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Cane Hill Hospital has held a special attraction
for urban explorers perhaps because of it's magnificent faded grandeur
of its gothic pavilions or maybe just because of the
length of time it has lain abandoned and relatively undisturbed.
It was one of the first sites I saw on urban exploration web sites
years
ago, and it held me fascinated back then reading through some of
the first visits to the derelict hospital. Then when I myself became
involved in exploring, things had changed, security had been beefed
up following a spate of arson attacks and a trip to "the hill" was
something of an achievement. It was months before an opportunity
to visit for myself presented itself. I'm embarrassed to say I
didn't take the chance, put off by the number of recent visits and
photographs appearing on the urbex forums. I just didn't want to
make the effort feeling that I had seen it all before.
Fast
forward
a few
months
and the shocking news was released that Cane Hill, the premier asylum
to visit is about to be handed over to demolition
contractors, time
was running out quickly and I had to go. So one chill morning I
found myself walking up the hill in the company of a few others come
to
pay their respects to Cane Hill, following in the footsteps
of the hundreds of patients and staff who have been a part of the
hospitals life since it opened its doors in 1882.
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The hospital that was to become Cane Hill was conceived
back in 1875. When the Surrey justices of the peace began to receive
an increasing number of requests from the poor law guardians of
several London parishes, requesting that something be done about
the lack of beds in the two existing county of Surrey asylums.
The first of these the Surrey County Lunatic Asylum built near
Wandsworth common in 1840 was struggling to house just under 400
patients
while the second, the Surrey County Asylum at Brookwood, near
Woking which opened in 1862 was similarly overcrowded and was unable
to accept any new patients. As a result the guardians had been
forced to place many of their pauper lunatics into private asylums
which
had recently increased their charges, or pay for their accommodation
at the Berkshire County Asylum in the neighbouring county.
A committee was established to investigate the case
for the proposed third asylum, and they quickly established
that there would soon be no alternative. It was believed that the
savings made on private asylum charges would be more than enough
to cover the estimated costs
of £150,000 need to build third asylum. The poor
law unions were refusing to open
any new lunatic wards within the workhouses, and the superintendents
at Wandsworth and Brookwood reported that they had already sent
many patients out of the county due to lack of space and there
were no more suitable for transfer. The committee concluded that
a purpose built
asylum
for 1,000 patients should be built. At the time the county of
Surrey included a large
part of south London nearly 700,000 of
it's population lived in what would later become part of the County
of London, and beyond easy reach of the existing asylums, The new
one was to be located to conveniently serve
the eastern part
of the county and the parishes within south London.
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The location chosen was a parcel of land within the
northern boundary of the Portnalls estate, on a hill overlooking
the Farthing downs and
the village of Coulsdon. The site was ideally placed on the edge
of built up London close to the Brighton road and with
a proposed railway and station at the foot of the hill offering
excellent transport links. With a location
selected
the
architect
Charles Henry Howell was appointed and plans for the asylum began
to be laid out. He designed the asylum's ward pavilions to
differ from the huge asylums recently completed at Caterham
and Bansted
which featured a procession of identical pavilions. At Cane Hill
the design of each pavilion
suited the needs of different classes of
patients, The infirm,
epileptic, chronic, acute ect. The pavilions were to be
located
around
a semi circular shaped corridor, the asylums treatment
and service areas located within the center of the complex.
Placing
the
wards around the central corridor meant that they converged
as they approached the corridor leaving them, overlooked
and lacking light. Howell
had tried to correct this by placing smaller two story block
in between the larger three story blocks and moving some so
they bisected the corridor with day room on on side of the corridor
and sleeping
rooms on the other side so that they were offset from their
neighboring wards. Unfortunately the effect wasn't entirely successful
Sir Henry Burdett writing in his annual publication Burdett's
hospitals and
charities during
the 1890's described Cane Hill with the following paragraph
"The
old monotonous radiating plan is modified by having smaller, two-story
blocks
inserted between the larger three-story ones, but the effect
is cramped and restricted".
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The Hospital was completed in 1882 and opened its
doors the following year, The asylum was designed as a completely
self sufficient community. The inmates were divided by sex
with the females living in the wards on the left hand side of
the Administration block and male inmates on the right. At the
center of the hospital was the recreation hall and chapel which
were
becoming a standard feature of asylum design in the 1880's.These
facilities
were the only places where early inmates could mix with the
opposite sex at church services and dances within the main hall.
