Royal Marsden Hospital

Royal Marsden Hospital
The Royal Marsden NHS Foundation Trust
Royal Marsden Hospital
Shown in Kensington and Chelsea
Geography
Location	203 Fulham Road, Chelsea, London, SW3 6JJ Downs Road, Belmont, SM2 5PT, United Kingdom
Coordinates	51°29′27″N0°10′22″W / 51.4908°N 0.1729°W / 51.4908; -0.1729
Organisation
Care system	NHS England
Type	Specialist
Affiliated university	Institute of Cancer Research Imperial College London
Patron	William, Prince of Wales
Services
Emergency department	None
Beds	289 [1]
Speciality	Oncology
History
Opened	1851;173 years ago (1851)
Links
Website	http://www.royalmarsden.nhs.uk
Lists	Hospitals in the United Kingdom

The Royal Marsden Hospital is a specialist National Health Service oncology hospital in London based at two sites in Brompton, in Kensington and Chelsea, and Belmont in Sutton. It is managed by The Royal Marsden NHS Foundation Trust and supported by The Royal Marsden Cancer Charity.

In addition to providing cancer diagnosis, treatment and care, The Royal Marsden is a major centre for cancer research and teaching. It has a close affiliation with the Institute of Cancer Research, which originated as the hospital's research department and is located alongside the hospital in Brompton and Belmont. Through its subsidiary The Royal Marsden School, it offers undergraduate and postgraduate degrees in cancer care validated by the University of East Anglia.

Sites

The Royal Marsden's Brompton site is adjacent to the Royal Brompton Hospital, in Fulham Road. As of 2020 ^[update] , this site had 112 inpatient beds and 7 operating theatres. ^[1]

The Belmont site is in the far south of Greater London, adjacent to the former Sutton Hospital, High Down and Downview Prisons, and the Metropolitan Green Belt. This site houses some of the hospital's large diagnostic and radiotherapy equipment, including the UK's only combined MR-Linac. ^[2]

Healthcare

The Royal Marsden provides diagnostic services, treatment and care for adults and children with cancers, as inpatients and outpatients, or as day care. 50,000 people are treated at the Royal Marsden every year. ^[3]

As of 2020 ^[update] , the Care Quality Commission reported that the Royal Marsden had 219 inpatient beds, 70 day care beds, and 513 outpatient clinics. ^[1]

Research

The Royal Marsden works in collaboration with The Institute of Cancer Research (ICR), ^[4] which was founded in 1909 as the hospital's research department. ^[5] The ICR legally separated from the hospital when the latter became part of the NHS in 1948, ^[6] but the two retained close ties. The ICR's laboratories are located alongside the Royal Marsden in Brompton and Belmont, and the two organisations produce a joint research strategy. ^[7] Many of the hospital's consultants also have research roles with the ICR, ^[8] and some facilities are shared between the organisations, such as the Joint Department of Physics, which operates the linac. ^[9]

The hospital also participates in wider research collaborations, including a major partnership with Imperial College London in the Imperial College Academic Health Science Centre. ^[10]

History

Foundation: Free Cancer Hospital at Canon Row

The Royal Marsden was the first hospital in the world dedicated to the study and treatment of cancer. It was founded as the Free Cancer Hospital in 1851 by William Marsden at 1, Cannon Row, Westminster. Marsden, deeply affected by the death of his wife Elizabeth Ann from cancer, resolved to classify tumours, research the causes and find new treatments. The hospital at first consisted solely of a dispensary and the drugs prescribed were palliative and aimed at treating symptoms, but it allowed William Marsden the opportunity to study and research the disease. ^{[11] [12]}

The hospital quickly outgrew its original premises as it became apparent that some patients required inpatient care. It moved locations several times during the 1850s until its benefactors decided to find a permanent solution. ^[11]

Move to Brompton

Funds were raised to build a dedicated new building on a tract of land in Brompton along the Fulham Road. ^[11] The design was by Messrs John Young & Son. ^[13] The hospital was granted its royal charter of incorporation by King George V in 1910 and became known as The Cancer Hospital (Free). ^[12] This was subsequently changed by King Edward VIII to include the word ‘Royal’. ^{[11] [14]}

NHS era and Sutton site

When the National Health Service was formed in 1948, the Royal Marsden became a post-graduate teaching hospital. In 1954, it was renamed the Royal Marsden Hospital in recognition of the vision and commitment of its founder. ^{[11] [14]}

