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Builth Cottage Hospital, A Centenary History 1897-1997, by Gwen Davies


Photo of the original 'Village Hospital' at Cranleigh founded in the year 1859 by Mr Albert Napper, Surgeon of CranleighForeword | Acknowledgements | Prologue

Chapter 1 | Chapter 2 | Chapter 3 | Chapter 4 | Chapter 5 | Chapter 6
Chapter 7 | Chapter 8 | Chapter 9 | Chapter 10 | Chapter 11 |
Chapter 12 | Chapter 13 | Epilogue

The League of Hospital Friends, by Betts Pugh

Builth, Queen of the Wye, by Jim Davies


  Foreword

Builth Cottage Hospital has touched the lives of every family in our area; every home should have read this book.  The Preface expresses, beautifully, the reason for writing it and the League of Hospital Friends wish to thank all those who have contributed to it, especially the authors

Gwen Davies,
Betts Pugh
Jim Davies.

We are all deeply indebted to them.

Rosalind Thomas
President League of Hospital Friends.
Cefndyrys,
Builth Wells
Powys
October 1997


   Acknowledgements

This book is the end result of a ten minute talk given to a local history class in Builth, when students were asked to write on a local subject which had not yet been researched in any depth.  Thinking that there would be a ready source of material available on the Cottage Hospital, I chose this for my subject, only to find that there was no official material available on the hospital from the time it was opened in 1897 until it was absorbed into the National Health Service in 1948.  There are no minutes, no accounts or documents of any kind to be found, and one must conclude that all records have, at some time, been destroyed.

Anyone who has ever attempted to undertake any historical research will know that once bitten by the bug, there is no turning back, and the desire to delve more deeply into the subject took hold.  The following months were spent reading all the local newspapers dating back to 1894, these revealed a wealth of information about the early days of the hospital and I am deeply indebted to the Brecon and Radnor Express and the Wellington Journal for reporting in such detail, the Annual General Meetings of the Builth Cottage Hospital in the early days.

Suddenly, the subject of the centenary came up, and the suggestion that the material gathered could be used for the basis of a book, was made. 

My willingness to hand over the results of my research to anyone willing to write such a book, fell on stony ground.  Consequently, I have attempted to do justice to this huge subject, myself.  Mrs Betts Pugh, kindly consented to write the history of the incomparable League of Hospital Friends, and local historian, Mr Jim Davies, has written about the Health of the District generally.

Without any official documentation to refer to, pre-NHS days, I have had to reply heavily on the memories of local people, in addition to newspaper reports, and I have been overwhelmed by the willingness of those who have been so generous with their time and have shared the memories, which have enriched the book.  My thanks are due too, to those who have spontaneously loaned precious photographs, and I much regret that it was not possible to use them all.

I am deeply indebted to Dr Meyrick Emrys-Roberts for his generosity in allowing me to quote from his splendid book, The Cottage Hospitals 1859-1990, and for his helpful advice. I am also conscious of the debt of gratitude I owe to the following people, for their always helpful interest and unfailing courtesy which made my researches such a pleasure:

Mr David Moore and his friendly staff at Brecon Museum.
The staff at both Brecon and Llandrindod Libraries.
Mrs Bertha Hose at the Mansion House, Bronllys.
Ms Sue Stavrides at St David’s Hospital, Carmarthen.

My thanks, too, to all those nurses, who have retired from or are still working at Builth Hospital, and whose accumulated knowledge and recall of times past, has added colour to the subject.

To Mrs Margaret Davies and the late Mrs Rose Phillips for their wartime memories.  To Glenys Davies, Ruth Griffiths, Barbara Hamar, Mary Davies, Jill Osman, Senior Nurse Eurwen Roberts and Hospital Administrator Janet Morgan who so cheerfully answered all queries – and there were many!  Betwyn Thomas, Pat Thomas and Jim Davies for their memories of kitchen and garden and Jennifer Harriss for her writing of the memorable Hospital Centenary Fete.

I am grateful to Dr Roger Harriss and Dr Robbie Gibbins for allowing me to quote from their work and to Dr Vivian Davies for his advice.

Special thanks must go to Dr Venn and Mrs Betts Pugh for their willingness to answer my persistent questions in such a helpful and courteous way.  Also to Dr and Mrs Ken Pugh for their memories.

Information on the ambulance service was supplied by Mr Howard Weale, Mr David Brown, Cilmery and the present crew members of the local ambulance service.

