The Medical Officer cannot
"govern & control" the Matron,
if she is to be directly responsible
to the Managers:
he cannot "govern & control"
 the Nurses, if they are to
be responsible to the Matron.
He must not "report" to the
Board any "negligence or
misconduct" etc. of the Nurses,
if this is the duty of the 
Matron.
[N.B. This seems to be
admitted in the expression
made use of by Dr. Bridges