The hospital had been designed to be as self sufficient as possible
and included as whole range of support departments within the center
of the complex. There were kitchens and bakeries capable of feeding
almost two thousand inmates and staff, A large laundry to clean
their cloths and bedding as well and separate bathhouses for male
and females. The asylum was even equipped with its own
fire station equipped with mobile hand pumps, the nearest fire
station was in Purley some distance away right up until the 1970's
the
male nursing staff were expected to race to the fire station when
the alarm bells rang, ready to tackle any fires that broke out
until the fire brigade arrived. To meet
the asylums huge demand for food the asylum also had its own farm
and greenhouses to fill some of its weekly shopping list. Completing
the hospital complex was the queen anne style administration
block which like the other public areas of the hospital was elaborately
decorated with wood paneling and stained glass. Cane Hill was soon
finding itself widely praised in 1887 the state legislature of
Pennsylvania was considering the construction of their first lunatic
asylum. They petitioned Daniel
Hack Tuke a leading British physician and expert on mental illness
for his assistance. Tuke replied that instead of describing the
general arrangements of typical asylums he would send plans a descriptions
of the best asylum in England, The Asylum he chose was Cane Hill.
A year later the Local Government Act of 1888 was
passed which created the County of London and transferred the Surrey
parishes within
and near to the city of London to the newly formed
county. These areas made up the asylum's catchment area so at
a series of meetings representatives of the new county councils
of London and Surrey it was decided that London should take control
of the Surrey County Asylum at Cane
Hill.
As part of the same local government act Croydon had become
a county borough with a new responsibility to provide an asylum
for
its own
lunatics.
It
would
take some time to make the necessary arrangements, so in the
interim a deal was made where 1/8th of the beds at Cane Hill were
made
available to patients from Croydon for a period of five years
with the costs of these patients met by the County Borough of Croydon.
Cane Hill emerged from these changes with the new snappy Title "London
County Council Asylum with provision for Croydon". It is
likely that patients from Croydon continued to be admitted beyond
the
five year period until Croydon Mental Hospital opened in 1903.
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A more substantial change resulting from the reorganization
was an expansion of the hospital, London county council had been
considering the construction of a further asylum but these were
dropped in
favor of an expansion to Cane Hill which resulted in the construction
of two new three story pavilions, a two story pavilion and a live
in nurses block at the rear of the hospital. The
new additions were also designed by C.H Howell whose original plans
had left scope for future expansion, and used the
same blueprints as some of the original pavilions. The later
additions could easily be told apart from the originals by an
additional of a layer of terracotta tiles cladding to half of their
exterior walls. When work was completed in 1889 the hospitals capacity
had increased
to almost
two thousand.
Early treatment at Cane Hill followed the
common practices of the late Victorian age, focusing on humane
treatment and constructive employment. Enlightened thinkers of
the age believed that providing an adequate diet, warmth, clean
clothing,
fresh bedding, sufficient exercise and fresh air would have therapeutic
effects on lunatics many of whom came from the appalling conditions
of a Victorian slum
or the harshness of a workhouse insane ward. It was commonly
believed within
the medical profession that little could actually be done to
treat the insane Dr Clay Shaw, the medical superintendent, at
Bansted
asylum reflected on the lack of effective treatments,
"Except
tonic treatment to improve the general health and special treatment
for cases of suspected syphilis, gout, or lead poisoning, there
is really very little that can be done."
The typical
discharge rate for asylums of the period were less than 12%.
During its early years Cane Hill was an asylum in the
true sense of
the word providing a place of sanctuary and care for the
lunatics it housed. Work, amusements and exercise were the second
important
aspect of the asylum's regime, with the intention of diverting
the lunatics mind and attention from the their illness in
an attempt to snap them back to reality. The fit and compliant
could find employment in the kitchens or laundry
there was even a tailor's department producing clothing.
A few would find employment outside of the asylum complex tending
vegetables in the green houses or caring for the hens, cattle
and sheep
on
the asylum farm. The separation of the different classes
of
patient into purpose built wards was also believed to help
the recovery
of curable patients, who could be kept away from the more
violent and disruptive acute patients. The hospitals first superintendent
James (later Sir) Moody praised the hospital arrangement
of
wards as "very
workable" in typically understated victorian prose.
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During
the 1889 lunatic commission's investigations into the
expansion of Cane Hill, the asylums regime was further praised
by one of the witnesses
a Dr
Albutt who testified
"I may say that I was
exceedingly pleased with Cane Hill Asylum and what
I was saying about
the importance
of
the sympathetic association of the medical officers
and attendants with the patients struck me as more
fully
illustrated there
than in any place I have ever been to. I noticed this
both on the female
and on the male side".
Although highly praised
within the medical community it is the early years of
asylum treatment
that have
created many of the negative myths which still surround
mental hospitals today. With a permanent cure beyond reach, many
of the more disruptive and violent
inmates needed to be restrained physically and the use
of
padded cells and straight jackets date back to the earliest
days of
the Cane Hill. The asylums initial regime
would remain relatively unchanged until the late 19th
century
when
the first attempts to develop a form of treatment began, These included
hot and cold water treatments like cold sheet therapy where patients
were
tightly wrapped in cold damp sheets which aimed to reduce
agitation and clear the brain. Other water therapies typical
of the period
included cold shower treatments or ice cap therapy where
a patient was seated
in a tub of hot bath water for a prolonged period with
a cap filled with ice applied to their heads. These early treatments
could
be considered the first Shock therapies which would later
typify
the asylum system.
