The Western Isles Hospital, Stornoway, and its forebears

Memorial stained-glass panel in the Western Isles Hospital, depicting the Lewis Hospital on the right and the County Hospital to the left, both closed when the new general hospital opened. © H. Richardson

The Outer Hebrides are served by one general hospital in Stornoway on the Island of Lewis – the Western Isles Hospital. It was designed and built by the Common Services Agency and opened to patients in 1992. The hospital was designed to replace two much older hospitals: the Lewis Hospital and the County Hospital.

The Western Isles Hospital, photographed in January 2019, © H. Richardson

The County Hospital had been built by the Red Cross during the First World War as the Lewis Sanatorium, and after the war was transferred to the local authority. The Lewis Hospital was built in 1893-6 on Goathill Road. Before the advent of the National Health Service, there was also Mossend Fever Hospital, built by Stornoway Town Council in 1876, which contained 12 beds, and the Lewis Combination Poorhouse, opened in 1897, which took in sick paupers and manageable cases of the mentally infirm.

Memorial plaques from the Lewis Hospital preserved in the present hospital. © H. Richardson

In 1904 the Lewis Hospital also contained twelve beds, but its capacity was increased to twenty when the building was enlarged in 1912. A consultant surgeon was appointed in 1924, partly funded by the Scottish Board of Health under the Highlands and Islands Medical Service. A further grant from the Board helped to fund an extension to the hospital that opened in 1928. At the time, this was heralded as the first step in the realisation of a perfect hospital service for the Outer Hebrides as envisaged by the Dewar Commission of 1912, which first outlined the Highlands and Islands Medical Service. Seen by many as a precursor of the National Health Service itself, the Service extended state-funding of health care beyond the responsibilities for the care of the destitute sick, the mentally ill and the control of infectious diseases.

Part of the former County Hospital, photographed in September 1993, reproduced by permission of Kathryn Morrison © K. Morrison

The works done in the 1920s included improvements to the water and electricity supplies, the installation of central heating to replace peat and coal fires, X-ray plant, a new operating theatre, light treatment – including artificial sunlight treatment – enlarged kitchens and improvements to staff accommodation.

With a population of over 32,000 on Lewis and Harris, scattered over a wide area, the difficulties of communications and the different way of life of the people presented the singular circumstances necessitating state intervention. According to the reporter for The Scotsman:

 ‘Until the advent of the motor car, medical practice in these parts was on a very limited scale, and to this day the superstitious practices of former generations still linger in the hereditary healers and village bone-setters. Until quite recent days the idea of an hospital universally held was that of a place where people went only to die. As a result, the mere suggestion of hospital treatment was opposed with the same vigour that city patients resist the poorhouse.’ [1]

This may have been true, but the annual report of the hospital back in 1899 painted a rather different picture; 70 patients had been treated during the past year, of whom only three died. The yearly number of admittances was increasing, most being from the island, but 18 patients were ‘strangers … whose home residence extended from Reikjavik, in Iceland, to Sidmouth, on the Devonshire coast’. Nearly all of these were fishermen or sailors. In 1923 fewer than 100 cases were admitted to hospital, but in the following year, after the appointment of the consultant surgeon, 375 patients were treated and 350 operations performed.

The former Lewis Hospital, photographed in September 1993, reproduced by permission of Kathryn Morrison © K. Morrison

In 1964 the Secretary of State for Scotland appointed a committee to review the general medical services in the Highlands and Islands. Under the NHS the areas formerly covered by the Highlands and Islands Medical Scheme were now administered by three separate regional hospital boards: the North Eastern, based on Aberdeen, took care of Orkney and Shetland; the Western, based in Glasgow, oversaw the counties of Argyll and Bute; and the Northern, centred on Inverness, took care of everywhere else. The Regional Hospital Boards appointed boards of management to run groups of hospitals (or, in some cases, individual hospitals). The Lews and Harris board of management was responsible for the Lewis and County Hospitals in Stornoway.

The County Hospital,  from the 1:1,250 OS Map revised in 1964. Reproduced by permission of the National Library of Scotland

Then, as now, one of the biggest challenges to the health service was providing for the elderly, and one of the inherent flaws of the NHS was (and still is) the division of responsibility between the NHS and local authorities. In 1966 the Chairman of the Northern Regional Hospital Board commented on ‘the nebulous boundary’ between the two, noting that where responsibility is shared between two types of authority ‘each of whom would have no difficulty in finding good alternative uses for any resources currently required for care of the elderly, there is a natural inclination for each to feel that the other ought to carry more of the burden’. [2]

The Lewis Hospital as extended, from the 1:1,250 OS Map revised in 1964. Reproduced by permission of the National Library of Scotland

Between 1948 and 1960 around £100,000 was spent on additions to the Lewis Hospital. In 1950 work had begun on a new maternity unit, nursing staff quarters and an out-patient department. In the mid-1960s Lewis Hospital had 83 beds, 46 for general surgery, 24 for general medicine and 13 for maternity cases. the County Hospital had 89 beds, 50 for the chronic sick, 35 for respiratory tuberculosis and four for infectious diseases.

Following the re-orgnisation of the NHS in 1974  which abolished the old regions and introduced a larger number of new area health boards, the islands of Harris and Lewis were managed by the Western Isles Health Board. In 1978 the Board outlined the need for a new district general hospital, on the site of the Lewis Hospital, but recognising that this was likely to be a long-term goal, it proposed that in the mean time a new operating theatre should be built. The Common Services Agency (CSA) had by then already drawn up a development plan for the Lewis Hospital, but the medical staff in Lewis criticised some of its elements: the theatre was not on the same level as the main surgical ward, the out-patient department was too small, and generally the plans left no room for further expansion. The Aberdeen Press & Journal reported that the CSA apologised for the plans, explaining they were only basic block plans aimed at demonstrating that it was possible to add the required facilities to the existing site, incurring as little interference to the ongoing work of the hospital as possible. The CSA ‘were not proud of the plans but were open to suggestions’. [3]

By May 1980 the Health Board had drawn up a list of their requirements for the new hospital, suggesting at least 280 beds be provided, comprising 30 medical beds – including provision for infectious diseases and intensive nursing; 48 surgical beds, including 8 for orthopaedic cases, 10 gynaecological beds, 8 for children plus four cots, two for the staff sick bay, 14 maternity, 90 geriatric beds and 30 beds for acute psychiatric patients.

