Royal United Hospital Bath NHS Trust

Description

The Royal United Hospital Bath NHS Trust provides acute treatment and care for a catchment population of around 500000 people in Bath and the surrounding towns and villages in North East Somerset and Western Wiltshire

The Trust occupies a 52acre site about 1frac12 miles from Bath city centre and became a National Health Service Trust in 1992

The RUH catchment area

The Trust provides 687 beds and a comprehensive range of acute services including medicine and surgery services for women and children accident and emergency services and diagnostic and clinical support services

The Trust employs around 3500 staff some of who also provide outpatient diagnostic and some day case surgery services at local community hospitals in Bath amp North East Somerset Somerset and Wiltshire This fulfils part of the Trusts aim to provide high quality care to people in their local communities

Our ambition
To be national exemplar for the NHS through dedicated staff working together to give every patient excellent care

Our Values
In delivering this ambition we will be guided by the following values

We are dedicated to excellent care

We demonstrate respect and equality for all

We work together a united approach to care

We learn plan develop and improve continuously

We are trustworthy

We look after our environment

Our Strategic Objectives
To live by the values and standards we set ourselves

History

Before the 18th Century hospitals in the sense we recognise them today were unknown and with a population of under 2000 at the start of the century Bath was hardly big enough to need one anyway

All that changed with the spectacular Georgian redevelopment of the city which began in the 1700s The population soared the citys fame as a health resort grew and medical facilities of some kind quickly became a necessity The citys first hospital the Bath General Infirmary now the Royal National Hospital for Rheumatic Diseases opened in 1742 but was only open to visitors from outside the city So if you were unlucky enough to contract a disease or suffer an accident it was just too bad if you happened to live in Bath

Fortunately the publicspirited citizens of Bath concerned at poverty and disease in the poorer parts of the town were willing to use their resources to put matters right and formed the Bath Pauper Trust in 1747 to raise money for people needing medical advice and assistance They based their services in a Dispensary in Wood Street which later moved to Lower Borough Walls and became known as the Bath City Infirmary and Dispensary

By the end of the 18th Century the Infirmary was treating around 1500 outpatients and 120 inpatients a year

The scale of Baths building boom created a heavy demand for an accident and emergency service and in 1788 a new casualty hospital opened in Kingsmead Street creating healthy competition between itself and the Infirmary

However these two small hospitals were deemed inefficient and costly and plans were made for a merger This new combined institution sited between Lower Borough Walls and what is now Beau Street was named the Bath United Hospital and opened in 1826 With growing demand for its services the building of an additional wing named the Albert Wing after the recently deceased Prince Consort commenced in 1864 This prompted Queen Victoria to bestow the title Royal upon the hospital and for the first time it became known as the Royal United Hospital

As the 20th Century dawned advances in medical techniques coupled with rising demand for the hospitals services were putting pressure on the old building and thoughts turned to a new site Combe Park the present site of the Royal United Hospital which opened on December 11 1932

Throughout its history the hospital has been dependent on charity often coming from surprising sources One of the earliest donations was the Batheaston Vase a large ornament brought from Italy to Batheaston by Sir John Miller President of the Pauper Trust The fashionable folk of Bath were asked to join a poetry competition and put their entries into the vase Some of these poems were later sold for the benefit of the Pauper Trust and the first installment of pound10 arrived in 1776

In its early years most of the money for maintaining the RUH came from wealthy residents of the city whose annual subscriptions entitled them to vote in public elections for the doctors who worked at the hospital Every year these subscribers were also allocated tickets of relief according to how much they had contributed and they would in turn hand these out to those they considered most in need of treatment This ticket system lasted until 1905 when it was decided that admission should be authorised by doctors instead

This didnt please everyone and definitely alienated some subscribers who felt that they were losing the privilege of bestowing their charity and their power on poorer people So it was decided that though patients would be admitted in future at the discretion of hospital authorities subscribers of five shillings upwards could still send letters of recommendation if they really wanted to

However at this point the type of subscriber had changed In the first part of the 1800s there had been large donations from churches from collecting boxes in all the fashionable meeting places and also from many titled people but income tax and the introduction of death duties reduced the number of wealthy residents and the amounts of cash given By 1900 a large proportion of the funding came instead from pubs from various local businesses and from working mens associations

Proceeds were donated to the hospital from such functions as the Bachelors Ball from drama shows and from Penny Readings Penny Readings were talks on all sorts of subjects generally given in church halls One penny was charged for admission and the proceeds went to the RUH In the early 1900s large amounts were sent in regularly by Bath Cycling Club so much that a representative of the club was given the unusual honour of being elected to the hospital committee

Other donations include a woman who sent half a five pound note and promised the other half a week later because she didnt trust the postman In 1787 one guinea was given by William Wilberforce of antislavery fame Queen Victorias mother sent pound25 in 1830 and pound10 came from Empress Eugenie of France who was at the time living in exile in England

Landowners sent donations from fines they imposed on men found poaching and magistrates directed fines imposed for various crimes such as women who stole flowers from Victoria Park and even a man found fishing in the Parks lake There are also two or three different cases over the years which are described as compensation for slander the people of Bath were obviously a gossipy lot

Larger amounts came from legacies but the wills sometimes stipulated that the hospital must maintain the graves and tombstones of the deceased and up until 1948 ie the birth year of the NHS the RUH was responsible for graves as far away as London Hythe and Brighton

The birth of the National Health Service signalled the start of a period of progressive expansion in hospital services everywhere and the RUH was no exception In 1959 120 years after its foundation the Ear Nose and Throat Hospital in Marlborough Buildings closed and transferred to the RUH Bath Eye Infirmary in Lansdown whose history encompassed 162 years and four changes of address followed suit in 1973

This short summary shows that the Royal United Hospitals history has been a long and colourful one with a common thread running throughout a determination by those in charge to provide the care the people of Bath have needed regardless of prevailing problems History continues to be written The next few years will bring a new milestone in the story of the RUH as a multimillion pound redevelopment changes the shape of the hospital

We are grateful to Kate Clarke for helping to compile this article