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It was around this time Cane Hill would admit the
first of several patients with famous relatives. In 1912 the diaries
of Charlie Chaplin the silent movie star include descriptions of
visits to his mother Hannah who had been admitted to the hospital
with an undiagnosed mental illness around 1910,
"One day while
Sydney was playing football, two nurses called him out of
the game and told him that Mother had gone insane and had been
sent to Cane
Hill lunatic asylum. When Sydney heard the news he showed
no reaction but went back and continued playing football. But
after the game
he stole away by himself and wept. When he told me I could
not believe it. I did not cry, but a baffling despair came over
me.
Why had she done this? Mother, so light-hearted and gay,
how could she go insane? Vaguely I felt that she had deliberately
escaped
from her mind and had deserted us. In my despair, I had visions
of her looking pathetically at me, drifting away into a void."
Chaplin's
remembrances of visiting his mother provide some of
the only descriptions of life at Cane Hill during it's early years.
"During rehearsals Sydney and
I went to Cane Hill to see Mother. At first the nurses told us
she could not be seen as she was not
well that day. They took Sydney aside out of my hearing, but I
heard him say: 'No, I don't think he would.' Then turning to
me sadly:
'You don't want to see Mother in a padded room?' ....'No, no! I
couldn't bear it!' I said, recoiling. ...But Sydney saw her and
Mother recognised
him and became rational. A few minutes later a nurse told me that
Mother was well enough , if I wished to see her, and we sat together
in her padded room. Before leaving she took me aside and whispered
forlornly: 'Don't lose your way because they might keep you here.'
"
"It was a depressing day,
for she was not well. She had just got over an obstreperous phase
of singing hymns,
and had been confined
to a padded room. The nurse had warned us of this beforehand.
Sydney saw her, but I had not the courage, so I waited. He came back
upset,
and said that she had been given shock treatment of icy cold
showers and that her face was quite blue. That made us decide to
put her
into a private institution - we could afford it now."
They
moved her to Peckham House a private mental institution in London
until 1915 when money ran out and Hannah was returned to the workhouse.
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In later years Cane hill would become home to two
other patients with famous relatives the first Terry Burns was
half brother of musician David Bowie, He sadly committed suicide
on the tracks of South Coulsdon Railway station in January 1985
after climbing over the hospital wall. The second was David half
brother to actor Sir Michael Caine, a severe epileptic David had
been admitted to the hospital as a child and spent nearly his entire
life there. Although regularly visited by his mother he was kept
secret from her new family, who only found found out about David
after her death. He died of natural causes in 1992 shortly after
the hospital closed and only 18 months after meeting his half brother
Michael for the first time. These tragic stories are only known
because of the links to famous relatives must surely reflect the
sad stories behind many other forgotten patients who lived with
the hospitals wards over the years.
1915
saw the loss of one of the London County Asylum's leading figures
with
the death
of
Sir
James
Moody
the
first superintendent on the 20th of September. In accordance with
his wishes he was buried four days later in the asylums cemetery
across the road from the Portnalls roads gate house. His grave
was marked with a small celtic cross. The patients who ended there
days in the asylum received less attention, after passing through
the mortuary the unclaimed made their finally journey to the a
cemetery, their resting places were marked with simple pottery
markers inscribed only with their hospital numbers. Surviving grave
markers are preserved in the Croydon
Museum (link). Burials in the hospital
cemetery ceased in the 1960's and the site was sold off for development
in during the
following
decade, it is now the site of a number of houses. Sir James Moody's
memorial was removed to the safety of a plot near the hospitals
administration block but the patients markers were simply cleared
away their remains are believed to have been moved before the new
houses were erected.
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The growth of
scientific medicine during the early twenty century resulted in
the development of the psychiatric concept of mental hygiene which
for the first time recognised mental illness as a nervous disorder
and sought to find its causes and treatment for the conditions
it caused. The introduction of these new treatments for the insane
began a subtle change in the culture of the Cane Hill and for the
first time it began a shift from a place of asylum for long term
care to one of treatment. the most obvious sign of this change
was in it's name, which from 1918 would include the word hospital
for
the
first time when it became Cane Hill Mental Hospital. The change
of name was shared by many asylums across the country
and was
recognised by law in the Mental Treatment Act of 1930, it adapted
the terminology surrounding mental health treatment forever by
consigning the word asylum to the history books to be replaced
by the term mental hospital. Likewise the residents of the mental
health system would now longer be referred to using the degraded
word lunatic, which had lost its original scientific meaning from
then on they were called patients just like the sufferer of a broken
leg.
