| Royal Marsden Hospital | |
|---|---|
| The Royal Marsden NHS Foundation Trust | |
 Royal Marsden Hospital | |
  Shown in Kensington and Chelsea | |
| Geography | |
| Location | 203 Fulham Road,Chelsea, London,SW3 6JJ Downs Road,Belmont,SM2 5PT, United Kingdom |
| Coordinates | 51°29′27″N0°10′22″W / 51.4908°N 0.1729°W /51.4908; -0.1729 |
| Organisation | |
| Care system | NHS England |
| Type | Specialist |
| Affiliated university | Institute of Cancer Research Imperial College London |
| Patron | The Prince andPrincess of Wales |
| Services | |
| Emergency department | None |
| Beds | 289[1] |
| Speciality | Oncology |
| History | |
| Opened | 1851; 174 years ago (1851) |
| Links | |
| Website | http://www.royalmarsden.nhs.uk |
| Lists | Hospitals in the United Kingdom |
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TheRoyal Marsden Hospital is a specialistNational Health Serviceoncology hospital inLondon based at two sites inBrompton, inKensington and Chelsea, andBelmont inSutton. It is managed byThe Royal Marsden NHS Foundation Trust and supported byThe Royal Marsden Cancer Charity.
In addition to providingcancer diagnosis, treatment and care, The Royal Marsden is a major centre forcancer research and teaching. It has a close affiliation with theInstitute of Cancer Research, which originated as the hospital's research department and is located alongside the hospital in Brompton and Belmont. Through its subsidiaryThe Royal Marsden School, it offers undergraduate and postgraduate degrees in cancer care validated by theUniversity of East Anglia.
The Royal Marsden's Brompton site is adjacent to theRoyal Brompton Hospital, inFulham Road. As of 2020[update], this site had 112 inpatient beds and 7operating theatres.[1]
The Belmont site is in the far south ofGreater London, adjacent to the former Sutton Hospital,High Down andDownview Prisons, and theMetropolitan Green Belt. This site houses some of the hospital's large diagnostic andradiotherapy equipment, including the UK's only combinedMR-Linac.[2]
The Royal Marsden provides diagnostic services, treatment and care for adults and children with cancers, as inpatients and outpatients, or as day care. 50,000 people are treated at the Royal Marsden annually.[3]As of 2020[update], theCare Quality Commission reported that the Royal Marsden had 219 inpatient beds, 70 day care beds, and 513 outpatient clinics.[1]
The Royal Marsden works in collaboration withThe Institute of Cancer Research (ICR),[4] which was founded in 1909 as the hospital's research department.[5] The ICR legally separated from the hospital when the latter became part of the NHS in 1948,[6] but the two retained close ties. The ICR's laboratories are located alongside the Royal Marsden in Brompton and Belmont, and the two organisations produce a joint research strategy.[7] Many of the hospital's consultants also have research roles with the ICR,[8] and some facilities are shared between the organisations, such as the Joint Department of Physics, which operates thelinac.[9]
The hospital also participates in wider research collaborations, including a major partnership withImperial College London in the Imperial College Academic Health Science Centre.[10]
The Royal Marsden was the first hospital in the world dedicated to the study and treatment ofcancer. It was founded as the Free Cancer Hospital in 1851 byWilliam Marsden at 1,Cannon Row,Westminster. Marsden, deeply affected by the death of his wife Elizabeth Ann from cancer, resolved to classify tumours, research the causes and find new treatments. The hospital at first consisted solely of a dispensary and the drugs prescribed werepalliative and aimed at treating symptoms, but it allowed William Marsden the opportunity to study and research the disease.[11][12]
The hospital quickly outgrew its original premises as it became apparent that some patients required inpatient care. It moved locations several times during the 1850s until its benefactors decided to find a permanent solution.[11]
Funds were raised to build a dedicated new building on a tract of land in Brompton along theFulham Road.[11] The design was byMessrs John Young & Son.[13] The hospital was granted itsroyal charter of incorporation byKing George V in 1910 and became known as The Cancer Hospital (Free).[12] This was subsequently changed byKing Edward VIII to include the word ‘Royal’.[11][14]
