Ancoats Hospital

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Ancoats Hospital
Ancoats Hospital (3192798312).jpg
Ancoats Hospital in 2008
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Location in Greater Manchester
Location Ancoats, Manchester, England, United Kingdom
Coordinates 53°28′56″N2°13′15″W / 53.48229°N 2.22084°W / 53.48229; -2.22084 Coordinates: 53°28′56″N2°13′15″W / 53.48229°N 2.22084°W / 53.48229; -2.22084
Care system Public NHS
Hospital type General Hospital
Lists Hospitals in England

Ancoats Hospital was the commonly used name for the large inner-city hospital, located in Ancoats, to the north of the city centre of Manchester, England. Its official name was Ancoats Hospital and Ardwick and Ancoats Dispensary from 1875, when it replaced the Ardwick and Ancoats Dispensary that had existed since 1828.

Ancoats inner city area of Manchester, in North West England

Ancoats is an area of Manchester in North West England, next to the Northern Quarter, the northern part of Manchester city centre.

Manchester City and metropolitan borough in England

Manchester is a city and metropolitan borough in Greater Manchester, England, with a population of 545,500 as of 2017. It lies within the United Kingdom's second-most populous built-up area, with a population of 2.8 million. It is fringed by the Cheshire Plain to the south, the Pennines to the north and east, and an arc of towns with which it forms a continuous conurbation. The local authority is Manchester City Council.



The population of Ancoats had risen from almost nothing in the 1790s, when it was an outlying area of Manchester, to around 32,000 by the 1830s, driven by the process of industrialisation that caused Manchester to be described by many as the world's "first industrial city". [1] [2] [3] [4] [lower-alpha 1] By the 1830s, the population in the Ancoats area principally comprised Irish labourers and textile workers; [6] the area was heavily industrialised and one of the most densely populated suburbs of the city, [7] being "a mass of mean streets and courtyards zig-zagged amongst factories and canals." [8] Average life expectancy in Manchester as a whole was low, with that of a labourer in 1842 being 17 years. [3]

Industrialisation period of social and economic change from agrarian to industrial society

Industrialisation is the period of social and economic change that transforms a human group from an agrarian society into an industrial society, involving the extensive re-organisation of an economy for the purpose of manufacturing.

Suburb Human settlement that is part of or near to a larger city

A suburb is a mixed-use or residential area, existing either as part of a city or urban area or as a separate residential community within commuting distance of a city. In most English-speaking countries, suburban areas are defined in contrast to central or inner-city areas, but in Australian English and South African English, suburb has become largely synonymous with what is called a "neighborhood" in other countries and the term extends to inner-city areas. In some areas, such as Australia, India, China, New Zealand, the United Kingdom, and a few U.S. states, new suburbs are routinely annexed by adjacent cities. In others, such as Saudi Arabia, Canada, France, and much of the United States, many suburbs remain separate municipalities or are governed as part of a larger local government area such as a county.

Life expectancy Statistical measure of how long a person or organism may live, based on factors of their life

Life expectancy is a statistical measure of the average time an organism is expected to live, based on the year of its birth, its current age and other demographic factors including gender. The most commonly used measure of life expectancy is at birth (LEB), which can be defined in two ways. Cohort LEB is the mean length of life of an actual birth cohort and can be computed only for cohorts born many decades ago, so that all their members have died. Period LEB is the mean length of life of a hypothetical cohort assumed to be exposed, from birth through death, to the mortality rates observed at a given year.

The origins of English charitable movements for the operation of dispensaries and other types of establishment for treatment of illness, such as hospitals, lying-in facilities and lunatic asylums, can be traced to the Georgian era. The first dispensary had been established in London by John Lettsom in 1770. [lower-alpha 2] These charitable endeavours were referred to as "voluntary hospitals" and, according to medical historian Roy Porter, "... signal[led] a new recognition on the part of influential elites that the people's health mattered." [10] The specific purpose of dispensaries was to advise and treat poor people at their homes or as outpatients, relieving some of the burden on hospital facilities and minimising the possibility of epidemics that could arise if people with infectious diseases were admitted to hospitals as inpatients. Those who attended patients under the aegis of such organisations generally did so at no charge, although they might gain social prestige and clients as a result of their actions. [12] Similarly, those who donated or subscribed to the institutions generally gained access to networking opportunities, as well as a voice in the management of the charity and the right to refer patients to it. The opportunity to police morals was thus present: the worthy-but-poor sick might be favoured with Dispensary care but the unworthy were condemned to the ravages of the workhouse; Kevin Siena notes, for example, that "This link between morality and charitable worthiness spelled bad news for syphilitics." [13]