The inclusion of beds for psychiatric patients reflected current NHS policy and the terms of the Mental Health (Scotland) Act of 1960 (and the Mental Health Act of 1959 covering England and Wales), . The new network of district general hospitals were to cater for general medical, surgical and psychiatric patients. This policy had evolved from a recognition that the existing mental hospitals did not provide the best environment for new cases. This was in part due to the institutional character of the large Victorian mental hospitals, but also the difficulties of attracting good mental health nursing staff, together with the stigma attached to mental illness in general and the old ‘lunatic asylums’ in particular. In the Western Isles the problems were exacerbated by the distance to the only psychiatric hospital serving the whole of the Highlands and Islands: Craig Dunain Hospital at Inverness. In 1979 more than 100 patients from the islands were in care at Craig Dunain. The new hospital in Stornoway was therefore to include a psychiatric unit, though links to Craig Dunain were to be retained given the number of specialist psychiatric fields.

Main entrance of the Western Isles Hospital, photographed in January 2019 © H. Richardson

Formal approval to build the new hospital complex was granted in 1986, and work was underway by 1991. It took two years to build and cost £32m.  Although the first patients were admitted in September 1992, the official opening took place the following March, performed by Prince Charles (as Lord of the Isles). The Prince was welcomed to the hospital by the chairman of the Western Isles Health Board, Marie MacMillan, and was given a comprehensive tour of the facilties and chatted to staff and patients. He then unveiled a plaque in the main concourse area. [4]

References:

  1. The Scotsman, 4 May 1928, p.8
  2. Parliamentary Papers: Scottish Home and Health Department, General Medical Services in the Highlands and Islands, Report of a committee appointed by the secretary of State for Scotland, June 1967. Cmnd. 3257
  3. Aberdeen Press & Journal, 24 May 1978, p.26
  4. Slàinte, NHS Western Isles Staff Magazine, Winter 2012, p.4

Sources:

North Star and Farmers’ Chronicle, 23 Feb 1899, p.6: Dundee Courier, 3 Feb 1904, p.1:: Department of Health for Scotland, Annual Reports:Aberdeen Press & Journal, 21 Feb 1979, p.27; 16 May 1979: The Guardian, 15 Oct 1986, p.31: Nicola MacArthur,  ‘The origins and development of the Lewis Hospitals’, Hektoen International, A journal of Medical Humanities, Spring 2017: NHS Eileanan Siar Western Isles 70 Years

Raigmore Hospital, Inverness

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, Inverness, photographed in 2009 © Copyright Richard Dorrell and licensed for reuse under this Creative Commons Licence 

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.

Raigmore Hospital, Perth Road, Inverness. Oblique aerial photograph taken facing north-west, taken September 1948 © HES (Aerofilms Collection)

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.

Raigmore Hospital today. © OpenStreetMap contributors

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

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.

Abroath infirmary poscard
Postcard of Arbroath Infirmary from the 1930s, after the children’s ward had been added (far left of picture). © H. Martin

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’.)

Arbroath Infirmary, photographed in April 2018. © H. Richardson
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.
Arbroath Infirmary, photographed in April 2018. © H. Richardson. The open sun veranda at the end of the ward to the left has only recently been enclosed at first-floor level.

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.

Screen Shot 2015-10-15 at 10.25.44
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.

On the left is Rosebrae House and to its right the nurses’ home. Photographed in April 2018 © H. Richardson.

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
This view looking towards the nurses’ home has Rosebrae House on the left and part of the 1913-16 hospital on the right.  Photographed in April 2018 © H. Richardson

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.

The diminutive Rosebrae House on the left, with the south end of the children’s ward block in the foreground. Photographed in April 2018. © H. Richardson.

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 Queen Mother Wing, built 1958-61 to provide for out-patients, maternity and physiotherapy departments. Photographed in April 2018. © H. Richardson.

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.

Detail of the Queen Mother Wing. Photographed in April 2018. © H. Richardson.

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 1847The 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

Dundee Women’s Hospital

South Front of the former hospital, photographed in 2018 © H. Richardson

On the slopes of Balgay Hill to the west of Dundee sits the former Dundee Women’s Hospital. Since it closed in the 1970s it has been converted into private flats. One was for sale when I visited the site in February this year. On a sunny day it is a pleasing building, in a quiet, understated Scottish Arts & Crafts style, with cream-painted harling and twin gables enclosing a balcony and verandah. It was designed by a local architect, James Findlay, and was opened on 24 February 1915.

Detail view of the central balcony and verandah, photographed in 2018 © H. Richardson

The hospital began as a dispensary for women, established in Dundee in about 1891. In October 1895 a committee was formed to consider establishing a small cottage hospital. In the following year the hospital was opened at 19 Seafield Road, near the Tayfield jute works. It claimed to be the first private hospital in Scotland for the treatment of women by women medical practitioners. Three women were the chief promoters of the scheme: the social reformer Mary Lily Walker, Dr Alice Moorhead and Dr Emily Thomson. The aim was not only to provide hospital treatment for women who wished to be treated by women, but also a private home for women with limited means.

By 1911 it had been decided to build a new hospital. Fund-raising events were held, at first with the idea of enlarging the existing building, but Beatrice Sharp offered £4,000 to build a new hospital. A memorial recording her gift can still be seen set into the boundary wall. Beatrice Sharp was the wife of a wealthy industrialist and together they had commissioned Sir Robert Lorimer to rebuild Wemysshall in Fife, creating Hill of Tarvit House in 1907.

Memorial plaque on boundary wall, photographed in 2018 © H. Richardson

Plans for the new hospital were approved by the Town Council in 1912 and two years later the building was completed. However, on the eve of the hospital’s opening a fire broke out causing major damage and destroying all the woodwork. It took another year or so to restore and rebuild the hospital.

The fire was not accidental. It was reputedly an arson attack by suffragettes – a rather surprising target perhaps. The artist and suffragette, Ethel Moorhead was the sister of Alice Moorhead, one of the founders of the hospital. Ethel Moorhead was connected with a number of arson attacks and other militant acts – from smashing windows in London to throwing an egg at Winston Churchill. But she was also the first suffragette in Scotland to be force fed while in prison in Edinburgh in February 1914. Although she was seriously ill after this, she recovered and continued campaigning. It was suggested that she was with her friend and collaborator Fanny Parker in a failed attempt to blow up Burns Cottage in Alloway in July 1914.

