff off sick, it looks as if you're in for a pretty dull day."

As the two friends were to tell each other for years to come, with that cosy predilection for re-stating the obvious which is one of the pleasures of long intimacy, she could hardly have been more wrong. Miss Beale, expecting nothing worse of the day than a tedious drive, an arduous inspection, and a possible tussle with those members of the Hospital Nurse Education Committee who took the trouble to attend, dragged her dressing-gown around her shoulders, stubbed her feet into her bedroom slippers and shuffled off into the bathroom. She had taken the first steps on her way to witness a murder.

II

Despite the rain, the drive was less difficult than Miss Beale had feared. She made good time and was in Heatheringfield just before 9 o'clock in time to meet the last surge of the morning rush to work. The wide Georgian High Street was blocked with vehicles. Women were driving their commuter husbands to the station or their children to school, vans were delivering goods, buses were discharging and loading their passengers. At the three sets of traffic lights the pedestrians streamed across the road, umbrellas slanted against the soft drizzle. The young had the spruce, over-uniformed look of the private-school child; the men were mostly bowler-hatted and carrying briefcases; the women were casually dressed with that nice compromise between town smartness and country informality, typical of their kind. Watching for the lights, the pedestrian crossings and the signpost to the hospital, Miss Beale had only a brief chance to notice the elegant eighteenth-century guildhall, the carefully preserved row of timber-fronted houses and the splendid crocketed spire of Holy Trinity church, but she gained an impression of a prosperous community which cared about preserving its architectural heritage even if the row of modern chain stores at the end of the High Street suggested that the caring might well have begun thirty years earlier.

But here at last was the signpost. The road to the John Carpendar Hospital led upward from the High Street between a broad avenue of trees. To the left was a high stone wall which bounded the hospital grounds.

Miss Beale had done her homework. Her briefcase, plump on the back seat of the car, contained a comprehensive note on the hospital's history as well as a copy of the last General Nursing Council Inspector's report and the comments of the Hospital Management Committee on how far it had been possible to implement the inspector's optimistic recommendations. As she knew from her researches, the hospital had a long history. It had been founded in 1791 by a wealthy merchant who had been born in the town, had left it in youthful penury to seek his fortune in London, and had returned there in his retirement to enjoy patronizing and impressing his neighbours. He could have purchased fame and ensured his salvation by succouring the widows and fatherless or by rebuilding the church. But the age of science and reason was succeeding the age of faith and it had become fashionable to endow a hospital for the sick poor. And so, with the almost obligatory meeting in a local coffee house, the John Carpendar Hospital was born. The original house, of some architectural interest, had long since been replaced, first by a solid Victorian monument to ostentatious piety and then by the more functional gracelessness of the twentieth century.

The hospital had always flourished. The local community was predominantly middle-class and prosperous, with a well-developed charitable sense and too few objects on which to indulge it. Just before the Second World War a well-equipped private patients' wing had been added. Both before and after the advent of the National Health Service it had attracted wealthy patients, and consequently eminent consultants, from London and further afield. Miss Beale reflected that it was all very well for Angela to talk about the prestige of a London teaching hospital, but the John Carpendar had its own reputation. A woman might well think there were worse jobs than being Matron of a developing district general hospital, well thought of by the community it served, agreeably placed and fortified by its own local traditions.

She was at the main gates now. There was a porter's lodge on the left, an ornate doll's house in tessellated brick, a relic of the Victorian hospital, and -- on the right -- the doctor's car park. Already a third of the marked plots were occupied by the Daimlers and the Rolls. It had stopped raining and the dawn had given way to the grey normality of a January day. The lights were full on in the hospital. It lay before her like a great ship at anchor, brightly lit, latent with activity and power. To the left stretched the low glass-fronted buildings of the new out-patient department. Already a thin stream of patients was making its dispirited way to the entrance.

Miss Beale drew up alongside the inquiry hatch of the lodge, wound down the car window, and announced herself. The porter, ponderous and uniformed in self-importance, deigned to come out to present himself.

"You'll be the General Nursing Council, Miss," he stated grandiloquently. "What a pity you decided to come in this gate. The Nurse Training School is in Nightingale House, only 100 yards or so from the Winchester Road entrance.

We always use the back entrance for Nightingale House."

He spoke with reproachful resignation, as if deploring a singular lack of judgement which would cost him dear in extra work.

"But presumably I can get to the school this way?"