Dispensary organization that dispenses medications, medical supplies, and in some cases even medical treatment

A dispensary is an office in a school, hospital, industrial plant, or other organization that dispenses medications, medical supplies, and in some cases even medical and dental treatment. In a traditional dispensary set-up, a pharmacist dispenses medication as per prescription or order form. The English term originated from the medieval Latin noun dispensaria and is cognate with the Latin verb dispensare, "to distribute".

Lunatic asylum Place for housing the insane, an aspect of history

The rise of the lunatic asylum and its gradual transformation into, and eventual replacement by, the modern psychiatric hospital, explains the rise of organised, institutional psychiatry. While there were earlier institutions that housed the "insane", the conclusion that institutionalisation was the correct solution to treating people considered to be "mad" was part of a social process in the 19th century that began to seek solutions for outside families and local communities.

Georgian era period of British history encompassing the years 1714–1830 (or –1837)

The Georgian era is a period in British history from 1714 to c. 1830–37, named after the Hanoverian kings George I, George II, George III and George IV. The sub-period that is the Regency era is defined by the regency of George IV as Prince of Wales during the illness of his father George III. The definition of the Georgian era is often extended to include the relatively short reign of William IV, which ended with his death in 1837.


Opened on 11 August 1828 on Great Ancoats Street, [7] the Ardwick and Ancoats Dispensary was a voluntary hospital largely funded by industry in the Ancoats area and by middle-class people living in nearby Ardwick. Roger Cooter and John Pickstone, both medical historians, note that,

Great Ancoats Street street in Manchester, United Kingdom

Great Ancoats Street is a street in the inner suburb of Ancoats, Manchester, England. Much of Great Ancoats Street was originally named Ancoats Lane and was the location of Ancoats Hall. The street passed through a thriving manufacturing area during the 19th century. It was in close proximity to the Ashton and Rochdale canals. A number of cotton mills built in the early and mid-Victorian period are nearby, some of which have been converted into residential or office buildings, such as Albion Mills. The Pin Mill Works at the junction with Fairfield Street was a late 18th-century pin works, that became a cotton mill run by J & J Thompson and works for dyeing and calico-printing. Brownsfield Mill, a Grade II* listed building, was built in 1825.

Ardwick district of Manchester, England

Ardwick is a district of Manchester in North West England, one mile south east of the city centre. The population of the Ardwick Ward at the 2011 census was 19,250.

John Pickstone British historian

John Pickstone was a British historian of science and the Wellcome Research Professor in the Centre for the History of science, Technology and Medicine, in the Faculty of Life Sciences of the University of Manchester.

The name gives the game away. The Dispensary did not even claim to be an expression of "community" within Ancoats; rather it expressed a dependence. Ardwick ... was twinned in philanthropy with its poorer neighbour. The subscribers of Ardwick (and beyond), including those who owned factories and businesses in Ancoats, would fund a medical charity for the hand-loom weavers, the factory workers and the labourers of Ancoats. Ancoats was a "very dependent district", meaning, of course, that the surplus value created there was returned, in part, as the gift of those who lived elsewhere. [8]

The Dispensary was intended to relieve the overburdened Manchester Infirmary (MI), which was spending more money on the area than was received from it. [7] A Dispensary on a similar model had opened at Chorlton-on-Medlock around 1825–1826 because the MI, which at that time was the only Mancunian medical institution, was unwilling to extend its services to that area due to lack of subscriptions. [14] Another such Dispensary had opened in Salford in 1827 and thus that at Ancoats was the third in the Manchester area. [8] The formation of these Dispensaries came at a time when there was an increasing debate among medical professionals and society more generally regarding the charitable model, partly because of concerns that it created a culture of dependency among the poor and partly because the growth of medical schools and universities, together with the influx of large numbers of medically qualified people who had previously been engaged in the Napoleonic Wars, was having a detrimental impact on medical incomes. [12]

Manchester Royal Infirmary Hospital in United Kingdom, England

Manchester Royal Infirmary is a hospital in Manchester, England, founded by Charles White in 1752. It is now part of Manchester University NHS Foundation Trust, sharing buildings and facilities with several other hospitals.