Former Dundee Women’s Hospital,  photographed in 2018 © H. Richardson

Whether or not she was behind the attack on the Dundee Women’s Hospital does not seem to be recorded. Suffragette literature was found in the neighbourhood and a message was left at the scene that read: ‘no peace till we get the vote. Blame the King and the Government’, the same message left at similar incidents all over the country. [1] The fire was spotted by a nurse at the nearby Victoria Hospital who raised the alarm. It was reported that late the previous night and early on the morning of the fire, a grey, or slate-coloured motor car was seen in the district containing several women. The night watchman on duty at the hospital also reported seeing three women having a look at the place early one morning after the fire. He thought that they might be ‘of a mind to return to complete their work’ . It was early dawn and the light uncertain. On seeing the watchman the women quickly disappeared. They appeared to be ‘young and well dressed’. [2] The timing was unfortunate for the hospital-  the attack was made in early June, not long before the outbreak of the First World War, after which the suffragettes suspended their campaign.

Extract from the 2nd-edition OS map, revised in 1921. Reproduced by permission of the National Library of Scotland

While the rebuilding work was carried out, the hospital moved into temporary accommodation at 19 Windsor Street. At the end of February 1915 the new hospital was officially opened. The two storey building set on high ground with commanding views south over the Tay provided twenty beds. On the ground floor at the east end was a sun room: ‘an ideal little nook … where the convalescents can have a sun-bath at their leisure’. [3] The covered verandah and balcony above were deep enough to allow beds to be pushed out onto them. Inside cream distempering set off brown woodwork, while palms and flowering bulbs adorned the corridors.

Extract from the 25-inch OS map surveyed in 1951-2. Reproduced by permission of the National Library of Scotland. This shows extensions to the original building to the north west

James Findlay, the architect of the hospital, was born in Alyth, Perthshire, the son of a successful grocer and baker. He was married to Margaret Ann Donaldson, who died in October 1916. Findlay had been articled to John Murray Robertson in Dundee and took over the practice when Robertson died in 1901. Findlay’s chief assistant was David Smith who had worked in the London County Council’s Architect’s Department in 1902-3. While in London, Smith studied at the influential Regent Street Polytechnic and later joined the office of Leonard Stokes before returning to Dundee. He was responsible for much of the design work in Findlay’s practice. Findlay himself was one of the first people in Dundee to own a motor car. He appears in the local press on several occasions for minor traffic offences – he was fined a guinea for exceeding a 10-mile-per-hour speed limit in 1912.

The contractors, like the architects, were almost all local: building work was carried out by James R Anderson, bricklayer, builder and contractor,  E Esplanade, (whose home address in a 1912 directory was given as 4 Morgan Street); the joiners were Alexander Bruce & Son, Victoria Joinery Works, 129 Clepington Road; the plumbers John Orr & Son, registered plumbers and sanitary engineers, 272 Hawkhill; workshop, 31A Ryehill Lane (home 290 Balckness road): slater and harl work, William Brand & Son, slaters and cement workers, St Vincent Street, Broughty Ferry: glazier work, Lindsay & Scott, glass merchants, glaziers, and zinc and lead window makers, 24 to 28 Bank Street, branch 86 Victoria road: painter work, Allan Boath, painter and decorator, 141 and 143 Nethrgate, home – 171 Perth Road: grates, G. H. Nicoll & Co., furnishing and general ironmongers, 18 and 20 Bank Street: heating, Henry Walker & Son, Newcastle: Verandah ironwork, Thomas Russell, smith and engineer, St Andrew’s Iron works, 50 and 52 St Andrew’s street, home – 8 Nelson Terrace: gates and railings, George Mann, blacksmith, 40 Seafield Road: walls, William Bennet, builder and contractor, 41 Reform street, yard , 11 Parker street, home – 93 Arbroath road: roads, David Horsburgh, carting contractor, 65 Trades lane home – Eden villa, 83 Clepington Rd: grounds, James Laurie & Son, landscape gardeners & valuators, Blackness Nursery.

This advertisement for James Laurie & Son, who laid out the grounds of the hospital, appeared in the Dundee Directory for 1911-12, reproduced from the National Library of Scotland

The hospital was transferred to the National Health Service in 1948 and latterly became an annexe of the Royal Infirmary. It closed in 1975 but was retained by Tayside Health Board until the 1980s when it was sold with outline planning permission for redevelopment. Full permission to convert the hospital into flats was granted to the new owners, Hilltown Property Company, in 1988.

Notes: 1. The Suffragette, 5 June 1914: 2. Dundee People’s Journal, 6 June 1914 p.9: 3. Dundee Courier, 25 Feb 1915, p.4.

Sources: Dundee University Archives, plans: Dundee Courier, 9 Dec 1911, p.624 Feb 1915, p.6, 4 Oct 1916, p.6: Wikipedia: Dundee online planning portal: Aberdeen Press & Journal, 23 May 1914, p.7;  Dundee Evening Telegraph, 9 Nov 1904, p.5; 21 Oct 1907, p.3; 13 Sept 1912, 15 Oct 1913, p.2; Dundee People’s Journal, 30 May 1914, p.9; 7 Oct 1916, p.11; Perthshire Advertiser, 10 March 1943, p.8

Adamson Hospital, Cupar, Fife

The Adamson Hospital, photographed in December 2017 © H. Richardson

The Adamson Hospital in Fife’s County Town of Cupar is a modest, quietly attractive Edwardian building with a bold modern wing added in 2012. It first opened in 1904, but this was not the beginning of its history. Like so many historic hospitals it had a shaky start, but unusually it began in a fine purpose built hospital erected in the 1870s. Its only fault was location – it was built on the outskirts of the picturesque village of Ceres, about 3 miles to the south of Cupar. Its isolated position and inadequate support from local doctors proved its downfall, it operated for just six years as a hospital and then lay empty until it was acquired by the Leith Fortnightly Holiday Scheme.

Postcard of the first Adamson Cottage Hospital, reproduced courtesy of Ian Lindsay © Ian Lindsay, Postcard13
The original hospital, named the Adamson Institute (sometimes also called the Adamson Institution), photographed in December 2017 © H. Richardson

Alexander Adamson, after whom the hospital was named, was a manufacturer in Ceres, ‘in the halcyon days of handloom weaving’ (according to the St Andrews Citizen). [1] He died in 1866 a wealthy man, bequeathing the residue of his estate for the purpose of founding either a school or a hospital in or near Cupar. His seven trustees were personal friends and were mostly from Ceres, and when they decided upon building a hospital, they chose Ceres as its location. Thus the Adamson Institute  or Institution as it was variously known was built in 1872-3 to designs by the Cupar architect David Milne. A portrait of the founder, painted by Charles Lees, was to be hung on its walls.  

