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St George's Hospital

St George's Hospital is a large teaching hospital in Tooting, London. Founded in 1733, it is one of the UK's largest teaching hospitals and one of the largest hospitals in Europe.[2] It is run by the St George's University Hospitals NHS Foundation Trust. It shares its main hospital site in Tooting in the London Borough of Wandsworth, with St George's, University of London, which trains NHS staff and carries out advanced medical research.

St George's Hospital
St George's University Hospitals NHS Foundation Trust
Shown in Wandsworth
Geography
LocationBlackshaw Road
London
SW17 0QT[1]
Organisation
Care systemNHS England
TypeTeaching
Affiliated universitySt George's, University of London
Services
Emergency departmentYes (Major Trauma Centre)
Beds1,300
History
Opened1733; 290 years ago (1733) (Hyde Park Corner), 1976; 47 years ago (1976) (current site)
Closed1980; 43 years ago (1980) (Hyde Park Corner)
Links
Websitehttp://www.stgeorges.nhs.uk
Other linksSt George's University Hospitals NHS Foundation Trust

The hospital has around 1,300 beds and most general tertiary care such as accident and emergency, maternity services and care for older people and children. However, as a major acute hospital, St George's Hospital also offers specialist care for the more complex injuries and illnesses, including trauma, neurology, cardiac care, renal transplantation, cancer care and stroke. It is also home to one of four major trauma centres and one of eight hyper-acute stroke units for London.

St George's Hospital also provides care for patients from a larger catchment area in the South East of England, for specialities such as complex pelvic trauma. Other services treat patients from all over the country, such as family HIV care and bone marrow transplantation for non-cancer diseases. The trust also provides a nationwide endoscopy training service.

History Edit

Early history Edit

Following a disagreement between medical staff and the Board of Governors over the expansion of the Westminster Infirmary, a mass exodus of medical staff left, in 1733, to set up what became St George's Hospital.[3] The Board of Governors had favoured a house in Castle Lane[4] but the medical staff preferred Lanesborough House at Hyde Park Corner.[5]

Lanesborough House, originally built in 1719 by James Lane, 2nd Viscount Lanesborough,[6][7] was at that time located in open countryside. The new St George's Hospital was arranged on three floors and accommodated 30 patients in two wards: one for men and one for women. The hospital was gradually extended and, by 1744, it had fifteen wards and over 250 patients.[8]

 
St George's Hospital, Hyde Park Corner

By the 1800s, the hospital was slipping into disrepair. The old Lanesborough House at Hyde Park Corner was demolished to make way for a new 350 bed facility designed by architect William Wilkins. Building began in 1827 and was completed by 1844.[9]

By 1859, a critical shortage of beds led to the addition of an attic floor. This was soon insufficient and led to the creation of a new convalescent hospital, Atkinson Morley's in Wimbledon, freeing up beds at St George's for acute patients.[10]

A medical school was established in 1834 at Kinnerton Street and was incorporated into the hospital in 1868. The Medical School, now St George's, University of London, was built in the south-west corner of the hospital site in Hyde Park, with the main entrance in Knightsbridge and the back entrance in Grosvenor Crescent Mews.[11]

 
Former St George's Hospital at Hyde Park Corner (now The Lanesborough hotel)

In 1948, the National Health Service was introduced and plans for a new site for St George's at The Grove and Fountain Fever Hospitals at Tooting were eventually agreed upon. In 1954, the Grove Hospital became part of St George's, and clinical teaching started in Tooting.[5]

After a new hospital had been built at Tooting, St George's Hospital at Hyde Park Corner closed its doors for the last time in 1980.[8] The building still stands and is now The Lanesborough Hotel on the west side of Hyde Park Corner.[12]

Relocation to Tooting Edit

 
Hospital buildings in Tooting, 2008

The new hospital at Tooting was built in stages. The first stage, which included 710 beds and the medical school, was completed in 1976, although the main hospital was not completed until 1980.[8]