Chorlton-on-Medlock inner city area of Manchester, England

Chorlton-on-Medlock is an inner city area of Manchester, England.

Napoleonic Wars Series of early 19th century European wars

The Napoleonic Wars (1803–1815) were a series of major conflicts pitting the French Empire and its allies, led by Napoleon I, against a fluctuating array of European powers formed into various coalitions, financed and usually led by the United Kingdom. The wars stemmed from the unresolved disputes associated with the French Revolution and its resultant conflict. The wars are often categorised into five conflicts, each termed after the coalition that fought Napoleon: the Third Coalition (1805), the Fourth (1806–07), the Fifth (1809), the Sixth (1813), and the Seventh (1815).

George Murray, the wealthy owner of a substantial textile mill complex in the area, was the Dispensary's first president; [15] the first physician, and one of the founders, [12] was James Kay, whose Moral and Physical Condition of the Working Classes (1832) was in large part based on his experiences there. [6] [16] Kay was one of many who perceived detrimental effects regarding charity, arguing in 1834 that it promoted poverty rather than assisted in its relief. [12] As a dispensary, there were no beds and all treatments were carried out in the homes of patients or on an outpatient basis. [17] With an expenditure of around £400 per annum, by July 1833 the Dispensary had treated over 13,000 people. [18] The demographics of the area in which it was situated — densely populated, industrialised and socio-economically deprived — caused it to deal with a lot of accidents [lower-alpha 3] and infectious diseases. Those who worked for the institution became familiar with the public health issues. [7]

The Dispensary had moved premises to Ancoats Crescent in 1850. When that site was bought for development by the Midland Railway in 1869, the Dispensary relocated to 94 Mill Street (now Old Mill Street). [7]


A further move, to larger premises on Mill Street, was enabled by a gift and later bequest totalling £7,000 [19] made by Hannah Brackenbury, a philanthropist whose origins lay in Manchester. The funds were swelled by local workers who set up a Workpeoples's Fund Committee and ensured that the institution was without debt for the first time in its history. The Brackenbury funds had provided space for 50 inpatient beds, and thus the ability to become a hospital, although there were insufficient funds to enable use to be made of this until 1879, when six of the beds came into service. [7] It was at this time that the organisation became known officially as "Ancoats Hospital and Ardwick and Ancoats Dispensary", although this was generally abbreviated to "Ancoats Hospital". [20] The building was constructed to a design by Lewis and Crawcroft, the architects, between 1872 and 1874. [16] Still standing, Manchester City Council says of this initial construction

Originally the building had 3 storeys above basement level and it is probable that the ground floor typically accommodated the physician's entrance, patient's entrance and waiting rooms, sitting rooms, dispensing room and consulting rooms, with the upper floors accommodating board room, offices, library, private rooms and wards. It was also formerly characterised by a central tower structure.

The Dispensary building has significance as the earliest and most architecturally notable building of the former hospital complex and largely comprises a red brick building with polychrome bands, and had steeply pitched hipped slate roofs, and is of an irregular plan, and of a gothic style. [20]

The dispensary function of the hospital became a provident dispensary in 1875; the management of this was transferred to the Manchester and Salford Provident Dispensaries Association in 1885. The provident model was intended to address the perceived abuse of charity and the costs attributable to it. Means testing was introduced by the Association, which had arrangements with hospitals for the provision of treatment, midwifery services and similar requirements as well as providing care itself for, at worst, a minimal charge. People were eligible for membership if they were unable to obtain poor relief but too impoverished to afford medical care. The members paid a joining fee and a regular subscription. [7] [21] [22]

An extension to the Hospital was completed in 1888, providing an additional 50 beds, [7] and a further 14 existed by 1915. [23] A rural convalescent home, financed by a donation from the Crossley family and land provided by the David Lewis Trust, opened near Alderley Edge in 1904. [7]

Despite generally functioning in difficult financial circumstances, the Hospital was able to innovate. It provided the city's first x-ray department in 1907 and, in 1914, Harry Platt - who was later to become a renowned orthopaedic surgeon - instituted the world's first clinic dedicated to the treatment of fractures. Platt introduced physiotherapy facilities, which were at first known as the School of Massage, in 1920 and that decade also saw the introduction of a specialist Aural department. [7]