To the following who have so kindly loaned the photographs which have added so much interest of the book, my grateful thanks, and apologies to those whose paragraphs were much appreciated, but not included:

Mrs Ceridwen Davies, Mr Robert Wall, Mrs Margaret Davies, Mrs Grace Davies, the late Mrs Rhoda Lewis, Mrs Annie Cook, Mrs Margaret Meredith, and Mr Gerald Morson.

Mr Bert Thomas, Mrs Susan Davies, Mrs Ada Lewis, Mrs Meg Wickens, Mrs Dianne Jones, Miss Lucie Meyhew, Mrs Kath Cameron, Mrs Betty Fenn, Mrs Ruth Bagley, Mrs Molly Tomlins, Mrs Dawn Davies, Mrs Lilian Jones and Mrs Isobel Pugh.  I also thank Miss Verley Jones for the original Contributory Scheme Card, Barbara and David Snell who travelled to Cranleigh to photograph the first Cottage Hospital and Brenda Ceridwen Helen Morgan (nee Mason) for the information regarding her Christian names.

For the helpful advice and much encouragement thanks are due to Dr Sandy Cavenagh, of Brecon and the Hon Antony Lewis, Chairman of the Powys Health Care NHS Trust.

I am most deeply indebted to Mrs Ruth Bidgood for her generosity in the giving of her time to proof read and correct my somewhat eccentric punctuation and to Dr Shaun Richards for his help.

I acknowledge, with gratitude, permission to use photographs, the property of Mr Ernie Husson, Marina Gallery, Llandrindod Wells.

Lastly, but my no means least, my appreciative thanks to husband Colin, who has acted as chauffeur, driving to libraries, hospitals and museums in many parts of the country, who has waded through countless newspaper reports and NHS record, and above all has cooked superlative meals to enable me to pound away on typewriter and computer, for the past two years. 
Many thanks to all.

Gwen Davies   
1997

The proceeds for the sale of this book will be given
To the Builth League of Hospital Friends
(Registered Charity).


  Prologue

In the mid nineteenth century the sate of nursing and medical care in the rural areas of Britain was parlous.  There were, of course, the large hospitals such as St Bartholomew’s, St Thomas’ and the Bethlehem Hospital for the mentally sick, they were all in London, but in rural areas and in the rapidly growing new towns the need for a local hospital was urgent.  Amputations were performed at home, often on the kitchen table and, pre 1845, without the benefit of anaesthetic, apart from a generous intake of alcohol.  The well off were fortunate in that they had soft beds, warm houses, good food servants to wait on them when they fell sick, but the poor, fearful of losing their jobs, kept on working until they could no longer continue.  They remained ill in their overcrowded, dimly lit, cold cottages, with little sanitation, inadequate food, and no medication, until taken to the workhouse – a prospect viewed with dread if only for the stigma attached, the only release from their misery being death.

Workhouses, where they existed, provided a limited hospital service for their sick inmates, as illustrated by a description of workhouse nursing in 1867:

“The nurses in the workhouses were often paupers themselves, as when they came of an age to leave, they were kept on as nurses.  They were mostly unreliable, inefficient and untrustworthy and were prone to take for their own use the stimulants prescribed for the patients, especially if of an alcoholic nature.  They were, of course, unpaid, uneducated and tainted in character and if asked to assist with even a minor operation the often ran away.”

However, in 1845 came the arrival of anaesthetics and, shortly afterwards under the leadership of Florence Nightingale, a much higher standard of nursing care was introduced.  The Pauper Nurses from the workhouses were replaced by paid, qualified nurses trained at the Nightingale Training School and the paupers were given menial tasks, such as scrubbing and cleaning only; although some of the more intelligent of them were trained under the supervision of the Nightingale Nurses.  The experiment of introducing these trained nurses into workhouse was initially used only in London and Liverpool and the dismal situation in the rural areas remained the same.

The lack of medical facilities in the countryside had concerned a great many people for some time, but, as with so many momentous happenings, it was a small incident which proved to be the catalyst which was to lead to the “Cottage Hospital Movement”.

