Royal London Hospital
|Royal London Hospital|
|Barts Health NHS Trust|
The new Royal London Hospital building
|Location||Whitechapel, London, England|
|Care system||National Health Service|
|Affiliated university||Barts and The London School of Medicine and Dentistry|
|Emergency department||Yes – Major Trauma Centre|
The Royal London Hospital is a large teaching hospital in Whitechapel, London. It is part of Barts Health NHS Trust. The Royal London provides district general hospital services for the City and Tower Hamlets and specialist tertiary care services for patients from across London and elsewhere. There are 675 beds, 110 wards and 26 operating theatres at the Royal London Hospital. The new building opened in February 2012.
The Royal London was founded in September 1740 and was originally named the London Infirmary. The name changed to the London Hospital in 1748, and in 1990 to the Royal London Hospital. The first patients were treated at a house in Featherstone Street, Moorfields. In May 1741, the hospital moved to Prescot Street, and remained there until 1757 when it moved to its current location on the south side of Whitechapel Road, Whitechapel, in the London Borough of Tower Hamlets.
By the middle of the 18th century there were five voluntary hospitals in London (St Bartholomew's, Guy's, St Thomas', Westminster and St George's) which provided free medical care to those who could not afford it. However, none was located in the east of the City, where it could have served the comparatively impoverished and rapidly growing population there; this was the void that the London Hospital was to fill. The institution that was to become the Royal London Hospital was founded on 23 September 1740, when seven gentlemen met in the Feathers Tavern in Cheapside in the City of London to subscribe to the formation of an "intended new infirmary".:20–21
On 3 November, the London Infirmary opened in a house on Featherstone Street, Moorfields. The staff consisted of one surgeon, physician and apothecary; and was operated as a voluntary hospital, in which patients were not charged for treatment and their care was funded charitably from annual subscription fees.
In May 1741, the hospital moved to larger premises in Prescot Street, at that time in an exceedingly bad district. The following year, 2nd Duke of Richmond was persuaded by the hospital's surgeon, John Harrison, to become the first President of the new hospital.:31 The name changed to the London Hospital around 1748. The houses at Prescot Street were in an unfit state for use by 1744. A subscription fund for a new building was opened, and the current site was acquired at Whitechapel Mount (then relatively sparsely built on); however, funds were acquired slowly and it was not until September 1757 that patients and staff moved into the new premises, which were purpose-built and accommodated 300 beds.:111–135 The next year, the trustees of the charity acquired a royal charter so that they could constitute themselves as a legal entity.:140
Medical students had been recorded as studying under the staff of the London Hospital as private pupils since the year it had begun, however it was not until 1785 that the London Hospital Medical College was founded; chiefly through the efforts of William Blizard, the hospital's surgeon. Private medical schools had been long established, but the London College was the first medical school in England and Wales organised in connection with a hospital.:49,162 It amalgamated in 1995 with St Bartholomew's Hospital Medical College, under the aegis of Queen Mary and Westfield College to become St Bartholomew's and the Royal London School of Medicine and Dentistry.
Joseph Merrick, known as the "Elephant Man", was admitted to the hospital in 1886 and spent the last few years of life there. His mounted skeleton is currently housed at the medical school, but is not on public display.
In the late 1890s, Edith Cavell, who later helped some 200 Allied soldiers escape from German-occupied Belgium during the First World War, trained and worked as a nurse at the hospital. In the early part of the twentieth century the hospital sent out 160 nurses to work unsupervised in private houses. This earned £4,000 a year, a profit of £1,700.
In 1990 the Queen visited the hospital and added "Royal" to the name, to celebrate the 250th anniversary of its founding. The present School of Nursing and Midwifery was formed in 1994 by the merger of the schools from St Bartholomew's Hospital and the Royal London Hospital to become the St Bartholomew School of Nursing & Midwifery. Prior to this, the school of nursing was known as the Princess Alexandra College of Nursing and Midwifery. In 1995 the new Nursing School was incorporated into City University, London.
In March 2005 planning permission was granted for the redevelopment and expansion of the Royal London Hospital. The scheme was procured under a Private Finance Initiative contract in 2006. Sited on the grounds of the existing hospital, the works involved the replacement of certain of the hospital's old facilities, some of which date back to when the hospital moved to its existing site in 1757. The works also involved the creation of a new trauma and emergency care centre and substantial new renal and paediatric facilities. These works, which were designed by HOK and undertaken by Skanska at a cost of £650 million, were completed in 2015. The old hospital buildings are being converted into a new civic centre for Tower Hamlets Council.
Museum and archives
The Royal London has a museum which is located in the crypt of a 19th-century church. It reopened in 2002 after extensive refurbishment and is open to the public free of charge. The museum covers the history of the hospital since its foundation in 1740 and the wider history of medicine in the East End. It is a member of the London Museums of Health & Medicine. It includes works of art, surgical instruments, medical and nursing equipment, uniforms, medals, documents and books. There is a forensic medicine section which includes original material on Jack the Ripper, Dr Crippen and the Christie murders. There are also displays on Joseph Merrick (the 'Elephant Man') and former Hospital nurse Edith Cavell. There is the model of a church in the hospital that was built by Joseph Merrick who spent the last few years of his life at the hospital.
The Royal London's archives contain documents dating back to 1740, including complete patient records since 1883. The collections are searchable on the Barts Health NHS Trust online catalogue, which contains information on over 50,000 entries and covering an 800-year span.
Emergency Department and Major Trauma Centre
Barts and the London NHS Trust, now absorbed into Barts Health NHS Trust, consists of four tertiary hospitals, St. Bartholomew's, the Royal London, Whipps Cross and Newham General, together producing some of the best clinical outcomes in the UK – evidenced by one of the best survival records in the NHS. The Royal London Hospital treats over 1,400 injury patients annually, more than any other centre in the UK.
The Royal London Hospital is part of a citywide initiative to transform London's emergency and trauma services. In 2010, the London Trauma System was implemented to provide Londoners with world-class trauma care. The network is believed to be the largest of its kind in the world. The System comprises four existing London hospitals, the Royal London Hospital (Whitechapel), King's College Hospital (Denmark Hill), St George's Hospital (Tooting) and St Mary's Hospital (Paddington), supported by a number of trauma units located in various A&E departments where patients with less serious injuries receive treatment.
The hospital claims "some of the best clinical results in the UK". Nevertheless, five surgeons resigned in 2011, one of whom blamed shortages of beds, nurses and supplies for shortcomings in care while patients wait for necessary operations. The hospital's Medical Director issued a statement acknowledging that some aspects of orthopaedic care had fallen short of the hospital's high standards, and announced a review by the Royal College of Surgeons. It also referred to the difficulties of using outdated buildings, and looked forward to the forthcoming move to the brand new hospital building which would increase theatre capacity.
London Buses routes 25, 106, 205, 254, N205 and N253 serve the hospital, with bus stops located on Whitechapel Road. Route D3 also serves nearby New Road, and Routes 15, 115, 135, N15 and N135 serve nearby Commercial Road. The nearest station is Whitechapel, served by the District and Hammersmith & City lines of the London Underground and the East London Line of the London Overground.
In popular culture
The TV series Casualty 1900s is set at the Royal London, and follows the everyday life of the hospital throughout these years. Some of the storylines are based on actual cases drawn from the hospital records.
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