Significant donations were recorded in a 1929 publication for the British Medical Association. [24]

YearSourceAmount (£)Purpose
1886James Jardine12,500Endowment of Jardine Ward
1900Family of James OliverNot knownOutpatients Department
1900Rothwell family10,000Endowment of Rothwell Ward
1915Mr & Mrs J. Oliver, in memory of their son killed in World War I Not knownEnlarged Outpatients Department, establishment of ECG and Pathology facilities
1919 Lord Cawley, in memory of three sons killed in World War I10,000Endowment of Cawley Ward

A centenary appeal was made in 1928, seeking £100,000 to enlarge the hospital. This succeeded despite the Great Depression, allowing the provision of an additional 100 beds, an extra operating theatre, a separate casualty block, enlargements to the x-ray facilities and pathology laboratory, and a permanent massage department. There was a formal opening of these improvements in 1935. [7] [24]

The Workpeoples's Fund Committee had raised much money over the years but ceased operation in 1948, in which year the National Health Service was established. [17] There was a threat of closure during the 1950s but the next two decades saw continued improvements made to the structures and facilities, including the creation of new outpatients' and accident departments. The convalescent home, which had been used by injured soldiers during World War I, was transferred to the Mary Dendy Hospital in 1967 [lower-alpha 4] and the ability to deal with accident cases was lost in 1979, when that responsibility was transferred to North Manchester General Hospital. The plan had been for the Hospital to move away from being a general hospital and to function as a specialist orthopaedics unit. It was closed in 1989. [7]

Present state

Elizabeth Gaskell refers to Ancoats Dispensary in her first novel, Mary Barton: A Tale of Manchester Life . L. S. Lowry painted a picture of the outpatients' waiting hall in 1952. [25]

As of 2013, the main Dispensary building, which was Grade II listed in 1974, [26] was under threat of demolition after the developer, Urban Splash, claimed that it was unable to find an economically viable use for it. [27] Urban Splash's application for listed building demolition was being considered by Manchester City Council. [28] The Victorian Society in Manchester described it as "a roofless shell secured by scaffolding" in 2012 and noted that it was on a list of "Top Ten Endangered Victorian Buildings". [29] [lower-alpha 5] With the exception of the main building, which covers an area of around 760 square metres (8,200 sq ft), all structures on the site  — such as ward blocks, various extensions, a nurses' home and ancillary buildings — had already been demolished. Some aspects of the main building had also been removed, including much of the central tower. [20]

The Ancoats Dispensary Group campaigned to restore the Dispensary building and reopen it as a community centre with offices and meeting spaces. The Heritage Lottery Fund provided £771,700 of funding to the project in June 2014, however the group was not able to raise £800,000 of matching funds, and a second round of funding of £4.28 million was not awarded, with concerns that the cost of the restoration would increase and about the sustainability of the project. [30]

Notable people

See also

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  1. The population of Manchester as a whole rose from 41,032 to 270,901 between 1774 and 1831. [3] Much of this growth was fuelled by people migrating to the area in search of work, and in 1851 over half the population had not been born there. [5]
  2. Roy Porter variously gives the foundation date of the first dispensary as 1770 [9] and 1773; [10] most sources, such as Anne Digby, say that this, the Aldersgate General Dispensary, began in 1770. [11]
  3. Treatment of accidents at Ancoats amounted to 25 per cent of all cases around 1830, compared to 20 per cent at the Salford Dispensary and 15 per cent at Chorlton. [15]
  4. According to The National Archives, the conditions in urban areas had improved to such an extent by 1967 that it was deemed no longer necessary for people to spend a fortnight convalescing in a rural environment. [17] The University of Manchester says that it had become a centre for the treatment of children suffering from tuberculosis of the spine. [7]
  5. The building also no longer has floors. [20]