In 1981, medical education in London was reorganised to recognise the movement of population away from the centre. There are now fewer, larger medical schools in London. The expansion of St George's, University of London (formerly St George's Hospital Medical School) has become part of this policy.[13]

In 2004, neuroscience services located at Atkinson Morley Hospital in Wimbledon moved to the brand new Atkinson Morley Wing on the main St George's site.[14] This addition to the hospital now also houses cardiac and cardiothoracic services which have moved from the old fever hospital wards. St George's today provides a total of over 1,000 beds making it one of the biggest in the country.[15]

In April 2010 St George's Healthcare became part of the South West London and Surrey Trauma Network (SWLSTN). All Accident and Emergency (A&E) departments within the network continue to provide trauma services with St George's designated as the major trauma centre. It is one of a small number of A&E departments to benefit from Pearson Lloyd's redesign – 'A Better A&E' – which reduced aggression against hospital staff by 50 per cent. A system of environmental signage provides location-specific information for patients. Screens provide live information about how many cases are being handled and the current status of the A&E department.[16] In October 2010 St George's Healthcare NHS Trust integrated with Community Services Wandsworth, after approval from NHS London.[17]

In May 2014 the Trust's application for Foundation Trust status was approved by the NHS Trust Development Authority following a positive rating from the Care Quality Commission. In the last five years the trust has turned around a large deficit and repaid a debt of £34m. The TDA identified several areas that the trust will have to work on to ensure it gets through the final stages of FT assessment. These include improving its A&E performance against the four-hour waiting time target and putting together a robust operating plan for the next two years.[18] From October 2014 the hospital's Accident and Emergency department has featured in the Channel 4 documentary series "24 Hours in A&E".[19]

In August 2018 it was reported that the average death rate nationally among patients receiving cardiac surgery was 2%, but that the cardiac unit at St George's had experienced 3.7%. Toxic disputes between surgeons were blamed. Mike Bewick wrote a report claiming "inadequate" internal scrutiny of the department; also the surgeons were divided into "two camps" showing "tribal-like activity". Bewick stated, "In our view the whole team shares responsibility for the failure to significantly improve professional relationships and to a degree surgical mortality." The hospital maintained it was taking action.[20]

Notable students and staff Edit

Among those who have been associated with St George's are:

In the media Edit

The old hospital was the subject of an impromptu poem by Letitia Elizabeth Landon.[24]

The hospital is part of the long-running Channel 4 documentary series 24 Hours in A&E.[25]

Arms Edit

Coat of arms of St George's Hospital
Notes
Granted 28 February 1835 [26]
Crest
On a wreath of the colours a lion rampant Or resting the forepaws on an antique shield charged with the figure of St George slaying the dragon Proper.
Escutcheon
Or the staff of Aesculapius in pale Proper surmounted by a celestial crown Azure.
Supporters
On the dexter side a figure representing Aesculapius Proper habited in a robe Purpure supporting with the left hand his staff also Proper and on the sinister side a figure representing Hygeia vested Argent holding in the exterior hand the patera and serpent Proper.
Motto
Deus Incubat Angui

