Randolph Wemyss Memorial Hospital, Fife

Randolph Wemyss Memorial Hospital, photographed in October 2019 © H. Richardson

The cottage hospital at Buckhaven opened on 28 August 1909. It was designed by Alexander Tod of Kirkcaldy for Lady Eva Wemyss in memory of her husband, Randolph Gordon Erskine Wemyss, of Wemyss Castle. Randolph Wemyss had died in July 1908 aged just 50 after a long illness, but in his relatively short life he had made a considerable impact on the Wemyss estate, guided and inspired by his mother. He invested the profits from the coal mines on his land both to improve production – building a coaling dock at Methil, and a railway from there to Thornton – and also to improve the conditions of his tenants and workers. He was behind the development of the ‘New Town’ or ‘Garden Village’ of Denbeath, where he built over 200 cottage flats in 1904-5, and invested in the company that built a tramway from Kirkcaldy to Leven.

OS Map, 25-inch, revised in 1913. The Wemyss Memorial Hospital is here dwarfed by Denbeath School to its north-west. Reproduced by permission of the National Library of Scotland.

The housing built by Wemyss at Denbeath was remarkable in many ways. The design of the cottage flats was unusual. Arranged in terraces of two storeys, with one flat per floor, the L-shaped flats interlocked with their entrances alternately on the north and south sides. The upper-floor flats were accessed by external stairs. They were also unusually large, giving a larger square footage of floor area than was recommended by the 1919 Housing Act, and built on a low density at 10 houses per acre, yet the rents kept affordable.  [see John Frew and David Adshead’s article, ‘”Model” Colliery Housing in Fife: Denbeath “Garden” Village 1904-8’ in Scottish Industrial History, X (1987) pp 45-59 for more on the housing.]

Wellesley Road. Detail of the cottage flats in Denbeath, photographed by Jerzy Morkis in 2010, © CC BY-SA 2.0, reproduced from Geograph

Designs for a cottage hospital to serve the new garden village may have been outlined around 1907 by Randolph Wemyss and Alexander Tod, the Wemyss Castle estate architect. However, they were seen through by Lady Eva Wemyss, with Tod, following her husband’s death. Lady Eva was Randolph’s  second wife (he had been divorced from his first wife in 1898), and the daughter of William Henry Wellesley, 2nd Earl Cowley, a great nephew of the Duke of Wellington. Both Lady Eva and Alexander Tod were said to have visited ‘some of the principal hospitals in the country’ before settling on the design, which embodied the ‘best features found in all of them’. [Dundee Courier, 31 March 1909, p.6]

Detail of ward wing, photographed in October 2019 © H. Richardson

In March 1909 Lady Eva Wemyss laid the foundation stone, placing a sealed glass jar containing current coins and copies of the daily newspapers in a cavity on top of which the foundation stone was lowered into place. Building work proceeded rapidly, and at the end of August 1909 the hospital was officially opened by Lady Eva, the ceremony being presided over by Charles Carlow, the manager of the Fife Coal company. Carlow gifted the four-dial clock, which originally had Westminster chimes, and had the novel design of hands representing the miner’s pick and shovel.

Detail of the central tower. The hands of the clock are in the shape of picks and shovels. Photographed in October 2019 © H. Richardson

The plan is of the standard central administration block flanked by ward blocks favoured at the time but it is dressed up with baronial details. Described as picturesque in the contemporary accounts in the local newspapers, the building has undoubted charm. Originally the harling was yellow, or ochre coloured rather than white.   There are circular stair turrets and corbelled bartizans at the angles of the wards. The somewhat eccentric entrance has a Doric portico fronting a circular tower, topped with a conical roof sporting the gabled clock faces.

Detail of the entrance to the Randolph Wemyss Memorial Hospital, with the coat-of-arms of the Wemyss family carved in red sandstone in the pediment. Photographed in October 2019 © H. Richardson

To the rear were the kitchen and laundry, with the ‘latest appliances for mechanical ironing of linen’, and at the east end of the site a small chapel and mortuary. Originally there were wrought-iron gates ‘of mediaeval design, with side railings of wrought iron’ – now long disappeared’

Rear of the hospital, showing the kitchen, laundry and boiler house, photographed in October 2019 © H. Richardson

The hospital was designed as a surgical hospital – accidents in the coal mines were not infrequent – and contained two main wards with six or seven beds in each, an emergency ward with two beds, operating theatre, X-ray room, doctor’s room, as well as accommodation for the matron and nurses and the usual stores and offices. Three ‘up-to-date’ bathrooms were installed, including, an ‘electric bath’.  It was to be lit by electricity, and heated by hot-water pipes and open fires.