The earliest
forms of physical treatment for mental illness have since fallen
into disrepute and abandonment and seem quite strange in the modern
age. Malaria had been proven to halt the onset of syphilitic paresis,
a form of dementia associated with the sexually transmitted disease
syphilis, which ultimately results in death. So patients suffering
from the condition were intentionally infected with malaria as
a treatment, and while it was effective against syphilitic paresis
malaria was also ineffectually induced in the suffers of other
mental conditions. The 1930's saw the introduction of deep sleep
therapy in which barbiturates were used to induce a coma lasting
between one to eight weeks as a treatment for schizophrenia and
depression. which led to the similar hypoglycemic shock therapy
which used large doses of insulin to induce a coma and convulsions
in schizophrenic patients. Psychoanalysis also emerged in the 1930's
but physical treatments would remain dominant in the treatment
of the mentally ill within mental hospitals, it was years before
psychiatry and and medical treatments became integrated. The shock
therapies were successful by the measures of their day, easing
the symptoms of the patient leaving them calmer and more manageable
but were a long way from a permanent cure.
They were soon
to be joined by another technique which would prove to have greater
benefits against the causes of some mental illnesses. Electro Convulsive
Therapy was introduced in the 1940's to treat depression, schizophrenia
and Mania, using short pulses of electric currents to induce an
epileptic fit. ECT developed from observations of patients with
depression or schizophrenia, and who also had epilepsy who appeared
to recover after having a fit. Cane Hill was one of the first mental
hospitals in the country to employ ECT and it become widely used
during the 1950s and 1960s for a variety of conditions.
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One of the largest yet at the same
time smallest changes in the hospitals history occurred on the 5
July 1948 when the National
Heath Service was formed. Cane Hill Hospital was transferred from
the management of London council to the South West Metropolitan Board
of the National Health Service under its own management committee.
Despite the changes in the ownership and management of the hospital,
very little changed in the they way it performed its work. Patients
had always been admitted to the hospital without regard to their
means so it already reflected the ideals of the new NHS. The hospital
also found itself with another new name, the word mental was dropped
from it's
title it was now just Cane Hill Hospital the name it would keep for
the remainder of it working life. One of the
changes which resulting from the transfer to the NHS was brought
an end to the hospital farm, in 1953 the health minister announced
and end to all farming and market gardening activities at all hospitals,
as a result Cane Hill's farm was sold off and the greenhouses were
abandoned and allowed to become derelict.
There was how ever some expansion at the hospital when
in 1956 a new industrial therapy unit was added in a single story
block on the western side of the hospital. In a similar approach
to the early regime at Cane Hill selected patients could be employed
in manual tasks paralleling working conditions in the outside world,
but the aim of industrial therapy was to prepare patients for life
in the outside world rather than distract them from a long life within
it's walls. Around the same time a smaller art block was added within
one of the internal courtyards which provided patients with a creative
outlet, but a bigger change was on the horizon.
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The 1950's have been described as
the therapeutic revolution as the development of new drugs were proven
to have huge results
in the treatment of mental conditions. Cane Hill was at the forefront
of this revolution within Britain. In 1953 Dr F.B.E Charatan began
trials of the new drug Largactil on a group of 18 patients at Cane
Hill. Largactil was proven to ease the symptoms of hallucinations,
delusions, agitation and thought disorders and was hailed as a wonder
drug in the mental health community. It was fully licensed in the
Britain the following year and was widely used for its calming effects
Dr Charatan described the effect on his patients as leaving them. "Motionless
and Relaxed; staring, disinterested and remote, but not drowsy, and
with consciousness unimpaired". Lithium was also discovered
as an effective treatment of manic patients and was a mainstay of
the hospital right up until its closure and Tofranil the first effective
anti depressant soon developed into a new family of effective medications.
Not all of the trials performed at Cane Hill were successful in
1955 Dr A. J. Oldham conducted a comparative trial of ECT and the
new drug Isoniazid, in 33 patients suffering from depression. Isoniazid
was developed as an anti tuberculous medication and was proven to
have no beneficial effects in the treatment of depression but during
the 1950's and 60's there was a willingness to try any of the newly
developed medications in the search for the next wonder drug, Dr
Oldman's trial was just one of many conducted at Cane Hill that were
beginning
to reshape the future of mental health treatment.
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The availability
of psychotropic drugs began to break the reliance on the shock therapies
and hypoglycemic
shock therapy,
deep sleep therapy were replaced by the so called chemical lobotomy.
By the 1960's the availability of effective medications was beginning
a move towards out patient care which would mark out the course of
Cane Hill's last thirty years as a hospital. The first public commitment
towards community care was made by the then Health Secretary, Enoch
Powell in a speech made in 1961 which has become known as the "water
tower" speech. In it he committed to the final and complete
closure of the countries large mental hospitals, to be replaced by
community care supported by psychiatric units attached to general
hospitals all within fifteen years. The former asylums like Cane
Hill identified by their gigantic brooding water towers had no place
in the health secretary's vision of the future for mental health,
he went further "For the great majority of these establishments
there is no appropriate future use," In the case of Cane
Hill he appears to have been correct.