Detail of the centre gable and flanking dormer heads – the latter carved with the date 1872, photographed in December 2017 © H. Richardson

Surviving today, though now converted into private flats, the former Adamson Institution is a handsome building, not obviously a hospital in its outward appearance. This was common enough for cottage hospitals, particularly the earlier ones, which deliberately aimed to present a more domestic appearance than the often dour poor law infirmaries designed with Nightingale-style ward blocks. Cottage hospitals treated a broader spectrum of society, were generally operated by the local general practitioners and sometimes charged a small fee to in-patients. The Ceres building fits neatly into this pattern. Its architect was local, as were the builders and craftsmen who worked on it: the builder was from Ceres, Robert Nicholson, as was the joiner, William Younger; the plumber was Mrs Steele from Cupar; William Bryson of Cupar was the plasterer; Francis Batchelor, the slater, was also from Cupar; the lather, John Burns was from St Andrews as was the bell hanger, James Foulis. [2]

The map is not very clearly labelled. The ‘Adamson’s Institute’ is the large building to the right of the lettering, marked with a small circle. Detail from the 2nd Edition 25-inch OS map, revised in 1893. Reproduced by permission of the National Library of Scotland.

Just fifteen patients could be accommodated in eight bedrooms, three on the ground floor and five on the first floor, and there was a sitting room on each floor for the use of ambulant patients. The board room was to double as an operating room and there was the usual accommodation for staff and services. Although the building was completed in 1873 and Dr Blair of Strathkinness appointed as its medical officer, it is unclear whether it received any patients in the early years. Dr Blair left the district in 1876, and in 1877 the Trustees were advertising for a nurse, who would also act as a Housekeeper and Cook, for the hospital which was ‘about to be opened’. [3]

This 1912 map marks the Leith Holiday Home (it is the large building some distance to the right of the label). Reproduced by permission of the National Library of Scotland.

In 1883 the trustees were forced to close the hospital. Various efforts were made by the local authorities to acquire the building as an infectious diseases hospital, but these were rejected by the Adamson Trustees. In 1895 it was leased to the committee of the Leith Fortnightly Holiday Scheme, providing under-privileged town children with a ‘fresh-air-fortnight’. The first fifty children were sent here in July 1896. The building was finally purchased by the Scheme in 1901. Later it became known as Alwyn House, an employment rehabilitation centre. For more on the later history of the building see the comments below. 

Postcard of the Adamson Cottage Hospital

Meanwhile the need for a cottage hospital in Cupar was becoming increasingly pressing, in particular for cases of severe injury due to accidents. This became critical in 1899 when the place to which accidents or special cases of illness were taken was taken over by the burgh and made into an infectious diseases hospital, closing its doors to all other cases. Other patients had to suffer the long journey to Edinburgh for admission to the Royal Infirmary. Members of Cupar’s Sick Poor Nursing Association were instrumental in finally getting a cottage hospital in the town. In April 1899 they opened a small hospital-come-nursing home at Moat Hill. Pressure was also put on the Adamson Trustees to fulfil their original requirements. The decision to sell the Ceres building to the Leith Holiday Home Committee and buy or rent a building to be called the Adamson Hospital ‘in a more suitable place’ was narrowly voted through at a meeting of the Trustees in February 1901. [4]

The original part of the Adamson Cottage Hospital, photographed in December 2017 © H. Richardson

After obtaining plans from three local men: Henry BruceDavid Storrar and Henry Allan Newman, Newman was appointed and work progressed quickly. The contractors for the work were mostly from Cupar or Cupar Muir: J. Stark, mason; Thomas Donaldson, joiner; A. Stewart, plumber; Messsrs M’Intosh & Son, plasterers and slaters; John Randall, painter; C. Edmond, glazer; R. Dott Thomson supplied the grates and A. Douglas of Dundee electric bells. The furnishing was carried out by W & J. Muckersie, the window blinds by Hood & Robertson, both of Cupar. [5]

Extract from the 2nd edition OS map, revised in 1912, reproduced by permission of the National Library of Scotland

The hospital opened in December 1904. There was no formal opening ceremony, but the local press published a sketch of the new hospital after a drawing by the architect, and carried a full description of the building. On the ground floor, to the left of the main entrance, was the female ward and a bedroom and sitting room for the matron, while in the equivalent position to the right was the male ward, the Yeomanry Ward, and an operating room. Kitchens etc were to the rear, nurses’ and staff accommodation in the attic. The Yeomanry Ward was a memorial to members of the 20th Company of the Imperial Yeomanry who served in the Boer War and was paid for by funds raised by Sir John Gilmour. [5]

The new wing of the Adamson Cottage Hospital. Photographed in December 2017 © H. Richardson

Since its opening in 1904 several extensions and additions were made on the site. Most recently in 2011-12 a new health centre was added to the west of the original building and the original hospital reconfigured by JMArchitects for Glenrothes and North East Fife Community Health Partnership (GNEF CHP) with Ogilvie Construction Ltd. This work entailed clearing away some of the later extensions to the hospital.

  1. St Andrews Citizen, 2 March 1901, p.6
  2. Fife Herald, 2 Oct 1873, p.2
  3. Fife Herald, 27 Sept 1877, p.1
  4. Dundee Courier, 27 Feb 1901, p.7
  5. St Andrews Citizen, 12 Nov 1904, p.6

Sources: Fife Health Board: Minute Books: The Courier, 26 Nov 2012: a booklet has been produced by Cupar Heritage on the history of the hospital (which I haven’t yet seen).

Dundee Royal Infirmary, now Regents Gardens

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.

canmore_image_DP00095836
Aerial photograph of the site in 2010 from RCAHMS

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.

canmore_image_DP00101612
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.

This rather gloomy photograph shows the maternity wing in about 1989-91. It was a plain enough building but the assorted bits of piping, ducting and plant added to the roof and meandering over the wall surface do it no favours. Photograph © Harriet Richardson
This view shows the main front with the maternity wing to the right. Photograph taken c.1990 © Harriet Richardson
The grand centrepiece of the original infirmary with steps leading up to the main entrance. Photograph taken c.1990 © Harriet Richardson
Detail of main infirmary building, showing the end bays of main front with angle turret on the return. Photograph taken c.1990 © Harriet Richardson
Looking west along the main front towards the entrance. Photograph taken c.1990 © Harriet Richardson

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 ForfarshireThe Scotsman, 23 March 1900, p.4; 16 July 1935, p.7:

For more information on Sir James Caird see the James Caird Society

Inverness District Asylum (former Craig Dunain Hospital)

Inverness District Asylum, otherwise known as the Northern Counties Asylum, opened in 1864. Latterly it was renamed Craig Dunain Hospital and treated patients suffering from mental illness until 2000. Since then parts of the building have been converted to housing, while the rest awaits restoration.