Design for entrance hall floor, dated April 1909. © RCAHMS

Some of the original plans have were deposited in the National Monuments Record of Scotland (now part of Historic Environment Scotland), including a design for the entrance hall floor. It features the Wemyss family crest of a swan at the centre.

The Chapel and mortuary, photographed in October 2019 © H. Richardson

The grounds were laid out and planted with flowers and shrubs by the head gardener of Wemyss Castle, Charles Simpson. Originally the front of the hospital looked directly out over the Forth, but housing has since been built opposite. Along with the view, the hospital has lost a few of its original features – weather vanes formerly topped the turrets, a swan in the centre, a working miner with lamp and tools and a ship and colliery winding engine on the side turrets. On the whole, though, the building is little altered, except internally largely the result of a sizeable addition to the west built in the 1960s as a geriatric unit added by the South East Regional Hospital Board in the face of a pressing need for additional beds for the elderly in Fife.

Geriatric Unit, from the south, photographed in October 2019 © H. Richardson

An extension of the hospital was first mooted late in 1954. At that stage it was hoped to add an out-patient and physiotherapy department. At much the same time the South East Regional Hospital Board had been considering its strategy for hospital provision for the ageing population, specifically in Fife. Early in 1955 sketch plans were drawn up, at this stage for a 44-bed unit with some physiotherapy and out-patient accommodation. Little progress having been made, in January 1957 the Regional Board appointed Dr Robert Rankine to develop and take charge of a hospital geriatric service for the county.  He produced a report in April endorsing the proposals to expand the Randolph Wemyss hospital. At this stage, however, there was no prospect of funds being available for such a building before 1960. In February 1959 the Regional Board approved the acquisition of additional land to the west of the hospital for a new building and the construction of a 60-bed geriatric unit, with limited facilities for physiotherapy, at an estimated cost of £120,000. [Fife Archives, H/EF/1/10-11, East Fife Hospital Board of Management Minutes.]

Geriatric Unit, from the west, photographed in October 2019 © H. Richardson

The new unit was built in 1962-3 and officially opened early in 1964. The architect in charge was Iain D. Haig, one of the team in the Regional Board’s architects department headed by John Holt. Although in marked contrast to the original hospital, its stylish design and respectful distance from the older building ensures that each can be equally appreciated. (Personally, I think they are both very handsome – in different ways.) Rather like the slightly earlier Phase One buildings at the Victoria Hospital, Kirkcaldy, the geriatric unit blends modernism, in its construction and the concrete fins that form the building’s most distinctive feature, with elements of traditional Scottish vernacular building traditions, in the use of random-rubble stone as a facing on the ground storey.

Geriatric Unit, showing the low link-building, photographed in October 2019 © H. Richardson

The new range was designed with a reinforced concrete frame, aluminium sliding sash windows (since replaced), a central spine beam supporting floors and roof, and close-centred perimeter columns of precast concrete designed as projecting fins to create ‘sun baffles’ for the ward areas. Wards were on the upper two floors, designed on an adaptation of the Nuffield type with the bed bays on one side of a service corridor, and ancillary rooms, plus single-bed rooms, on the other.

Geriatric Unit, view towards entrance on west front, photographed in October 2019 © H. Richardson

Each of the two ward floors accommodated thirty patients arranged in two nursing units per floor of sixteen and fourteen beds, with four 6-bed bays, one 3-bed bay and three single rooms. Nurses stations were in the service corridor area placed centrally between the 6-bed bays and with the single rooms close by. Glazed screens divided the bed bays to maintain a clear view for the nursing staff. A day room was placed at the centre, between the two 6-bed bays, and a passageway ran along the south-west side beside the windows, fitted with a handrail to assist ambulant patients to exercise, out of the way of the main circulation corridor on the other side of the wards. Perhaps in an echo of the original entrance hall floor, there was a patterned vinyl-tile floor, supplied by Nairn’s of Kirkcaldy in the new wing. The original colour scheme throughout was grey and white, with accents of stronger colour. [The Hospital, May 1965, pp.229-30]

In 2008 the hospital was re-opened by Nicola Sturgeon after modernisation. It currently operates as a community hospital run by NHS Fife, with various out-patient clinics, and the geriatric unit (now the Wellesley Unit) providing in-patient palliative and continuing care.

