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Barrow Gurney Hospital
( Somerset )
The hospital was first built between 1934-1937 with the first patients being admitted in 1938.
Barrow was built in a more modern style than the nearby Bristol Mental Asylum - The Glenside, which was a huge imposing Victorian building built in the 1850's. Barrow was made up of lots of smaller buildings in a colony style.
By the mid-1920s, the existing City of Bristol Mental Hospital at Stapleton was suffering from serious overcrowding. In addition, the Victorian hospital buildings were now considered too old-fashioned, having been built 'like large barracks' connected by corridors which allowed easy access for staff but provided 'little relief to those [patients] sensitive to their environment.
Extensions to the buildings helped to alleviate the problem to some extent, but it was still abundantly clear that a second hospital would soon be needed. The Bristol Corporation's preferred site was on the nearby Oldbury Court Estate, but when sale negotiations broke down in 1928 the Corporation was forced to look elsewhere and instead purchased 260 acres of woodland called The Wild Country near Barrow Gurney for £20,000.
Design and construction
The new hospital was designed by Sir George Oatley of Bristol to the then-innovative colony plan based on detached 'villas' centred around a central cluster of service buildings. The plan called for 25 villas to house 1,200 patients, treatment centres for local authority and private patients, a chapel, recreation hall, laundry and central kitchens.
The buildings were austerely constructed of red brick with pantiled mansard roofs and were situated so as to give a sense of community and privacy as well as to take advantage of the wooded surroundings which were retained and enhanced by tree-thinning and landscaping.
Construction began in 1934 and although the hospital was not officially opened until 3 May 1939, Barrow Hospital received its first patients in May 1938 with the complex still only half-built. It was intended that the rest of the planned buildings should be gradually added over the following years as funds allowed, but the outbreak of war in September 1939 halted all work on site and the architect's full vision was never realised.
Royal Naval Hospital
At the outbreak of the Second World War the hospital was commandeered by the Royal Navy and became the Royal Naval Auxiliary Hospital, Barrow Gurney. The hospital treated seamen who had been injured during conflicts or who were suffering from psychological distress, brought in through the nearby Port of Bristol.
In 1940, the daily average number of patients under treatment was 356 and the medical and nursing staff numbered 215.The Naval Hospital was decommissioned and returned to civilian use in 1946.
In July, 1948 the hospital was transferred to National Health Service governance. Although the hospital lacked administrative offices, a chapel, recreation hall and laundry, facilities were soon improvised using a mixture of existing buildings and prefabricated structures. During this period, Barrow gained a reputation as a progressive hospital in the treatment of mental illness, accepting voluntary admissions and hosting clinical conferences for doctors from across the United Kingdom.
By the 1960s, however, some reports suggest that standards in the hospital had declined, with patients complaining of boredom, grim surroundings, urine-stained chairs and a distinct lack of comfort.
Nonetheless, the hospital's pioneering work continued, including managing a day Hospital near the centre of Bristol and helping to keep former patients in the community by providing home visits. In contrast to other local hospitals, such as Glenside, patients were not kept in locked wards and only a small number of acute admission wards were segregated. Although the hospital suffered from relative isolation due to its rural setting and a lack of amenities (many of which had been planned but never built) it benefitted from regular bus services to Bristol and Glenside Hospital.
Decline and Closure
In 1960 the hospital's population reached a peak of 453. At this time it was predicted that new community-based care initiatives would lead to a decline in patient numbers to 200 by 1975 but in the event this target was not met. However, there was a noticeable decline in numbers during the 1970s and some residential wards were replaced with out-patient and community support services.
In 2003 the Avon and Wiltshire Mental Health Partnership NHS Trust announced its intention to close Barrow Hospital by 2008. By 2004 only three residential wards remained open. A report published by Mind in 2003 found that on the issue of the hospital's closure, opinion among patients was divided with groups of patients having strong feelings both for and against.
In 2005 a national survey of hospital cleanliness named Barrow as the dirtiest in Britain after inspectors found cigarette burns on floors, graffiti on walls, urine stains around a toilet and stains from bodily fluids on the bottom of a hoist chair.
The report, combined with the collapse of part of the ceiling onto the head of a patient the same year saw the closure plan brought forward and the last ward closed the following year.
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