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Extracted from the archives of Rowan Flack
Former Clinical Nurse Officer, Rushden Hospital, 1966-1990.
Transcribed by Greville Watson, 2008

RUSHDEN HOSPITAL

First Annual Report Psychiatric Division January 1984


Annual Reports in the past have been prepared by the Senior Chest Physician and they related to statistics and matters pertaining to the Chest Service as a whole which included the Tuberculosis Service.

From now on the Report shall relate to all of the services managed at this hospital, the Elderly Mentally Ill, Mental Handicap, G.P. Beds and the fast diminishing Chest Service.

BRIEF HOSPITAL HISTORY

In 1919 Rushden House was purchased by the Administrative Council for the County of Northamptonshire for the purpose of opening a Sanatorium for the treatment of patients suffering from all forms of Tuberculosis and in September 1921 the first patients were admitted to Rushden House Sanatorium.

Times were hard and treatment even harder but at least the 'White Plague' in Northamptonshire was being treated.  A very interesting but never-the-less another story.

The first major change occurred between 1934 and 1940 when three of the old Wooden Wards were replaced by four modern brick buildings providing much more comfort for patients and considerably better working conditions for staff and in 1960 a fourth hut was removed to provide space for a car park.  The two larger wards (20 beds) were in the periphery and used for convalescent patients and the two fourteen bedded wards were linked by corridors to a Treatment Centre where most of the curative measures pertaining to Tuberculosis were carried out.

Tuberculosis was on the decline and in 1957-58 a Dermatological Unit was opened in the large house comprising eleven beds.

In the early 1960s because of a further decline in Tuberculosis it was decided to admit patients suffering from other chest diseases such as Lung Cancer, Chronic Bronchitis, Asthma and Spontaneous Pneumothorax and the District Chest Service was born.

It seemed also appropriate at this time to rename the Hospital because of its connections with the past and instead of Rushden House Sanatorium it because just plain Rushden Hospital.  At that time there were eighty-three beds.

In 1968 because of the difficulties experienced by parents of children with Mental Handicap who had to travel to Pewsey in Wiltshire for assessment and treatment affecting their child, Colton Ward was partially converted in order to receive twenty such patients of various ages and varying disabilities.  At the same time a link corridor was built between Sharwood and Hensman Wards so that all Chest patients would be under cover to and from the Treatment Centre where chest X-ray, Bronchoscopies, Chest Aspirations and the like were carried out.

In 1971 bed occupancy became very low and a suggestion was put forward regarding G.P. beds.  This was accepted and with effect from December 1st, 1971 four beds were occupied under the medical control of the local General Practitioners.  This number then increased to six and finally to ten on October 24th 1975.

In 1975 the local General Practitioners were asked to contribute to suggestions in regard to some of their difficulties, the result being that a Psychogeriatric Day Hospital was built and named, at my suggestion, Rushden House Day Hospital, thereby bringing back at least one reference to the central building Rushden House, whose name had been lost in the former renaming of the Hospital in the 1960s.  The first patients were admitted for day care on November 3rd, 1975.  The medical management was entirely provided by the General Practitioners.

On May 8th, 1979 Crane Ward was closed and the female chest patients were transferred or readmitted to the General Hospital as part of a deal to satisfy Dr. Shahid’s appointment promise of chest beds in Kettering.  The ward remained closed until June 7th, 1979 when the Dermatological Unit moved from the House to Crane Ward after a small conversion.

In the House the area originally vacated by the Dermatological Unit was redesigned on a joint funded venture to Social Services and under the name of Cordwainers Day Centre received the first patients on November 10th 1980.

On September 5th, 1981 the Dermatological Unit was moved from Crane Ward to Lilford Ward at the General Hospital.

NAMES OF WARDS

Sharwood Ward

After Mr. Frank Joseph Sharwood, member of Northants County Council, 19291946.

Hensman Ward

After Mrs. Elsie Hensman who reached her one hundredth birthday on December 2nd, 1983.  She has unstintingly carried out voluntary work at the Hospital since the early 1930s and has only in recent years lessened her activities.

Crane Ward

After Dr. James Henry Crane.  First Medical Superintendent of Rushden House Sanatorium, 19211940.

Colton Ward

After Arthur Colton.  Chairman of the Rushden Hospital House Committee for many years.  Had himself been a patient suffering from Tuberculosis.


Having seen the change in usage over the years, Rushden Hospital now forms an important facet of the Kettering District Psychiatric Division and will eventually consist of:

Rushden House Day Hospital for approximately 25 E.M.I.
Sharwood Ward for 20 E.M.I.
Hensman Ward for 14 E.M.I.
Crane Ward as at the present time has 8 G.P. patients, 2 chest patients and an overflow of 4 E.M.I. patients.
Colton Ward for 13 Mentally Handicapped Children.

