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


Photo of the Dedication of the new Nurses Home in memory of Lord Swansea, May 1936Foreword | 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 Six - THE DEATH OF LORD SWANSEA and THE PROPOSED NEW WING

The sad news that the president of the Hospital, Lord Swansea, had passed away was marked by the members standing in silent tribute at the Annual Meeting in 1935.  The Vice-President, the Rev Lewis James said that he hospital had sustained a deep loss as a President of the calibre of Lord Swansea would be impossible to replace.  He had devoted much time and energy to all aspects of hospital life; he was a regular attender at all their meetings and had the welfare of the hospital and its staff at heart at all times.  They would have happy memories of one who had presided over them in a most pleasant and agreeable manner and he would be sadly missed.  Deep sympathy was extended to Lady Swansea and her family.

However, the life of the hospital had to go on and the next project to be discussed was on in which the late Lord Swansea had taken a great interest and had received his full support.


THE PROPOSED NEW WING

This was a most important development and one which had been contemplated for some time.  The hospital had outgrown its original intention; it had prospered greatly, but the building was now inadequate for the work which was being undertaken.  It was agreed that the Builth Hospital could not be equalled for good administration; the medical and nursing staff were of the highest standing and the thanks of the Governors were expressed to them for all their excellent work.  It was the unanimous decision of the committee that the doctors and nurses were deserving of better facilities for the tremendous work that they were undertaking and the proposed extension would give them the superior working area which they needed to continue and expand.

Mr J S Davies showed great enthusiasm and interest in the proposed plans and offered financial help it is was needed. 

It was suggested that the additional wing should be of two floors with the ground floor rooms providing accommodation for nurses and maids; the upper floor to have five bedrooms.  The nurses’ present accommodation was quite inadequate with on nurse having to sleep out at a cost of £20 per annum, and others sleeping in wooden huts in the hospital grounds.  The architect for the project was to be Messrs T Edmund Rees of Merthyr, who had designed the Merthyr Hospital and it was unanimously agreed that it should be called the “LORD SWANSEA MEMORIAL WING” in memory of their late president who had devoted so much of his life to the hospital.  The project had the strong support of the doctors who said there was always a shortage of beds and the plan would give them accommodation for three more patients.  It was agreed to meet with the architect for further discussion and aim for a cost of £1,500.

At the A.G.M. held in 1936 Lady Swansea, who had been elected President following the death of Lord Swansea, presided over the meeting and reported that the sum of £1,200 had already been collected towards the new building and the balance was expected within the following three weeks.  If this did not materialise, Mr J S Davies said he was prepared to loan £250, free of interest, for a period of 6 months.  Lady Swansea was deeply grateful and said that money had been received from all parts of the country.

The new wing was duly completed and opened with great ceremony by Lord Trevethin in May 1936.  A tablet commemorating the event can be seen on the outside wall at the back of the main building, inscribed as follows:

THIS WING IS DEDICATED
TO THE MEMORY OF
ODO 3RD BARON SWANSEA, D.S.O., M.V.O.
PRESIDENT OF THE HOPSITAL 1924 –1934
IN GRATEFUL APPRECIATION OF HIS SERVICES
May 1936

The new wing provided excellent accommodation for the nurses, all of whom were expected to “live in”.  If possible, no local girls were employed as nurses as it was thought they would be too familiar with the patients!  The total staff pre-war was four nurses on days and one on nights.  During their probationary period the wages were 8/- per week, plus keep, rising to 30/- per week for an assistant nurse.  Out of  this princely sum they had to buy their own caps, cuffs, belts and black stocking and were on duty from 7 am until 8.30 pm, with tow hours off during the day and one half day pr week.  Late night passes were allowed until 10 pm one night a week.
And still the lift was operated manually by the nurses pulling on the ropes!

Support for the hospital was growing and subscriptions for the year 1936 showed a tremendous increase.  Special thanks were given to Mr Jones, Dolfan, for his sterling work in collecting subscriptions in his area and to Miss Jones, Llywnhowell.  The Rev Lewis James thought that the public should, however, be made aware of the fact that the weekly cost to hospital for each bed occupied was £2, while the fees paid by the patient were between 7/6 and £1 per week., according to the ability to pay.  He was of the opinion that patients should know that the hospital was not making a profit from the fees. 

The weekly charge for Private Patients – those who occupied the single rooms at the top of the stairs, had been increased to three guineas.  When a nurse was asked what a patient gained by going “private”, apart from having a room to themselves, she replied, “Not a lot, they do have a cloth on their tea tray and expert immediate attention when they ring the bell!”.  This latter ruling caused some problems when two local businessmen, both of whom were on the Hospital Management Committee, were private patients at the same time.  As each considered themselves to be first in importance, the nurses had a hard job keeping up with their demands. 

1936 saw the appointment of Capt. Ralph Woosnam, Cefnllysgwynne, to all the hospital committees.  Capt Woosnam’s late father had been one of the first committee members and was  President of the Hospital Management Committee when the operating theatre was built, he had rendered loyal service to the hospital for many years and it was thought fitting that his son should follow him and be elected to the board.

By 1937 expenses incurred in running the hospital were increasing at an alarming rate.  The rise in the cost of coke, coal and gas was to be investigated and an in depth look at all expenditure was put in hand.  The current increase was partly explained by extra staff being appointed and the purchase of new linen which was required for the new wing.  The local Women’s Institute had relieved part of this expenditure by presenting 18 new pillows to the hospital.

