Inverness’s general hospital at Raigmore is the largest and only acute hospital in the NHS Highland’s estate, serving patients from a huge area. It was designed in the post-war era as one of the new National Health Service’s centralised district general hospitals, in this instance to replace the Royal Northern Infirmary and numerous smaller hospitals, providing a full range of medical and surgical facilities, as well as specialist departments. It was constructed in two main phases in the 1960s—’70s, and ’70s—’80s, but its history begins during the Second World War.
Raigmore Hospital began as an Emergency Medical Scheme (EMS) hospital, one of seven large new hospitals built in Scotland for the anticipated casualties during the War. Work on the site started in 1940. The builders were James Campbell & Sons, builders, with MacDonald, joiners, and the first wards were completed in 1941. The hospital followed the standardised EMS design, but restrictions on the use of timber and steel for building construction meant that here the single‑storey, flat-roofed ward blocks were constructed of brick.
On the 40‑acre site, on the southern outskirts of Inverness, sixteen standard wards and one isolation block were built to provide around 670 beds. Staff quarters were located in the blocks on the north-west side of the complex, with a tennis court just to their south. At the heart of the site, between the staff quarters and the main ward huts was the admin section with the central kitchens, dining rooms, laboratories, matron’s quarters and services. An isolation block, Ward 17, was to the east of the central section. This was converted into a maternity unit in 1947, and then became a children’s ward in 1955. The buildings on the north-east side of the site were part of the Raigmore home farm.
Block plan of Raigmore based on the OS 1:1,250 map revised in 1961.
As with the other six war-time hospitals, Raigmore became part of the National Health Service on the appointed day in July 1948. Some new specialist departments were created, wards changed function, and additions were built – including an outpatients department in 1956. Raigmore had already become a General Training School for nursing in 1946.
Plans for a new central general hospital at Inverness formed part of the 1962 Hospital Plan drawn up by the Department of Health for Scotland. Raigmore was the obvious choice of site. The new hospital was designed to be built in two major phases of construction, and J. Gleave & Partners were appointed as architects. Phase one was commenced in May 1966, and was largely completed and opened in 1970 having cost some £1.42 million. The largest part of the new hospital was situated to the south of the main wards, comprising a low-rise complex providing outpatient, radiotherapy, physiotherapy, occupational therapy, pharmacy and records departments.
A standard plan for out-patients departments issued by the Scottish Home and Health department was adopted here. The architect to the Northern Regional Hospitals Board (NRHB), D. P. Hall, was part of the project team, as he was on the two other contemporary major schemes carried out by outside architects for the Board, Belford Hospital (also designed by Gleave & partners) and Craig Phadrig. All senior officers of the NRHB were also part of the team, ensuring that there was advice from administrators and medical staff. Other additions to the site at this time included a new Inverness Central School of Nursing and Post Graduate Medical Centre, built to the north of the original ward block, and nurses’ accommodation, located to the west of the old central admin area.
The second phase was approved in 1977, comprising the eight-storey ward block with operating theatres, kitchen and dining rooms, an administration block, a chapel and a works department. Work commenced in 1978, and the tower block was opened in March 1985. Further staff accommodation formed a separate contract, with three blocks of 32 bed-sitting rooms, 32 three-apartment houses and a block of two-apartment flats.
Gradually all the war-time buildings were demolished. Part of the cleared ground was allocated to a new maternity unit which opened in January 1988. The last huts went in 1990, the same year that a new isolation unit was completed. The fourth Maggie’s Centre in Scotland opened beside Raigmore in 2005. Situated in a green space to the south of the main hospital complex, the leaf-shaped building was designed by David Page of the Scottish architectural firm Page and Park Architets, with gardens designed by Charles Jencks.
Maggie’s Centre, Raigmore Hospital, photographed in 2007 by TECU consulting UK. Reproduced under Creative Commons Licence CC BY-NC-ND 2.0
In stark contrast to the EMS hospital, the central feature of Raigmore Hospital today is the multi‑storey ward‑tower, which strikes the view of all who arrive in Inverness by car from the south on the A9.
Sources
Inverness Courier, 2/11/2017 online: Glasgow Herald, 6 June 2005, p.2: Aberdeen Press & Journal, 3 May 1977, p13; 22 Sept 1979, p.2: Builder, 22 July 1960, p.174, 24 July 1964, p.201: Hospital Management, vol.34, 1971, pp 108-10: The Hospital, vol.67, 1971, p.175: PP Estimates Committee 1 (sub-committee B) 1969-70, minutes of evidence, 2382-93, 2422, 2503: J. & S. Leslie, The Hospitals of Inverness, Old Manse Books, 2017
Arbroath Infirmary consists of a pleasing if mismatched group of buildings in a variety of dates and styles. The oldest is the former Rosebrae House, probably dating to around the 1830s-40s. The original infirmary of the 1840s was demolished to make way for the present main stone building, erected in 1913-16 and added to in the 1920s and 30s. Most recent of the additions is the Queen Mother Wing of the 1960s.
The original infirmary was built on this site in 1844-5 to designs by David Smith and had been preceded by a dispensary, providing medical aid to out-patients, set up in 1836. During an epidemic of typhus in 1842 a small ward was set aside to take fever patients. Fund raising to build a hospital was boosted by a donation of £1,000 from Lord Panmure. (William Maule, 1st Baron Panmure, of Brechin Castle. He served as MP for Forfarshire for many years before he was raised to the peerage.)
Principal elevation of the 1840s infirmary, reproduced from The Builder
As well as medical and surgical cases, the infirmary was open to accident cases and also to those suffering from contagious diseases. It was a handsome building, in the fashionable simplified Tudor or Jacobean style much in vogue for domestic villas, and apart from its rigid symmetry, was barely distinguishable from a private house.
