The act created a General Board of Health as a central authority to administer the act. There were three commissioners:- the president of the board being the First Commissioner of Her Majesty's Woods and Forests, Land Revenues, Works and Buildings, the other two members being appointed by warrant. The board was originally to be dissolved after five years, but acts of parliament were passed annually allowing for its continuation. Chadwick was appointed a Commissioner, and the Board was strongly associated with him. In 1852, Edward Gotto was employed to carry out the national General Board of Health Survey.