St Vincent's Hospital, Sydney | |
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![]() De Lacy Building, St Vincent's Hospital | |
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Geography | |
Location | 390 Victoria Street, Darlinghurst, New South Wales, Australia |
Coordinates | 33°52′47″S151°13′16″E / 33.8797°S 151.2211°E |
Organisation | |
Care system | Medicare |
Funding | Public hospital |
Type | District general, teaching |
Religious affiliation | Catholic |
Affiliated university | University of Tasmania University of New South Wales |
Network | St Vincent's Health Australia |
Services | |
Emergency department | Yes, adult major trauma centre |
History | |
Opened | 1857 |
Links | |
Website | svhs |
Lists | Hospitals in Australia |
St Vincent's Hospital, Sydney is a leading tertiary referral hospital and research facility located in Darlinghurst, Sydney. Though funded and integrated into the New South Wales state public health system, it is operated by St Vincent's Health Australia. It is affiliated with the University of Tasmania College of Health and Medicine and the University of New South Wales Medical School.
St Vincent's Hospital was established at Tarmons in 1857 by five Irish Sisters of Charity. Tarmons was a stately home in Potts Point, standing on a 5-acre (2.0 ha) block of land that had been purchased by Sir Maurice O'Connell in 1838. O'Connell named his mansion Tarmons (which means "sanctuary") after his extended family's home in County Kerry. [1] The Sisters had migrated to Sydney in 1838 with a mission to help the poor and disadvantaged. Some of their early work included helping victims of the 1853 influenza outbreak and families of prisoners in the nearby Darlinghurst Gaol. Three of the hospital's founding sisters had trained as professional nurses in France, and they brought their knowledge to the colony; they established a hospital that was free for all people but founded especially for the poor on a non-sectarian basis. [2]
The present hospital was founded in the neighbouring suburb of Potts Point, on a site which is now St Vincent's College. As demand grew, a new hospital with 150 beds, designed by architect Oswald Lewis, was built on its present site in Victoria Street, Darlinghurst, in 1870. The building was remodeled and enlarged after World War I; it is now known as the De Lacy Building, after one of the founding sisters. [3]
St Vincent's has carried out pioneering work in organ transplant, including heart and lungs.
The first Australian heart transplant was performed on 23 October 1968 by a team led by Harry Windsor on a 57-year-old, Richard Pye, who survived for 45 days after the operation. [4]
The hospital was also the first Australian hospital to implement a successful cardiac transplant program. While Windsor led the team, the surgeon who conducted the first successful transplant in 1982 was Victor Chang, a Chinese-Australian cardiothoracic surgeon. [5] One of the first patients to receive a new heart at St Vincent's was 14-year-old Fiona Coote who, on 7 April 1984, became Australia's youngest and first female heart transplant recipient at the time. [6]
In 2014, the world's first dead (donation after circulatory death [DCD]) heart transplant was performed at St. Vincent's on 57-year-old Michelle Gribilar who was suffering from congenital heart failure. A few weeks later, 43-year-old Jan Damen, who also suffered from congenital heart failure, received the world's second dead heart transplant. [7] [8] [9]
The hospital was also one of the first health care facilities in Australia to begin treating AIDS patients when the epidemic reached Sydney in the early 1980s. [10] This was a direct result of the hospital's close geographic position to the predominantly gay areas surrounding nearby Oxford Street and the injecting drug-using population of the notorious red-light district, Kings Cross. Dr. Ron Penny and Dr. David Cooper are credited with diagnosing the first patient with AIDS in Australia at St Vincent's in October 1982. [11] [12] [13]
As the AIDS epidemic grew in Sydney, the hospital led the way in the compassionate treatment of the sick and the dying, continuing to apply the original values of the Sisters' mission. This early exposure to the frightening implications of a possible pandemic was responsible for St Vincent's becoming one of the leading centers of immunology research and practice in the world.