Craig Dunain Hospital (Inverness District Lunatic Asylum), photographed around 1990 © Harriet Richardson

The imposing main building, mostly of three storeys, is enlivened by gabled bays and, at the centre, bold twin square towers. It was designed by James Matthews of Aberdeen, who had also established an office in Inverness some ten years earlier. The Inverness office was run by Willliam Lawrie, and Lawrie assisted Mathews in the asylum commission. Mathews had experience in designing poorhouses, and was also architect to the Royal Northern Infirmary in Inverness.

The former Craig Dunain Hospital, photographed from the old golf course in 2005. © Copyright Ivor MacKenzie and licensed for reuse under this Creative Commons Licence

As early as 1836 attempts were made to set up a lunatic asylum in Inverness. In that year the management Committee of the Royal Northern Infirmary recommended a separate establishment for the mentally ill, recognising the unsuitability of housing such patients in the infirmary. In 1843 a committee was established to promote the erection of a lunatic asylum at Inverness for the Northern Counties and in 1845 the movement gained Royal favour and would have produced the eighth Royal Asylum in Scotland. £4,500 was raised but this was not sufficient to build and endow such a hospital.

Craig Dunain Hospital, AeroPictorial Ltd photograph from 1952. the large building in the foreground on the right-hand side of the photograph was the nurses’ home.

After the Lunacy (Scotland) Act of 1857 the scheme was proposed once more, this time by the District Lunacy Board. In 1859 the Board purchased the site, 180 acres on the hillside above Inverness, and a restricted competition was held for the architectural plans. Designs were invited from James Matthews, who secured the commission, Peddie and Kinnear of Edinburgh and the York architect George Fowler Jones.

Extract from the first-edition OS map surveyed in 1868. Reproduced by permission of the National Library of Scotland.

Construction took several years, beginning in 1859. The contractors were Greig & Co. of Aberdeen, masons; A. Duff, Inverness, carpenter; J Gordon of Elgin, plumber; John Russell of Inverness, slater; Mr Hogg of Montrose, plasterer; and Smith & MacKay of Inverness, ironwork. The stone used was rubble whinstone and dressed stone from Tarradale on the Black Isle. The building was opened in May 1864 and was the third District Asylum in Scotland, being preceded by the District Asylums of Argyll and Bute at Lochgilphead, and Perth at Murthly. The first medical superintendent was Dr Aitken, who was accommodated in a ‘commodious and pleasantly-situated house near the Asylum’. This was to the south of institution, screened from view by a belt of trees.

The Medical Superintendent’s House, photographed in 2000. © RCAHM

George Anderson, solicitor, was Clerk to the Board of Lunacy, the Matron was Mrs Probyn. Mr C. W. Laing was the house-steward, Mr Macrae the head male attendant, Mr Logan the engineer, Mr Finlay the grieve, or steward. [1]

Detail of the extract from the first-edition OS map surveyed in 1868 (above). Turned round to show the main range of the former asylum in greater detail. Reproduced by permission of the National Library of Scotland.

The asylum was a palatial building, standing on a magnificent raised site. It was built to the standard scale and plan at this date, being a development of the corridor plan. There was the usual central kitchen and dining‑hall and the whole complex was symmetrical with a basic division of females to one side and males to the other. There was an extensive view taking in the Moray Firth, the light-houses of Lossiemouth and Tarbetness. All round the asylum the hillside was ‘gorgeously covered with gorse or whin’ – but was destined to be turned into farmland to serve the institution.

The central section separated the female (east side) and male (west side) divisions. Nearest to the centre were convalescent wards, then at right angles to these were single rooms for the severest cases. Beyond these was an infirmary ward, with a degree of separation from the rest of the building to contain the spread of infectious diseases

Interior of the main north-south ‘corridor’, this broad space served as a day room, photographed c.1902. © RCAHMS

At the back of the building ran the main staff corridor, which meant that visitors and staff didn’t have to pass through the patients’ day rooms to get from one part of the asylum to another. This was one of the many attempts around this time to design asylums that would provide a more home-like appearance, while still keeping the patients supervised. ‘Everything tending to indicate seclusion or imprisonment is carefully avoided. The windows resemble those of an ordinary dwelling house; there are no cross-bars, and no enclosure walls, beyond those which surround the airing-yards for the worst of cases’. [1]

The gas-brackets were designed in such a way that if they were broken the gas supply could be isolated, thus keeping the rest of the system in operation. (The gas was manufactured on the premises.) Other safety precautions included blunt table-knives, which could thus be ‘harmlessly seized by the blade, and wrested from the grasp of nay excited patient’.[1]

Female day room, ward 7, photographed around 1902© RCAHMS

As part of the important measures to guard against the hazards of fire, the asylum was constructed with a series of barriers, 80 to 90 feet apart, consisting of a thick, stone party wall with iron sliding doors to allow access from one section to another, but which could be drawn closed in the event of fire.

Interior view of specimen ward, photographed about 1902.© RCAHMS. This appears to be a male dormitory  – possibly an infirmary ward.

The day rooms were supplied with books and newspapers, and there was a piano from the outset, though the one in the photograph above may have been a later instrument. Patients slept in a mix of wards or dormitories and single rooms. The latter were for the sick, aged or refractory. Dormitories had from ten to ‘upwards of thirty’ beds in each and occupied the full width of the building, making them light and airy. The attendants were accommodated in the same rooms.

The laundry, farm-offices and gas works were situated away from the main building. The whole of the work was intended to be done by the patients. The laundry was fitted up with ‘the most approved mechanical contrivances for washing, drying, and mangling’. [1]

Interior of the main kitchen, photographed c.1902. © RCAHMS

The original kitchen was positioned in the central part of the building and communicated with the dining hall ‘by two large windows’, copying the arrangement in English asylums. ‘The patients assemble in the dining-hall and their food having been arranged and placed in vessels for the purpose, is handed through the windows or apertures to the warders, whose duty it is to see that each inmates is duly supplied.’ Dirty plates were passed through another window into the scullery. [1]

The ‘New Main Entrance’ corridor c.1902, © RCAHMS

The hospital claimed to be one of the first to remove its airing courts in 1874. This progressive act was somewhat belittled by the constant complaints of the Commissioners in Lunacy, when they inspected the hospital, of the lack of warmth in the buildings and the poor diet of the patients.

Extract from the 2nd-edition OS map, revised in 1903. Reproduced by permission of the National Library of Scotland

Overcrowding had soon become a problem and additions were eventually made in 1881, with Matthews again acting as the architect. Extensions were erected in 1898 to the designs of Ross and Macbeth for male and female hospital wards which were constructed at each end of the building. Ross & Macbeth had earlier added a byre to the site (1891), stables and a gas house (1895). Later they added piggeries and a slaughterhouse (1901); dining-rooms (1902), and a mortuary (1907). In the 1920s and 30s the hospital expanded further.