In response to the need to expand to treat more patients and train more doctors, a second hospital in Sutton, London, was opened in 1962. ^{[15] [12]} The original buildings on the Sutton site were first used as the Banstead Road branch of the South Metropolitan District School, which was a 'district' school for children of workhouse inmates in south London. In the 1890s, girls were kept at the Banstead Road site and boys were kept at a site in Brighton Road, which was built in 1851. The Brighton Road site later became Belmont workhouse and Belmont Psychiatric hospital, before being demolished in the 1980s. The Banstead Road site later became a sanatorium, before the southern half of the site was acquired by Royal Marsden in 1962. ^[15]

2008 Brompton fire

On 2 January 2008, just before 1:30 pm, a fire broke out in a plant room on the top floor of the hospital. When the fire was at its peak, 125 firefighters and 16 ambulances were in attendance. ^[16] Over the period of the fire, 111 fire appliances attended with 56 officers including the assistant commissioner. ^[17] The smoke was visible for miles around. ^[18]

All 200 staff, outpatients, and 79 inpatients were evacuated to a local church and the neighbouring Royal Brompton Hospital, some carried on mattresses by emergency responders and doctors. ^[16] Five operating theatres and at least two wards were put out of action. Two patients were undergoing surgery in the operating theatres in the basement and had to be evacuated. Two firefighters and one member of staff suffered slight smoke inhalation but there were no other casualties or injuries. They were taken to another hospital for treatment. ^[19]

The entire roof of the Chelsea Wing of the hospital was burned through, and the top floor was also affected, but a hospital official said that damage was less than thought and no research documentation had been lost. ^{[20] [18]}

Past physicians and surgeons

The surgeon William Ernest Miles was appointed to the hospital in 1899 and at the age of 60 was forced to retire, much against his will. ^[21] In 1908, Thomas Horder, later raised to the peerage, was appointed as the hospital's first physician. ^{[22] [23]}

Professor of radiotherapy at the University of London David Waldron Smithers chaired the committee that constructed and established the Surrey branch of the Marsden, which was opened in 1963. He led radiation oncology at the hospital. ^{[24] [25]} The Royal Marsden's main lecture theatre is named in honour of consultant radiotherapist Julian Bloom. ^[26]

NHS Foundation Trust

The Royal Marsden NHS Foundation Trust
Type	Specialist
Established	April 2004
Budget	£578 million (2022-23) [27]
Hospitals	The Royal Marsden Hospital
Chair	Douglas Flint
Chief executive	Cally Palmer
Staff	3,978 [1]
Website	www.nhs.uk/Services/hospitals/Overview/DefaultView.aspx?id=1416

The former Brompton Hospital building, Fulham Road, London

The Royal Marsden Hospital is operated by an NHS Foundation Trust. Formed in April 2004, it was one of the first NHS Foundation Trusts. ^[28]

Performance

It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 3528 full-time equivalent staff and a sickness absence rate of 2.85%. 89% of staff recommend it as a place for treatment and 71% recommended it as a place to work. ^[29]

In March 2016 the trust was ranked third in the Learning from Mistakes League. ^[30]

Private patients

The trust hopes to raise 45% of its income from private patients and other non-NHS sources in 2016/17 and is trying to raise its income from paying patients from £90m to £100m. ^[31] According to LaingBuisson it is the most commercially orientated NHS hospital. It increased private patient income by 13% from 2014 to 2016 to £77 million. ^[32] In 2018-19 it made £121 million through its private patient units, more than a quarter of its total income, and about 18% of all the private healthcare carried out in England by the NHS. This growth was led by imaging and robotic surgery. ^[33] In 2019-20 50% of the trust's total revenue, £463 million, came from NHS work. 9% came from Kuwait. Payments from health insurance firms accounted for 16%, and self-pay patients for 2%. The main commercial rival is Leaders in Oncology Care which in 2018 had income of £95 million across its four sites. ^[34]

Arms

Coat of arms of Royal Marsden Hospital

Notes Granted 14 February 1963. Crest On a wreath of the colours between two rays of lightning Or a stag's head erased Gules thereon a bee volant Gold. Escutcheon Per pale Gules and Azure a dance argent sur mounted by a rod of Aesculapius ensigned by an ancient crown between in base two coots Or. Supporters On the dexter side an owl and on the sinister side an unicorn each resting the interior leg upon a crab Or. [35] Motto Labor Omnia Vincit

