IDENTITY STATEMENT
Reference code(s): GB 0405 K
Held at: Barts Health NHS Trust Archives (St Bartholomew's Hospital Archives)
Title: St Mark's Hospital
Date(s): 1840-2016
Level of description: Collection (fonds)
Extent: 316 volumes, 695 files, 207 boxes of case notes, 17 lantern slide boxes, 1 glass negative, 4 boxes of index cards, 3 gro
Name of creator(s): St Mark's Hospital
CONTEXT
Administrative/Biographical history:
The beginnings of St Mark's Hospital were in a small room at No 11 Aldersgate Street where, in 1835, Frederick Salmon opened 'The Infirmary for the Relief of the Poor afflicted with Fistula and other Diseases of the Rectum'. There were just seven beds and in the first year 131 patients were admitted. Frederick Salmon was born in Bath in 1796 and served his apprenticeship in medicine there. He qualified at St Bartholomew's Hospital in 1817 and subsequently became a house-surgeon. In 1827, he was elected to a Surgeon's post at the Aldersgate Street Dispensary. However, Salmon resigned five years later, along with the rest of the medical staff, because of a dispute with the Management Committee about the method of choosing new staff. Tired of the restrictions of working within the establishment, Salmon decided to found his own institution to provide treatment for those conditions which were regarded as 'the most distressing that can afflict our common nature'. So the 'Fistula Infirmary', as it came to be known, was started. Much of the financial support came from the City of London. The Lord Mayor, William Taylor Copeland, was a grateful patient of Salmon's and became the first President. Another benefactor was Charles Dickens, who blamed his need for Salmon's surgical attentions on 'too much sitting at my desk'! There was an overwhelming need for such an institution giving specialist treatment free of charge to London's poor. Therefore, in 1838, when the number of patients had trebled, Salmon moved to larger premises at 38 Charterhouse Square, where there were fourteen beds and more space for treating out-patients. Thirteen years later, a site in City Road was purchased from the Dyers' Company and the almshouses that occupied it were converted to a twenty-five bed hospital. This was opened on St Mark's Day, 25 April 1854, and took the name of St Mark's Hospital for Fistula and other Diseases of the Rectum. The staff consisted of a surgeon, a Matron, a dispenser, nurses and servants. St Mark's was unique in not employing a physician until 1948. In 1859, Frederick Salmon resigned from his post as Surgeon. He is said to have performed 3,500 operations without a single fatality, a remarkable feat in an age when anaesthetics were only just beginning to be used and antiseptics were unknown. The Governors commissioned a portrait of him which was displayed in the entrance hall until the closure of the Hospital in 1995.
By the 1870s, ever-increasing demands on the Hospital caused rebuilding to be considered. The adjacent site, occupied by rice mills, was acquired but could not be developed for some years due to lack of funds. Eventually, building began and in January 1896 the 'New St Mark's' was opened. There was considerable difficulty in meeting the costs of maintaining the new building and it was the entertainment industry that finally came to the rescue. Lillie Langtry organised a Charity Matinee at her theatre in Drury Lane and the Hospital was saved. In 1909, the name of the Hospital was changed for a second time to St Mark's Hospital for Cancer, Fistula etc., reflecting the work and interests of J P Lockhart-Mummery, who was a pioneer in cancer surgery. The First World War seems to have made little direct impact, although ten beds were given over to servicemen. Despite the stringency of the times, the Governors purchased more land on the east side of the Hospital which gave room for expansion after hostilities had ceased. An Appeal Fund launched in 1920 was very successful and, in 1926, work began on a large extension which gave the Hospital a new appearance and provided two new wards, as well as new Out-Patient, X-ray, Pathology and Research Departments. A nurses' home was also provided for the first time. This was replaced by a self-contained home in 1936, when the former accommodation became a private wing named after Lockhart-Mummery, who had retired the previous year. A Samaritan Fund was established to assist patients, and meetings ceased in May 1949 when administration of the Fund officially passed to the Ladies Association. The Ladies Association became the Friends of St Mark's in June 1971.
St Mark's was taken over by the new National Health Service in 1948. It was administered jointly with Hammersmith Hospital until the NHS reforms of 1972, when it became attached to St Bartholomew's Hospital. After 1974, St Mark's was part of the newly-established City and Hackney Health District, which also included Hackney General, the Mothers', the German, the Eastern and St Leonard's Hospitals. During the 1980s, many of the hospitals in the City and Hackney District were closed and their services transferred to the new Homerton Hospital. The government introduced self-governing NHS Trusts and in 1992, Sir Bernard Tomlinson's Report of the Inquiry into the London Health Service proposed radical changes to the hospital groupings then in place. St Mark's remained part of the Barts NHS Shadow Trust (later Barts NHS Group) until April 1994, when the changes envisaged by the Tomlinson Report came into force. At this point, Bart's joined with the Royal London and the London Chest Hospitals to form the Royal Hospitals NHS Trust (later Barts and The London NHS Trust), while St Mark's became part of Northwick Park and St Mark's NHS Trust, based in Harrow. All services from St Mark's were transferred to Northwick Park in July 1995, and the Hospital closed.
CONTENT
Scope and content/abstract:
Comprises: Administrative; Financial; Estates; Photographs of events, individuals and buildings and clinical photographs; Medical Committees and Medical Staffing; Medical Illustrations; Matron's Office and Nursing; Medical Records; Research and Education at St Mark's Hospital: Research Department, Research Foundation, Academic Board, Academic Institute; Pharmacy; Samaritan Fund, Ladies Association and Friends of St Mark's; St Mark's Hospital Association; Audio Visual Material.
ACCESS AND USE
Language/scripts of material: English
System of arrangement:
See Scope and content.
Conditions governing access:
Some material is restricted. Please contact the repository in the first instance.
Conditions governing reproduction:
Copying and digitisation services are available for unrestricted material. Researchers should contact the repository in the first instance.
Physical characteristics:
Finding aids:
See 'Detailed catalogue' link above.
ARCHIVAL INFORMATION
Appraisal, destruction and scheduling information:
Accruals:
Archival history:
Immediate source of acquisition:
The estate management files and bundles, 1972-1992, were transferred from the City and Hackney District Health Authority's Estate Management offices.
ALLIED MATERIALS
Existence and location of originals:
Existence and location of copies:
Related material:
Other records relating to St Mark's Hospital, 1898-1947, are held by London Metropolian Archives.
Publication note:
DESCRIPTION NOTES
Note:
Archivist's note: Originally compiled by Julie Tancell as part of the RSLP AIM25 project. Updated by Clare Button, Archivist, School of Medicine and Dentistry, Queen Mary University of London.
Date(s) of descriptions: October 2001; updated July 2020.