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Royal Marsden Hospital

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109-647: The Royal Marsden Hospital is a specialist National Health Service oncology hospital in London based at two sites in Brompton , in Kensington and Chelsea , and Belmont in Sutton . It is managed by The Royal Marsden NHS Foundation Trust and supported by The Royal Marsden Cancer Charity . In addition to providing cancer diagnosis, treatment and care, The Royal Marsden is a major centre for cancer research and teaching. It has

218-539: A 3.4% increase in funding every year to 2024, which would allow it to receive an extra £20bn a year in real terms funding. [dead link] There is concern that a high proportion of this money will go to service NHS debts rather than for improved patient care. In June 2018, it was reported that there were calls for the government to write off the NHS debt. Saffron Cordery of NHS Providers said that hospitals needed help to do their work without being up in deficit, as two-thirds were in

327-480: A National Health Service in 1944 with his consultative White Paper "A National Health Service" which was circulated in full and short versions to colleagues, as well as in newsreel. When Clement Attlee 's Labour Party won the 1945 election he appointed Aneurin Bevan as Health Minister . Bevan then embarked upon what the official historian of the NHS, Charles Webster , called an "audacious campaign" to take charge of

436-803: A close affiliation with the Institute of Cancer Research , which originated as the hospital's research department and is located alongside the hospital in Brompton and Belmont. Through its subsidiary The Royal Marsden School , it offers undergraduate and postgraduate degrees in cancer care validated by the University of East Anglia . The Royal Marsden's Brompton site is adjacent to the Royal Brompton Hospital , in Fulham Road . As of 2020, this site had 112 inpatient beds and 7 operating theatres . The Belmont site

545-594: A legal advice committee, bible study and English literature classes, and what was claimed to be the finest public gymnasium in southern England. During World War II bombing was not as heavy as in central London – 434 bombs in total were dropped on Sutton and Cheam, and the Commonwealth War Graves Commission lists 187 civilian casualties. In 1950, in order to widen the High Street, the Cock Hotel

654-543: A local amenity group. A plaque commemorating Mr Alcock's life is situated at the junction of Christchurch Park with Brighton Road. Sutton came within the area of the Metropolitan Police District in 1840. The parish of Sutton adopted the Local Government Act 1858 in 1882 and a local board was formed to govern the area. The Local Government Act 1894 reformed it as Sutton Urban District . In 1928

763-592: A lot of coverage in the media. The Welsh and UK governments announced a partnership on 23 September 2024 to reduce NHS waiting lists in England and Wales during the Labour Party Conference in Liverpool. This collaboration aimed to share best practices and tackle common challenges. Previously, Eluned Morgan rejected a Conservative proposal for treating Welsh patients in England. The Welsh Conservatives welcomed

872-589: A major partnership with Imperial College London in the Imperial College Academic Health Science Centre. The Royal Marsden was the first hospital in the world dedicated to the study and treatment of cancer . It was founded as the Free Cancer Hospital in 1851 by William Marsden at 1, Cannon Row , Westminster . Marsden, deeply affected by the death of his wife Elizabeth Ann from cancer, resolved to classify tumours, research

981-629: A quarter of its total income, and about 18% of all the private healthcare carried out in England by the NHS. This growth was led by imaging and robotic surgery. In 2019-20 50% of the trust's total revenue, £463 million, came from NHS work. 9% came from Kuwait. Payments from health insurance firms accounted for 16%, and self-pay patients for 2%. The main commercial rival is Leaders in Oncology Care which in 2018 had income of £95 million across its four sites. Download coordinates as: National Health Service The National Health Service ( NHS )

1090-475: A view to making them good servants, wives and mothers. Up to 1856, when large parts of it were destroyed by fire, the boys' and girls' sections were on the same site but after 1856 the girls' were moved into a new building on the other side of the railway in Banstead Road (now called Cotswold Road). Sutton Water Company was incorporated in 1863, and the provision of water mains allowed houses to be built outside

