Dated September, 1878
Following the first 2 annual reports (January and December 1866), the Northern Counties' Asylum for Idiots and Imbeciles was called the Royal Albert Asylum
Consists of a prospectus (Winmarleigh, James Diggens), list of trustees, presidents, officers and central committee members, a report of the general annual meeting at Lancaster on 4 September 1878, the report of the central committee (Winmarleigh, chairman), the report of the medical superintendent (G. E. Shuttleworth), the report of the Commissioners in Lunacy (C. S. Bagot, John D. Cleaton), the auditors' report (William G. Welch), financial and statistical statements, a list of clergymen and ministers, presents received, census of idiots and imbeciles, a summary of contributions (James Diggens) and an illustration of the asylum.