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  2. Hall, Peter (1998). "The First Industrial City: Manchester 1760–1830". Cities in Civilisation: Culture, Innovation and Urban Order. London: Weidenfeld & Nicolson. p. 388. ISBN   978-0-297-84219-4.
  3. 1 2 3 Kim, Yeong-Hyun; Short, John Rennie (2008). Cities and Economies. Abingdon & New York: Routledge. pp. 30–32. ISBN   978-0-415-36574-1.
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  6. 1 2 Mort, Frank (2002). Dangerous Sexualities: Medico-Moral Politics in England Since 1830 (2nd ed.). Routledge. pp. 15–18. ISBN   978-0-203-44756-7.
  7. 1 2 3 4 5 6 7 8 9 10 11 12 13 "Ancoats Hospital — ELGAR: Electronic Gateway to Archives at Rylands". University of Manchester.
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  9. Payne, J. F. (2004). "Lettsom, John Coakley (1744–1815)". Oxford Dictionary of National Biography. revised Porter, Roy. Oxford University Press. Retrieved 21 July 2013.(subscription or UK public library membership required)
  10. 1 2 Porter, Roy (1995). Disease, Medicine and Society in England, 1550–1860 (2nd ed.). Cambridge: Cambridge University Press. pp. 30–33. ISBN   978-0-521-55791-7.
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  12. 1 2 3 4 Brown, Michael (December 2009). "Medicine, Reform and the 'End' of Charity in Early Nineteenth-Century England". English Historical Review. Oxford University Press. CXXIV (511). doi:10.1093/ehr/cep347.
  13. Siena, Kevin (2009). "Stage-Managing a Hospital in the Eighteenth Century: Visitation at the London Lock Hospital". In Mooney, Graham; Reinarz, Jonathan (eds.). Permeable Walls: Historical Perspectives on Hospital and Asylum Visiting. Rodopi. p. 177. ISBN   978-90-420-2599-8.
  14. "Chorlton-on-Medlock Dispensary — ELGAR: Electronic Gateway to Archives at Rylands". University of Manchester. Retrieved 21 July 2013.
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  16. 1 2 Hartwell, Clare; Hyde, Matthew; Pevsner, Nikolaus (2001). Lancashire: Manchester And The South-East. Pevsner Architectural Guides. New Haven & London: Yale University Press. p. 379. ISBN   978-0-300-10583-4 . Retrieved 18 July 2013.
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  18. Panorama of Manchester. J. Everett. 1834. p. 111. Retrieved 18 July 2013.
  19. Pickstone, John V. (1985). Medicine and Industrial Society: A History of Hospital Development in Manchester and Its Region, 1752–1946. Manchester University Press. p. 146. ISBN   978-0-7190-1809-1.
  20. 1 2 3 4 "Manchester City Council Planning and Highways Committee". Manchester City Council. 28 June 2012. Retrieved 20 July 2013.[ permanent dead link ]
  21. "Manchester and Salford Provident Dispensaries Association — ELGAR: Electronic Gateway to Archives at Rylands". University of Manchester. Retrieved 21 July 2013.
  22. "Provident Dispensaries  — ELGAR: Electronic Gateway to Archives at Rylands". University of Manchester. Retrieved 21 July 2013.
  23. McKechnie, H. M. Manchester in 1915. Manchester: Manchester University Press. p. 57. Retrieved 18 July 2013.
  24. 1 2 Brockbank, E. M., ed. (1929). The Book of Manchester and Salford Written for the 97th Annual Meeting of the British Medical Association. Manchester: George Falkner. pp. 126–27.
  25. "Ancoats Hospital Outpatients' Hall". BBC. Retrieved 20 July 2013.
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  27. "Ancoats Dispensary 'Not Viable' says Heritage Works". Manchester Confidential. Archived from the original on 5 April 2012. Retrieved 7 October 2011.
  28. "Ancoats Dispensary given 'final chance' to secure restoration funding". BBC. 18 July 2013. Retrieved 18 July 2013.
  29. "Autumn Newsletter, 2012" (PDF). The Manchester Victorian Society. Autumn 2012. pp. 2, 15. Archived from the original (PDF) on 8 December 2015. Retrieved 20 July 2013.
  30. Britton, Paul (24 October 2017). "Lottery bosses explain why they rejected funding bid to save Ancoats Dispensary". men.
  31. Pickstone, John (19–26 December 1987). "Manchester's History And Manchester's Medicine". British Medical Journal (Clinical Research Edition). BMJ Publishing Group. 295 (6613): 1604–1608. doi:10.1136/bmj.295.6613.1604. JSTOR   29529232. PMC   1257489 .

Further reading