Return elevation of the 1840s infirmary, reproduced from The Builder
David Murray, mason, Forfar and Messrs Nicol and Wallace, wrights, Arbroath won the building contracts. Local sandstone was the main building material, faced in ashlar on the main elevation and the side returns, but brick was used for internal walls. ‘Arbroath pavement’ was used to floor the service areas, with polished stone for the stairs, and timber for the ward floors – ‘Petersburg battens’ on Memel pine joists. Doors and windows were of American yellow pine, and Easdale slates covered the roof. Natural ventilation was introduced through fresh air flues within the walls, carried behind the skirting boards with vents into the wards. Ornamental openings in the ceilings connected to flues carried through the rear wall to extract foul air.
Ground-floor plan of the 1840s infirmary, reproduced from The Builder. A: Consulting-room B: Housekeeper’s room C: Servants’ room D: Medicine room E: Ward for maimed females F: Ward for maimed males G: Bed closet H: Bath room I: Water-closet J: Store place K: Lobby L: Passages M: Closet under stair N: Kitchen O: Porter’s room P: Wash-house Q: Coal house R: Dead house
First-floor plan. S: Staircase landing T and U: Fever ward for females V: Water closets
Bristowe and Homes’s account of the Hospitals of the United Kingdom, published in 1866, described the infirmary as it then existed as a single, long building of two floors with the kitchen and offices built out behind. By then the original accommodation had been extended to the west, almost doubling the number of beds that were provided, from thirty-six to sixty.
This postcard shows the extended infirmary, with the new wing to the left in the same style as the original building. Reproduced by permission of D. Robertson.
Extract from the OS Town plan of Arbroath, 1858, with the western addition. Reproduced by permission of the National Library of Scotland
This old postcard shows the extended infirmary with its encircling wall, railings and entrance gates. Reproduced by permission of D. Robertson.
Despite the additional wing, by the end of the nineteenth century there was a pressing need to provide more accommodation to meet the needs of the growing population of Arbroath. Unusually, the new hospital was largely constructed during the First World War. Plans by the local architect Hugh Gavin were drawn up by June 1912, but the estimates exceeded the expected upper limit of £12,000 by £2,500. This meant that more money had to be raised, but also prompted some of the infirmary managers to question whether a new building should be built at all, or whether it would be better to find a different site. It was largely for these reasons, and, once they had settled on rebuilding on the existing site, finding a temporary home for the displaced patients and staff, that delayed the start of construction.
In 1913 Greenbank House was purchased to serve as the temporary infirmary, and work looked set to begin until it was decided to seek advice on the plans from Dr Mackintosh, of the Western Infirmary Glasgow. He was the pre-eminent authority on hospital design and administration in Scotland at that time, and whilst this was a laudable decision, it resulted in some early decisions being changed, not always to everyone’s satisfaction. Mackintosh was repeatedly approached for his advice on everything from the best sterilizer to the type of paint to be used. (For the paint he recommended a new process, appropriately called ‘Hygeia’.)
Postcard showing the same view, perhaps around the 1930s when the children’s ward to the left was newly completed. Reproduced by permission of D. Robertson.
Estimates submitted by the various tradesmen for the erection of the new building were considered in March 1913 and were awarded as follows: mason works Messrs Christie and Anderson, builders, Arbroath, £3,775; joiner work Mr Rowland, Chapel Farquhar, joiner, Arbroath £1,828 17s 6d; plumber work Mr Thomas Raitt Grant, plumber Arbroath £1,148 15s 11d; slater work Messrs William Brand & Son, Slaters, Arbroath £191 16s 7d; plaster work Mr Archibald Donald Senior, plasterer, Arbroath £521 2d 4s; tile work Messrs Robert Brown & Son Limited, Ferguslie Works, Paisley £401 8s 2d.
The second edition OS map, revised 1921, shows the rebuilt infirmary. Reproduced with permission of the National Library of Scotland
The new infirmary was almost finished before the outbreak of the First World War, but it took two more years before it was ready to receive its first patients, as it became increasingly difficult to source materials and workmen. Furniture was acquired late in 1915 from George Rutherford Thomson and Son, cabinetmakers. Bedsteads were separately supplied by Messrs J. Nesbit-Evans & Co. of Birmingham.
The building in the foreground of this old postcard is the toll-house. Behind to the right, up on the hill, is the new infirmary, as completed by the end of the First World War. Reproduced by permission of D. Robertson
Despite hopes that the new infirmary would be ready for patients early in 1916 it was April when it was officially opened, and June before the first patients arrived. With the war still raging, it was clear that beds should be set aside for war wounded. At the outset of the war 30 beds at Greenbank had been offered to the Red Cross Society.
After the war the infirmary directors turned their attention to additions to the buildings. In particular there was a need for accommodation for the nurses and for the resident medical officer. Sketch plans were made by Gavin in 1922 for a new nurses’ home costing around £4,000, and the home was completed by March 1924.
This photograph shows roughly the same view of the toll-house as the earlier postcard, but here the new nurses’ home can be seen to the left, with the boiler-house chimney rising behind it. Reproduced by permission of D. Robertson
The next addition that was urgently required was a children’s ward. Plans were prepared in 1925, but differences arose between the medical staff and the infirmary directors. In April the medical staff submitted their views to the directors. They agreed that a children’s ward was needed, but pointed out that there was an equal need to provide space for maternity cases, cases of venereal diseases, and out-patients.