See also Edit

References Edit

  1. ^ "St George's Hospital". St George's University Hospitals NHS Foundation Trust. Retrieved 16 April 2018.
  2. ^ "University guide 2015: St George's, University of London". The Guardian. 25 May 2015. Retrieved 5 August 2014.
  3. ^ "Westminster Hospital". Lost Hospitals of London. Retrieved 5 November 2017.
  4. ^ Crellin, John K. (1961). "Eighteenth Century Pharmacy at St George's Hospital London". Medical History. Cambridge University. 5 (4): 327–340. doi:10.1017/s0025727300026624. PMC 1034651. PMID 13882109.
  5. ^ a b . St George's University Hospitals NHS Foundation Trust. Archived from the original on 20 February 2009. Retrieved 16 April 2018.
  6. ^ Lysons, Daniel (1795). "'Chelsea: (part 3 of 3)', in The Environs of London: Volume 2, County of Middlesex". London: British History Online. pp. 162–184. Retrieved 16 April 2018.
  7. ^ The London high life 14 September 2006 at the Wayback Machine
  8. ^ a b c History of St George's Hospital Medical School Archived 9 September 2012 at archive.today
  9. ^ "Designs for St George's Hospital, Hyde Park Corner, London: elevation of entablature and capital with profiles of the cornice". RIBA. Retrieved 16 April 2018.
  10. ^ Gould, Terry, & David Uttley (2000). A History of the Atkinson Morley's Hospital 1869-1995. London: Athlone. p. 4. ISBN 978-0-567-63304-0.{{cite book}}: CS1 maint: multiple names: authors list (link)
  11. ^ "St George's, University of London, has a long and rich history, dating back more than 250 years". St George's, University of London. Retrieved 16 April 2018.
  12. ^ "Oetker Collection takes on management of the Lanesborough hotel". The Caterer. 12 November 2014. Retrieved 16 April 2018.
  13. ^ "London Undergraduate Medical Schools (Reorganisation)". Hansard. 17 March 1981. Retrieved 16 April 2018.
  14. ^ "Atkinson Morley's Hospital". Lost Hospitals of London. Retrieved 16 April 2018.
  15. ^ "St. George's Hospital, NHS and the state of thoracic surgery". Thoracic Surgery. 6 December 2011. Retrieved 16 April 2018.
  16. ^ "A&E department redesign 'cuts aggression by half'". Design Week. 28 November 2013. Retrieved 13 December 2013.
  17. ^ "Merger of Wandsworth PCT's provider services arm and St George's Healthcare NHS Trust". Co-operation and Commissioning Panel. Retrieved 16 April 2018.
  18. ^ "TDA approves teaching hospital's foundation trust bid". Health Service Journal. 2 May 2014. Retrieved 27 May 2014.
  19. ^ "Introduction to St George's Hospital". Channel 4. 31 October 2014. Retrieved 16 April 2018.
  20. ^ "Surgeons' 'toxic' rows added to mortality rate, says report". BBC. 4 August 2018. Retrieved 4 August 2018.
  21. ^ "Obituary: Geoffrey Davies". The Telegraph. 14 December 2008. Retrieved 16 April 2018.
  22. ^ "Dorinda Hafner". Saxton Speakers. Retrieved 23 December 2021.
  23. ^ "Paul Sinha". The List. Retrieved 18 December 2021.
  24. ^ Landon, Letitia Elizabeth (1822) Poetic Sketch. Second Series - Sketch the Fourth. St. George's Hospital, Hyde Park Corner, The Literary Gazette
  25. ^ "Channel 4 24 Hours in A&E viewers devastated after patient dies following filming of show". Liverpool Echo. 21 May 2019. Retrieved 5 August 2019.
  26. ^ "St George's Hospital". Heraldry of the World. Retrieved 3 February 2021.