1199-461: A village with coaching inns) in the horse and carriage era, most of the town's earliest architecture is Victorian. A few buildings date from before the Victorian era. The mid-18th century Georgian Sutton Lodge on Brighton Road is thought to be the oldest fully surviving building in the former parish of Sutton. The lodge was initially the farmhouse of the former Sutton Farm. Later, the farmland around

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1308-562: Is Luke Taylor , of the Liberal Democrats , and has been since the 2024 General Election . On a local level, the London Borough of Sutton Council has been run by a Liberal Democrat majority since 1990. Most of Sutton, including the town centre, falls under the SM1 postcode area, though places south of Sutton railway station are part of SM2 instead, and the western part of Sutton Common

1417-596: Is home to several large international companies and the sixth most important shopping area in London, centred on Sutton High Street . Sutton railway station is the largest station in the borough, offering frequent services by Southern and Govia Thameslink to Central London and other destinations, including Wimbledon and St Albans . It is home to the Royal Marsden Hospital and the Institute of Cancer Research . Future plans for Sutton as of 2024 include creating

1526-548: Is in SM3. The population of the town was counted as 58,880 including the Sutton Central, Sutton South, Sutton North, Sutton West and Belmont Wards in the 2021 United Kingdom census, while the borough overall counted 209,639. A majority of the town's population is in the middle class ABC1 social group . Sutton is mainly the product of the railways, which arrived in the town in the mid-19th century. So, although it already existed (as

1635-578: Is in the far south of Greater London , adjacent to the former Sutton Hospital, High Down and Downview Prisons, and the Metropolitan Green Belt . This site houses some of the hospital's large diagnostic and radiotherapy equipment, including the UK's only combined MR - Linac . The Royal Marsden provides diagnostic services, treatment and care for adults and children with cancers, as inpatients and outpatients, or as day care. 50,000 people are treated at

1744-542: Is known as "Sutton (London)" by Southern (Govia Thameslink Railway) . Its location is approximately 10 miles (16 km) southwest of Charing Cross, London and 11 miles (18 km) south of the City of London , placing it within easy reach of Central London . Sutton is also approximately 4.2 miles (6.8 km) west of Croydon, London , 3.8 miles (6.1 km) north-east of Epsom, Surrey , and 5.8 miles (9.3 km) south-east of Kingston upon Thames, London . In addition to

1853-464: Is on the northern slopes. Local Nature Reserves Sutton contains two Local Nature Reserves . The placename Sutton is recorded in the 1086 Domesday Book as Sudtone . It is formed from Old English 'sūth' and 'tūn', meaning 'south farm'. Archaeological finds in the region date back thousands of years, including the excavation of a Roman villa in Beddington . An implement from the neolithic age

1962-528: Is operated by an NHS Foundation Trust . Formed in April 2004, it was one of the first NHS Foundation Trusts. It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 3528 full-time equivalent staff and a sickness absence rate of 2.85%. 89% of staff recommend it as a place for treatment and 71% recommended it as a place to work. In March 2016

2071-545: Is regardless of whether they derive a salary or wage from the organisation, or receive any type of funding or assistance from the organisation for the purposes of working overseas. This is in recognition of the fact that most missionaries would be unable to afford private health care and those working in developing countries should not effectively be penalised for their contribution to development and other work. Those who are not ordinarily resident (including British citizens who may have paid National Insurance contributions in

2180-572: Is the umbrella term for the publicly funded healthcare systems of the United Kingdom , comprising the NHS in England, NHS Scotland and NHS Wales . Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The original three systems were established in 1948 (NHS Wales /GIG Cymru was founded in 1969) as part of major social reforms following

2289-479: The European Health Insurance Card . Those from other countries with which the UK has reciprocal arrangements also qualify for free treatment. Since 6 April 2015, non-EEA nationals who are subject to immigration control must have the immigration status of indefinite leave to remain at the time of treatment and be properly settled, to be considered ordinarily resident. People not ordinarily resident in