‘... year by year the Public are demanding an increasing number of hospital beds for the treatment of general medical and surgical diseases. We are in agreement with the Directors that an extension of the hospital is required, but we view with regret and misgiving a proposal to provide one of those departments, in this instance the Children’s Ward, according to a plan which seems to us to be essentially unsound, and, of even greater importance, which blocks one of the natural paths of extension of the hospital.
We beg to suggest that in the preparation of a plan for ultimately providing a complete hospital service the Directors should secure the advice and assistance of a recognized expert in hospital planning and administration, to the end that the various new departments (which need not be provided simultaneously) may be harmoniously correlated and be neither mutually obstructive nor detrimental to the existing hospital.’
The whole question of extending the infirmary was referred back to the building committee and the position of the new children’s ward revised. However, the deepening economic depression of the 1920s, the Second World War, the building restrictions in the years after the war, and then the transfer of the hospital to the National Health Service in 1948, meant that all the new facilities were only provided with the opening of a new wing in 1961.
For the children’s ward, advice was sought from John Wilson, the chief architect to the Scottish Board of Health, who judged a competition for its design in 1928. Thomas W. Clark, architect of Arbroath, came first, James Lochhead of Hamilton was placed second, and Charles S. Soutar of Dundee third. After criticism from the medical staff, Wilson and Clark amended the plans, and the new wing together with additional accommodation for the nursing staff were built in 1930- 33. Rosebrae House, which adjoined the hospital to the west, had been purchased in 1928 and was used for stores and to accommodate the night nurses. Although the work began under Clark, he resigned part way through the commission, perhaps as a result of conflict with Wilson. James Lochhead, the runner up in the competition, took over the commission.
Extract from the OS 1:2,500 map surveyed in 1964. Reproduced by permission of the National Library of Scotland
As to the 1961 wing, this comprised consultative out-patients department, physiotherapy department and maternity unit. The total cost was £90,000 of which £53,000 came from the Board of Management’s Endowment Funds.
The architect to the Eastern Regional Hospitals Board, James Deuchars, and the regional engineer, R. G. McPherson, drew up the first set of plans for the wing back in 1952, although the building was only put out to tender in 1958. The building contractor was R. Pert & Sons Ltd of Montrose, the clerk of works, Mr Groves, and the engineer in charge, Mr Moodie. The Angus Hospitals Board of Management blamed delays in construction on a lack of collaboration between Duechars and McPherson, an accusation hotly denied by the Eastern Regional Hospitals Board.
Later work on site, including a new X-ray department, was designed by Baxter, Clark and Paul in 1968.
Sources: Coventry Herald, 14 April 1843, p.3: The Edinburgh Medical and Surgical Journal 1847: The Builder, 28 Sept 1844, pp 494-5; 7 March 1896, p.217; 22 March 1957, 28 Feb p.572, 10 Oct 1958, p.423, 633: Glasgow Herald, 21 Jan. 1913; 15 Feb. 1913; 13 March 1913: Dundee University Archives, Minutes of Directors, THB 20/1/1/1-3, Minutes of Board of Management Angus Hospitals, THB 20/1/4; ERHB Magazine, No.9, vol.1 Winter Dec 1964; ERHB Mins THB 18/1/5: The Scotsman, 4 Feb 1933, p.11: Dictionary of Scottish Architects
Postcard showing the principal south elevation of the Royal Infirmary
Dundee Royal Infirmary closed in 1998, commemorative plaques and other items from the infirmary were transferred to Ninewells Hospital which replaced the infirmary as Dundee’s general and teaching hospital. Since then the original building and the main later additions have been converted into housing, renamed Regents Gardens, completed in 2008 by H & H Properties. The original planning brief for the site was approved before the infirmary had even closed, in 1996. The masterplan was approved in 2000, amended the following year. The architects for the conversion were the local firm of Kerr Duncan MacAllister.
Listed Grade A, the original infirmary, now Regents House, was the last of the former hospital buildings to be tackled. It was reconfigured to provide 63 apartments, with ground-floor flats some having individual main door entrances, and the high-ceilinged flats on the upper two floors featuring galleries looking over the living-rooms. Caird House (listed Grade B, built in 1902-7 as the cancer wing), was turned into 22 apartments and 5 pent-house flats; Dalgleish House, the 1890s nurses’ home, provided 19 apartments; Loftus house, which was originally the Caird Maternity Home and later a nurses’ home, was converted into six town houses; and the small Gilroy House was converted into two houses.
This view of Dundee Royal Infirmary from the Law shows the former Cancer Wing, photographed in 2005 by TheCreator, public domain image on Spanish Wikipedia’s entry for Dundee.
The old wash-house and drying green to the east of the infirmary was built up with housing as part of the redevelopment of the infirmary site. The wash-house itself had been demolished and replaced by the Constitution Campus tower of Dundee College in the 1960s (opened in 1970). By 2015 this was closed and awaiting redevelopment as flats with a cinema, gym, office space etc., known as Vox Dundee (why? who comes up with these names? I’m sure there’s a perfectly good explanation).
Extract from the 1st Edition OS Map surveyed in 1872. Reproduced by permission of the National Library of Scotland
Dundee Royal Infirmary was officially opened on 7 February 1855, having been completed towards the end of 1854. It was designed by Coe & Goodwin of London. This building replaced the earlier infirmary built in the 1790s in King Street. By 1849 a committee had been appointed to select a site for the new infirmary and a competition was held for the plans. The eminent medical Professors James Syme and Robert Christison of Edinburgh were consulted in the selection of the winning design, and had also supplied a block plan of the necessary arrangements when designs were first invited. Although 30 sets of plans had been submitted by the summer of 1851, only three were considered acceptable and put on display. The Northern Warder was scathing in its criticism of the majority of the plans, which it thought must have been produced by ‘aspiring joiners’ hoping to win the £50 prize for the winning design.