Victoria Hospital, Fife

Victoria Hospital, Kirkcaldy, photographed October 2019. Looking north towards the 1960s tower block with the new ward block to the right. © H. Richardson

Victoria Hospital, Kirkcaldy, and Queen Margaret’s Hospital, Dunfermline, are the two main hospitals in Fife, serving the eastern and western halves of this large county. They both comprise buildings that mark significant periods in the history of post-war hospital architecture, and the Victoria has some of the earliest surviving NHS buildings in Scotland. The site is now dominated by a large, 500-bed ward block built in 2009-12 by Balfour Beatty to designs by Building Design Partnership.

The maternity wing of the new building. Colour and texture, as well as contrasting forms and asymmetry, break up and humanise the large bulk of the most recent development on the site. Photographed in 2019, © H. Richardson

As yet little studied, I have recently been looking into the development of the hospital during the 1950s and 60s, delving into the Department of Health for Scotland files, and the records of the East Fife Hospitals Board of Management. But the story begins long before the National Health Service, and at least one remnant survives of the earliest phase of this hospital. 

One of the original buildings of the Kirkcaldy Burgh fever hospital, dating from 1897 with some later additions and alterations.

Although not the most architecturally exciting of buildings, at the heart of the modest brick-built building pictured above is an 1890s ward block, part of the original burgh fever hospital. This was built as a scarlet fever ward. There was a larger ward block to its west that was intended for typhoid patients in one half of the building, and diphtheria patients in the other. Between these two was an administration block which also housed some staff accommodation, and there was a laundry and disinfector, mortuary, and gate lodge on the site. Plans for the hospital had been drawn up by the Glasgow architects, Campbell Douglas & Morrison in 1897 to provide accommodation for 33 patients in all. 

This map shows the extent of the hospital just prior to the First World War, the surviving ward block is the rectangular building towards the right hand side of the group. Extract from the 2nd edition OS map, revised in 1913, reproduced by permission of the National Library of Scotland.

The fever hospital was extended in 1908, with a sanatorium pavilion for tuberculosis patients (on the site of the present hospice, and possibly partly incorporated in the present building). Further additions were made in 1930 with another sanatorium building and a cubicle isolation block. By the 1940s the hospital had 124 beds, but by then the buildings were not considered up to modern standards. In the run up to the establishment of the National Health Service the plan was to use nearby Cameron Hospital for infectious diseases, and to convert the Victoria into accommodation for the aged and infirm. Cameron Hospital had been considerably extended in the 1930s, its relatively modern buildings and large open site offered the potential to develop a new general hospital there. 

Aerial photograph of Cameron Hospital, Windygates, Fife, taken in 1954. © Crown Copyright: HES

Difficulties over the acquisition of the additional land required adjacent to Cameron Hospital caused considerable delays. This, together with the time consuming bureaucracy of the new health service, followed by drastic cuts in central funding for new building, lead eventually to the abandonment of the Cameron Hospital scheme in about 1958. In the mean time, a new surgical ward block and other additions had been planned at the Victoria Hospital, with a view to addressing the serious shortage of beds across Fife generally. Work on this extension was nearing completion when the Cameron plan was given up, and the decision taken to build a second, larger block at Kirkcaldy. The 1950s extension therefore became known as phase one, the 1960s development phase two. The contrast in style and planning between these two phases indicates how post-war hospital architecture was developing apace at this time. Both phases are rare survivals of a key moment, demonstrating the evolution of modernist architecture as well as of hospital planning.

Phase I

East wing of Phase I, Surgical Ward Block, north elevation, photographed in October 2019. The final plans for the ward block are dated 1955 and signed by a number of the architects working under John Holt, Chief Architect to the South East Regional Hospital Board. © H. Richardson

Preliminary plans for a 100-bed surgical unit at the Victoria site were on the drawing board of the architects’ department of the South East Regional Hospital Board in 1953. By October 1954 they had been broadly approved by the Department of Health and had been submitted to the East Fife Hospitals Board of Management based at Kirkcaldy for their consideration. John Holt, the Regional Board’s chief architect, attended meetings with the local Board of Management to explain the rationale behind the designs.  

