Rossbret Hospitals Website

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Welcome to the Rossbret Hospitals Website

Each voluntary hospital is dependent upon its popularity and efficiency, in large measure, for the financial support it receives. In this way an ill-managed voluntary hospital, or one which has ceased to fulfil any useful public purpose, is sure to disappear in due course under the voluntary system. Voluntary hospitals are always open to, as well as supported by, the public, and, owing largely to the example so prominently set by King Edward VII. and members of the royal family, more people every year devote some time in some way to the cause of the hospitals. Attached to the voluntary hospitals are the principal medical and nursing schools upon which the public depend for the supply of doctors and nurses. The education of students and nurses in a clinical hospital makes that hospital the most desirable place for everybody when they are really ill.

Rate-supported hospitals, as a rule, are administered by permanent officials who reside in houses usually situated on the hospital sites, and who are paid salaries which attract the younger men, who, once appointed, tend to continue in office for a long period of years

The poor-law infirmary in large cities, so far as the buildings and equipment are concerned, very often leaves little to desire. Poor-law infirmaries lack, however, the stimulus and the checks and advantages which impartial criticism continuously applied brings to a great voluntary hospital. Such disadvantages might be entirely removed if parliament would decide to throw open every poor-law infirmary for clinical purposes, and to have connected with each such establishment a responsible visiting medical staff, consisting of the best qualified men to be fou’hd in the community which each hospital serves. The old prejudice against hospital treatment has disappeared, for the least intelligent members of the population now understand that, when a citizen is sick, there is no place so good as the wards of a well administered hospital

Classification of Hospitals.—Having dealt with hospitals as a whole it may be well very briefly to classify them in groups, and explain as tersely as possible what they represent and how far it may be desirable to eliminate by consolidation or to increase by disintegration the number of special hospitals

General Hospitals.—These establishments consist of two kinds, (if) clinical and (5) non-clinical, each of which, under the modern system, should include every department of medicine and surgery, and every appliance and means for the alleviation of suffering, the healing of wounds, the reduction of fractures, the removal of mal-formations and foreign growths, the surgical restoration of damaged and diseased organs and bones, and everything of every kind which experience and knowledge prove to be necessary to the rapid cure of disease. The clinical hospital means an institutioii to which a medical school is attached, where technical instruction is given by able and qualified teachers to medical students and others. A non-clinical hospital is one which is not attached to a medical school, and where no medical instruction is organized.

Special Hospitals.—Up to about 1840 the general hospital was, speaking generally, the only hospital in existence. Twenty years later, as the population increased and medical science became more and more active, some of the more ardent members of the medical profession, especially amongst the younger men, pressed continuously for opportunities to develop the methods of treatment in regard to special diseases for which neither accommodation nor appliances were at that time forthcoming in general hospitals

Cottage Hospitals.—These hospitals, established originally in 1859 by Mr Albert Napper at Cranleigh, Surrey, have fulfilled a most useful function. Many of them are very efficient both in regard to equipment and treatment. They have become essential to the well-being and adequate medical care of rural populations, as they attract to the country some of the best members of the profession, who are able, with the aid of ‘the cottage hospital, to keep themselves efficient and up-to-date, so that all classes of the community are benefited in this way by this type of hospital.

. There undoubtedly is considerable overlapping between the voluntary hospitals and the poor law in Great Britain. The Royal Commission on the Poor Laws and Relief of Distress (1909) deals with this point with a view to set up a standard of medical relief to be granted by each class and type of hospitals, provides for adequate co-operation between all classes of institutions; and these reforms may be commended

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Page updated August 06, 2007