Interior of the recreation hall, built in 1927. Photographed in 2000 © RCAHMS

In 1927 a large new recreation hall was provided, designed to blend in with the original building but constructed from pre‑cast concrete as well as red sandstone rubble, instead of the dressed stone used on the original buildings. The hall was large enough to take 400 patients and staff, and could be used as a theatre, cinema or dance hall as well as for less formal gatherings. The projecting bay on the photograph below contained a small kitchen.

Recreation Hall, photographed in 2000.© RCAHMS

In 1936 a new nurses’ home was built in a chunky manner with Baronial traces. It was deliberately constructed from materials which would blend in with the principal block. It provided accommodation for 100 nursing and domestic staff. Two isolation blocks were built around the same time for TB and Typhoid.

The church, Craig Dunain Hospital, photographed in 2000. © RCAHMS

The last major building scheme was the construction of a chapel which was dedicated in 1963. It was designed by W. W. Mitchell of Alexander Ross & Son to accommodate 300 people. It is very simple in style, owing  its origin to plain seventeenth‑ and eighteenth‑century kirks. Indeed, its birdcage bellcote could have come from such a building, though this church was interdenominational.

Former Craig Dunain Hospital photographed in 2016 during redevelopment of the site. © Copyright Jim Barton and licensed for reuse under this Creative Commons Licence

Craig Dunain Hospital was earmarked for closure in 1989. This took some years to accomplish, and the hospital only finally closed in 2000. Listed-building consent was applied for soon afterwards to redevelop the site for mixed use, including the demolition of several buildings on the site – including the 1960s chapel. The site was acquired by the developers, Robertson Residential and work began in 2006 to convert the original range into apartments.

 Former Craig Dunain Hospital, during redevelopment in 2010. © Copyright Steven Brown and licensed for reuse under this Creative Commons Licence

But in 2007 an arson attack caused serious damage. Development shifted to less badly damaged parts of the old hospital, but many of the buildings had deteriorated and had for some time been on the register of historic Buildings at Risk. By 2013 only one part of the old building had been converted and occupied, although new housing had been built in the grounds, and works ground to a halt on the redevelopment of the historic core. To the north, New Craigs Psychiatric Hospital was built to replace both Craig Dunain and Craig Phadraig Hospital.

References
1. Inverness Courier, 16 June 1864, p.3

Sources:
Records of the former Inverness District Asylum can be seen at the Highland Archive Centre in Inverness
The Builder, 6 Aug. 1859, p.527: Architect & Building News, 8 April 1932, p.56: Highland Health Board Archives, Booklet on hospital.

Leanchoil Hospital, Forres

Recently I have been thinking about the topic of ‘Beauty and the Hospital’ – the subject of a conference being held in Malta next month by the International Network for the History of Hospitals. Specifically, I have been considering hospital architecture, and even more specifically Scottish hospital architecture in the nineteenth and twentieth centuries. I could nominate quite a few candidates for a top ten of beautiful hospital buildings – they  might not be to everyone’s liking of course.

Leanchoil Hospital, photographed in 2012© Copyright Anne Burgess and licensed for reuse under this Creative Commons Licence

Leanchoil Hospital on the outskirts of Forres was one of the first that sprang to mind. For me it is the archetypal cottage hospital, possesses great architectural charm, and resembles a miniature version of the Royal Infirmary in Edinburgh – not the present building but the magnificent Victorian building in Lauriston Place designed by David Bryce.

Edinburgh Royal Infirmary, from an old postcard

Leanchoil Hospital was designed by the Inverness architect John Rhind. The postcard below hopefully shows something of the similarity to the Edinburgh Royal Infirmary. The central range with its twin shaped gables contained the main entrance and administrative offices and makes a handsome preface to the square tower rising behind.

Postcard of Leanchoil Hospital from around 1900. Reproduced by permission of H. Martin.

On either side the ward pavilions have round Baronial style towers which, as at the ERI and most Victorian pavilion-plan hospitals, contained the WCs. (On the plan below these are labelled ‘offices’ – as in necessary offices.) Originally the terminating turrets of the sanitary annexes neatly rounded off the design, but extensions were added at both ends. The two-storey centre block contained matron’s and surgeon’s rooms either side of the main entrance, with an operation room, kitchen, scullery, larder and stores behind. The upper floor was occupied by bedrooms for the matron, nurses and servants.

Plan of Leanchoil Hospital published by H. C. Burdett in Cottage Hospitals, general, fever and convalescent… 3rd edition, 1896, p.262

Before the cottage hospital was built on the outskirts of Forres, the only available inpatient accommodation in the town was in a small building on Burnside. A public meeting held in 1888 first mooted the possibility of building a cottage hospital in Forres and in the following year John Rhind was asked to provide plans. These were sent to H. Saxon Snell & Son, the pre‑eminent London‑based hospital architects in England at that date, for their comments. However, before they could reply, Rhind had died and H. Saxon Snell took over as architect to the project.

Extract from the 2nd edition OS map surveyed in 1904. Reproduced by permission of the National Library of Scotland

The site chosen for the hospital was to the south-east of Forres, on Chapelton Muir, and extended to 9 ½ acres. It was described as ‘most picturesque and secluded, the trees in rear of the building sheltering them from East winds and forming an excellent background to a noble pile of buildings’. This ‘noble pile’  blends Baronial and Jacobean details to produce a lively façade, dominated by the central square tower. The general features of the building and overall design are probably the work of Rhind rather than Snell, but Snell would undoubtedly have ensured that the small wards were provided with sanitary annexes separated from the wards by properly cross‑ventilated lobbies and other similar details.

Donald Alexander Smith, later Lord Strathcona, photgraphed c.1890. National Archives of Canada. Public Domain image.

Funds for the hospital were donated by Sir Donald Alexander Smith (later Lord Strathcona), who was born in Forres but settled and made his fortune in Canada. In 1888 he offered £5,000 for the erection of the hospital and in 1891 he promised to grant a further £3,000 once the buildings were completed. At that point the estimate for building work stood at just short of £7,000, which the governors considered ‘more than it was advisable to spend’. It was decided to take tenders for just the main building – these came in at £4,900. Building work was superintended by H. M. S. Mackay of Elgin, with Mr Dorrell, as the Clerk of Works.

The hospital was unofficially opened at the end of April 1892, when the matron, Miss Gertrude Seagrave, who had previously served at Ashford Cottage Hospital, in Kent, moved in (quite a move, from Kent to Moray), and the first patients were admitted.