It proved to be a lot longer than fifteen
years before Mr Powell's vision came to fruition, but the hospitals
patient numbers had began to decline, by 1965 they had reduced to
1600 resulting in the first ward closures at Cane Hill. Although
the new psychiatric drugs were proving effective many were found
to be short acting and had to be administered frequently in a controlled
environment, something which could only be provided in a hospital
setting which left many patients still unfit for community
care. The search was still being conducted into an effective replacement
for
ECT treatment for depression and Cane Hill was once again leading
the way. In 1963 Dr John Hutchinson and Dr Daphne Smedberg conducted
a comparative study of the effectiveness of ECT in comparison to
six of newly developed anti depressants, involving 200 female in-patients
at Cane Hill hospital. After a three week course of treatment they
concluded that ECT had been dramatically more effective than any
of the alternative
drugs. On a side note Dr Hutchinson must have made an impression
at the hospital, with the Industrial therapy unit being named in
his honor.
Although the process of ward closures
begun during the 1960's it wasn't all doom and gloom at the hospital
in fact a number of new buildings were to open during the course
of the decade. A new nurses hostel had been erected away from the
main
buildings during the 1930's to house live in staff and the growing
number of students coming to attend the Cane Hill School of Nursing.
In 1965 this block was extended by the addition of an 18 bedroom
two floor wing to house the male nurses and students, The main hostel
was reserved for female staff. Not long after the hospitals social
club
erected
its own block.
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The move towards care outside of
institutions had slowed during the 1970's and Enoch Powell's deadline
came and went. The hospital's patient numbers had continued to
drop but very slowly, by 1971 there were 1,451 inpatients with
the hospitals total capacity reduced to 1,750. 1,150 of these were
still confined
to
locked
wards. The remaining patients were given some freedom to roam the
hospital's public areas and some new facilities had been added
to introduce aspects of real life beyond the hospitals walls. Nightingale
ward had been converted into a socialisation center for the patients
complete with with pool tables and darts board for them them to
while away a few hours. The "Pop Inn" cafe would sell
tea and coffees and the patient proud of her appearance could
stop off at the "Top to Toe" boutique for a new dress
or at the hairdressers to get a new doo, but to pay for all these
new delights they would have to stop off at the "patients
bank" first.
By the mid 1970's The first long-acting
anti-psychotic drug "Modecate" was introduced as a counterpart
to Largactil, Modocate which was especially effective in the treatment
of chronic schizophrenia, offered an effective method of medicating
patients outside of the hospital. A single treatment was effective
for several weeks allowing a patient to be treated on an outpatient
basis at a "Modocate clinic" they would only need to
be admitted to the hospital if they refused their injection or
failed to attend the clinic. Meanwhile the new additions to the
hospitals social scene began to take on a new significance in preparing
patients to reenter life in the community.
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The election of the conservative government
in 1979 was to mark a turning point in mental health care. A confidential
report prepared by Cecil Parkinson MP endorsed community care and
recommended a determined program of hospital closures, linked to
a statutory duty of care and financial incentives for local councils
to make provisions within their community. The report found that
although successive governments had made a commitment to community
care, in reality it had not been implemented. Although patients were
leaving the psychiatric hospitals government money and professional
skills were still invested within the hospital system leaving the
released patient in the community without the network of support
they needed. The findings of the report were finally made public
in the "Care in the Community" green paper of 1981 which
introduced a number of measures to transfer funds for mental health
provision away from the NHS to local authorities and voluntary associations,
for the provision of community based programs and hostels, backed
up with acute units and psychiatric wards at general hospitals for
those requiring inpatient treatment. The program allowed the NHS
trusts a period of seven years later extended to thirteen, to develop
and implement a program to transfer their patients to the community.
Cane Hill appears to have been identified
for closure quite early in this process, By 1985 the inpatients at
the hospital
had dropped to 643. As the hospital wound down wards were closed.
The building's modular design allowed for whole pavilions to be sealed
off as they became surplus to requirements without affecting the
remainder of the hospital. The long held practice of separating the
patients by sex had also been abandoned, wards were now mixed and
although the dormitories were still separate, patients could now
mix within their ward's day rooms. The former male side of the hospital
already contained some wards which had been closed in the 1960's
and 70's so it was selected for closure first, one by one the wards
it housed were shut from the rear of the hospital moving forwards
as patients and services were transferred to the former female side
and then to the outside community. By 1989 only Rossetti the male
medical ward, Nightingale the socialisation center and the Queens,
Olave pavilion along side the administration block remained open
in this half of the hospital.
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As the hospital contracted
into a smaller area within the left hand side of the hospital building
many of the wards there began to find a new if short lived purpose,
One became a store for disused hospital equipment removed from
other closed wards part of Ellis wards was converted to house the "positive
futures exhibition". Finally the residential wards on this
side of the hospital began to close too, followed by the Pop Inn
and Top
to Toe, by the end of 1991 the hospital which had once been home
to 2000 patients was all but empty It finally closed its doors
in on the 31st of March 1992 after 110 years providing mental health
care to the residents of south London. Care in the community
was heavily criticised during the 1990's for abandoning
the mentally ill to a life of homelessness and crime on the streets,
In independent review of the policy the resettlement program pursued
at Cane Hill was used as evidence for the it's success, less
than 1% of the patients leaving the hospital was found to be untraceable
or homeless.