The main front of the hospital photographed around 1875 from Dundee Valentine Album, RCAHMS
Coe and Goodwin’s design was for a hospital of three storeys on a U‑shaped plan. It was of the corridor type of plan which was generally current before the introduction of the pavilion‑plan. Indeed, it was built in the declining years of corridor-plan hospitals, lending irony to Professor Syme’s description of it as ‘a model after which institutions similar in kind might well be constructed’. It is a bold essay in the Tudor style applied to a large public building (claimed to be the largest public building in Dundee at that time). David Robertson, a local builder was appointed to erect the building and work was commenced in 1852.
This more detailed plan is from the OS Town Plans, also of 1871. Reproduced by permission of the National Library of Scotland.
Many extensions were built and sister institutions provided, one of the first was a convalescent home at Barnhill built in 1873-7 (since demolished). Problems associated with the plan had to be rectified – the chief of these being the sanitary facilities. One of the key aspects of pavilion-plan hospitals was the placement of the WCs, sinks and baths in rooms that were separated from the ward by a short lobby with windows on each side. This created a through-draught and was designed to prevent ‘offensive effluvia’ from being carried into the ward – bad smells or miasmas that were believed to cause disease. Plans to improve these and to build a new wash-house and laundry were prepared, and other similar institutions visited so as to provide the best and most up-to-date conveniences.
Plan of Dundee, 1906, by William Mackison, Burgh Engineer. Reproduced by permission of the National Library of Scotland
The plan of Dundee above marks the principal additions built to the north of the original hospital in the late 19th and early 20th centuries. These have been retained and converted to housing. To the left is the nurses’ home, built in 1896-7 and named after Sir William Ogilvy Dalgliesh, president of the hospital and benefactor of the University’s Medical School. On the right hand side is the Caird Maternity Hospital, designed in 1897 and opened in 1900, named after its benefactor, the jute baron (Sir) James Key Caird. Though marked here as a maternity hospital it served a dual function, with one block for maternity cases and one for diseases of women; the third, central block contained administrative offices and staff residences. It was designed by Murray Robertson. Caird also funded the cancer wing, built in 1902-7 to designs by James Findlay.
Detail from the OS plan of Dundee surveyed in 1952, showing the extent of the infill building. At this time the public wash-house and allotment gardens still occupied the site to the east. Reproduced by permission of the National Library of Scotland
The map above shows the extent of the extensions and additions to the site up to the 1950s, many of these were demolished following the closure of the infirmary. These included an extension to the west rear wing of 1895 providing a new operating theatre. Another building removed was the maternity wing, which had been opened in 1930, erected and equipped by R. B. Sharp and his brother F. B. Sharp of Hill of Tarvit, Fife (pictured below, and labelled maternity hospital on the map above). The architects were D. W. Baxter & Son. After it was built the former Caird Maternity Hospital was turned into nurses’ accommodation. A further addition providing new dispensary and pathology departments was opened in 1935, named the Sir James Duncan building.
Sources: Henry J. C. Gibson, Dundee Royal Infirmary 1798-1948… 1948: Dundee City Archives: The Builder, 23 Aug. 1851, p.529, 16 Oct 1897, p.312; Dundee Courier, 13 April 1895, p.3;10 March 1896, p.6; 11 Dec 1977, p.4; Dundee Evening Post, 9 Dec 1901, p.4; Dundee Evening Telegraph, 13 Sept 1897, p.2: Dictionary of Scottish Architects; Unlocking the Medicine Chest: PGL Forfarshire: The Scotsman, 23 March 1900, p.4; 16 July 1935, p.7:
Stracathro House was built in 1827 to designs by Archibald Simpson for Alexander Cruickshank Esq whose fortune came from plantations in the West Indies. Cruickshank owned estates in British Guiana and St Vincent, and was awarded over £30,000 in compensation for freed slaves in 1836. Nevertheless, by the 1840s he was facing financial embarrassment and he returned to Demerara where he died in 1846.
Stracathro House was built into a sloping site, thus the principal front is of two storeys without basement and the garden front to the rear has a raised basement. The main nine‑bay façade comprises slightly advanced outer bays capped by a stone balustrade and between these five bays set behind a screen of fluted Corinthian columns in antis. This screen breaks forwards in front of the centre three bays forming a tetrastyle portico.
Following Cruickshank’s death Strathcathro House and estate were put up for sale at auction in July 1847. It failed to sell on that occasion. The house was fully furnished, the estate extended to 1,939 acres, of which 447 were wooded and 161 laid out as park and pleasure grounds, the rest being farmland. Eventually it was bought by Sir James Campbell, former Lord Provost of Glasgow, when it was put up for sale again in December at a reduced price of £40,000, reckoned to be about half the amount that it had cost Cruickshank. Campbell’s second son was Sir Henry Campbell-Bannerman, liberal MP and Prime Minister 1905-8. His eldest son, James Alexander Campbell, who inherited Stracathro, married Ann Peto, daughter of the railway baron, Sir S. Morton Peto. James died within weeks of his brother in 1908. James Morton Peto Campbell inherited, but died in 1926 after a prolonged illness at Careston Castle, Brechin, the home of his sister and brother-in-law, William Shaw Adamson. Stracathro House passed to the Shaw Adamsons. William’s son, William Campbell Adamson, was in the Royal Flying Corps and was killed in action in France in 1915. His son, William John Campbell Adamson inherited from his grandfather in 1936 when he was only about 22 years of age.
