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


Photo of the return of the silver trowel used to lay the foundation stone of the hospital, 1951Foreword | 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


  Chapter Ten - "A NEW ERA"

The Inaugural Meeting of the Brecon and Radnor Hospital Management Committee was held in the boardroom of the Brecon War Memorial Hospital on 31st may 1948.

Present were:  Mr E A Watts (Chairman)
Mrs Gibson–Watt, Mrs J G Eadie
Brig. Venables-Llewelyn
Ald. Tudor Watkins MP
Messrs T O Collier, W J Bevan, T P Davies, Mr Moseley.
Drs Miller, Kerr, Bettison, Watson and Davies.

It was decided that hospitals should enjoy a high degree of independence and autonomy within their own spheres.  Freedom for local initiative and enterprise would be encouraged with the Board being responsible for day to day control and would act as agents for the Board.  As there was a need for a smooth transition to the new management structure on 5th July 1948, the committee would appoint all hospital staff with the exception of Senior Medical Officers and Specialists.

Patients could obtain, free of charge, the services of Specialists on the recommendation of Doctors, and there would be no boundaries with reference to this service.

Local interest would be maintained and local public meetings would be held each year so that links with the community would continue.

Shortly after this meeting was held a seat became vacant on the Management Committee – Mr Meredith Jones applied to fill this vacancy and was accepted. He then joined Mrs J G Eadie on the Committee representing Builth Hospital

On August 11th 1948 the Committee was informed that a property adjoining Builth Hospital was being offered for sale.  It was suggested that, should the necessity arise, this building could be adapted for an extension to the hospital and the opinion of the Board was being sought.  The reply was that the purchase of the property known as Craigydyddd could not be contemplated at that time.

An application was made for a portable X-ray unit to be supplied to Builth Hospital. 

The Management Committee had for some time been in consultation with the Breconshire county Council regarding the adaptation of shoes for children with feet problems.  It was eventually agreed that the Council should bear the cost of any repairs or specialist adjustment of shoes for such children if the alterations had been recommended by the Orthopaedic Clinic.

Mr Dick Davenport, who had been secretary at the hospital for several years, informed the committee that he ad been offered a position as clerk to the three Builth Doctors who were in partnership and taken premises together at “Maesycoed”.  Mr Davenport would be responsible for the keeping of patients’ records and other clerical duties from 9 am until 10 am and from 6 pm to 7 pm.  He wished in future to work at the hospital on a part time basis from 1 pm to 5 pm.  This suggestion was to be considered by the committee.  Mr Davenport did, in fact, work these hours for some time.  He eventually left the hospital position to become full time secretary at the surgery, and was popularly known as “Dr Dick”.  Later he was joined by Mrs Anne Lloyd who had formerly been a Nursing Sister at the hospital.

In 1950, the need for more accommodation at the hospital became acute, as babies were sleeping in the Operating Theatre.  On hearing of this Dr Stenner Evans said the practice should cease forthwith and a single bed ward was to be found immediately to accommodate the babies.  Within a few months a small ward had been converted into a Baby unit and a baby bath was installed.

At this time all TB patients were seen by a specialist at “Haulybryn” which was a recognised TB Visiting Station and was rented for that purpose.  It was decided that this practice should be discontinued and that all TB patients should attend at the hospital for consultation with Dr Ivor Williams.

In 1951 a letter was received from the British Urban District Council requesting a meeting with the Management Committee and the three local Councils to discuss the question of a Mortuary.  The Hospital Management resolved not to agree to this meeting and pointed out that it was the responsibility of the Local Authority to provide mortuary accommodation.  Furthermore, it had been brought to the attention of the Management  that a body, other than that of a patient, had been brought to the Hospital Mortuary, and they were unable to sanction the admission of any body when death did not occur within the hospital.  After further pressure from the Council they did not meet with the other Authorities when Dr T C R George, Medical Officer of Health, expressed the hope that the Committee would give favourable consideration to the suggestion that the Hospital Mortuary be enlarged and used for both public ad hospital purposes.  The management committee decided that there was no money available to undertake any building work and, in their opinion, it was undesirable to have a public mortuary within hospital grounds.  They decided to stay with their original decision.

The Hospital continued under the sometimes autocratic rule of Matron Dodd who at one time asked the house committee for a ruling as to whether the doctors or herself should have the final say on the admission of patients.

More and more patients were being X-rayed and in 1956 a new Chest Screening Unit, ordered by the management, arrived at the hospital, but it was found to be too large to be accommodated in the intended room.  This necessitated a great deal of re-organisation and it was decided that the new unit be transferred to the Day Room and the present X-ray room to be used as a waiting room.  This left the management with the problem of there being no room in which to hold committee meetings.  They solved this quandary by passing it over to the finance committee to sort out!