As predicted by Enoch Powell in the
sixties Cane Hill struggled to find a new role following its closure
as a hospital,
the site was located within the london green belt which limited
its potential for redevelopment. Its design of radiating wards
criticised in its early years for the poor light within them, did
not lend
themselves so easily to conversion for residential use as many
other former psychiatric hospitals did and they failed to attract
a developer willing to take them on. The years have been unkind to
the disused
hospital,
it has suffered many attacks by arsonists and vandals.
Cane Hill eventually found itself in the hands of English
Partnerships the national regeneration agency established to
dispose of former government properties and stimulate their redevelopment.
In 2007 plans were submitted for the demolition of the buildings
at
Cane Hill to make the site more attractive for a mixed use development.
The only buildings set to remain are the administration
block, chapel and the water tower which have gained a local listing
because of their importance historically and as local landmarks.
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My visit to Cane Hill Hospital came in the summer
of 2007 two days before the demolition began accompanied by a group
of fellow photographers come to capture some final images of the
complete asylum. After making the climb up the hill along Portnalls
road we followed the
footpath
alongside
the hospital, here and there one of the great pavilions emerged
from the overgrown trees and bushes within the hospital grounds.
We entered
the hospital on the old female side through a door which led
into
the pavilion
that contained Browning and Blake wards. Each ward
occupied a whole floor of the pavilion, Browning on the first floor
and Blake
on
the ground floor. We first headed up the stone steps of the main
stairwell towards Browning. The ward like all the others in the
hospital
was
divided up into separate rooms we entered into one of three
day rooms which occupied the central section of pavilion, they
were joined to each
other
by an open double doorways. At each end of the pavilion the
day rooms
led on to communal dormitories. In the early years both
of these would have been reserved just for female patients, but
as the hospital
began to close the ward was shared with one dormitory for females
and the other for male patients. I headed off into the female
dormitory where despite the ravages of sixteen years abandonment
it
was still equipped almost exactly like the day it was closed.
Along each wall
beds were still lined up with the privacy curtains hanging
between them, the bed lockers still labeled with
their
last patients name, one still had some greetings cards on top
of it. At
the end of the ward a medical trolley still held the equipment
used on its last rounds, a syringe, cotton buds and an empty vial of
Lithium.
Back out in the
day room the doorway we entered through was flanked by a row of doors,
back
when the ward was first built these led to the seclusion rooms used
to patients too disruptive for a night in the dormitory.
In later
years they had been converted to other uses, One was the ward office,
it still contained a desk crowded with paper work marked "Cane
Hill Hospital".
On the wall a white board recorded the names of the last patients and
their course of treatment. Another room had become a small dispensary
with a large medical cabinet firmly mounted to the walls. Next door
another had become a wardrobe, from a clothes rail on the wall, hangers
labeled with patients names were still hanging the outside clothes
they once stored had gone along with their owners. The day room itself
was
filled with abandoned equipment a large mobile plate warmer stood in
the center of the floor still full of stacked NHS plates, over in the
adjoining day room a smashed upright piano lay on the floor. The male
dormitory was less intact than the female one, beds still lay against
the wall under a thick covering of dust. Here and there a pillow remained
marked as the property of "Bromley Health Authority".
Browning ward was typical of the many wards in Cane Hill we would visit
that day there had been forty nine wards in the hospitals heyday. The
layout of each ward was slightly different depending on which type
of pavilion
it was housed within. Blake ward which we visited next was identical
to Browning above it. The ward was almost empty apart from a mountain
of hospital equipment piled up in one of it's day rooms a stack of
zimmer frames along side abandoned wheelchairs. Plans of the hospital
in its
final years show the ECT Unit attached attached to Blake ward. The
treatment rooms were located in a small block where the ward met the
corridor network
the ward itself housed the recovery unit where patients came round
from a course of treatment.
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Leaving the ward block we entered the
hospital's corridor system for the first time the wards we were leaving
were the closest to the administration building at the front of the
hospital, and we headed there next. The corridor which took us towards
admin had a few doors along its left hand side. The first of these
opened out in to the hospitals dental clinic, in the center of the
room the treatment chair was still sat, the floor of the room slowly
collapsing around it. Next door was the patients library in an equally
poor
condition,
small weeds were taking hold in the damp floor boards around a magazine
rack which still held copies of magazines from 1991. The library
shelves had been emptied of books but the labels on the shelves did
not refer
to the latest works of fiction, but instead catalogued the hospitals
death records, The room had been the records room before it became
a library.
At the end of a the corridor we reached
the administration block, where a hallway lead to a one of the front
doorways. The administration block was once decorated with wood paneling
and
stained
glass but most
of the decoration has been removed leaving a series of empty rooms.
No clues to their former purpose remains, it is impossible now to
tell the difference
between the medical library, hospital managers office or the personnel
department which all occupied rooms within the administration block. After
a quick tour through the empty rooms we headed back down the corridor
towards the the center of the
hospital, after a short distance the corridor reached a crossroads
where it met the main semi circular corridor linking the ward pavilions.