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2398-615: The General Post Office had already established an independent system for defining the UK's Postcode Areas to ensure efficient mail sorting. Royal Mail 's Flexible Addressing policy allows for these variations. If Sutton were to join the London postal district , it would fall under the SW postcode area and be one of the following: SW21, SW22, or SW23. There is another, much smaller Sutton in Surrey , near Dorking . Sutton mainline railway station

2507-524: The Institute for Fiscal Studies had stated a 5% real-terms increase was needed for real change. Paul Johnson of the IFS said the 3.4% was greater than recent increases, but less than the long-term average. In July 2016, health experts said the money would "help stem further decline in the health service, but it's simply not enough to address the fundamental challenges facing the NHS, or fund essential improvements to services that are flagging." In November 2018, it

2616-482: The Office for Budget Responsibility said that "the rising trend in health and social care spending and pensions will be adding something like another £75 billion spending over the next five years, £150 billion, potentially over the next decade" as if treatments are available to keep people alive longer, then people will want them. In July 2022, The Telegraph reported that the think tank Civitas found that health spending

2725-629: The Outer London borough, on the lower slopes of the North Downs . It is 10 miles (16 km) south-southwest of Charing Cross , one of the fourteen metropolitan centres in the London Plan . An ancient parish originally in the county of Surrey , Sutton is recorded in the Domesday Book of 1086 as having two churches and about 30 houses. Its location on the London to Brighton turnpike from 1755 led to

2834-650: The Second World War . The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services , provided without charge for residents of the United Kingdom apart from dental treatment and optical care. In England , NHS patients have to pay prescription charges ; some, such as those aged over 60, or those on certain state benefits, are exempt. Taken together,

2943-594: The Socialist Medical Association , successfully proposed a resolution at the 1934 Labour Party Conference that the party should be committed to the establishment of a State Health Service. Following the 1942 Beveridge Report 's recommendation to create "comprehensive health and rehabilitation services for prevention and cure of disease", cross-party consensus emerged on introducing a National Health Service of some description. Conservative MP and Health Minister, Henry Willink later advanced this notion of

3052-580: The Thanet Sands area. The Lord of the Manor, Mr Thomas Alcock, sold land for housing, and Sutton's population more than doubled again between 1861 and 1871, spurred by the development of upmarket Benhilton in north Sutton. The High Street near the top was known as Cock Hill until the 1880s – the shops on the east side were built in 1880, ten years after those on the west side. The grand and decorative London and Provincial Bank building (now home to Barclays Bank)

3161-552: The Thomas Wall Centre , named after the area's benefactor of Wall's sausage and ice cream fame. Thomas Wall's lack of education led to a desire to encourage learning in others, resulting in the establishment of a trust and the construction of the institute. The adult school is said to have had the best premises in the UK: by 1915 there were social clubs, a library, clubs for maternity and horticulture, debating and temperance societies ,

3270-418: The 'Centre for Health Economics' at the University of York found that between 2004/05 and 2016/17 the productivity of the NHS has increased nearly two and a half times as quickly as the larger economy. Between 2010 and 2017, there was a cap of 1% on pay rises for staff continuing in the same role. Unions representing doctors, dentists, nurses and other health professionals have called on the government to end

3379-428: The 1850s until its benefactors decided to find a permanent solution. Funds were raised to build a dedicated new building on a tract of land in Brompton along the Fulham Road . The design was by Messrs John Young & Son . The hospital was granted its royal charter of incorporation by King George V in 1910 and became known as The Cancer Hospital (Free). This was subsequently changed by King Edward VIII to include

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3488-418: The 1980s. The Banstead Road site later became a sanatorium , before the southern half of the site was acquired by Royal Marsden in 1962. On 2 January 2008, just before 1:30 pm, a fire broke out in a plant room on the top floor of the hospital. When the fire was at its peak, 125 firefighters and 16 ambulances were in attendance. Over the period of the fire, 111 fire appliances attended with 56 officers including