One of the first changes which the new Management introduced was to cancel the long standing arrangements of buying goods locally, and they introduced bulk buying of groceries and provisions for the group of hospital from a central purchasing point in Talgarth, although milk was still obtained from Mr Ivor Jarman, Caepandy Dairy and fish purchased from Mr Lance Burns in Builth High Street.

In July 1957 Matron Audrey Dodd died very suddenly and Miss A M McRae of Brighton was appointed in her place.  Before Matron McRae arrived to take up her duties in December, the committee decided to completely redecorate and refurnish her room and consideration was as given to providing her with a Matron’ Office if space could be found.  Prior to her coming to Builth, Matron McRae had been a Major in the Queen Alexandra’s Royal Arming Nursing Crops.

The Welsh Board of Health was asked to appoint a Radiographer to serve the Builth and Brecon hospital and the south Wales Sanatorium as a matter of urgency.

“Gills” the gardener, who had been in charge of the hospital ground and gardens for over twenty years, had decided to retire.  At a small ceremony to mark his retirement, he was presented with a gift of £20 and thanked for the devotion and skill with which had carried out his work 0ver the years.  Mr Jim Davies, Cilmery, another fine gardener, was appointed, with additional duties as boilerman.  Jim worked at the hospital in many capacities until his retirement in 1980.  His gardening duties became reduced over the years as more and more of the garden were taken over for building the hospital extensions.

An Out-patients treatment room was becoming essential and as there was absolutely no room available within the main building, it was suggested that a wooden hut on the west side of the hospital be adapted and furnished. – the cost would be in the region of £220.  An inspection of the hut revealed that it was storing a number of emergency beds which had been held there since the war years.  Permission had to be sought to dispose of these now redundant items.

The need for more accommodation was becoming more and more acute and in June 1958 the medical staff together with Matron McRae met with the regional architect to discuss alteration to the Operating Theatre and the siting of the new Autoclave.  A thorough inspection of the building was made and the Brecon and Radnor Hospital management Committee decided that extensive alterations were long overdue.


The Great Upheaval

After the decision was made to up-date the hospital, a massive rebuilding plan was put into operation.  So great was the upheaval that it necessitated the hospital being closed for what was intended to be a short while.

The plans completely modernised the Victorian building with a new, additional wing being added.  The operating theatre was completely rebuilt and re-equipped with a sterilising room and a new X-ray department was installed.  The former male ward was converted to a maternity Ward with a small unit for new born babies.  All the original fireplaces and chimneys were removed to make more room in the wards.  The entire hospital was completely re-floored and joy of joys the old manually operated lift was replaced with a spacious electric model to the great relief of the staff and patients.  When all the building work was completed the whole hospital was decorated throughout.  With is modern equipment and gleaming wall and floors and spacious wards, it was aid to be the best in Mid Wales and was certainly the pride of North Breconshire.

However, all these alterations took much longer than at first anticipated and the closure of the hospital caused some disruption to patients and medical staff.  While the operating theatre was closed during alterations, patients requiring operations were transported to Llandrindod Hospital where they were operated on by their own doctor.  X-ray examinations had to be postponed and the delay in re-opening caused both the Builth Urban Council and the Colwyn Rural Council to write deploring the length of time the alterations were taking.  Colwyn Rural wanted to be given a definite re-opening date and suggested that he public be invited to inspect the completed work.  The Hospital Management Committee too expressed their concern and placed the blame on the lack of co-ordination between the various departments of the Board and Health who were responsible for the work.  Perhaps they should have been reminded that in 1897 a small local builder had built the entire hospital in 16 months.

The disruption had been a time of trauma for the nursing staff also, as when the hospital was closed to patients and the building was in turmoil, Matron and nurses turned their hands to the making of cubicle and window curtains, while surrounded by building chaos.

The work was eventually completed in August 1959.  The decorators left and the newly refurbished hospital was opened to the public for their inspection, as had been suggested by the Colwyn Rural Council.  All visitors expressed great admiration for the work done and were grateful to get their hospital back in working order.

There was only one problem – with all the upheaval, the disruption and the cost, Builth Hospital was still without a satisfactory Out-Patients Department.

Matron McRae, who for much of the time she was at the hospital had endured the chaos and disruption of the rebuilding programme, tendered her resignation in 1960 as she was about to be married.  Happily, before she left the work had been completed and she was able to take pleasure in the re-furbished building for a short while.

Matron Beryl Rees was appointed in her place.

Miss Rees was a lady of tremendous character and generosity of spirit, well remembered for her pleasant disposition and sense of humour.  Her previous appointment had been as matron of the 800 bed “King George Vth Hospital” in Nairobi, during which time Elizabeth the Queen Mother presented her with the OBE for her services to nursing at the time of the Mau-Mau uprising in Kenya.  Matron Rees managed the 25-bed hospital at Builth with consumate ease, even finding time to teach some of the staff to drive.  She was the last matron to “live in” at the hospital.

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