886 SOUTHPORT ISOLATTON HOSPITAL.

A NEW ISOLATION HOSPITAL ATSOUTHPORT.

ON Oct. 14th Sir George Newman, on behalf of theMinistry of Health, opened the new isolation hospitalbuilt by the Southport Corporation Health Com-mittee. The new building, which he described as some-thing unique of its kind, replaces two old hospitals:a temporary isolation block in Moss-lane and a smallinfectious diseases hospital in Shaftesbury-road, now

two single wards for private patients, and there is aday room in each for convalescents. Other smallwards take two or four patients. The observationblock has eight single rooms, opening on to a southernverandah. The dividing walls are fitted with largeplate-glass panels for observation. Ample and well-segregated .sanitary accommodation is provided, andspecial combination bedpan, bottle, and mackintoshsinks with foot control taps are fitted in each annexe.The administrative block contains rooms for the

visiting doctor, matron, nurses, and servants, andthe kitchen is equipped with electric and steam

FIG. 1. -

New Hall Isolation Hospital, Southport. The Tuberculosis Pavilion.

used for tuberculosis. The site of 170 acres was

purchased in 1923, but the coal stoppage last yearcaused delay in completing the building. The hospitalstands on the highest part of the land and occupies12 acres, the rest being let as a farm. There are twoscarlet fever blocks with 42 beds, a diphtheria blockaccommodating 20 patients, and an observation anddischarge block. There is also a tuberculosis pavilion(Fig. 1), entirely cut off from the other part of thehospital and divided into two sections, for men andwomen. Twenty-two patients can be taken here, andoutdoor shelters provide eight more beds. It isprovided with two recreation-rooms and a common

cooking ranges. Power is supplied from the powerblock, which contains boiler huuse, laundry, calorifierhouse, transformer, and disinfectur rooms, garage,and water-softener room. Behind it is a smallmortuary with two post-mortem slabs. The sewageis purified on the premises and discharged into aneighbouring brook.

, The entire hospital is surrounded with a belt ofpine trees and an unclimbable fence. The buildingsare all one-floored, of brick and Welsh slates, and thewhite enamelled walls of the wards are faced with

plaster finished in Parian cement. The sanitaryannexes and corridors have a white glazed-brick dado

FiG. 2.

New Hall Isolation Hospital, Southpurt. Part of the Fever Block.

dining-hall, and the whole building is laid out in anup-to-date manner. The floors are covered withwax-polished oak blocks and the wide oak doors aremade so that the upper glazed part,s can be used aswindows and opened in any weather. The usualoffices include a special steriliser for sputum mugs.The fever blocks (Fig. 2), as well as the tuberculosis

building, are designed to obtain a maximal amountof sunlight. On the south side of each is a verandahwide enough. to take the beds. Each pavilion has

up to 4 ft. 6 in., with plaster finish above. The wardwindows are of the metal " Austral " type. Theduty rooms and wards are warmed with open fires,low-pressure heating system, and electric heating.The estimated cost of the buildings is £81,000.

The staff is to consist of a matron, 4 sisters, 14 nurses,12 servants, a gardener, an engineer, and an ambulancedriver. The three latter have cottages in the grounds.The Health Committee hope soon to add an X ray

block.

887ST. ANDREW’S HOSPITAL FOR MENTAL DISEASES.

ST. ANDREW’S HOSPITAL FOR MENTAL

DISEASES, NORTHAMPTON.

. IN 1804 an anonymous donor presented to the

governors of the Northampton Infirmary a sum of£100 " towards carrying on their design of making aprovision for persons disordered in their mind." Thiswas the beginning of the " Northampton GeneralLunatic Asylum," opened in 1838 for 52 pauper and30 private patients. From 187U only private patientswere received, and the institution became known asthe St. Andrew’s Hospital for Mental Diseases, nowthe largest of the 13 registered hospitals of England.The foundation-stone of a new reception hospital

was laid on June 27th, 1924, and the completedbuilding, accommodating 32 patients, was opened on

by sound-proof doors, where noisy patients can

be treated. Bathrooms are provided both off thedormitory and off the corridor linking the singlerooms. Each of the upper and lower horizontals of" E " contains admission and examination room,waiting and visitor’s room, linen and store cupboards,a massage-room, and a large hydrotherapy hall. Thelatter contains three prolonged-immersion baths andan electrical bath, and the latest appliances for sprays,needle baths, massage douches, and lava,ge have beenfitted, as well as a Turkish bath. A special room is; devoted to various kinds of hot packs, and at thejunction of each horizontal with the vertical limb of" E " is a large clinical room where the oculist and rhino-

logist can do their work, and where such investigationsas fractional test-meals, blood examination, and thecollection of samples can be carried out. In this roomspecial treatments for focal sepsis are to be given.

