Sometimes the decision had already been taken by the local authorities: the bourgeoisie of Lyon had been running a charitable establishment that worked along similar lines since The Archbishop of Tours was proud to announce on July that his metropolitan city had fortunately foreseen the wishes of the King and erected a pital ral called La Charit before the Paris hospital had come into being, with an organisation which has long been a model for all hospitals subsequently created, both within the kingdom and beyond.