Miss Beale had no stomach for a return to the confusion of the High Street or intention of circling the hospital grounds in search of an elusive back entrance.

"Well you can, Miss." The porter's tone implied that only the wilfully obstinate would try, and he settled himself against the car door as if to deliver confidential and complicated directions. They proved, however, remarkably simple. Nightingale House was in the hospital grounds at the rear of the new out-patient department.

"Just take this road to the left, Miss, and keep straight on past the mortuary till you get to the resident medical quarters. Then turn to the right. There's a signpost where the road forks. You can't miss it."

For once this notoriously unpropitious assertion seemed justified. The grounds of the hospital were extensive and well wooded, a mixture of formal garden, grass, and clumped unkempt trees which reminded Miss Beale of the grounds of an old mental hospital. It was rare to find a general hospital so well endowed with space. But the several roads were well signposted and only one led to the left of the new out-patient department. The mortuary was easily identified, a squat, ugly little building tactfully sited among the trees and made more sinister by its strategic isolation. The medical officers' residence was new and unmistakable. Miss Beale had time to indulge her usual, frequently quite unjustified, resentment that Hospital Management Committees were always more ready to rehouse their doctors than to provide adequate accommodation for the nurse training school, before noting the promised sign. A white painted board pointed to the right and read "Nightingale House, Nurse Training School."

She changed gear and turned carefully. The new road was narrow and winding, banked high on each side with sodden leaves so that there was barely room for the single car. Everywhere was dampness and desolation. The trees grew close to the path and knitted themselves above it, ribbing the dark tunnel with their strong black boughs. From time to time a gust of wind brought down a spatter of raindrops on the car roof or flattened a falling leaf against the windscreen. The grass verge was scarred with flower beds, regular and oblong as graves and spiked with stunted bushes. It was so dark under the trees that Miss Beale switched on her side lamps. The road shone before her like an oiled ribbon. She had left the car window down and could smell, even above the inevitable car smell of petrol and warm vinyl, a sweet fungoid stench of decay. She felt strangely isolated in the dim quietness and suddenly she was touched with an irrational unease, a bizarre sensation of journeying out of time into some new dimension, borne onwards towards an uncomprehended and inescapable horror. It was only a second's folly and she quickly shook it off, reminding herself of the cheerful bustle of the High Street less than a mile away and the nearness of life and activity. But it had been an odd and disconcerting experience. Angry at herself at this lapse into morbid folly, she wound up the car window and stepped on the accelerator. The little car leaped forward.

Suddenly she found she had turned the last corner and Nightingale House was before her. She nearly stood on the brakes in surprise. It was an extraordinary house, an immense Victorian edifice of red brick, castellated and ornate to the point of fancy, and crowned with four immense turrets. It was brightly lit in the dark January morning and after the gloom of the road it blazed at her like the castle from some childhood mythology. An immense conservatory was grafted onto the right side of the house, looking, thought Miss Beale, more appropriate to Kew Gardens than to what had obviously once been a private residence. It was less brightly lit than the house but through the faintly luminous glass she could discern the sleek green leaves of aspidistras, the harsh red of poinsettias and the yellow and bronze blobs of chrysanthemums.

Miss Beale's recent moment of panic under the trees was completely forgotten in her amazement at Nightingale House. Despite her normal confidence in her own taste, she was not entirely immune to the vagaries of fashion and she wondered uneasily whether in certain company it might not be proper to admire it. But it had become a habit with her to look at every building with an eye to its suitability as a nurse training school -- she had once, on a Paris holiday, found herself to her horror rejecting the Elysée Palace as unworthy of further notice -- and as a nurse training school Nightingale House was obviously quite impossible. She had only to look at it for the objections to spring to mind. Most of the rooms would be far too large. Where, for instance, would one find cosy offices for the principal tutor, clinical instructor or school secretary? Then the building would be extremely difficult to heat adequately and those oriel windows, picturesque no doubt if one liked that sort of thing, would keep out a great deal of light. Worse still, there was something forbidding, even frightening, about the house. When the Profession (Miss Beale, in defiance of an unfortunate comparison, always thought of it with a capital P) was climbing so painfully into the twentieth century, kicking away the stones of outworn attitudes and methods -- Miss Beale was frequently required to make speeches and certain pet phrases tended to stick in her mind -- it really was a pity to house young students in this Victorian pile. It would do no harm to incorporate a strong comment about the need for a new school in her report. Nightingale House was rejected even before she set foot in it.