48 MALE SIDE-Plan of ground floor of hospital. The female side is not shown as it is a replica of the male side. An upper story over the central

block contains operating room, laboratories, and staff quarters. (1) Entrance ; (2) admission and examination-room ;(3) nurses’ duty room; (4) waiting-room; (5) visitors’room ; (6) dormitory ; (7) day room ; (8) female dining-room; (9) maledining-room; (10) nurses’ mess-room; (11) orderlies’ mess-room; (12) hydrotherapy; (13) Plombieres; (14) massage;(15) dressing-room ; (16) clinic and oculist ; (17) single rooms ; (18) detached single rooms; (19) sitting-rooms; (20) solarium;(21) verandah ; (22) bath-room - v (23) main hall ; (24) vegetable scullery ; (25) pantry ; (26) kitchen pantry ; (27) milklarder ; (28) larder ; (29) cooks’ store ; (30) servants’ hall ; (31) kitchen ; (32) scullery ; (33) servery; (34) glass and china ;

(35) ward kitchen ; (36) pack-room ; (37) store-room ; (38) patients’ clothes ; (39) linen ; (40) dispensary ; (41) consulting-

room ; (42) doctor; (43) modical library ; (44) bed lift; (45) dental room ; (46) photography ; (47) dark room ; (48) X raysand electrical treatment ; (63) boots and knives ; (64) washing shed ; (65) coal ; (66) yard (67) wood ; (68) covered yard(69) cloak room. (A) cut off lobby ; (B) soiled linen ; (c) w.c. ; (D) lavatory ; (E) housemaids’ sink.

Friday, Oct. 14th, by the Lord Chancellor. In a hospitalfor patients who have a reasonable prospect of recoverythe reception department is, perhaps, the most import-ant of all. In mental disorder the cooperation of thepatient is even more essential than in physical disease,and first impressions of an institution may make all Ithe difference between confidence and despair or

negativism. In planning their new building thegovernors have aimed at providing every possibleequipment for the treatment of early mental disorder,and at segregating noisy patients. At the openingceremony Lord Cave expressed a hope that voluntarysubmission to treatment would soon be extended tocounty hospitals.The block stands in its own gardens on a site

sloping southwards, and has roughly the shape of theletter E, nearly two-thirds of which are shown in thefigure. Along the vertical stroke of the " E " lie singlerooms, for men and women, on either side respectivelyof the central horizontal. Near the middle blockare day-rooms, cloak-rooms, and solaria. At eachextremity of the vertical are dormitories each with10 beds and large verandahs opening off them on to which beds can be wheeled. Jutting off from eachdormitory is a single two-room suite, trebly isolated

In the central horizontal of " E " are the dining-rooms,grouped around a servery which communicates withthe kitchens, occupying the free end of the block.An extension of this line across the vertical-i.e.,southwards, provides an administration block, withconsulting-room for psychotherapy, medical library,and dental room. In this is a special X ray unit forphotographing teeth, and a photographic and dark-room adjoin, so that every facility for modern dentistryis at hand. The main electrical departments lie justbehind, and are equipped with the latest type ofapparatus for diagnosis and treatment, includingartificial sunlight, diathermy, and high-frequencyinstallation.The first floor only extends over the middle

horizontal and a little way along the vertical oneach side. In the latter part the nurses have theirrooms, while the domestic staff are housed above thekitchens. The operating theatre, over the dining-rooms,is connected with the ground floor by a bed lift. Abovethe administrative block are the two laboratories, onefor biochemical work, and the other for bacteriologyand pathology. They are designed to work in closecooperation with the clinical rooms, where preliminaryand simple investigations are to be carried out.