In 1859, in Cranley (now Cranleigh) in Surrey, there lived a medical practitioner by the name of Mr Albert Napper.  His concern about the lack of facilities for his sick patients was shared with the local Rector, the Rev. J H Sapte.  One day, while these two gentlemen were talking about this very subject, a major accident occurred resulting the victim having to be carried into the nearest cottage where Mr Napper performed an amputation.  He was assisted by the local policeman and a druggist who promptly fainted.  The incident so moved the Rector that he immediately offered Mr Napper the use of a small cottage, rent free, to be used as a hospital.  The dwelling was cleaned, whitewashed throughout, simply furnished, and became known as the “Village Hospital”.  This building can still be seen today where it has been incorporated into the present hospital at Cranleigh.  It had four beds, one trained nurse and a woman to clean.  A charge of 5/- per week had to be made, which was a considerable sum in the days when it often represented half a labourer’s weekly wage.  But as one patient said; “When I’ve paid the money I do know I have the right to ring the bell”.

The spread of these establishments took off rapidly, with every town and village wanting to have their own hospital, some calling them “Village Hospitals”.  Eventually the name “Cottage Hospital” took precedence and the “Cottage Hospital Movement” was recognised as being one of utmost significance in the history of medical care.  There was, of course, no money available from the Government as there is today, each hospital being financed from local sources, relying a great deal on patronage, with the local gentry often supplying the land, and professional people contributing to endowment funds.  Nurses had to buy their own uniforms and pay for their training.  Initially the “Village Hospitals” were mainly limited to six beds, as it was felt that patients, used to small cottages, would feel more at home and recover quicker ins simple surroundings and small rooms. 

The movements continued apace in England and Wales but was not until 1897, almost forty years after Mr Albert Napper opened his hospital in Cranleigh, that the people of Builth and District could say that they too had their own “Cottage Hospital”.

Builth in the latter half of the nineteenth century was a comparatively prosperous town.  Agriculture, the main industry, was flourishing, the subsidiary trades of flannel making and tanning were thriving and tourism was increasing.  The discovery of mineral waters at the Glanne Wells and Park Wells, combined with the coming of the railway, had brought an influx of visitors to the town in unprecedented numbers.  The 1870’s had seen the building of both the Strand Hall and the Market Hall and Assembly Rooms.  Llew Buallt and Mr A P Morgan were bringing musical honours to the town with their choirs.  Builth was in its heyday, but the one thing it did not have was a hospital.

The lack of a hospital concerned a great many people in the town but none more so that Mr John Davies, a Wine and Spirit Merchant, and one of the most successful and prominent business men in Builth.  John Davies has been sadly neglected by the many people who have cause to be grateful to him and his name scarcely figures in the list of benefactors to the area.  But, as one who played a significant part in the town receiving two of its major establishments, namely the “Cottage Hospital” and the “Market Hall and Assembly Rooms” (now the Wyeside Arts Centre), it is right that something of his life, albeit briefly should be known.

John Davies was born in Builth in July 1831, the son of William and Catherine Davies of the Lion Hotel.  In 18 53, in St Mary’s Church, he married Mary Anne Powell, the daughter of James Powell, a Saddler in the town.  In the 1850’s he took over from his father as proprietor of the Lion Hotel.  John and Mary did not have any children and sadly, Mary died in October 1864 at the early age of 32.  John ran a successfully Wine and Spirit business, involved himself in all aspects of public life in Builth and in 1876 became Chairman of the “Builth Public Hall and Market House” committee responsible for building the Market Hall complex.

In 1878 we find him living at 1, Wye Terrace, (now Castle Street) with his late wife’s two younger sisters, Elizabeth and Margaret Powell who had been living in his household since childhood.

The Census of 1891 reads –

JOHN DAVIES, 1 Wye Terrace, Wine Merchant.  Age 59
Margaret Powell, Sister-in-law.  Shop Assistant.  Age 45
Elizabeth Powell, Sister-in-law.  Shop Assistant.  Age 43
Emily Davies, Servant.  Age 17.

John Davies, always mindful of the welfare of the town, had long expressed the wish that Builth should have its own hospital, but, unfortunately, in 1983, he died at the age of 62 before he put these thoughts into action or even in writing.  Having no children of his own, and after making various legacies to nephews and nieces, he left the bulk of his money to his sisters-in-law, Margaret and Elizabeth Powell, for whom he had a great affection.

The two spinster ladies were of a shy and quiet disposition; they had no need of a great deal of money.  The did wish to carry out the spoken wishes of their late brother-in-law.  And so, although not legally bound to do so, as there was nothing mention in his Will, out of the money John left them, they set aside the sum of £6,000 to build and endow a hospital for Builth and District.

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