3597-566: The Abbot of Chertsey held the manor. In 1538 it was sold to King Henry VIII and granted to Sir Nicholas Carew of Beddington. When Sir Nicholas was sentenced to death, the King seized the manor. Queen Mary restored it to Francis, son of Sir Nicholas. It later became a Crown possession again until King Charles II granted it to the Duke of Portland , who sold it in 1669. It changed hands regularly thereafter. From

3706-467: The Chelsea Wing of the hospital was burned through, and the top floor was also affected, but a hospital official said that damage was less than thought and no research documentation had been lost. The surgeon William Ernest Miles was appointed to the hospital in 1899 and at the age of 60 was forced to retire, much against his will. In 1908, Thomas Horder , later raised to the peerage , was appointed as

3815-543: The Civil Service to keep medicine supplies available in the case of a no-deal Brexit had to sign 26 Non-Disclosure Agreements (NDAs) to prevent them from giving the public information. The figures were given on 21 December 2018 after Rushanara Ali asked a parliamentary question. Sutton, London Sutton is a town in the London Borough of Sutton in South London , England. It is the administrative headquarters of

3924-406: The Cock Hotel was the 9am stop for coaches leaving the city. Regular contact beyond the town brought expansion and sophistication. Small businesses opened up, at first related to travelers and later to provide goods for neighbouring areas. The toll bars moved away from the junction as Sutton expanded, remaining in use until 1882. Sutton railway station was opened in 1847. Following the arrival of

4033-513: The EEA coming to the UK for a temporary stay of more than six months are required to pay an immigration health surcharge at the time of visa application, and will then be entitled to NHS treatment on the same basis as a resident. This includes overseas students with a visa to study at a recognised institution for six months or more, but not visitors on a tourist visa. In 2016 the surcharge was £200 per year, with exemptions and reductions in some cases. This

4142-595: The EU holding a valid European Health Insurance Card and persons from certain other countries with which the UK has reciprocal arrangements concerning health care can get emergency treatment without charge. The NHS is free at the point of use, for general practitioner (GP) and emergency treatment not including admission to hospital, to non-residents. People with the right to medical care in European Economic Area (EEA) nations are also entitled to free treatment by using

4251-448: The GP's health and that of their patients at risk. The Royal College of Physicians surveyed doctors across the UK, with two-thirds maintaining patient safety had deteriorated during the year to 2018: 80% feared they would be unable to provide safe patient care in the coming year while 84% felt that increased pressure on the NHS was demoralising the workforce. In June 2018, at a time when the NHS

4360-673: The NHS England published the NHS Long Term Plan . The Guardian reported that data for 2020 suggests a change, and that the doctors' trade union and professional association , the BMA , say this was largely due to raised spending during the pandemic and the effect of Covid on the whole economy, since the GDP of the UK dropped more than that of all other G7 nations. The BMA also said in December 2022 that

4469-400: The NHS experienced "historical underfunding and under-resourcing" during the ten years before COVID. The King's Fund maintains The investment in services started in 2021 was badly needed, but despite it restoring key services and performance standards will require years. Shortages of workers and growing staff numbers experiencing burnout and thinking of leaving the NHS may stop progress. If

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4578-446: The NHS has among the lowest numbers of doctors, nurses and hospital beds per capita in the western world. In May 2018, it was said that nurses within the NHS said that patient care was compromised by the shortage of nurses and the lack of experienced nurses with the necessary qualifications. In June 2018 it was reported that the NHS performed below average in preventing deaths from cancer, strokes and heart disease. In September 2018 it

