Royal Marsden Hospital

Last updated

Royal Marsden Hospital
The Royal Marsden NHS Foundation Trust
The Royal Marsden Hospital, Fulham Road SW3 - geograph.org.uk - 2757058.jpg
Royal Marsden Hospital
Kensington and Chelsea London UK location map.svg
Red pog.svg
Shown in Kensington and Chelsea
Geography
Location203 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
Beds289 [1]
Speciality Oncology
History
Opened1851;173 years ago (1851)
Links
Website http://www.royalmarsden.nhs.uk
Lists Hospitals in the United Kingdom
The Royal Marsden Hospital frontage Fulham Road (1).jpg
The Royal Marsden Hospital frontage Fulham Road (2).jpg

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.

Contents

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, 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, 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
TypeSpecialist
EstablishedApril 2004
Budget£578 million (2022-23) [27]
HospitalsThe Royal Marsden Hospital
Chair Douglas Flint
Chief executive Cally Palmer
Staff3,978 [1]
Website www.nhs.uk/Services/hospitals/Overview/DefaultView.aspx?id=1416 OOjs UI icon edit-ltr-progressive.svg
The former Brompton Hospital building, Fulham Road, London The Royal Marsden NHS Foundation Trust.jpg
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

Related Research Articles

<span class="mw-page-title-main">Belmont, Sutton</span> Area of the London Borough of Sutton

Belmont is a village in the London Borough of Sutton, in South London, England. It is located off the A217 road and near to Banstead Downs in Surrey. It is a suburban development situated 10.8 miles (17.4 km) south-southwest of Charing Cross.

The Institute of Cancer Research is a public research institute and a member institution of the University of London in London, United Kingdom, specialising in oncology. It was founded in 1909 as a research department of the Royal Marsden Hospital and joined the University of London in 2003. It has been responsible for a number of breakthrough discoveries, including that the basic cause of cancer is damage to DNA.

<span class="mw-page-title-main">Royal Brompton Hospital</span> Hospital in London, England

Royal Brompton Hospital is the largest specialist heart and lung medical centre in the United Kingdom. It is managed by Guy's and St Thomas' NHS Foundation Trust.

<span class="mw-page-title-main">Mount Vernon Hospital</span> Hospital in London, England

Mount Vernon Hospital is a hospital located in Northwood in the London Borough of Hillingdon. It is one of two hospitals run by The Hillingdon Hospitals NHS Foundation Trust, the other being Hillingdon Hospital.

<span class="mw-page-title-main">Basingstoke and North Hampshire Hospital</span> Hospital in England

Basingstoke and North Hampshire Hospital (BNHH) is a 450-bed National Health Service (NHS) hospital in Basingstoke, Hampshire, England run by Hampshire Hospitals NHS Foundation Trust. It employs around 2,800 staff. Each year it has around 47,000 admissions, sees 43,000 patients in the Emergency Department, sees around 175,000 outpatients and delivers over 2,800 babies.

<span class="mw-page-title-main">Harefield Hospital</span> Hospital in England

Harefield Hospital is a health institution in Harefield, London Borough of Hillingdon, England. It is managed by the Guy's and St Thomas' NHS Foundation Trust.

<span class="mw-page-title-main">South London and Maudsley NHS Foundation Trust</span> NHS foundation trust based in London, England

South London and Maudsley NHS Foundation Trust, also known as SLaM, is an NHS foundation trust based in London, England, which specialises in mental health. It comprises four psychiatric hospitals, the Ladywell Unit based at University Hospital Lewisham, and over 100 community sites and 300 clinical teams. SLaM forms part of the institutions that make up King's Health Partners, an academic health science centre.

University College London Hospitals NHS Foundation Trust (UCLH) is an NHS foundation trust based in London, United Kingdom. It comprises University College Hospital, University College Hospital at Westmoreland Street, the UCH Macmillan Cancer Centre, the Royal National ENT and Eastman Dental Hospitals, the Hospital for Tropical Diseases, the National Hospital for Neurology and Neurosurgery, the Royal London Hospital for Integrated Medicine and the Royal National Throat, Nose and Ear Hospital.

<span class="mw-page-title-main">Poole Hospital</span> Hospital in Dorset, United Kingdom

Poole Hospital is an acute general hospital in Poole, Dorset, England. Built in 1907, it has expanded from a basic 14-bed facility into a 789-bed hospital. It is the trauma centre for east Dorset and provides specialist services such as cancer treatment for the entire county. It is managed by the University Hospitals Dorset NHS Foundation Trust. The hospital was managed by Poole Hospital NHS Foundation Trust until the merger with The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust on 1 October 2020.