When theNational Health Service was formed in 1948, the Royal Marsden became a post-graduate teaching hospital. In 1954, it was renamed the Royal Marsden Hospital in recognition of the vision and commitment of its founder.[11][14]
In response to the need to expand to treat more patients and train more doctors, a second hospital inSutton, London, was opened in 1962.[15][12] The original buildings on the Sutton site were first used as theBanstead Road branch of the South Metropolitan District School, which was a 'district' school for children ofworkhouse inmates in south London. In the 1890s, girls were kept at the Banstead Road site and boys were kept at a site in Brighton Road, which was built in 1851. The Brighton Road site later became Belmont workhouse and Belmont Psychiatric hospital, before being demolished in the 1980s. The Banstead Road site later became asanatorium, before the southern half of the site was acquired by Royal Marsden in 1962.[15]
On 2 January 2008, just before 1:30 pm, a fire broke out in a plant room on the top floor of the hospital. When the fire was at its peak, 125 firefighters and 16 ambulances were in attendance.[16] Over the period of the fire, 111 fire appliances attended with 56 officers including the assistant commissioner.[17] The smoke was visible for miles around.[18]
All 200 staff, outpatients, and 79 inpatients were evacuated to a local church and the neighbouringRoyal Brompton Hospital, some carried on mattresses by emergency responders and doctors.[16] Five operating theatres and at least two wards were put out of action. Two patients were undergoing surgery in the operating theatres in the basement and had to be evacuated. Two firefighters and one member of staff suffered slight smoke inhalation but there were no other casualties or injuries. They were taken to another hospital for treatment.[19]
The entire roof of the Chelsea Wing of the hospital was burned through, and the top floor was also affected, but a hospital official said that damage was less than thought and no research documentation had been lost.[20][18]
The surgeonWilliam Ernest Miles was appointed to the hospital in 1899 and at the age of 60 was forced to retire, much against his will.[21] In 1908,Thomas Horder, later raised to thepeerage, was appointed as the hospital's first physician.[22][23]
Professor of radiotherapy at the University of London David Waldron Smithers chaired the committee that constructed and established the Surrey branch of the Marsden, which was opened in 1963. He led radiation oncology at the hospital.[24][25] The Royal Marsden's main lecture theatre is named in honour of consultant radiotherapist Julian Bloom.[26]
| The Royal Marsden NHS Foundation Trust | |
|---|---|
| Type | Specialist |
| Established | April 2004 |
| Budget | £578 million (2022-23)[27] |
| Hospitals | The Royal Marsden Hospital |
| Chair | Douglas Flint |
| Chief executive | Cally Palmer |
| Staff | 3,978[1] |
| Website | www |
The Royal Marsden Hospital is operated by anNHS Foundation Trust. Formed in April 2004, it was one of the first NHS Foundation Trusts.[28]
It was named by theHealth Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 3528 full-time equivalent staff and a sickness absence rate of 2.85%. 89% of staff recommend it as a place for treatment and 71% recommended it as a place to work.[29]
In March 2016 the trust was ranked third in theLearning from Mistakes League.[30]
The trust hopes to raise 45% of its income from private patients and other non-NHS sources in 2016/17 and is trying to raise its income from paying patients from £90m to £100m.[31] According toLaingBuisson it is the most commercially orientated NHS hospital. It increased private patient income by 13% from 2014 to 2016 to £77 million.[32] In 2018-19 it made £121 million through its private patient units, more than a quarter of its total income, and about 18% of all the private healthcare carried out in England by the NHS. This growth was led by imaging and robotic surgery.[33] In 2019-20 50% of the trust's total revenue, £463 million, came from NHS work. 9% came from Kuwait. Payments from health insurance firms accounted for 16%, and self-pay patients for 2%. The main commercial rival is Leaders in Oncology Care which in 2018 had income of £95 million across its four sites.[34]
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