4687-637: The NHS in 1948, but the two retained close ties. The ICR's laboratories are located alongside the Royal Marsden in Brompton and Belmont, and the two organisations produce a joint research strategy. Many of the hospital's consultants also have research roles with the ICR, and some facilities are shared between the organisations, such as the Joint Department of Physics, which operates the linac . The hospital also participates in wider research collaborations, including

4796-727: The NHS. The NHS is the largest employer in Europe, with one in every 25 adults in England working for the NHS. As of February 2023, NHS England employed 1.4 million staff. Nursing staff accounted for the largest cohort at more than 330,000 employees, followed by clinical support staff at 290,000, scientific and technical staff at 163,000 and doctors at 133,000. In June 2018, the Royal College of Physicians calculated that medical training places need to be increased from 7,500 to 15,000 by 2030 to take account of part-time working among other factors. At that time there were 47,800 consultants working in

4905-656: The Nightingale, also after the singer, who was known as the Swedish Nightingale. In about 1852 a residential school was built alongside the Sutton to Epsom Downs railway near Brighton Road. The building was designed by Edwin Nash and contained administrative, dining, dormitory and teaching areas. Boys were taught manual skills like shoemaking and metal working. Girls were taught such skills as needle work, laundry work, and ironing with

5014-470: The Royal Marsden every year. As of 2020, the Care Quality Commission reported that the Royal Marsden had 219 inpatient beds, 70 day care beds, and 513 outpatient clinics. The Royal Marsden works in collaboration with The Institute of Cancer Research (ICR), which was founded in 1909 as the hospital's research department. The ICR legally separated from the hospital when the latter became part of

5123-800: The South Metropolitan Industrial school was bought by the Metropolitan Asylums Board. The site later became the Downs Schools and then the Downs Hospital. It is now shared between the Royal Marsden and Sutton Hospitals, the Institute of Cancer Research , and the site of a new school to be opened in 2019. The Sutton Adult School and Institute opened in 1910 in a large Edwardian building in Benhill Avenue. It later became

5232-464: The St Nicholas church grounds, there are two areas of green space within the town centre, Sutton Green and Manor Park. Sutton Green is at the northern end of Sutton High Street, near All Saints Church . It is bordered by a row of detached Victorian villas to the west, the High Street to the east and Bushey Road to the south. The green dates from 1810, when it was awarded to the residents of Sutton under

5341-500: The Sutton Common Enclosure Award. Victoria Gardens, a smaller area of green space which once included a pond, lies across the road from Sutton Green. To the north of Sutton Green are Rose Hill Park East and Rose Hill Park West, to the east and west respectively of the main thoroughfare Angel Hill/Rosehill. Rose Hill Park East contains Greenshaw Woods, for which Greenshaw High School is named. Manor Park lies opposite

5450-618: The Sutton site were first used as the Banstead Road branch of the South Metropolitan District School, which was a 'district' school for children of workhouse inmates in south London. In the 1890s, girls were kept at the Banstead Road site and boys were kept at a site in Brighton Road, which was built in 1851. The Brighton Road site later became Belmont workhouse and Belmont Psychiatric hospital, before being demolished in

5559-442: The UK are in general not entitled to free hospital treatment, with some exceptions such as refugees . People not ordinarily resident may be subject to an interview to establish their eligibility, which must be resolved before non-emergency treatment can commence. Patients who do not qualify for free treatment are asked to pay in advance or to sign a written undertaking to pay, except for emergency treatment. People from outside

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5668-464: The UK can use the NHS without being asked to pay the full cost of the service, though NHS dentistry and optometry do have standard charges in each of the four national health services in the UK. In addition, most patients in England have to pay charges for prescriptions though some patients are exempted. Aneurin Bevan , in considering the provision of NHS services to overseas visitors wrote, in 1952, that it would be "unwise as well as mean to withhold

5777-452: The UK had increased by more than any country despite the significant drop in national income due to the COVID pandemic. The Labour Government elected in 2024 stated that their policy was that the "NHS is broken". They announced an immediate stocktake of current pressures and the reasons for them led by Labour peer Lord Ara Darzi. This was to be followed by development of a new "10 year plan" for