The hospital was also one of the first health care facilities in Australia to suggest the idea of a needle exchange program, in an effort to stem the spread of the virus among IV drug users in the local community, an idea that was highly controversial at the time, and raised the possibility of criminal charges against doctors and other health care workers who implemented it. [14] The hospital instituted Australia's first needle exchange program in 1986. [14] [15]
The immunology ward of the hospital was strongly supported by the local gay community, who staged numerous charity events to raise money for AIDS care. However, on 24 November 2007, the hospital announced that this ward would be closed because beds allocated for HIV care were not being used due to advances in HIV treatment, resulting in fewer patients needing to be admitted for HIV/AIDS related conditions, and that such patients would in future be admitted to an oncology ward of the hospital. The decision was made only days before World AIDS Day on 1 December, and was protested. Hospital management held discussions with leaders of HIV/AIDS groups in Sydney, explaining the reasons for the ward closure, and highlighting an increase in outpatient and ambulatory care services that would be provided instead. The hospital leased the ward to the Royal Australian Navy while its Balmoral Navy Hospital was refurbished, using their own staff, but making use of St Vincent's pathology and radiology services. [16]
In 1996, St Vincent's joined the Sisters of Charity Health Service, which already encompassed 17 other health care facilities and became Australia's largest not-for-profit health care provider. [17]
The hospital was extensively upgraded in 2001. The hospital is a primary teaching facility and offers a wide array of clinical experience to students studying medicine and nursing in particular. It was originally affiliated with the University of Sydney from 1923 to 1968 when it changed affiliation to the University of New South Wales. It also has links with the University of Technology, Sydney, Australian Catholic University, University of Tasmania and University of Notre Dame Australia, making it one of Australia's leading teaching hospitals.[ citation needed ]
Forming part of the St Vincent's Local Hospital Network, [18] the hospital became a facility of St Vincent's Health Australia. [19]
In 2004 St Vincent's was forced to close beds because of inadequate government funding. [20] From January to March 2007, an entire surgical ward was forced to close in order to cut costs. [21]
In 2006, building work commenced on Stage 1 of the St Vincent's Research and Biotechnology Precinct, a joint partnership between the hospital, the Garvan Institute of Medical Research and the Victor Chang Cardiac Research Institute. [22] Additional construction commenced in 2008 upon a new facility within the grounds of St Vincent's; it will encompass a mental health, drug and alcohol, and community health unit. In 2008, building work commenced on a new facility within the grounds of St Vincent's that will encompass a drugs and alcohol, mental health and community health unit.
In 2009, the Sisters of Charity transferred the stewardship of St Vincent's Health Australia to the Trustees of Mary Aikenhead Ministries. [23]
In 2020 the emergency department was the first in Australia to implement a Psychiatric Emergency Care Centre (PECC), in response to the high number of people with a mental illness residing in the inner suburbs of Sydney, as well as the increasing incidence of people affected by illegal psychoactive drugs such as heroin, GHB and crystal meth. [24] [25]
In line with the Sisters' original mission, the hospital oversees the largest population of homeless people in Australia (many of whom also have a mental illness), concentrated in the neighbouring suburbs of Kings Cross, Surry Hills, and Woolloomooloo. The hospital's catchment area also includes some of Sydney's most affluent suburbs, including Vaucluse, Paddington, Bellevue Hill, Rose Bay, Point Piper and Darling Point. [26]
St Vincent's is a recognised trauma center, resulting in the majority of major trauma cases that occur in and around the inner city being referred to St Vincent's, despite Sydney Hospital being geographically closer to the Sydney central business district.[ citation needed ]
St Vincent's Hospital was the first hospital in Australia to develop a specialised emergency department (ED) in 1983 under Dr. Gordian Fulde. Fulde was the third person to register for the examinations in emergency medicine established by the Royal College of Emergency Medicine in the United Kingdom in 1983, and the first person to pass them. [27] Fulde was appointed the Director of Emergency in 1983 just a year prior to founding the Australasian College for Emergency Medicine in 1984, and he pioneered the development of specialised emergency medicine in Australia at St Vincent's ED. Fulde remained Director until 2016, making him the longest-serving director of an Australian ED. [28] St Vincent's ED is regarded as having one of the busiest emergency departments in Australia, [29] and is the reason why it features in the 2012-2015 Australian television series Kings Cross ER: St Vincent's Hospital.