But there was nothing to criticize in her welcome. As she reached the top step, the heavy door swung open letting out a gust of warm air and a smell of fresh coffee. A uniformed maid stood deferentially aside and behind her down the wide oak staircase, gleaming against the dark panelling like a Renaissance portrait in grey and gold, came the figure of Matron Mary Taylor, hand out-stretched. Miss Beale assumed her bright professional smile, compounded of happy expectation and general reassurance, and stepped forward to meet her. The ill-fated inspection of the John Carpendar Training School had begun.

III

Fifteen minutes later, four people made their way down the main staircase to the demonstration room on the ground floor where they were to watch the first teaching session of the day. Coffee had been served in Matron's sitting room in one of the turret blocks where Miss Beale had been introduced to the principal tutor, Miss Hilda Rolfe, and to a senior consultant surgeon, Mr. Stephen Courtney-Briggs. She knew both by reputation. Miss Rolfe's presence was necessary and expected, but Miss Beale was a little surprised that Mr. Courtney-Briggs was prepared to devote so much of his morning to the inspection. He had been introduced as Vice-Chairman of the Hospital Nurse Education Committee and she would normally have expected to meet him with other members of the committee for the summing-up discussion at the end of the day. It was unusual for a senior surgeon to sit in at a teaching session and it was gratifying that he took such a personal interest in the school.

There was room for three to walk abreast in the wide wood-panelled corridors and Miss Beale found herself escorted by the tall figures of Matron and Mr. Courtney-Briggs rather, she felt, like a diminutive delinquent. Mr. Courtney-Briggs, stoutly impressive in the formal striped trousers of a consultant, walked on her left. He smelt of after-shave lotion. Miss Beale could discern it even above the pervading smell of disinfectant, coffee and furniture cream. She thought it surprising but not disagreeable. The Matron, tallest of the three, walked in serene silence. Her formal dress of grey gaberdine was buttoned high to the neck with a thin band of white linen around the throat and cuffs. Her corn-gold hair, almost indistinguishable in colour from her skin, was combed back from the high forehead and bound tight by an immense triangle of muslin, its apex reaching nearly to the small of her back. The cap reminded Miss Beale of those worn during the last war by Sisters of the Army Nursing Service. She had seldom seen it since. But its simplicity suited Miss Taylor. That face, with its high cheekbones and large, slightly protuberant eyes -- they reminded Miss Beale irreverently of pale veined gooseberries -- could have looked grotesque under the fripperies of a more orthodox head-dress. Behind the three of them Miss Beale could sense the disturbing presence of Sister Rolfe, uncomfortably close on their heels.

Mr. Courtney-Briggs was talking:

"This influenza epidemic has been a thorough nuisance. We've had to defer taking the next set off the wards and we thought at one time that this set would have to go back. It was a close thing."

"It would be," thought Miss Beale. Whenever there was a crisis in the hospital the first people to be sacrificed were the student nurses. Their training programme could always be interrupted. It was a sore point with her, but now was hardly the time to protest. She made a vaguely acquiescent noise. They started down the last staircase. Mr. Courtney-Briggs continued his monologue:

"Some of the training staff have gone down with it too. The demonstration this morning is being taken by our clinical instructor, Mavis Gearing. We've had to recall her to the school. Normally, of course, she would be doing nothing but ward teaching. It's a comparatively new idea that there should be a trained instructor to teach the girls on the wards, using the patients as clinical material. Ward sisters just haven't the time these days. Of course the whole idea of the block system of training is relatively new. When I was a medical student the probationers, as we called them then, were taught entirely on the wards with occasional lectures in their own free time from the medical staff. There was little formal teaching and certainly no taking them off the wards each year for a period in the nurse training school. The whole concept of nurse training has altered."

Miss Beale was the last person to require an explanation of the function and duties of a clinical instructor or the development of nurse training methods. She wondered whether Mr. Courtney-Briggs had forgotten who she was. This elementary instruction was more suitable for new members of a Hospital Management Committee, who were generally as ignorant of nurse training as they were of anything else to do with hospitals. She had the feeling that the surgeon had something on his mind. Or was this merely the aimless chatter, unrelated to its hearer, of an egotist who could not tolerate even a moment without the comforting resonance of his own voice? If so, the sooner he got back to his out-patient session or ward round and let the inspection proceed without the benefit of his presence, the better for all concerned.