Rear view of the house. The wings were added later. Photographed in 2012 by Cisco, reproduced under creative commons license CC-BY-SA-3.0
During the First World War Stracathro was used as a military hospital, and was afterwards returned to the Campbells. The young William Campbell Adamson leased the house to the Department of Health for Scotland in 1938, when it was earmarked as a site for an emergency hospital. This was one of seven Emergency Medical Scheme hospitals built in Scotland. Hutted ward blocks were erected in the grounds to take the anticipated civilian casualties from air raids, while the house was used for staff accommodation.
Extract from the OS 1:25,000 map published in 1957. Reproduced by permission of the National Library of Scotland
The hospital was ready for occupation by the summer of 1940. Guidelines for the design and construction were given by the Department of Health to local architectural and/or engineering firms to erect EMS hospitals. For Stracathro the scheme was carried through by the firm of Maclaren, Soutar and Salmond, a Dundee practice which had an office in Brechin at that time.
Postcard with aerial photograph of the hospital
Nationally the programme for building these hutment hospitals, either on new sites or adjoining existing hospitals, was designed to provide 35,000 beds in England and Wales by the end of December 1939, and 10,000 additional beds in hutments (i.e. ward huts – single storey detached blocks) in Scotland on twenty sites.
This postcard showing the admin block of the hospital is not dated, but looks to me to be of the 1950s or 60s
Stracathro provided 999 beds, and took troops, local residents and later casualties. After the war it became a local general hospital, and was transferred to the National Health Service in 1948 under the Eastern Regional Hospital Board.
Another postcard with an aerial photograph of the hospital. On the right are flat-roofed ward blocks, the rest of the blocks having pitched roofs, suggesting that they are a different building phase.
Stracathro is the only one of the seven independent EMS hospitals built in Scotland to have so far retained any of its original ward blocks. Most on the site have been largely, if not completely rebuilt, although the original footprint of much of the hospital remains. In 2011 the Susan Carnegie Centre, for patients with mental illnesses, opened here, designed to replace Sunnyside Hospital. Stracathro House itself was sold by Tayside Health Board in 2003 and was converted back into a private residence.
Sources
Legacies of British Slave Ownership, profile of Alexander Cruickshank: The Garden History Society in Scotland, Survey of Gardens and Designed Landscapes: Stracathro House: PP: 10th Annual Report of the Department of Health for Scotland, 1938 Montrose, Arbroath and Brechin Review, 7 May 1847; 29 Aug 1847; 31 Dec 1847; 31 Dec 1847: London Daily News, 16 Feb 1847, p.8: The Scotsman, 10 July 1940: Hansard, Commons Sitting 1 August 1939: University of Dundee Archive Services, records of the Eastern Regional Hospital Board; Museum Services, Hospitals at War
The Royal Alexandra Infirmary was built to designs by T. G. Abercrombie and was, as the recent Pevsner Guide noted, the largest and most prestigious of his Paisley buildings.It was replaced by the present Royal Alexandra Hospital in the 1980s, and whilst some of the former infirmary buildings have been converted to new uses, large parts of this fine building are in a ruinous state.
Postcard of the Royal Alexandra Infirmary, showing east façade with the circular ward to the right. Why the image is labelled as the Royal Alexandria, rather than Alexandra, I do not know. Answers on a postcard?
The foundation stone was laid on 15 May 1897. The building was richly endowed by the trustees of William B. Barbour who gifted £15,000 to the building fund, and by the local mill owner, Peter Coats, who additionally gifted the nurses’ home. The Clark family were also particularly generous in their financial support. In all the new buildings were to cost some £73,000, providing 150 beds and ten rooms for private patients. The plan of the infirmary is of particular interest from its incorporation of circular wards in a three storey block to the north. Another distinctive feature were the ward pavilions to the south which terminated in semi‑circular open verandas or balconies.
Whilst T. G. Abercrombie’s monumental building has been superseded, it too superseded an earlier infirmary in Paisley. In 1788 a public dispensary was founded in the town from which a House of Recovery was established in 1795. A variety of hospital buildings grew on the site at the west end of Abbey Bridge. Fever wards were provided and for a time cholera was treated here.
Extract from the OS Town Plan of Paisley, 1858. Reproduced by permission of the National Library of Scotland
In 1878 grounds adjacent to the house were acquired by the parish council which built an epidemic hospital on the site for 60 patients although it was managed by the infirmary. By that time there were already calls to move the infirmary to Calside, but sufficient funds were not forthcoming.
Extract from the 2nd edition OS map, surveyed in 1896. Reproduced by permission of the National Library of Scotland
In 1886 a convalescent home was opened in West Kilbride. The question of moving to a new site was raised again by the Revd Dr Brown, he urged the benefits of a more open site, where ‘the sound of green leaves, the song of birds, and the freshness of the country might float into the rooms’. [Glasgow Herald, 10 Feb 1894 p.9]
Still nothing was done. Various sums were offered to kickstart a building fund: Dr Fraser offered £1,000 with the condition that he would double if if a new building were erected. William Barbour added £500 to the fund. But the directors dragged their heels. Finally, in 1894 the trustees of William Barbour announced their intention of donating £15,000 to build a new hospital.
The old hospital was overcrowded, out-dated and its proximity to the fever hospital was not a point in its favour. There was not even an operating theatre, operations were carried out at the patients’ bed – merely with a curtain drawn around it. Following W. Barbour’s generous donation, a site was offered for the new hospital at Calside comprising Egypt Park and Blackland Place.
Extract from the 1st edition OS map, surveyed in 1858, showing the site of the Royal Alexandra Infirmary, then occupied by Egypt Park and Blackland Place. The poorhouse was to the south-west. Reproduced by permission of the National Library of Scotland
The first part of the new complex to be built was the nurses’ home, which had been funded entirely by Peter Coats. Occupying the north-west corner of the site, it was formally opened in July 1896. Now converted into flats, the three-storey building is constructed of red sandstone from Locherbriggs quarries in Scottish Baronial style.