View of phases one and two from the south east, photographed in October 2019, © H. Richardson

The footprint of the ward block adhered to pre-war pavilion planning in its arrangement, if not its internal layout, comprising a three-storey T-plan building divided into three ward wings with the main entrance hall and stair at their meeting point. A single storey range on the north side contained the main out-patients’ department, and another at north-west corner housed a chest clinic. The entire building is flat-roofed, steel framed, and faced in buff-coloured brick and glass curtain walling. The flat roof of the north-east wing had a solarium and roof garden, its reinforced concrete pergola remains a distinctive feature of the building. Roof terraces and solaria were more common in the interwar period, and even then roof gardens were a rare feature in a Scottish hospital. 

View of the north side of Phase I, with the ward tower of Phase II looming behind

Inside, clinics, offices and the children’s ward were on the ground floor, wards and accommodation for medical staff on the first floor, and further wards and twin operating theatres on the second floor. According to Holt, ward planning was based ‘on the continental practice’ of having wards sited on one side of a central corridor and ancillary rooms on the other. This was known as the Rigs model (referring to the Rigs Hospital, Copenhagen), and was also the basis of the Nuffield Provincial Hospitals Trust’s widely publicised experimental ward built at Greenock in the early 50s. 

Detail of the north-east wing, north elevation, the upper two floors treated with glass curtain walling comprising strips of windows over opaque blue glass panels, the cross walls creating a vertical accent carrying up from the pilotis. A tangle of ventilators and air-conditioning units are an inevitable modern addition, muddying the clean lines of the wing. Originally air-conditioning was only provided in the operating theatres. Photographed October 2019, © H. Richardson

Unusually, the operating theatres faced south. This met with surprise from the Board of Management committee, as it was traditional for theatres to be on the north side to benefit from even northern light. Holt explained that the trend was now against providing large theatre windows, rendering their position unimportant, and the theatres here would be air-conditioned, combatting heat from direct sunlight and providing effective bacteriological control. 

When work on the surgical block was nearing completion in 1959, it was discovered that the ward doorways were too narrow to allow beds to be wheeled through easily. The standard hospital bed, without mattress, sheets and blankets, was 36 inches wide, and the new ward doorways were fractionally under 40 inches wide. Various suggestions were made for easing the beds through the doorways, but widening them was dismissed as too costly. Metal strips were proposed to be added to the door frames to protect the woodwork, narrower beds were rejected, but narrower mattresses would be used. The matter was also to be ‘kept in mind’ when plans were drawn up for the phase two ward block.

Nurses’ Home, Hayfield House

Hayfield House, the nurses’ home, north and west elevations, photographed in October 2019, © H. Richardson.

The nurses’ home, now Hayfield House, has some more overtly modernist features: its upper floors resting on slender pilotis, originally with an open space in the centre. It was constructed in a novel way, using a method that until that time was only used on tall silos. The concrete frame of the building was constructed from shuttered concrete made using continuously sliding forms operated by hydraulic jacks. The timber forms were constructed in situ on the first floor, and given a slight batter to ensure that they were self-clearing. Work was carried out continuously for four days, with 54 men on the day shift and 51 on the night shift.  This experimental construction method was recommended by the consultant engineers, Blyth and Blyth, because of the ground conditions. The presence of historic mine workings favoured a concrete frame, being lighter than steel, particularly for a building of this height. Nevertheless, the modernist aesthetic was tempered by the warm tones of the brick facing, pale blue tiles and random-rubble stonework at the entrance. 

Entrance to Hayfield House, with section of rubble-stone wall facing to the right. Photographed in October 2019, © H. Richardson

Phase II

In 1958 the Department of Health approved a second extension at the Victoria Hospital. Trial borings had to be made on the site once more, to check for underground mine workings, but as soon as the site was deemed suitable detailed planning was begun in the hopes that building work might start in 1961. The architect in charge of phase two was Eric Dalgleish Davidson, who had taken over from Walter Scott on phase one when Scott had left to set up in private practice late in 1957.

View across the Den to the ward tower of Phase II, photographed in October 2019, © H. Richardson

A model of phase two was made in 1962, and plans had been finalised by November that year. The annual report of the Scottish Home and Health Department recorded that the second extension to the Victoria was in progress at the end of the year. Officially opened in 1967, phase two is in marked contrast to phase one in style and scale: high rise rather than low rise, uncompromisingly modernist, and adopting a deeper, double-corridor ward plan.