Stepping out of the corridor we entered the staff cafeteria, among
the undergrowth of plants which called the room home the outlines
of a canteen could still be seen, a broken roll down counter curtain
still hung over the serving counter and in the corner lay the skeleton
of
a broken Coke machine. The cafeteria had originally been the female
bath house where two rows of bath tubs had been lined up side by
side.
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We headed out of the cafeteria
through the adjoining kitchen back out into the corridors, We
were now heading down the main corridor towards the ward blocks,
As
we got closer to the first pavilion the roof of the corridors had
collapsed where it passed through the center of the pavilion.
The wards within the pavilion, Cruden and Chaucer had been destroyed
in a fire which had also damaged the corridor. The
next
pavilion
housed
Dickins
and
Donne wards we headed inside and had a look around the usual
array of day rooms, and dormitories. Up on the second floor in
Donne
ward it's long south facing day room was lined with a row of doors
leading
into seclusion rooms. Each of these had two glazed spy holes one
at eye level and the other much lower down so that any one trying
to hide
below eye level could still be observed from out side the door.
Donne ward was originally spread over the two upper floors of the
three
story pavilion on the first floor the doors had been lined with
chipboard to give them a "modern" appearance but up on
the second floor they were in their original condition, had the
second
floor been closed some time before the remainder of the ward.
Moving further around the along we reached Ellis
Ward, one of the smaller pavilions which crossed the corridor.
The doorway to the right hand section was advertising
the "positive
futures exhibition" I wonder if it was held to allay the concerns
of the patients or the staff. We headed past Ellis and moved on
to
Faraday ward next
door. Faraday was on the ground floor of another three floor pavilion,
It was crowded with disused hospital equipment stacks of old beds
were barricading the windows of it's large dormitory while unwanted
cleaning
and cooking equipment labeled with the names of half a dozen other
wards was stacked in the center of the floor. In one corner of
the ward one of its four large bay windows had been partitioned
off to form an
office, scattered across the floor were the redundancy consultation
notices of staff who jobs ended with the hospitals closure.
Up stairs on the second floor was the
Cane Hill school of nursing, Up here generations of staff
received
their
training. The large ward space had been divided up into a series
of class rooms. One of these still held a circle of chairs surrounding
a blackboard displaying the induction program, It is strange
to think of the last class of student nurses around this board,
they
must
have been only too aware of the hospitals fate. In another class
room there was a collection of Nursing times dating back to the
seventies, the subscription appears to have expired in 1991.
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Moving on from the school of nursing
we continued around the wards of the female side. Heading past the
small pavilion containing Guy ward. Until we reached the end of the
semi circular corridor where it reached the first of
the
extension
blocks
built
in 1888, the
three story pavilion
of
Hill
and
Hogarth
wards.
We stopped off for a quick look around inside the wards passing through
a familiar sequence of dormitory and dayroom before moving on. As
we left the pavilion behind we didn't reenter the corridor system,
a stairwell at the end of Hogarth ward up on the first floor was
shared with the adjacent pavilion. Passing through the
landing
we emerged in Johnson Ward, It's shared dayroom and dormitory was
empty
except for a woven basket, we quickly moved through and headed towards
the last of the pavilions on the female side the towering three floor
Kings, Keats and Keller wards.
This pavilion was exactly the same
layout as Hill and Hogarth but it contained one surprise for us,
half way
along the long corridor like day room of Kings ward was the old victorian
mortuary trolley, It should have been in the mortuary building where
it was used to transfer bodies to the chapel of rest. We later discovered
it had been dragged up here
by some
amateur
film
makers
a
few nights
before our visit. We left the block back on the ground floor where
a
corridor lead us towards the center of the hospital, All along this
corridor there was a row of thick glass brick windows where the corridor
ran along side Jenner Ward. We turned into the ward as a route back
towards the main semi circular corridor, it was identical to Johnson
ward above it. As we moved through
the ward we noticed the the glass block windows looked into the ward's
seclusion cells giving them very poor diffused light. heading out
of Jenner ward we headed for the last ward block we would visit for
a
short while, following the corridor round a corner we found our selves
at the stair way up to Lidget ward which had been the patient socialisation
center during the last months of the hospitals life. The remains
of a pool table still stood in the center of the ward, while the
tattered remains of
bright orange curtains flapped in the breeze. Patients would have
whiled away the hours in Lidget playing games of pool, darts and
participating
in arts and crafts like knitting or jam making. Unfortunately the
cues were gone so denied a game of pool we headed back down stairs
and outside
for a short while.
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Taking a shortcut through the modern
industrial kitchens tacked on to the back of the main building, we
were soon back out in the fresh
air and heading across the laundry yard towards the mortuary. The mortuary
was housed in a stand alone building discretely hidden away next to
the hospitals maintenance buildings. Given the sheer size of Cane
Hill it's
mortuary was also much larger than most other institutions. The single
story structure was divided up into three rooms. We entered through
the closest of these the mortuary chapel where bodies would be laid
out
for collection, the barest traces of its past still remained. The heart
of the mortuary, the post mortem room lay in the center of the building.