The front entrance was set in an open porch with a broad arched opening topped by a balcony. Originally the ground floor comprised the probationer nurses’ dining-room and kitchen, cloak rooms and seven bedrooms, while on the first and second floors were a sitting and writing rooms as well as more bedrooms. It was ‘sumptuously furnished’ and provided accommodation for about 40 nurses. [Glasgow Herald, 4 July 1896, p.8]
Extract from the 2nd edition OS map, revised in 1911. Reproduced by permission of the National Library of Scotland
A gate lodge with dispensary were built on Neilston Road in 1898-1900 (pictured below), and further ancillary buildings were constructed on the south-east corner of the site.
The Infirmary closed in 1987 when the new hospital was opened in Craw Road. Part of the main range of the old Infirmary was then used as a care home, the rest was converted into flats in about 1995. The former nurses’ home was converted into flats in 2005-6 by Aitken Turnbull Architecture. After the care home closed in about 2008, this part of the former Infirmary began to deteriorate and was placed on the Buildings at Risk Register for Scotland in 2010.
Inadequately secured by its owners the unoccupied parts of the old hospital have attracted the attention of urbexers, so many photographs of the derelict building can be found online. However, these areas have also suffered badly from vandals who are the main cause of the building’s rapid decline. This is such a fine building. It should be saved, sympathetically restored and converted to housing, and treasured for its fine architecture and the skill of the masons and builders who erected it. [Selected Sources: D. Dow, Paisley Hospitals, Glasgow, 1988: records at NHS Greater Glasgow and Clyde Archives: Paisley Library, plans: Pevsner Guide, Lanarkshire and Renfrewshire, 2016. See also Renfrewshire for other hospitals in and around Paisley.]
I was delighted to receive three booklets this week from an ongoing series produced by the History of Highland Hospitals project set up in 2008. The first to be published was The Hospitals of Skye in 2011. Written by Jim Leslie and his son Steve, this slim volume provides a detailed history of the seven hospitals known to have existed on the island: the Skye Poorhouse, Portree and Ross Memorial Hospitals in Portree; Gesto Hospital, Edinbane; Martin Memorial Hospital, Uig; Mackinnon Memorial Hospital, Broadford, and a tiny smallpox hospital at Stein.
The buildings have been thoroughly researched, there are plentiful illustrations and the text is fully referenced with end-notes and footnotes. The stories of the hospitals and the poorhouse are written engagingly with an emphasis on their social history. This is mostly concerned with the staff and founders of the hospitals, but there are also details of patient numbers, including the detail that Gesto Hospital, in 1912, was reported as being full, and amongst the patients was a Welsh tramp with a broken leg in the attic.
I have had an enjoyable weekend up-dating the entries on the Highlands page of this website, adding in new information and correcting a few errors that I had made. Portree hospital, pictured above, had been extended since I visited it in the 1980s. It was built in the 1960s, and had a wonderful almost Art Deco-style bowed entrance porch with a port-hole window, but this has been altered and its character lost (I don’t think portholes on the door make up for the loss). Otherwise it is an endearing building and an early example of an entirely new NHS hospital.
The Gesto Hospital closed in 2007 and has stood empty ever since. As Carol Walker comments on her photograph above – what a pity! I hadn’t realised that the harling was not original – the book contains a photograph of the building from the 1920s (it is also on the front cover of the book) showing the exposed masonry with its neat cherry-caulking. As to the Stein Smallpox Hospital, that was completely new to me – a prefabricated Speirs & Company building that was never actually used and was only in existence between 1905 and about 1919.
As the Leslies’ book was published five years ago there have been some further developments in the lives of these buildings. I was sorry to see that plans were passed last year by the Highland County Council to demolish the old poorhouse – built in 1859 and designed by William Joass, an architect about whom I should like to learn more. The poorhouse had never been heavily used, and was turned into a hostel for school children in the 1930s (the Margaret Carnegie Hostel).
The Combination Poorhouse, Portree. Extract from the 1st-edition OS map, surveyed in 1875. Reproduced by permission of the National Library of Scotland
The John Martin Hospital at Uig was a youth hostel in 2011, but was closed and sold off around 2013, while the Ross Memorial Hospital, which had been turned into an arts centre in the 1980s and had closed in 2007, has since been remodelled and extended to become the new West Highland College, opened in 2013 as part of the University of the Highlands and Islands.
There are currently two community hospitals on Skye, at Portree and Broadford (the Mackinnon Memorial). A new health centre was built next to the Mackinnon Memorial Hospital in 2012 by the NHS Highlands Estates Department. I rather like the health centre. It reminds me of a boat-house or perhaps even a smoke-house, though that might not have been what the architects were aiming for. In 2014 plans were announced to build a new community hospital on the island at Broadford with a reduction in services at Portree, sparking a ‘Save Portree Hospital’ campaign (there is to be a protest march on 20 June, if you feel like joining in). It seems likely that the Portree hospital building will be replaced. I hope that it will not share the same fate as the former poorhouse.