51°25′36″N 0°10′33″W / 51.4267°N 0.1757°W / 51.4267; -0.1757

george, hospital, other, uses, disambiguation, large, teaching, hospital, tooting, london, founded, 1733, largest, teaching, hospitals, largest, hospitals, europe, george, university, hospitals, foundation, trust, shares, main, hospital, site, tooting, london,. For other uses see St George s Hospital disambiguation St George s Hospital is a large teaching hospital in Tooting London Founded in 1733 it is one of the UK s largest teaching hospitals and one of the largest hospitals in Europe 2 It is run by the St George s University Hospitals NHS Foundation Trust It shares its main hospital site in Tooting in the London Borough of Wandsworth with St George s University of London which trains NHS staff and carries out advanced medical research St George s HospitalSt George s University Hospitals NHS Foundation TrustShown in WandsworthGeographyLocationBlackshaw RoadLondonSW17 0QT 1 OrganisationCare systemNHS EnglandTypeTeachingAffiliated universitySt George s University of LondonServicesEmergency departmentYes Major Trauma Centre Beds1 300HistoryOpened1733 290 years ago 1733 Hyde Park Corner 1976 47 years ago 1976 current site Closed1980 43 years ago 1980 Hyde Park Corner LinksWebsitehttp www stgeorges nhs ukOther linksSt George s University Hospitals NHS Foundation TrustThe hospital has around 1 300 beds and most general tertiary care such as accident and emergency maternity services and care for older people and children However as a major acute hospital St George s Hospital also offers specialist care for the more complex injuries and illnesses including trauma neurology cardiac care renal transplantation cancer care and stroke It is also home to one of four major trauma centres and one of eight hyper acute stroke units for London St George s Hospital also provides care for patients from a larger catchment area in the South East of England for specialities such as complex pelvic trauma Other services treat patients from all over the country such as family HIV care and bone marrow transplantation for non cancer diseases The trust also provides a nationwide endoscopy training service Contents 1 History 1 1 Early history 1 2 Relocation to Tooting 2 Notable students and staff 3 In the media 4 Arms 5 See also 6 ReferencesHistory EditEarly history Edit Following a disagreement between medical staff and the Board of Governors over the expansion of the Westminster Infirmary a mass exodus of medical staff left in 1733 to set up what became St George s Hospital 3 The Board of Governors had favoured a house in Castle Lane 4 but the medical staff preferred Lanesborough House at Hyde Park Corner 5 Lanesborough House originally built in 1719 by James Lane 2nd Viscount Lanesborough 6 7 was at that time located in open countryside The new St George s Hospital was arranged on three floors and accommodated 30 patients in two wards one for men and one for women The hospital was gradually extended and by 1744 it had fifteen wards and over 250 patients 8 St George s Hospital Hyde Park CornerBy the 1800s the hospital was slipping into disrepair The old Lanesborough House at Hyde Park Corner was demolished to make way for a new 350 bed facility designed by architect William Wilkins Building began in 1827 and was completed by 1844 9 By 1859 a critical shortage of beds led to the addition of an attic floor This was soon insufficient and led to the creation of a new convalescent hospital Atkinson Morley s in Wimbledon freeing up beds at St George s for acute patients 10 A medical school was established in 1834 at Kinnerton Street and was incorporated into the hospital in 1868 The Medical School now St George s University of London was built in the south west corner of the hospital site in Hyde Park with the main entrance in Knightsbridge and the back entrance in Grosvenor Crescent Mews 11 Former St George s Hospital at Hyde Park Corner now The Lanesborough hotel In 1948 the National Health Service was introduced and plans for a new site for St George s at The Grove and Fountain Fever Hospitals at Tooting were eventually agreed upon In 1954 the Grove Hospital became part of St George s and clinical teaching started in Tooting 5 After a new hospital had been built at Tooting St George s Hospital at Hyde Park Corner closed its doors for the last time in 1980 8 The building still stands and is now The Lanesborough Hotel on the west side of Hyde Park Corner 12 Relocation to Tooting Edit Hospital buildings in Tooting 2008The new hospital at Tooting was built in stages The first stage which included 710 beds and the medical school was completed in 1976 although