It was also reported that the “Memorial Wing” had finally cost £2,500, somewhat more than had been anticipated, but Lady Swansea said that the debt would be cleared by a Garden Fete which was planned for June, to beheld at Caerberis.

The first wireless installation had been fitted, the cost amounting to £150 had been met by the News Chronicle.  Lady Swansea was to broadcast an appeal on behalf of the hospital and all members looked forward with immense interest to hearing her voice on the wireless.

The standard of catering at Builth Cottage Hospital had always been of the very highest standard and each successive cook was immensely proud of the reputation the hospital had acquired for supplying imaginative and nourishing meals for the patients, many of whom said “Being in Builth Hospital is as good as being in a hotel”.  The cost of supplying these meals was somewhat reduced by the gifts of fruit and vegetables which the churches and chapels in the area would give to the hospital following their Harvest Festival Services.

Huge quantities of produce would be received – to be turned into a year’s supply of jams, chutneys and marmalade by Matron Davies, who for the annual salary of £100 would, in addition to performing her duties as Matron, make all preserves needed by the catering staff.

The hospital garden was in the capable hands of that splendid gardener, David Thomas Gillis – known to all as “Gillis”.  Mr Gills had a wooden leg but this did not deter him from producing a year-round supply of superb fruit and vegetables.  In addition to his gardening prowess, Gillis was a “universal blood donor”, which meant that his blood would suit all types, and many a time he was called in from his garden to donate blood for a patient in need.

Eggs were given to the hospital in abundance, with farmers often giving a “days lay”; this meant that all eggs laid on a certain day would be donated to the hospital, which in the case of as estate, such as Llwynmadoc, would mean a considerable amount.  If they received more than could be used within a short period, the remainder of the eggs would be preserved in Isinglass or Waterglass, for future use.  Visitors often took fresh, brown eggs as a gift for patients, in lieu of flowers or fruit.  The patients name would be written on the egg and handed into the kitchen to be cooked for breakfast the following day.

The news that the Vice-President, the Rev Lewis James, Minister of Alpha, had passed away, was recorded with sadness at the Annual Meeting in 1938.  Lady Swansea expressed sympathy with his family and referred to the support he had given to the hospital over many years.  The Rev Caradoc Owen, Minister of Horeb Congregational Church was elected Vice-President in is place.  Other vacancies on the House Committee were filled by Mr T Wilding and Mr Llew Morgan, Headmaster of the Council School.  At the same meeting the Secretary reported that 19 new subscribers had been signed up.

The Medical Report, given by Dr Pugh, showed that 206 patients had been treated, 80 operations performed and 65 X-rays taken.

The following year, the numbers had increased to 229 patients, 97 operations and 96 X-rays.  This, together with the appointment of additional staff , the purchase of new equipment and higher salaries being paid, meant that fund raising had to be extended, subscription increased and economies made.  Full credit was given to Matron Davies and her staff for their untiring efforts and to the committee members for their continuing hard work, but the Treasurer reminded everyone that there could be no let-up if they were to meet their financial obligations.

One popular fund raising event was organised by the Studtsfamily on the fair ground, who each year on the day following the May Fair used to run a “Hospital Benefit Night” with all takings being donated to the hospital.

The President, Lady Swansea, suggested that a fitting memorial to the late Mr H V Vaughan, who had died in 1937 and had been a founder member of the hospital committee, would be to re-equip the operating theatre with an operating table and other necessary equipment and a Memorial Tablet to be put up in the theatre.  This was agreed to.  Mr G E Sayce raised the question of whether thy should apply for an “Iron Lung”, which Lord Nuffield was giving, free to hospital on application.  Dr Stephen Pugh replied that, in twelve years only one case had necessitated the use of such equipment.  Members referred this to the House Committee.  Miss Grace Phillips, Llanfechan was elected to the House Committee and Mrs Lewis James, in view of her long association with the hospital, was appointed a ?Vice President.  In 1939 Mr D F H Williams and Miss Nancy Williams, Llanfair gave a donation of £1,000 in memory of their parents.

In the absence of Lady Swansea, through illness, the chair at the 1940 meeting was taken by the Rev Caradoc Owen who reported that the “H V Vaughan Memorial Fund” had reached the sum of £305 and that the new operating theatre equipment, which had been purchased with the money, had greatly improved the facilities available for operations.  Grateful thanks were also recorded for the Orthopaedic Instruments which had been given in memory of Lord and lady Trevethin by their son Trevor, these were much appreciated.  A brass plaque commemorating this gift is to be seen in the hallway at the hospital:

IN MEMORY OF JESSIE ELIZABETH
AND
ALFRED TRISTRAM LAWRENCE
BARON TREVETHIN
CHIEF JUSTICE OF ENGLAND
THE ORTHOPAEDIC INSTRUMENTS
ARE GIVEN TO THE HOSPITAL BY THEIR SON TREVOR

The average stay of each patient in 1940 was 26 days and costs were escalating rapidly.  Mr Jim Eadie thought that heating costs were much too high and Mr Llew Jones, in agreeing with this, suggested that amore economical system could be devised and he proposed that a heating expert be consulted.  Mrs Graham Clarke thought that the grocery bills were excessive, but it was pointed out that extra supplies had been purchased for war time emergencies.  Good wishes were sent to the Secretary, Mr Tommy Jones, who had been ill for some time and whose secretarial duties, in his absence, had been carried out by Mr Meredith Jones of the Midland Bank.  It was decided that an office should be provided for the Secretary’s own use as the workload was increasing and privacy was required.

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