<span class="mw-page-title-main">University College Hospital at Westmoreland Street</span> Hospital in London, England

University College Hospital at Westmoreland Street, named The Heart Hospital until refurbished and renamed in 2015, was a specialist cardiac hospital located in London, United Kingdom until 2015. It is part of the University College London Hospitals NHS Foundation Trust and is closely associated with University College London (UCL). After the 2015 refurbishment, the hospital now provides thoracic surgery and urology services.

<span class="mw-page-title-main">Lambeth Hospital</span> Psychiatric hospital in Lambeth, London

Lambeth Hospital is a mental health facility in Landor Road, South London. It was previously known as the "Landor Road hospital" and is now operated by the South London and Maudsley NHS Foundation Trust and is affiliated with King's College London's Institute of Psychiatry. It is also part of the King's Health Partners academic health science centre and the National Institute for Health and Care Research (NIHR) Biomedical Research Centre for Mental Health.

<span class="mw-page-title-main">Clatterbridge Health Park</span> Campus location of several hospitals on the Wirral, Merseyside, England

Clatterbridge Health Park is a campus of otherwise independent, health care-related organisations, including three separate NHS trusts.

<span class="mw-page-title-main">Clatterbridge Cancer Centre NHS Foundation Trust</span> UK public sector healthcare provider

The Clatterbridge Cancer Centre is an NHS Foundation Trust, which specialises in the treatment of cancer. The centre is one of several specialist hospitals located within Merseyside; alongside Liverpool Heart and Chest Hospital, Alder Hey Children's Hospital, Liverpool Women's Hospital, and the Walton Centre.

Wrightington, Wigan and Leigh Teaching Hospitals (WWL) NHS Foundation Trust is an NHS Foundation Trust providing services in the Metropolitan Borough of Wigan and Wrightington, England. It was formed on 1 April 2001 by the merger of Wrightington Hospital NHS Trust and Wigan and Leigh Health Services NHS Trust, and became an NHS Foundation Trust in December 2008. "Teaching Hospitals" has been included in its name since 1 April 2020.

The Royal Brompton and Harefield NHS Foundation Trust was an NHS foundation trust which ran the Royal Brompton Hospital in Kensington and Harefield Hospital in Hillingdon, London, England.

South West London and St George's Mental Health NHS Trust is an NHS trust that provides mental health services for adults, older people, children and adolescents living in the London boroughs of Kingston, Merton, Richmond, Sutton and Wandsworth.

<span class="mw-page-title-main">The Christie</span> Hospital in Manchester, England

The Christie, formerly known as Christie Hospital and The Christie Hospital and Holt Radium Institute, is a specialist National Health Service oncology hospital in Manchester, England. It is one of the largest cancer treatment centres in Europe. It is managed by The Christie NHS Foundation Trust, which as of 2024 had a turnover of £472 million and around 3,500 staff, and its work is also supported by The Christie Charity.

<span class="mw-page-title-main">Andover War Memorial Hospital</span> Hospital in Hampshire, England

Andover War Memorial Hospital is a community hospital in Andover, Hampshire. The hospital provides inpatient rehabilitation, day hospital services, a minor injury unit and an outpatient unit. It is operated by Hampshire Hospitals NHS Foundation Trust, but some services are provided by Southern Health NHS Foundation Trust. The Countess of Brecknock Hospice is located on the same site as the hospital. The independent regulator of health and social care in England, the Care Quality Commission, rated Andover as "requires improvement" overall in 2018.

<span class="mw-page-title-main">Velindre Cancer Centre</span> Cancer care facility in Cardiff, Wales

The Velindre Cancer Centre is a specialist facility offering inpatient and outpatient care for cancer patients in Whitchurch, Cardiff, Wales.

<span class="mw-page-title-main">Gordon Hospital</span> Hospital in Westminster, England

The Gordon Hospital is a 55-bed acute adult mental health hospital located in Westminster, London. It is managed by the Central and North West London NHS Foundation Trust.

References

  1. 1 2 3 4 "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. 1 2 3 4 5 "Royal Marsden Hospital (Brompton Branch)". Lost Hospitals of London. Archived from the original on 24 May 2018. Retrieved 9 February 2022.
  12. 1 2 3 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. 1 2 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. 1 2 "Royal Marsden Hospital (Sutton Branch)". Lost Hospitals of London. Archived from the original on 28 July 2018. Retrieved 9 February 2022.
  16. 1 2 "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. 1 2 "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