The hospital maintains a dedicated Aboriginal health unit. In June 2020 the hospital implemented a new Indigenous Flexi-Clinic aimed at improving the care of Aboriginal patients. [30]
The Darlinghurst campus comprises St Vincent's Hospital, St Vincent's Private Hospital, Sacred Heart Hospice, the Garvan Institute of Medical Research, and the Victor Chang Cardiac Research Institute. The hospital has a sister affiliation with The Mater Hospital in North Sydney.[ citation needed ]
Given its proximity to these other facilities, St Vincent's has linkages with these research institutes and other facilities and has earned international recognition in the field of medical research. It is at the forefront of developing new therapies for the treatment of many diseases, including cancers, heart disease, HIV/AIDS, Parkinson's disease and Alzheimer's disease, arthritis, infectious diseases, asthma and diabetes. [31] [32]
Since 2008, the St Vincent's Centre for Applied Medical Research has operated a number of research programs that are engaged in research pertaining to immunology and cell biology, relevant to diseases such as cancer, HIV/AIDS and inflammatory disease. [33] This center is a collaboration between St Vincent's Hospital and the University of New South Wales. [34]
As of April 2024 [update] St Vincent's Healthcare operates three public hospitals and 10 private hospitals. [35] The public hospitals are St Vincent's Sydney, St Vincent's Hospital, Melbourne, and Sacred Heart Health Service, which provides palliative care and rehabilitation services. [36]
Many notable people have died at St. Vincent's Hospital, including:
St. Vincent's Emergency Department features in the 2012–2015 Australian television series Kings Cross ER: St Vincent's Hospital .[ citation needed ]
In 2018, a five-time Lotto winner donated $50,000 to the hospital's cardiac services. [47]
In July 2021, footage of patients in the hospital's intensive care unit infected with COVID-19 was released publicly showing the effects of COVID-19. [48] The NSW Government used a photograph of an infected patient from the ward as part of its campaign to urge the public to stay home in an attempt to curb the spread of the Delta variant. [49]
In 2016, a government-ordered review [50] found the hospital made “factual errors” and “key omissions” after it was revealed that 78 patients, including 30 who had died, were under-dosed with the chemotherapy drug carboplatin, finding the public was misled on the treatment. [51] [52] In 2017, a parliamentary committee report investigating the chemotherapy dosing matter was leaked to the ABC, which reported that the committee could not discount the possibility there was a cover-up. The hospital rejected the claims within the report "in the strongest possible terms". [53]
On 26 December 2021, SydPath (St Vincent's Pathology), admitted in a statement that more than 400 COVID-19 positive people were incorrectly notified that their PCR test results were negative on the previous night. [54] Two days later, another 486 people who were issued a negative COVID-19 test result by SydPath have actually tested positive for the virus. [55]
Monash Medical Centre (MMC) is a teaching hospital in Melbourne, Australia. It provides specialist tertiary-level healthcare to the Melbourne's south-east.
Victor Peter Chang was a Chinese-born Australian cardiac surgeon and a pioneer of modern heart transplantation in Australia.
Westmead Hospital is a major teaching hospital in Sydney, Australia. Opened on 10 November 1978, the 975-bed hospital forms part of the Western Sydney Local Health District, and is a teaching hospital of Sydney Medical School at the University of Sydney.
St Vincent's Hospital is a major hospital in Fitzroy, Melbourne, Australia.
The Royal Melbourne Hospital (RMH), located in Parkville, Victoria, an inner suburb of Melbourne, is one of Australia's leading public hospitals. It is a major teaching hospital for tertiary health care with a reputation in clinical research. The hospital is managed as part of Melbourne Health which comprises the Royal Melbourne Hospital, North West Dialysis Service and North Western Mental Health. The Royal Melbourne Hospital appointed Professor Shelley Dolan as the new Chief Executive following an international search. She succeeded Professor Christine Kilpatrick AO, who stepped down on 30 June 2023.
The Royal North Shore Hospital (RNSH) is a major public teaching hospital in Sydney, Australia, located in the suburb of St Leonards. It serves as a teaching hospital for Sydney Medical School at the University of Sydney, University of Technology Sydney and Australian Catholic University and has over 600 beds.