Architect’s model of Phase II, reproduced from the Architectural Review, June 1965  where it was used in an advertisement for Stramax radiant heating and acoustic tiles. 

An eleven-storey tower sits atop a two-storey podium – in the matchbox-on-a-muffin manner, demonstrated clearly in the model pictured above. The extension housed twice the number of beds as phase one (240), three operating theatres, a new out-patients’ department, A&E, X-ray, sterile supply, physiotherapy and occupational therapy departments, as well as a conference hall, and libraries for patients and medical staff. Eight ward units, each with 30 beds, were located in the tower; the beds were mostly in four-bedded bays, supplemented by single rooms. Various labour-saving devices were introduced making the most of technical innovations. 

View of Phase II from the west. The section with the pitch-roof is the lecture theatre. Photographed in October 2019, © H. Richardson

In addition to the main ward tower, some of the phase one buildings were extended to meet the demands of the large increase in patients and staff. The kitchen and dining-room building was one that had to be enlarged, but the Board of Management’s hopes for greatly expanded staff recreation facilities (including a swimming pool) proved too expensive. 

This view shows a part of the staff kitchen and dining room block on the left – which overlooked the Den burn valley. The Nurses’ Home is behind in the middle distance. The stair tower on the left of the home was added following the tragic and fatal fire which broke out in the home in 1981. Photographed October 2019, © H. Richardson

With the shift from Cameron Hospital to the Victoria as the new general hospital for East Fife, the central laboratory which had been established at Cameron was now in the wrong place. A new laboratory was therefore included in the phase two scheme. Different in style again from either phase one or the ward tower, this distinctly industrial-looking building occupies the north-east corner of the site. The laboratory is square in plan, arranged around an internal courtyard. 

Victoria Hospital, Central Laboratory. Part of the Phase II extension 1962-7. Photographed in October 2019, © H. Richardson

The phase two extension of the Victoria Hospital is particularly significant in Scottish hospital history because of the involvement of Eric Davidson in its design. Whilst it is difficult to ascribe a single designer to the phase two buildings, Davidson was the architect in charge.  In 1960 he had been made Assistant Regional Architect to the South Eastern Regional Hospital Board and also Chairman of the Scottish Hospitals Study Group (1960-4). Following the re-organisation of the NHS in 1974 he became Assistant Director and Chief Architect of the Scottish Health Service Building Division (from 1974 until he retired in 1989). John Holt, likewise, is a key figure in the earlier decades of Scottish hospital design. As the chief architect to the Regional Board, he headed up a department that designed many remarkable buildings extending from hospitals in the Borders, across the Lothians and into Fife. 

The ward tower of the Victoria Hospital, photographed in 2011, with work underway on the new wing to the right. © Copyright John Taylor and licensed for reuse under creativecommons.org/licenses/by-sa/2.0

In the more recent additions to the Victoria Hospital, major architects or architectural firms are also present, with Building Design Partnership for the newest development (completed 2012) and Zaha Hadid for the Maggie’s Centre (2006). Each phase, from the 1890s onwards, encapsulates in built form the ideas, hopes and aspirations of the different times in which they were designed. 

Victoria Hospital new wing, photographed in 2016. © Copyright John Taylor and licensed for reuse under this Creative Commons Licence

The view above looks south across the double-curved front of the new wing, with its paired entrances sheltered by distinctive, up-turned, curved canopies. The nearer entrance leads to the out-patients’ department and main wards, the farther entrance to the maternity wing. Just visible on the right is the corner of the diminutive Maggie’s Centre. 

Zaha Hadid’s Maggie’s Centre, with the tower of phase II behind to the right. Photographed in October 2019, © H. Richardson

Sources 

National Records of Scotland, Department of Health files: Fife Archives, East Fife Hospitals Board of Management, Minutes; Plans, DG/K/5/121: Department of Health for Scotland,  Scottish Hospitals Survey, Report on the South-Eastern Region, 1946: PP, Scottish Home and Health Department, Annual Report for 1967, p.76: The Hospital, Jan. 1960 p.67; December 1960, pp 995-1004; Jan. 1961, p.54; July 1961, p.474; May 1962, pp 303-4; March 1964, p.163; Sept 1967, p.353: AJ, 22 Nov 1956, pp 746-7: Urban Realm, 24 Aug 2012.