J. C. Leslie and S. J. Leslie, History of Highland HospitalsThe Hospitals of Skye, 2011, Old Manse Books, Avoch, Scotland ISBN 978-0-9569002-0-3 £5
Back in February this year, the local press relayed proposals to transform Woolmanhill Hospital, Aberdeen, into a hotel and homes. The scheme, submitted by the developer Charlie Ferrari, is for a 52-bed boutique hotel, 27 serviced apartments, 32 residential apartments and just 10 affordable flats. Ferrari has set up a company CAF Properties (Woolmanhill) Ltd to put in a joint application with NHS Grampian to Aberdeen City Council. The hotel and serviced apartments would be sold to the G1 Group, owners of the Palm Court Hotel in Aberdeen. Ferrari was quoted in the Aberdeen Evening Express saying that he hoped to bring the site back to life and make it a ‘vibrant addition to the cityscape’, recognising that it was valued for its heritage. The proposal is to renovate four buildings on the site, and incorporates a lighting display in the central courtyard. The original hospital building would become the hotel, the Stephen Building, would be converted into the serviced apartments while the Victoria building would be turned into flats. The affordable housing element is destined for the former archive building to the north of the site.
The medical block, fronting Woolmanhill, photographed in 1964
All four main buildings are listed at grade A. The oldest of the four was designed by Archibald Simpson and is an elegant neo-Classical granite building of 1840, near the centre of Aberdeen. Comparable to the earlier Gray’s Hospital at Elgin, it was designed as an impressive public building as much as a functional hospital. To the rear of Simpson’s block are two ranges, largely dating from 1887, which create a roughly triangular court. Just as the Infirmary at Woolmanhill was replaced nearly a century later by the Foresterhill complex, the Woolmanhill building replaced an earlier infirmary built a century before.
Façade of the Royal Infirmary, Aberdeen. Engraving by W. Banks & son. Wellcome Library, London. Reproduced under Creative Commons Attribution only licence CC BY 4.0
The Aberdeen Infirmary was founded in 1739 and the foundation stone of the first building on the Woolmanhill site was laid in January 1740. It was of simple construction, built to the designs of William Christall who had visited Edinburgh and Glasgow to view William Adam’s Edinburgh Infirmary and Glasgow’s Town’s Hospital, before completing his own plans. It opened in 1742, providing twenty beds, including accommodation for lunatics, and had cost £484. No illustration of this building appears to have survived. On the completion of Simpson’s new Infirmary the old building was demolished.
Extract from the 1st edition OS map. Reproduced by permission of the National Library of Scotland
In 1887 a major extension and reconstruction scheme was begun. The site formed an awkward wedge and added to this difficulty the managers wished to avoid interfering with the existing buildings. H. Saxon Snell, the well-known hospital architect in London, was consulted and at his suggestion Simpson’s building was converted into an administrative and clinical area, with new ward pavilions built to the rear. He also recommended retaining the separate fever block at the rear as part of the new surgical block. Known as the Jubilee Extension Scheme, the new blocks opened in 1897 and provided a new surgical block, medical block, pathology and laundry blocks. W. & J. Smith & Kelly, the Aberdeen firm of architects, carried out the work.
View from the south-west, photographed in May 2015 by RCAHMS
The new administration department, formed out of the former hospital, was also to provide accommodation for nurses:
“The first thing in a good modern hospital was to have the best possible accommodation for nurses… In some of the larger hospitals such as that of Marylebone every nurse has a bedroom to herself. The committee do not propose to go to that extent but they propose that everyone of the higher nurses… shall have a room to herself, and that the others shall be accommodated two in one room.”
It is perhaps worth noting that the Marylebone hospital referred to in London was in fact a workhouse infirmary. It is a measure of the changing attitudes to hospital and nursing provision for paupers that their nurses were offered better accommodation than those in a Scottish Royal Infirmary.
Plans of Aberdeen Royal Infirmary published in H. C. Burdett’s Hospitals and Asylums of the World, 1893, portfolio of plans. Above: the northern half of the site, with the new block on the left. Below the original building showing its new room uses.
Ground plan of Aberdeen Royal Infirmary, from H. C. Burdett, Hospitals and Asylums of the World, 1893
Ground plan of Aberdeen Royal Infirmary, from H. C. Burdett, Hospitals and Asylums of the World, 1893.
Burdett classified the layout and plan of Aberdeen Royal Infirmary as ‘composite or heap of buildings’, which was his class 4, class 1 being pavilion plan hospitals, class 2 block plan and class 3 corridor plan. There is a suggestion that the ‘heap of buildings’ class was the worst type. The plans were published before works on the new buildings had been completed.
Operating Theatre, Aberdeen Royal Infirmary, from the Handbook and Guide to Aberdeen of 1914
Amongst the later additions were new operating theatres (pictured above), and out-patients’ department (below)
The out-patients’ department, photographed in 1964
Out-Patient Department, Aberdeen Royal Infirmary, from the Handbook and Guide to Aberdeen of 1914
The out-patients’ department (demolished) was opened in November 1912, situated to the east of the infirmary on the other side of Woolmanhill. A large top-lit waiting hall was centrally placed off which were situated admission rooms, dispensary, Ear and Throat, Dental and Skin clinics, bacteriological and sterilising rooms, operating rooms for minor surgery, dressing and recovery rooms etc. A basement housed stores and heating chamber, and on the upper floor were two 4-bed wards for the Ear & Throat department and some staff accommodation.
Extract from the 25-inch OS map revised in 1926. The out-patients’ block occupies the island site north of the Drill Hall, bounded by St Andrew Street, Woolmanhill, Andrew and John Streets. Reproduced by permission of the National Library of Scotland.
Following the opening of the new Royal Infirmary on the Foresterhill site in the 1920s Woolmanhill was retained and there were still in-patient facilities here until relatively recently alongside a number of out-patient clinics. Since the closure of the hospital was agreed in 1999, health services have been winding down on the site and gradually relocating. The last remaining clinics are for ENT and audiology, which are due to move out this year.