Dominated by its two ceramic mortuary tables, a few other
remnants of its past remain such as the attendants boots and overcoats.
The room
was lit by oversized arched windows to provide the morticians more
light to work. Beyond the post mortem room the final room held the
mortuary
fridges where bodies
were stored while awaiting collection or burial.
Leaving the mortuary behind we headed back towards the main hospital
buildings. We cut back across the laundry yard and entered the laundry
itself. The main laundry room was a large single spanned hall, which
still contained a row of oversized washing machines and a huge steam
press for ironing the many bed sheets which would have been needed
every day in a hospital of Cane Hill's size. Along side the laundry
there were
three small indoor drying rooms, separated in to small pens where the
laundry could be hung up to dry. A raised platform in the center drying
room
lead us up to a raised wooden walkway
which linked
the
laundry
to the main buildings.
This too had suffered in an arson attack, as we crossed it to re enter
the hospital we were back out in the open. Once back inside we found
ourselves a short way down the corridor from the "Top to Toe" boutique,
with all
the stock long gone we were only able to recognised it from the sign
hanging above its open counter.
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We then followed the corridor which
runs along the back of the hospital following it round a few corners
until
we reached the
first of the wards on the male side, Nightingale ward which was
the socialisation center before it moved to Lidget. The ground floor
was a simple large day room which was completely empty. It didn't
take us long to look around as there was very little to see, But
up on
one of the walls there was a decorative frieze of cherubs the first
sign of any original decorations we had seen in any of the wards.
Back out on the corridor we turned another corner which took us to
the Tailor's
department where patients were employed producing clothing to be
used around the hospital, It too was completely empty but one of
the three
rooms which made up the tailors was decorated with a mural of a steam
train approaching down railway tracks.
We left the tailors department on the
first floor landing between two of the ward blocks, To our right
a short passage led to Zachary
ward which had been closed since the 1960's. Looking in through the
open ward door the floor looked far from safe so we didn't go in,
Instead
we found the stair way leading down and went to have a look in York
ward on the ground floor. York had also been closed in the sixties
and may
have been used for storage since then. One of seclusion rooms still
contained patient's suitcases left behind by their owners. York ward
was right at
the end of the male side of the semi circular corridor which would
take us through the right hand side of the hospital. We passed the
first
pavilion and moved on towards it's slightly more interesting
neighbour.
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The next pavilion along had housed
Vincent and Vanbrugh wards, and was a mirror image of the huge three
floor
pavilions on the female side of the hospital. It wasn't possible
to visit the wards they had been destroyed in another of the frequent
fires which have plagued Cane Hill since it closed. Back in 2003
a
firework sparked off a fire which has gutted the
pavilion, causing the floors on the upper floors to partially collapse.
Although the damage is shocking to see the view we got up through
shell of the pavilion exposed the construction methods used to build
the
pavilions the open spaces of the day rooms spanned with heavy iron
cross beams propped up with slender pillars in the center of the room.
We continued round the main corridor
passing the remaining male wards. We took a look in a few of the
wards as we moved towards the front of the hospital, as they had
closed
before those on the female side they were a lot emptier and in a
worse condition.
When we reached the end of the right hand side of the semi circular
corridor we turned off
it and headed back towards the administration building, The corridor
we
were now walking down took
us
past the
burned
out remains
of the
recreation hall. It had been the social heart of the hospital but
was now fire gutted, semi collapsed and chocked with tall weeds. Further
along we reached the hospital pharmacy where the medications
were stored and prepared. The room was divided up by a few work
benches which were still cluttered with trays and pill bottles.
Mounted on the far wall was a still for producing distilled water,
and
high
up on a shelf the pharmacist's reference books from 1979 and 1980 were
still waiting to be consulted. With the draws
and cupboards hanging open the pharmacy did resemble the scene
of
a burglary
but it was still
one of the many places within the hospital where you could imagine
people working just a few days before, not sixteen years.
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The pharmacy sat along side our final
stop of the day, the chapel. unlike many other asylums where the
chapel was built
apart from the main buildings, at Cane Hill it was right at the center
of the hospital. The Chapel is very hard to describe and can only
really be appreciated with your own eyes. Its yellow and red brick
work forming
patterns which in the early days must have been a rare splash of
colour compared to the plain decoration of the wards. As a good Victorian
establishment religion played an important part in the hospitals
life,
Church services at the chapel were well attended patients capable
of leaving the wards. It also became a popular place for patients
to meet
with their visitors. The chapel remained an important part of the
hospital right up until its final days on the 29th of February 1992
just one
month before the hospitals closure it played host to service of thanksgiving
for the life and work of Cane
Hill
Hospital.
Our time at Cane Hill was also coming
to an end after eight hours of wandering its wards and corridors we
made our way back to Blake ward where our journey began and headed
out of the hospital and back down the foot path to Portnall's road.
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