Leanchoil Hospital, photographed c.1989, ©Harriet Richardson

The broad corridors on either side of the central block each had a bay half way along creating a small day-room for convalescent patients. The wings contained two wards each, one with four the other with two beds, with a nurse’s room and bath-room between them. The wards were heated by ventilating stoves, especially designed for this building, and the floors were laid with hard Canadian maple, wax-polished. The detached building to the rear of the hospital contained a wash-house and laundry, ambulance house and mortuary.

Leanchoil Hospital, photographed in 2010. It then had 23 beds, outpatients department and minor injuries casualty department. © Copyright John Allan and licensed for reuse under this Creative Commons Licence

At the Annual General Meeting of the Governors held in January 1898, the chairman of the governors, Sir George Campbell Macpherson Grant commented on the largest expenditure of the previous year – some £500 on the site and railings. Perhaps anticipating criticism, he endorsed the expenditure, as money well spent: ‘…as that had brought the grounds into keeping with the hospital, and nothing tended to promote recovery more than beautiful scenery.’

Leanchoil Hospital gate lodge, photographed in 2009. © Copyright Stanley Howe and licensed for reuse under this Creative Commons Licence

Stanley Howe, who took the lovely photograph above and posted it on Geograph, noted the  stone plaque over the window, inscribed ‘The gift of Campbell MacPherson Grant of Drumduam, 1890’. ‘Mais pourquoi?’, he asked. As noted above, Campbell MacPherson Grant was the chairman of the governors, and was one of many who gave generously to fund the building and endowment of the hospital.

Former Maternity Wing, photographed in 2009. © Copyright Stanley Howe and licensed for reuse under this Creative Commons Licence
Leanchoil Hospital, maternity wing, photographed c.1989, © Harriet Richardson

Of later additions to the site, the maternity wing blends its modern style sympathetically with the old, by using the same tone of materials and keeping the wing to a single storey. It was built after a gift of £17,000 was made by Lady Grant of Logie in January 1939, though plans for the wing had been discussed since at least 1935 along with the general modernisation of the building and the addition of a nurses’ home. In November 1938 work had been completed to extend the wards and add sun rooms. The maternity wing was completed in 1940.

Extract from the 1:25,000 OS map, published in 1957, showing Leanchoil Hospital with the 1930s wing to the SE of the original buildings, and ancillary buildings added to the north. Reproduced by permission of the National Library of Scotland.

[Sources: H. C. Burdett in Cottage Hospitals, general, fever and convalescent… 3rd edition, 1896, p.262: Dundee Advertiser, 2 June 1892, p.3: Aberdeen Press and Journal, 22 Jan 1891, p.6; 2 Feb 1892, p.6; 28 Jan 1898, p.7; 27 May 1935, p.5: Inverness Courier, 29 April 1892, p.5: Aberdeen Weekly Journal, 14 Dec 1939, p.3.]

Royal Hospital for Sick Children, Edinburgh

In 2016 the Royal Hospital for Sick Children was put up for sale, well in advance of its scheduled move to its new home alongside the Royal Infirmary at Little France. When the Sciennes Road buildings are finally vacated it will mark the end of more than 120 years on that site. But the foundation is even older, having started out in 1860 in a house in Lauriston Lane with just eight beds. A Royal charter was granted in 1863 when the hospital moved to nearby Meadowside House. This provided more beds (around 40, although accounts vary) and a separate fever ward for infectious cases. The conversion of the house into a hospital was undertaken by the architect David Macgibbon. A new wing was built in 1870 providing a further 30 beds.

Meadowside House, from History of Scottish Medicine by John D. Comrie.. Credit: Wellcome CollectionAttribution 4.0 International (CC BY 4.0)
screen-shot-2017-01-01-at-16-04-26
Meadowside House, shown here on the OS large-scale Town Plan of 1876, between the new Royal Infirmary (to the right) and Watson’s College. Reproduced by permission of the National Library of Scotland.

The map above shows the block behind the hospital that housed the hospital laundry and ‘dead house’. In November 1884 there were calls from the Ladies’ Committee to provide a separate mortuary so that the ‘dead house’ need no longer serve as both mortuary and post-mortem room: ‘…not only are the feelings of Mothers and relations shocked by seeing the necessary surroundings when taken to see the bodies of their little ones, but the combination of the two purposes in one room has a hardening effect on the nurses…'[1]

It was found that a coal house might be converted without any great expense. At first the mortuary was intended to be quite plain, but in February 1885 the hospital secretary wrote to the newly established Edinburgh Social Union with a request for it to be decorated. The Social Union was already active in providing decoration for the Fountainbridge Dispensary and the Children’s Shelter in the city. In April Phoebe Traquair was entrusted with the decoration of the mortuary chapel.[2]  The tiny space, just 12 feet by 8 feet, was adorned by murals, painted directly on to the plaster. A study for the original scheme is in the National Gallery in Edinburgh.

three-studies-for-the-decoration-of-the-first-mort
Three Studies for the decoration of the Mortuary Chapel, 1885, photograph © National Galleries of Scotland reproduced courtesy of the National Galleries of Scotland

Just five years later the future of this jewel-box of a  mortuary chapel was under threat, when an outbreak of typhoid in 1890 prompted a temporary relocation to Plewlands House at Morningside. The managers then decided that Meadowside House was no longer suitable and a new building was required. They purchased Rill Bank House, then occupied by the Trades Maiden Hospital, and on the site erected the present building in 1892-5 to designs by by George Washington Browne, a leading architect in Edinburgh. Washington Browne also designed other public buildings including the Edinburgh City Library.  The old site, being right next to the Royal Infirmary, was readily disposed of to the Infirmary managers who wished to acquire additional land for their planned extensions. Neither the Royal Infirmary nor the Sick Children’s Hospital had any wish to preserve the murals in the mortuary chapel. The fact that they had been painted directly on to the wall surface made their preservation problematic at the very least.

screen-shot-2016-12-29-at-14-24-35
Rill Bank House was purchased as the site for the new Sick Children’s Hospital. Town Plan, OS Map of 1851, Reproduced by permission of the National Library of Scotland

At first it was simply planned to demolish the mortuary chapel along with the rest of Meadowside House. Phoebe Traquair wrote to her nephew in August 1891, angry and distressed at the proposed destruction. She blamed the directors of the hospital ‘the horrid Edinburgh little handful of bigots’, and could not see why the whole structure could not be ‘raised bodily from its foundations’ and moved to a new position.[3]  There was enough support for the preservation of the chapel to grant it an initial stay of execution, but it was only once the new hospital was nearing completion, three years later, that Washington Browne managed to negotiate an agreement between the hospital directors and the Social Union to move the murals to the new building. This agreement put the responsibility squarely upon the Social Union to manage and pay for the removal.[4]