the main hospital was not completed until 1980 8 In 1981 medical education in London was reorganised to recognise the movement of population away from the centre There are now fewer larger medical schools in London The expansion of St George s University of London formerly St George s Hospital Medical School has become part of this policy 13 In 2004 neuroscience services located at Atkinson Morley Hospital in Wimbledon moved to the brand new Atkinson Morley Wing on the main St George s site 14 This addition to the hospital now also houses cardiac and cardiothoracic services which have moved from the old fever hospital wards St George s today provides a total of over 1 000 beds making it one of the biggest in the country 15 In April 2010 St George s Healthcare became part of the South West London and Surrey Trauma Network SWLSTN All Accident and Emergency A amp E departments within the network continue to provide trauma services with St George s designated as the major trauma centre It is one of a small number of A amp E departments to benefit from Pearson Lloyd s redesign A Better A amp E which reduced aggression against hospital staff by 50 per cent A system of environmental signage provides location specific information for patients Screens provide live information about how many cases are being handled and the current status of the A amp E department 16 In October 2010 St George s Healthcare NHS Trust integrated with Community Services Wandsworth after approval from NHS London 17 In May 2014 the Trust s application for Foundation Trust status was approved by the NHS Trust Development Authority following a positive rating from the Care Quality Commission In the last five years the trust has turned around a large deficit and repaid a debt of 34m The TDA identified several areas that the trust will have to work on to ensure it gets through the final stages of FT assessment These include improving its A amp E performance against the four hour waiting time target and putting together a robust operating plan for the next two years 18 From October 2014 the hospital s Accident and Emergency department has featured in the Channel 4 documentary series 24 Hours in A amp E 19 In August 2018 it was reported that the average death rate nationally among patients receiving cardiac surgery was 2 but that the cardiac unit at St George s had experienced 3 7 Toxic disputes between surgeons were blamed Mike Bewick wrote a report claiming inadequate internal scrutiny of the department also the surgeons were divided into two camps showing tribal like activity Bewick stated In our view the whole team shares responsibility for the failure to significantly improve professional relationships and to a degree surgical mortality The hospital maintained it was taking action 20 Notable students and staff EditAmong those who have been associated with St George s are Rosena Allin Khan doctor and Labour MP for Tooting Sir William H Bennett established a department of massage for the treatment of fractures Sir Benjamin Collins Brodie 1st Baronet English physiologist and surgeon who pioneered research into bone and joint disease Geoffrey Davies 1924 2008 Cardiology Technician who invented the British version of the cardiac pacemaker 21 Clinton Thomas Dent surgeon and mountaineer Cornwallis Hewett Physician Extraordinary to the King William IV as well as Physician to St George s Hospital Sir Prescott Hewett 1st Bt Physician to the Queen and Serjeant Surgeon to Queen Victoria as well as Physician to St George s Hospital William Howship Dickinson involved in the early characterisation of Alport syndrome Joseph Forlenze ophthalmologist of the Napoleonic Empire Henry Gray anatomist Dorinda Hafner first black RN trained at the hospital 22 Harry Hill subsequently stand up comedian and TV funny man John Hunter father of modern surgery Edward Jenner introduced vaccination for smallpox Henry Lee surgeon pathologist and syphilologist Henry Marsh neurosurgeon and author of the bestselling memoir Do No Harm Peter H Millard Emeritus Professor of Geriatrics and inventor of Nosokinetics Atkinson Morley philanthropist Humphry Osmond pioneer of orthomolecular psychiatry and coiner of the word psychedelic George David Pollock pioneer of skin grafts Muriel Powell nurse matron 1947 1969 innovator in nursing practice and education chief nurse of Scotland 1969 1976 Juda Hirsch Quastel biochemist with discoveries in neuroscience soil chemistry and cancer Marmaduke Sheild surgeon who gave his name to the Sheild Professorship of Pharmacology at Cambridge University Paul Sinha comedian 23 Peter Sleight internationally renowned cardiologist Sir