[Sources: Evening Express, 4 Feb 2016, online, 27 March 2016, online: British Medical Association, Aberdeen 1914, A Handbook and Guide, Aberdeen, 1914]
Vale of Leven Hospital, at Alexandria in Dunbartonshire, Scotland, was the first new hospital to be completed in Britain under the National Health Service at a cost of around £1 million. It was built in 1951-5 on the site adjacent to the Henry Brock Cottage Hospital to designs by John Keppie and Henderson and J. L. Gleave. Joseph Gleave was the lead architect on the project, carrying out extensive planning and constructional research.
The hospital was to accommodate 150 patients, and comprised eight standard units, built of pre-cast concrete on a modular system. Six of the units housed wards the other two ancillary services. General medical and surgical wards were provided, together with theatres, radiological department and laboratories, out-patient, casualty department, nurses’ teaching school and pharmacy. The general wards were designed on a standard pattern but adaptable for specialisms such as ENT or eye diseases. It was also designed with adaptability in mind: the original flat-roofed, two storey ward units were intended to allow for the addition of a third storey. [1]
After the Second World War, although there was a desperate need for new accommodation and to overhaul existing hospital buildings which had suffered from a lack of maintenance during the war, restrictions on capital expenditure meant that it was many years before much new building could take place. The original allocation of funds had to be curtailed in 1949, and then cut almost completely the following year. Thus is 1950 most building work was limited to essential maintenance and to the adaptation of existing buildings, despite the recognition that many of the buildings taken over at the inauguration of the National Health Service fell far short of hospital standards for that time. Limited funding was compounded by scarcity of materials, and a ban on new, non-residential building imposed in November 1951.
The Henry Brock Hospital had opened in 1924 on the outskirts of Alexandria in a converted private house, with a large area of open ground to its west – where the new general hospital was eventually built. Beyond the original bequest of £15,000 to establish the cottage hospital, further funds were gifted by Hugh Brock, brother of the founder, who left a legacy of £2,000, and John Somerville, of Camstradden, Luss, Loch Lomondside, who bequeathed a further £1,000 to the hospital in 1929.[2] Dunbartonshire County Council, with Dumbarton and Clydebank Town Councils, had resolved to build a new 150-bed general hospital in the 1930s and were considering possible sites towards the end of 1937.
Aerial photograph of Vale of Leven Hospital taken in 2015 by RCAHMS
The outbreak of war in 1939 called a halt to most building projects in Britain that were not related to the war effort. When the prospect of war had become apparent, plans were made for the organisation of emergency hospital accommodation. In 1944, as the end of the war was coming into sight, the Department of Health for Scotland commissioned a survey of the existing hospital resources, covering all local authority and voluntary hospitals, and public assistance institutions. Mental hospitals came under the Board of Control which conducted a similar but separate survey. The Scottish Hospitals Survey was published after the war, and many of its recommendations formed the basis of post-war planning. .[3]
The priorities in the early years of the NHS in Scotland were to increase the number of maternity beds and improve staff quarters and radiology departments. One of the first new maternity blocks built under the NHS was at Seafield Hospital, Buckie, which opened in 1950 providing a much needed additional 14 beds. Plans were also in hand for a new maternity hospital at Hawkhead, Paisley. Out-patients’ clinics and health centres were also some of the earliest new buildings built by the NHS in Scotland. In Dumbarton a new TB clinic and x-ray department were built at the existing Infectious Diseases Hospital. The first health centres were at Sighthill, Edinburgh built in 1951-3, and Stranraer in 1954-5. [4]
Aerial perspective of the proposed new hospital, 1954
Vale of Leven Hospital was built in the face of post-war financial constraints because it formed a part of the Civil Defence Programme, initiated in response to the Cold War. Glasgow was considered likely to be a prime target once again. Plans were made for the potential evacuation of all hospitals in Glasgow and the surrounding area. Existing hospitals could serve as cushion hospitals, but there was nothing available for the area to the north-west of Glasgow. Alexandria was the ideal location.
Aerial photograph of Vale of Leven Hospital from the 1960s. Henry Brock cottage hospital in foreground to the left
Taking a virtual tour of Vale of Leven Hospital in 2016 via Google street view, some of the outlying parts of the original buildings were in a poor state of repair, particularly around the out-patients’ department. Other areas have been refurbished and modernised, yet retain a sense of their original appearance. Despite its historic and architectural importance the hospital has not been designated as a listed building.
Just to the east of the hospital a new health centre opened in 2013, the Vale Centre for Health and Care. It is a two-storey building, containing GP and dental surgeries, child and mental health clinics. Constructed on a steel frame, it has timber and zinc cladding and glass curtain walls. Once Vale of Leven Hospital looked just as sparkling as the new health centre, and might have fared better over the last sixty years had money been spent more consistently on its maintenance. The same could be said of the Finsbury Health Centre, another seminal health care building, designed by Lubetkin and Tecton and built in 1937-8 for the London Borough of Finsbury. There too a lack of funding for a full restoration has left parts of the building in a sorry state.
Fiona Sinclair, Scotstyle, p.98: PP, Report of the Department of Health for Scotland… 1951, c.7921, p.32.
Dundee Evening Telegraph, 6 Nov 1929, p.4: Sunday Post, 10 August 1924, p.3: Western Daily Press, 12 June 1924, p.3
10th Annual Report of the Department of Health for Scotland, 1938 PP Cmd.5969
Miles Glendinning, Ranald MacInnes, Aonghus MacKecknie, A History of Scottish Architecture…, : Alistair G. F. Gibb, Off-site Fabrication Pre-assembly and Modularisation, 1999, p.13: David Stark, Charlies Rennie Mackintosh and Co., 1854 to 2004, 2004