‘Royal Hospital for Sick Children (Mr G. Washington Browne).Illustration from The Builder, Jan 1st 1898

The new Sick Children’s Hospital was officially opened by Princess Beatrice on 31 October 1895. It was built of bright red sandstone, with a tall three‑storey and attic central block rising to twin, shaped gables, and an ornate triumphal-arch doorpiece. The style was ‘based upon the English Renaissance’, according to The Scotsman, where the new building was described in detail. [5]

Sick Kids Hospital, Edinburgh by Stephencdickson – Own work. Licensed under CC BY-SA 4.0 photographed in 2014

The hospital was designed on a U‑shaped plan with central administration section. The main entrance at the centre gave onto a broad corridor running the length of the building, and which gave access to the ward pavilions at either end. These were of three stories, terminating in balconies between turrets housing the sanitary facilities – sinks, baths and WCs. Each ward had 24 beds, arranged in pairs between the windows, and was a lofty 15ft high, with its own kitchen and services. In addition there was a spare ward on the upper floor of the east wing with 16 beds and a smaller four-bed observation ward, plus two single-bed isolation rooms, on the upper floor of the west wing.

screen-shot-2016-12-29-at-14-22-39
OS Map, Edinburgh Town Plan of 1893. Reproduced by permission of the National Library of Scotland

The administration section contained two lecture theatres, one on the ground floor one on the first, fitted with galleries for students and demonstrating platform tables, lit by large north-facing oriel windows. Rooms were provided for resident doctors, honorary visiting physicians and the matron. There was also a board room, a small museum, dispensary, ophthalmic room, staff dining-room, nurses’ sitting-room, and, on the upper floors bedrooms for the nursing staff. Domestic staff had accommodation in the attics.

canmore_image_SC00702333
General view of the entrance, photographed around 1900 by Bedford Lemere © RCAHMS

Reinstallation of the mortuary chapel murals proved almost impossible, and in the end only fragments were able to be saved. Some that were moved turned out to be too thick to be incorporated in the new chapel, as they included the sawn-through bricks that had been plastered and then painted. Others were more successfully moved, where the painted plaster rested on laths, but were badly cracked and damaged during the move. Phoebe Traquair carried out their restoration, but it became by and large a complete repainting following the underlying design. The new mortuary chapel was also larger, and so the artist painted new decoration to fill the gaps between the relocated panels. [6]

canmore_image_SC00403193
Detail of mural in mortuary chapel, photographed in 1982  © RCAHMS

Hopefully, when the hospital moves again, modern technology will enable the murals to be transferred to the new site without losing any of them, and without them sustaining any damage. Hopefully, too, the present managers of the hospital are more keen to preserve them than their forebears were.

canmore_image_sc01109062
Another detail of the mural in mortuary chapel, photographed in 1982 ©RCAHMS

After the hospital opened in Sciennes Road in 1892, various additions were made and the hospital slowly expanded into the surrounding houses. In 1903 Washington Browne added an out‑patients’ department in Sylvan Place, and in 1906-9 Muirfield House at Gullane was built as a convalescent home (see separate entry in Lothian).

25-inch OS map surveyed in 1947. Reproduced by permission of the National Library of Scotland

The hospital was extended from 1959 with a new lecture hall and operating theatre designed by Cullen, Lochhead & Brown of Hamilton, a well established firm in hospital design.

For the new hospital, due to open in 2018, the designs were drawn up by HLM Architects. It is of five storeys over a basement with its main entrance opening into an atrium. Beyond are the main hospital, with around 154 beds, and a new department of clinical neurosciences, with a further 67 beds, as well as a small mental health service unit for children and adolescents. There is also to be a family hotel – a free place to stay for families of patients. [7]

References

  1. LHSA, RHSC Minutes, meeting of committee of Management, 6 Nov 1884, quoted in Elizabeth S Cumming, PhD Thesis ‘Phoebe Anna Traquair, HRSA )1852-1936) and her Contribution to Arts and Crafts in Edinburgh’, University of Edinburgh, 1986
  2. Mins of Edinburgh Social Union 17 Feb 1835 – Edinburgh Public Library YHV 250 E235, quoted in E. Cumming Thesis
  3. NLS MS 8122 fols 10,11, quoted in E. Cumming Thesis
  4. LHSA,  mins HH 69/1/2, quoted in E. Cumming Thesis
    5. The Scotsman, 18 Oct 1892 p.5
  5. E. Cumming, Thesis
    7. Edinburgh Evening News, 21 April 2014

Further reading and other sources: Caledonian Mercury, 18 May 1863, p.2: The Builder, 1 Jan. 1898: LHSA  Story of the ‘Sick Kids’ Hospital: Guthrie, D Royal Edinburgh Hospital for Sick Children, 1860 – 1960, 1960:see nhslothian.scot.nhs.uk 

Records of the hospital are held by Lothian Health Services Archive in Edinburgh

former Royal Alexandra Infirmary, Paisley

geograph-3517639-by-thomas-nugent
The former Peter Coates Nurses’ Home, now converted to flats, photographed in 2013. This was part of the large complex that was the former Royal Alexandra Infirmary, off Neilston Road in Paisley. © Copyright Thomas Nugent and licensed for reuse under this Creative Commons Licence

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.

The same range as above, this wing has been converted into flats and is now known as Alexandra Gate. Photographed in 2013 © Copyright Thomas Nugent and licensed for reuse under this Creative Commons Licence

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]

geograph-2514720-by-thomas-nugent
Former Royal Alexandra Infirmary, photographed in 2011 The hospital closed in the late 1980s when the present day Royal Alexandra Infirmary opened nearby. The Gleniffer Braes can be seen in the distance. © Copyright Thomas Nugent and licensed for reuse under this Creative Commons Licence

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.

Part of the main hospital complex of the former Royal Alexadra Infirmary, at the Calside end, photographed in 2016 © Copyright Thomas Nugent and licensed for reuse under this Creative Commons Licence

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.

screen-shot-2016-12-18-at-16-17-16
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 nurses’ home, photographed in 2010 © Norrie Porter

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.

Former Royal Alexandra Infirmary lodge house photographed in 2013 © Copyright Thomas Nugent and licensed for reuse under this Creative Commons Licence

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.

Former Royal Alexandra Infirmary, photographed in 2016 The circular ward can be seen to the left. © Copyright Thomas Nugent and licensed for reuse under this Creative Commons Licence

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.]