See also

• List of NHS trusts
• Cancer in the United Kingdom

References

1. "The Royal Marsden - London - Care Quality Commission". www.cqc.org.uk.
2. "Brain cancer patient from Cheam test drives pioneering machine at Royal Marsden". Your Local Guardian. 2 May 2019.
3. "The Royal Marsden NHS Foundation Trust – The Institute of Cancer Research, London". www.icr.ac.uk. Archived from the original on 8 August 2015. Retrieved 9 February 2022.
4. "Overview – The Royal Marsden NHS Foundation Trust - NHS". www.nhs.uk. 28 September 2009. Archived from the original on 20 August 2010. Retrieved 9 February 2022.
5. "Annual Review 2009" (PDF). Institute of Cancer Research. Archived from the original (PDF) on 24 November 2010. Retrieved 21 October 2010.
6. "Our history - The Institute of Cancer Research, London". www.icr.ac.uk.
7. "Scientists plot 'extinction' of cancers by disrupting their ecosystems". www.icr.ac.uk. 22 November 2022.
8. "Consultant directory | The Royal Marsden". www.royalmarsden.nhs.uk.
9. "Joint Department of Physics | The Royal Marsden". www.royalmarsden.nhs.uk.
10. "Cancer". AHSC.
11. "Royal Marsden Hospital (Brompton Branch)". Lost Hospitals of London. Archived from the original on 24 May 2018. Retrieved 9 February 2022.
12. Hughes, Kieran (2017). "13. The Best of `british `designs and Inventions". Being British. South Yorkshire: Pen & Sword History. ISBN   978-1-84468-075-7.
13. Morning Chronicle, 31 May 1859, 'Laying the foundation stone of the new Cancer Hospital Brompton: List of attenders: Alexander Marsden, Mr.Young (architect)...' The hospital was further expanded in 1885 with a new frontage directly onto Fulham Road.
14. Richardson, Harriet; Goodall, Ian H. (1998). English hospitals 1660–1948: a survey of their architecture and design. University of Michigan: Royal Commission on the Historical Monuments of England. p. 128. ISBN   9781873592298.
15. "Royal Marsden Hospital (Sutton Branch)". Lost Hospitals of London. Archived from the original on 28 July 2018. Retrieved 9 February 2022.
16. "Fire At Royal Marsden Hospital In London". Sky News. 3 January 2008. Archived from the original on 22 May 2011. Retrieved 22 September 2008.
17. "Incident Report" (PDF). London Fire Brigade. Retrieved 24 May 2018.
18. "Fire forces hospital's evacuation". BBC. 2 January 2008. Retrieved 2 January 2008.
19. "Top London cancer hospital gutted by fire". Times of Malta. 3 January 2008. Retrieved 27 August 2024.
20. "Hospital to open for outpatients". BBC News. 3 January 2008.
21. Campos, Fábio Guilherme (1 March 2013). "The life and legacy of William Ernest Miles (1869-1947): a tribute to an admirable surgeon". Revista da Associação Médica Brasileira. 59 (2): 181–185. doi: 10.1016/j.ramb.2012.09.001 . ISSN   0104-4230.
22. Hudson, Trevor. "Percy Ellis Thompson Hancock | RCP Museum". history.rcplondon.ac.uk. Archived from the original on 14 June 2020. Retrieved 14 June 2020.
23. Walford, Edward. The county families of the United Kingdom; or, Royal manual of the titled and untitled aristocracy of England, Wales, Scotland, and Ireland. Dalcassian Publishing Company. p. 679.
24. Henk, J. M. "Sir David Waldron Smithers | RCP Museum". history.rcplondon.ac.uk. Retrieved 12 June 2020.
25. Hellman, Samuel (2017). "Preface". Learning While Caring: Reflections on a Half-Century of Cancer Practice, Research, Education, and Ethics. New York: Oxford University Press. pp. xix. ISBN   978-0-19-065055-1. LCCN   2016029436.
26. "Bloom, Harris Julian Gaster (1923 - 1988)". livesonline.rcseng.ac.uk. Archived from the original on 12 June 2020. Retrieved 12 June 2020.
27. "Annual Review 2022-23" (PDF). The Royal Marsden NHS Foundation Trust.
28. "Foundation trust status". Royal Marsden Hospital. Retrieved 27 August 2024.
29. "HSJ reveals the best places to work in 2015". Health Service Journal. 7 July 2015. Retrieved 23 September 2015.
30. "Trusts ranked in 'learning from mistakes' league". Health Service Journal. 9 March 2016. Retrieved 2 May 2016.
31. "NHS in dash for private cash". The Times. 1 January 2017. Retrieved 26 January 2017.
32. "NHS expands private care to help fill £20bn funding gap". Financial Times. 2 March 2016. Retrieved 26 January 2017.
33. "Specialist trust now providing a fifth of all NHS private patient work". Health Service Journal. 20 August 2019. Retrieved 1 October 2019.
34. "Trust earned £39m from Middle Eastern country in one year". Health Service Journal. 16 September 2022. Retrieved 28 October 2022.
35. "Royal Marsden Hospital". Heraldry of the World. Retrieved 30 August 2024.

Further reading

• Wiltshaw, Eve (1998). A History of the Royal Marsden Hospital. Altman. ISBN   9781860360091.

External links

• Media related to Royal Marsden Hospital at Wikimedia Commons
• Official website