Patrick Vallance Government Chief Scientific Adviser GCSA and Head of the Government Science and Engineering GSE profession Thomas Spencer Wells pioneer in abdominal surgery Edward Adrian Wilson polar explorer and member of Robert Falcon Scott s ill fated Terra Nova Expedition to the South Pole Thomas Young physician mathematician and hieroglyphicologistIn the media Edit Wikisource has original text related to this article St George s Hospital Hyde Park Corner a poem by L E L The old hospital was the subject of an impromptu poem by Letitia Elizabeth Landon 24 The hospital is part of the long running Channel 4 documentary series 24 Hours in A amp E 25 Arms EditCoat of arms of St George s Hospital Notes Granted 28 February 1835 26 Crest On a wreath of the colours a lion rampant Or resting the forepaws on an antique shield charged with the figure of St George slaying the dragon Proper Escutcheon Or the staff of Aesculapius in pale Proper surmounted by a celestial crown Azure Supporters On the dexter side a figure representing Aesculapius Proper habited in a robe Purpure supporting with the left hand his staff also Proper and on the sinister side a figure representing Hygeia vested Argent holding in the exterior hand the patera and serpent Proper Motto Deus Incubat AnguiSee also EditList of hospitals in EnglandReferences Edit St George s Hospital St George s University Hospitals NHS Foundation Trust Retrieved 16 April 2018 University guide 2015 St George s University of London The Guardian 25 May 2015 Retrieved 5 August 2014 Westminster Hospital Lost Hospitals of London Retrieved 5 November 2017 Crellin John K 1961 Eighteenth Century Pharmacy at St George s Hospital London Medical History Cambridge University 5 4 327 340 doi 10 1017 s0025727300026624 PMC 1034651 PMID 13882109 a b History St George s University Hospitals NHS Foundation Trust Archived from the original on 20 February 2009 Retrieved 16 April 2018 Lysons Daniel 1795 Chelsea part 3 of 3 in The Environs of London Volume 2 County of Middlesex London British History Online pp 162 184 Retrieved 16 April 2018 The London high life Archived 14 September 2006 at the Wayback Machine a b c History of St George s Hospital Medical School Archived 9 September 2012 at archive today Designs for St George s Hospital Hyde Park Corner London elevation of entablature and capital with profiles of the cornice RIBA Retrieved 16 April 2018 Gould Terry amp David Uttley 2000 A History of the Atkinson Morley s Hospital 1869 1995 London Athlone p 4 ISBN 978 0 567 63304 0 a href Template Cite book html title Template Cite book cite book a CS1 maint multiple names authors list link St George s University of London has a long and rich history dating back more than 250 years St George s University of London Retrieved 16 April 2018 Oetker Collection takes on management of the Lanesborough hotel The Caterer 12 November 2014 Retrieved 16 April 2018 London Undergraduate Medical Schools Reorganisation Hansard 17 March 1981 Retrieved 16 April 2018 Atkinson Morley s Hospital Lost Hospitals of London Retrieved 16 April 2018 St George s Hospital NHS and the state of thoracic surgery Thoracic Surgery 6 December 2011 Retrieved 16 April 2018 A amp E department redesign cuts aggression by half Design Week 28 November 2013 Retrieved 13 December 2013 Merger of Wandsworth PCT s provider services arm and St George s Healthcare NHS Trust Co operation and Commissioning Panel Retrieved 16 April 2018 TDA approves teaching hospital s foundation trust bid Health Service Journal 2 May 2014 Retrieved 27 May 2014 Introduction to St George s Hospital Channel 4 31 October 2014 Retrieved 16 April 2018 Surgeons toxic rows added to mortality rate says report BBC 4 August 2018 Retrieved 4 August 2018 Obituary Geoffrey Davies The Telegraph 14 December 2008 Retrieved 16 April 2018 Dorinda Hafner Saxton Speakers Retrieved 23 December 2021 Paul Sinha The List Retrieved 18 December 2021 Landon Letitia Elizabeth 1822 Poetic Sketch Second Series Sketch the Fourth St George s Hospital Hyde Park Corner The Literary Gazette Channel 4 24 Hours in A amp E viewers devastated after patient dies following filming of show Liverpool Echo 21 May 2019 Retrieved 5 August 2019 St George s Hospital Heraldry of the World Retrieved 3 February 2021 51 25 36 N 0 10 33 W 51 4267 N 0 1757 W 51 4267 0 1757 The template below Hospitals in England is being considered for deletion See templates for discussion to help reach a consensus Retrieved from https en wikipedia org w index php title St George 27s Hospital amp oldid 1162386397, wikipedia, wiki, book, books, library,

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