5886-456: The UK of which 15,700 were physicians. About 20% of consultants work less than full-time. Brexit , in 2020, was predicted to affect medical practitioners from EU countries who worked in the NHS, accounting for more than 1-in-10 doctors at the time. A 2017 survey suggested 60% of these doctors were considering leaving, with a record 17,197 EU staff leaving the NHS in 2016. The figures led to calls to reassure European workers over their future in

5995-487: The UK. A study by the Centre for Progressive Policy called for NHS trusts to become "exemplar employers" by improving social mobility and pay especially for those "trusts in poorer places where they can play a particularly large role in determining the economic wellbeing of the local population." They found the NHS to be " a middle ranking employer in comparison to other large organisations and falls short on social mobility and

6104-567: The area of the urban district was expanded to include the parish of Cheam , and renamed Sutton and Cheam. The town became a municipal borough in 1934, and the civil parishes were merged in 1949. The municipal borough was abolished in 1965 and its former area became part of the London Borough of Sutton in Greater London . For Westminster elections, Sutton is part of the Sutton and Cheam constituency, formed in 1945. The Member of Parliament

6213-630: The assistant commissioner. The smoke was visible for miles around. All 200 staff, outpatients, and 79 inpatients were evacuated to a local church and the neighbouring Royal Brompton Hospital , some carried on mattresses by emergency responders and doctors. Five operating theatres and at least two wards were put out of action. Two patients were undergoing surgery in the operating theatres in the basement and had to be evacuated. Two firefighters and one member of staff suffered slight smoke inhalation but there were no other casualties or injuries. They were taken to another hospital for treatment. The entire roof of

6322-465: The building a potential lifespan of over 200 years. It was designed by Amazonails Architectura, and constructed by a mixed team of builders. It was London's first energy-efficient building to use this construction method. In the south of Sutton starts Banstead Downs, which extends for around a mile south towards neighbouring Banstead . Banstead Downs is a large Site of Special Scientific Interest , covering 430 acres (170 ha). Banstead Golf Course

6431-542: The cap on health service pay, claiming the cap is damaging the health service and damaging patient care. In 2017, the pay rise was likely to be below the level of inflation and to mean a real-terms pay cut. In 2017, the House of Commons Library research predicted that that real-terms NHS funding per head was to fall in 2018–19, and stay the same for two years afterwards. In January 2018, The Guardian reported that GPs faced excessive workloads throughout Britain and that this put

6540-406: The causes and find new treatments. The hospital at first consisted solely of a dispensary and the drugs prescribed were palliative and aimed at treating symptoms, but it allowed William Marsden the opportunity to study and research the disease. The hospital quickly outgrew its original premises as it became apparent that some patients required inpatient care. It moved locations several times during

6649-592: The department is making 4,000 training positions available for GPs every year, which help create an extra 50 million appointments annually. In 2023, a report revealed that NHS staff had faced over 20,000 sexual misconduct from patients from 2017 to 2022 across 212 NHS Trusts. Some of the claims included rape, sexual harassment, stalking, and sexualised remarks at staff from patients. In the report, female staff members were told by hospitals to continue caring for patients even after there were issues regarding abuse or harassment without further safeguards in place. Other parts of

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6758-507: The first of many controversies over changes to the NHS throughout its history. From its earliest days, the cultural history of the NHS has shown its place in British society reflected and debated in film, TV, cartoons and literature. The NHS had a prominent slot during the 2012 London Summer Olympics opening ceremony directed by Danny Boyle , being described as "the institution which more than any other unites our nation". Everyone living in

6867-581: The form the NHS finally took. Bevan's National Health Service was proposed in Westminster legislation for England and Wales from 1946 and Scotland from 1947, and the Northern Ireland Parliament 's Public Health Services Act 1947. NHS Wales was split from NHS (England) in 1969 when control was passed to the Secretary of State for Wales . According to one history of the NHS, "In some respects