The little procession passed across the tessellated hall to a room at the front of the building. Miss Rolfe slipped forward to open the door and stood aside as the others entered. Mr. Courtney-Briggs ushered Miss Beale in before him. Immediately she was at home. Despite the anomalies of the room itself -- the two great windows with their spatter of coloured panes, the immense fireplace of carved marble with its draped figures supporting the chimney-piece, the high moulded ceiling desecrated with the three tubes of fluorescent light -- it was happily evocative of her own student days, an utterly acceptable and familiar world. Here was all the paraphernalia of her profession; the rows of glass-fronted cabinets, with their instruments placed in shining precision; the wall charts showing in lurid diagram the circulation of the blood and the improbable processes of digestion; the wall-mounted blackboard smeared with the dust of past lecture notes imperfectly erased; the demonstration trolleys with their linen-covered trays; the two demonstration beds, one containing a life-sized doll propped among the pillows; the inevitable skeleton hanging from its gibbet in forlorn decrepitude. Pervading all was the astringent and potent smell of disinfectant. Miss Beale breathed it in like an addict. Whatever faults she might later find with the room itself, the adequacy of the teaching equipment, the lighting or the furniture, she never felt other than at home in this intimidating atmosphere.

She bestowed on students and teacher her brief smile of reassurance and encouragement and perched herself on one of the four chairs placed ready at the side of the room. Matron Taylor and Miss Rolfe seated themselves on each side of her as quietly and unobtrusively as possible in the face of Mr. Courtney-Briggs's determination to be fussily gallant over pulling out the ladies' chairs. The arrival of the little party, however tactfully arranged, seemed temporarily to have disconcerted the nurse tutor. An inspection was hardly a natural teaching situation, but it was always interesting to see how long it took a tutor to re-establish rapport with her class. A first-class teacher, as Miss Beale knew from personal experience, could hold a class's interest even through a heavy bombing raid let alone the visit of a General Nursing Council Inspector; but she did not feel that Mavis Gearing was likely to prove one of that rare and dedicated band. The girl -- or woman rather -- lacked authority. She had a propitiatory air; she looked as though she might easily simper. And she was a great deal too heavily made up for a woman who should have her mind on less ephemeral arts. But she was, after all, merely the clinical instructor, not a qualified nurse tutor. She was taking the session at short notice and under difficulties. Miss Beale made a mental resolution not to judge her too harshly.

The class, she saw, were to practise feeding a patient by intra-gastric tube. The student who was to act as patient was already in one of the demonstration beds, her check dress protected by a mackintosh bib, her head supported by the back rest and a bank of pillows. She was a plain girl with a strong, obstinate and oddly mature face, her dull hair drawn back unbecomingly from a high nobbly forehead. She lay there immobile under the harsh strip lighting, looking a little ridiculous but strangely dignified as if concentrating on some private world and dissociating herself from the whole procedure by an effort of will. Suddenly it occurred to Miss Beale that the girl might be frightened. The thought was ridiculous but it persisted. She found herself suddenly unwilling to watch that resolute face. Irritated by her own unreasonable sensitivity, she turned her attention to the nurse tutor.

Sister Gearing cast an apprehensive and interrogative glance at the Matron, received a confirmatory nod and resumed her lesson.

"Nurse Pearce is acting the part of our patient this morning. We have just been going through her history. She is Mrs. Stokes, the fifty-year-old mother of four children, wife of a council refuse collector. She has had a laryngectomy for the treatment of cancer." She turned to a student sitting on her right.

"Nurse Dakers, will you please describe Mrs. Stokes's treatment so far."

Nurse Dakers dutifully began. She was a pale, thin girl who blushed unbecomingly as she spoke. It was difficult to hear her but she knew her facts and presented them well. A conscientious little thing, thought Miss Beale, not outstandingly intelligent, perhaps, but hard working and reliable. It was a pity that no one had done anything about her acne. She retained her air of bright professional interest whilst Nurse Dakers propounded the fictional medical history of Mrs. Stokes and took the opportunity of a close look at the remaining students in the class, making her customary private assessment of their characters and ability.

The influenza epidemic had certainly taken its toll. There was a total of seven girls only in the demonstration room. The two who were standing one on each side of the demonstration bed made an immediate impression. They were obviously identical twins, strong, ruddy-faced girls, with copper-coloured hair clumped in a thick fringe above remarkable blue eyes. Their caps, the pleated crowns as small as saucers, were perched well forwar