STAFFING

This presented certain difficulties because of the need to satisfy the needs of staff not only here at Rushden but also those from Northampton who might have faced redundancy because of the transfer of E.M.I. patients from that District to the Kettering District.  The proposal is that sixty E.M.I. patients will eventually transfer, some to Rushden and the rest elsewhere.

At present the staffing figures are still not quite right but good manipulation of existing staff and new recruitment has made it possible to begin the regime of care.  The fact that the Charge Nurse was not available in the first instance presented perhaps the biggest problem but the matter was unavoidable and time will resolve any further staffing difficulties.

INDUCTION COURSE

A two week induction course was organised beginning on October 3rd and held in the empty Sharwood Ward.  This proved to be excellent and informative to all staff.  A feature which should be included in all such ventures in the future.

CRANE WARD

Under the direction of Charge Nurse P. White, Crane Ward was re-occupied by patients from Hensman and Sharwood and the first 4 long stay E.M.I. patients were admitted to Crane Ward on the 11th October, 1983.

SHARWOOD WARD

Sharwood Ward admitted more patients on October 20th, 1983 and care for the Elderly Mentally Ill commenced at Rushden Hospital.

WARD CONVERSIONS

Needless to say the existing ward layout did not lend itself to the new requirements and Sharwood and Hensman Wards are to be converted to provide the necessary changes consistent with the needs.  The work is to begin on January 16th, 1984.

DINING ROOM

Certain changes are envisaged for this area in order to cater for increased staff and in fact some of the work has already begun.

PRIORITIES FOR THE FUTURE

There are many thoughts for the future development of the service as a whole and an important aspect of this is the need to convert existing areas for more full use.  There is need now for forward planning in respect of this and I list below some of the priorities to be considered.

1. Occupational Therapy kitchen
2. W.R.V.S. shop
3. Changing accommodation for all staff
4. Link corridors
5. Better use of Rushden House
6. Extension of Mental Handicap Service
7. Extension of Cordwainers Day Centre
8. Acceptance for training purposes
9. Patients greenhouse


The list is not exhaustive by any means but the future of Rushden Hospital is assured for many years to come and staff are enthusiastic and happy to be part of the new ventures.

R. J. Flack
January 1984

Statistics 1983

RUSHDEN HOUSE DAY HOSPITAL

Total Monthly Attendance

Average number of individual patients per month
90.33
Total number of working days
250
Total number of patient days
4,803
Average daily attendance 1983
19.21


SHARWOOD WARD

From January until September no chest patients were admitted therefore G.P. bed occupancy was greater because of bed availability.

Admissions

G.P. Male
86
G.P. Female
101
Bed occupancy average (9/12)
106.7%

For the last three months of the year the figures relate to E.M.I. patients only on an assumed sixteen beds.

Admissions

E.M.I. Male
11
E.M.I. Female
52
Bed occupancy average (3/12)
85%


HENSMAN WARD

From January until September after which the ward closed.

Admissions

G.P. Male
19
G.P. Female
14
Chest Male
27
Chest Female
18
Bed occupancy average (9/12)
46.4%


CRANE WARD

Re-occupied on October 2nd by patients from Sharwood and Hensman and as intended divided in its use for G.P. patients (8), Chest patients (2) and E.M.I. patients (4)

Admissions

G.P. Male
4
G.P. Femal
13
E.M.I. Male
Nil
E.M.I. Female
5
Chest Male
Nil
Chest Female
Nil

Bed Occupancy Average (3/12)
E.M.I.
99.3%
G.P.
62.6%
Chest
Nil


COLTON WARD

Total Admissions
330
Male
178
Female
152

of these figures 103 patients were admitted for Day Care.

Bed Occupancy Average (12/12) 72.25%


OUT-PATIENT CLINICS

Chest
Contact
Mental Handicap
E.M.I.


CHEST

Dr. Shahid and Dr. Williams hold Chest Clinics on the second and fourth Tuesday and Wednesday in the month.

Number of clinics
45
Number of patients seen
607
Number of X-rays
228

The X-ray department closed on September 1st.

CONTACT CLINICS (Dr. Modi)

Now held on Thursday mornings. Used to be weekly but now only as necessary.

Number of clinics
29
Number of patients seen (new)
100
Number of patients seen (old)
78

MENTAL HANDICAP (Dr. Martin)

Number of clinics
10
Number of patients seen (new)
10
Number of patients seen (old)
29

E.M.I. CLINICS (Dr. Evans)

Total sessions
38
Total new patients
68
Total old patients
164
Total number of patients attendng 1983
240
Total number of patients per session (average)
6.31

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