Southampton General Hospital

History

The hospital was founded in 1900 as the Southampton Union Infirmary in Shirley Warren, Southampton, to replace hospital beds previously provided at the workhouse infirmary in St Mary's, Southampton. The Royal South Hampshire Hospital was the voluntary hospital, founded in 1838 in the city. The initial 35-acre (14 ha) site cost the Poor Law Guardians £8,200, and the foundation stone was laid on 31 March 1900. The original building, housing 289 beds, cost £64,800 to construct; it has since been demolished.

Southampton Borough Council took responsibility for the hospital in 1929, expanding the number of beds to 431. At this stage, the hospital became known as the Borough Hospital. When the National Health Service came into being in 1948, the hospital took its present name.

The Wessex Neurological Unit opened on the site in 1965, and the East Wing was constructed in 1974, providing 450 additional beds, a new Accident and Emergency Department, and a children's unit. Three years later, the Centre Block was built, which still provides the main entrance to the hospital. The 7-level Centre Block cost over £9 million to construct.

In 1983, the £10 million West Wing was constructed, adding 472 beds to the hospital; this was followed a year later by installation of the Wessex Body Scanner at a cost of £1.5 million.

In 2005, a new cardiac centre was opened, having cost around £53 million to build. In addition to these buildings, the University of Southampton has a number of buildings on the site, which are used both for teaching and research. In particular, the hospital houses renowned centres of excellence in the treatment of cancer, heart disease, respiratory illness, neurological disease, gastro-intestinal conditions and illnesses affecting children. The hospital is fortunate to benefit from a high number of specialist consultants working in large multi-disciplinary teams and plays a leading role in the development of new and improved treatments for NHS patients.

The hospital has been upgraded to become an adult and paediatric Major Trauma Centre (MTC) under the new NHS plans for Regional Trauma Networks with Southampton General covering the whole Solent Area, Portsmouth, the rest of Hampshire, Dorset, Wiltshire and also the Isle of Wight. The nearest MTC to Southampton is Royal Sussex County Hospital in Brighton or Derriford Hospital in Plymouth. These MTCs only treat adults. The nearest adult and paediatric MTC is St. George's Hospital in London. A new helipad came into operation in 2012, and the whole Emergency Department has had a major refit to dramatically increase capacity and capabilities, with a separate children's Emergency Department also. The ambulance arrival area has been upgraded to allow more space for ambulance parking and a "pitstop" area has been built for ambulance crews to handover their patients to nursing staff, to reduce ambulance queuing times. There are six individual pitstop bays, with their own monitoring equipment and laptop to update patient notes electronically. There is a receptionist permanently based in the pitstop area to book patients into the emergency department, who have been brought in by ambulance. There are also more patient chairs to allow for ambulatory patients. There are dedicated "cardiac chairs" which are red in colour, to signify patients that have self presented at the main reception with chest pain and require urgent assessment.

It has one of a small number of Accident and Emergency departments to benefit from Pearson Lloyd’s redesign - ‘A Better A&E’ - which reduced aggression against hospital staff by 50 per cent. A system of environmental signage provides location-specific information for patients. Screens provide live information about how many cases are being handled and the current status of the A&E department.

The Steve Mills Stem Cell Laboratory

In September 2006 the Steve Mills Stem Cell Laboratory, which had been established by a charity created by Southampton F.C. footballer Steve Mills, moved from the Royal South Hampshire Hospital to a new location at Southampton General Hospital, and was officially opened on 27 September 2006 by Steve's widow Jo and former Southampton footballer and manager, Alan Ball.

Teaching hospital

Ashya King

In August, 2014, Brett and Naghemeh King took their 5-year-old son Ashya from the hospital, where he was being treated for medulloblastoma, without doctor's knowledge. Brett King claimed this was in order to avoid the proposed treatment of chemotherapy and photon beam radiation therapy which he feared would result in brain damage to Ashya. The family's preferred treatment was proton beam therapy which is currently unavailable in the United Kingdom except through an NHS overseas referral programme to fund treatment in America or Europe for specific indications. Although clinicians at Southampton felt proton beam therapy was not beneficial in this case, it was discussed with the Kings and referred to the Proton Clinical Reference Panel although medulloblastoma is not an approved diagnosis to qualify for the overseas programme.

The Kings were keen to arrange proton beam therapy at a hospital in Prague. When the parents asked what would happen if they refused any kind of treatment, they were told the hospital could seek an emergency protection order. When the child subsequently went missing the hospital informed the police and the CPS issued a warrant for the arrest of the parents. Once it was revealed that the child had left the country, extradition back to the UK was also sought. The family were eventually located in Spain, where the parents were arrested and child put in a high dependency ward in a hospital in Málaga. David Cameron, the prime minister, called for "an urgent outbreak of common sense".

Ashya began proton beam therapy at the Proton Therapy Centre in Prague on 15 September. In late September NHS England agreed to fund the cost of the proton therapy treatment. NHS England has been told by the European Court of Justice to fund treatment abroad in previous cases. In March 2015 the King family announced that the treatment appeared to have been successful and Ashya's most recent scan showed no sign of the tumour.

Burger King

There has been a Burger King outlet in the foyer of the hospital since 1997. In November 2014 the Trust announced that they would not be renewing its lease due to expire in 2016 - because it no longer fits with the “healthcare environment” it is trying to create in its main reception area. Hampshire GP Dr Hilary Jones approved and said that in the grip of an obesity problem in the UK, hospitals should be setting a good example to patients. However some patient started a petition against this decision on the basis that hospital food was "of a poor standard. Burger King seems to have a much higher quality of food that's cooked fresh and to order.” A hospital spokesman responded: "The trust, as with all NHS hospitals, is regularly assessed by a variety of independent bodies on all aspects of care, including the quality of patient food. In the most recent of these inspections, the trust scored highly on food quality (92%) according to panel members from the national patient-led assessment team and fully compliant with all of the Care Quality Commission's essential standards, which incorporate quality of food and drink." The fast food outlet will be replaced by a Marks & Spencer shop and cafe and a Subway franchise as part of a £2.5m redevelopment scheduled to begin in mid-2015.

Media coverage

The hospital was the location for the daytime TV fly-on-the-wall documentary series, The General and the ITV documentary series Trauma: Level One. The neighbouring Princess Anne Hospital was the setting of the first two series of Channel 4's One Born Every Minute.