The Alfred Hospital, is a leading tertiary hospital in Melbourne, Victoria. It is the second oldest hospital in Victoria after Melbourne Hospital which is still operating on its original site. The hospital is one of two major adult trauma centres in Victoria, and houses the largest intensive care unit in Australia. In 2021 it was ranked as one of the world's best hospitals.
St Vincent's College, is an independent Roman Catholic single-sex secondary day and boarding school for girls, located in Victoria Street, Potts Point, an inner-city suburb of Sydney, New South Wales, Australia.
Chelsea and Westminster Hospital is a 430-bed teaching hospital located in Chelsea, London. The hospital has a rich history in that it serves as the new site for the Westminster Hospital. It is operated by Chelsea and Westminster Hospital NHS Foundation Trust, and became a member of Imperial College Academic Health Science Centre in July 2020. The hospital is the central part of Imperial College London Chelsea and Westminster Campus, and plays an integral role in teaching students and medical research at Imperial College London.
Saint Vincent's Catholic Medical Centers was a healthcare system in New York City, anchored by its flagship hospital, St. Vincent's Hospital Manhattan.
Fairfield Infectious Diseases Hospital, originally known as Queens Memorial Infectious Diseases Hospital, operated from 1904 to its closure in 1996. Perched high on the banks of the Yarra River at Yarra Bend in the inner Melbourne suburb of Fairfield, it developed an international reputation for the research and treatment of infectious diseases. When it closed, it was the last specific infectious diseases hospital in Australia.
The Sisters of Charity of Australia, or the Congregation of the Religious Sisters of Charity of Australia, is a congregation of religious sisters in the Catholic Church who have served the people of Australia since 1838. Sisters use the post-nominal initials of RSC.
Saint Clare's Hospital is a former Catholic hospital, located in the Hell's Kitchen neighborhood of Manhattan, New York City. It operated from 1934 to 2007.
The Catholic Church is the largest non-government provider of health care services in the world. It has around 18,000 clinics, 16,000 homes for the elderly and those with special needs, and 5,500 hospitals, with 65 percent of them located in developing countries. In 2010, the Church's Pontifical Council for the Pastoral Care of Health Care Workers said that the Church manages 26% of the world's health care facilities. The Church's involvement in health care has ancient origins.
Stephen Vincent Lynch is a liver transplant specialist who has worked on surgery to transplant liver tissue from adult donors to children. Lynch is the chairman of the division of surgery at Princess Alexandra Hospital in Brisbane.
David Albert Cooper was an Australian HIV/AIDS researcher, immunologist, professor at the University of New South Wales, and the director of the Kirby Institute. He and Professor Ron Penny diagnosed the first case of HIV in Australia.
John Michael Dwyer, is an Australian doctor, professor of medicine, and public health advocate. He was originally a Professor of Medicine and Paediatrics, then Head of the Department of Clinical Immunology at Yale University. Returning to Australia, he became Head of the Department of Medicine and the Clinical Dean at the University of New South Wales and Director of Medicine at Sydney's Prince of Wales Hospital, the University's major teaching hospital, for over twenty years. In retirement he is an Emeritus Professor of Medicine of the University. He founded the Australian Health Care Reform Alliance, and was the founding president of the Friends of Science in Medicine until 2019. He was appointed an Officer of the Order of Australia for his service to public health.
Gordian Ward Fulde is an Australian emergency medicine specialist, the founder of the Australasian College for Emergency Medicine, and was the director of the emergency department of St Vincent's Hospital in Sydney for 35 years, retiring in 2018. He was named Senior Australian of the Year in 2016.
Sue Ieraci is an Australian doctor and emergency medicine specialist with more than three decades’ experience in the Australian public hospital system. She is a vocal advocate for improvements in emergency medicine, how it is viewed in the hospital framework and patient-centred care. Ieraci has been a member of the Executive of Friends of Science in Medicine and she strongly promotes evidence based medicine.
Graeme John Stewart,, MB BS, PhD, FRACP, FRCPA is an Australian consultant physician, medical researcher in the field of immunology, and a community health advocate. He is Clinical Professor of Medicine in the Westmead Institute for Medical Research, University of Sydney.