6976-424: The four services in 2015–16 employed around 1.6 million people with a combined budget of £136.7 billion. In 2024, the total health sector workforce across the United Kingdom was 1,499,368 making it the seventh largest employer and second largest non-military public organisation in the world. When purchasing consumables such as medications, the four healthcare services have significant market power that influences

7085-599: The free service from the visitor to Britain. How do we distinguish a visitor from anybody else? Are British citizens to carry means of identification everywhere to prove that they are not visitors? For if the sheep are to be separated from the goats both must be classified. What began as an attempt to keep the Health Service for ourselves would end by being a nuisance to everybody." The provision of free treatment to non-UK-residents, formerly interpreted liberally, has been increasingly restricted, with new overseas visitor hospital charging regulations introduced in 2015. Citizens of

7194-442: The global price, typically keeping prices lower. A small number of products are procured jointly through contracts shared between services. Several other countries directly rely on Britain's assessments for their own decisions on state-financed drug reimbursements. Calls for a "unified medical service" can be dated back to the Minority Report of the Royal Commission on the Poor Law in 1909. Somerville Hastings , President of

7303-400: The hospital's first physician. Professor of radiotherapy at the University of London David Waldron Smithers chaired the committee that constructed and established the Surrey branch of the Marsden, which was opened in 1963. He led radiation oncology at the hospital. The Royal Marsden's main lecture theatre is named in honour of consultant radiotherapist Julian Bloom. The Royal Marsden Hospital

7412-429: The lodge was sold off for house building. The lodge itself survived and was bought by Sutton Council, for use as a day centre. During its early history it may have served as a hideaway for the future King George IV and his mistresses. The building is Grade II listed. The High Street and the central area housing has a majority of Victorian architecture ; Edwardian architecture is also represented, especially among

7521-648: The needs of everyone, that it be free at the point of delivery, and that it be based on clinical need, not ability to pay. Three years after the founding of the NHS, Bevan resigned from the Labour government in opposition to the introduction of charges for the provision of dentures, dentists, and glasses ; resigning in support was fellow minister and future Prime Minister Harold Wilson . The following year, Winston Churchill 's Conservative government introduced prescription fees. However, Wilson's government abolished them in 1965; they were later re-introduced but with exemptions for those on low income. These charges were

7630-451: The new funding is to be efficiently used the NHS will need a comprehensive and fully funded workforce strategy to ensure future supply of staff. In March 2022, Rishi Sunak doubled the annual efficiency target for the NHS in England. The 2.2 per cent target would deliver annual savings of saving of £4.75 billion. At the same time the additional Covid funding is being removed in 2022–23. At the same time Sir Charles Bean , recently leader of

7739-483: The new partnership as overdue, while Plaid Cymru criticized it as insufficient for addressing deeper issues within the Welsh NHS. There was a concern that a disorderly Brexit might have compromised patients' access to vital medicines. In February 2018, many medical organisations planned for a worst-case Brexit scenario because "time is running out" for a transition deal to follow the UK's formal exit that occurred in March 2019. Pharmaceutical organisations working with

7848-512: The new police station extension. Aspects was created out of a former office building; it was reclad in a terracotta colour and three additional floors were added at the top for penthouses. With a total of eighteen floors, it can be seen from across Sutton. By contrast, the Lamborne was newly built. In 2003 the extension to Sutton Police Station was completed and officially opened the following year by Commissioner Sir John Stevens . The extension, which

7957-547: The new, fast link to central London, Sutton's population more than doubled between 1851 and 1861, and the village became a town. New housing was built in the Lind Road area, and called "New Town". A pub built in 1854 on the corner of Lind Road was named the Jenny Lind , after the famous Swedish opera singer Johanna Maria Lind, who was visiting friends in the area in 1847 and enchanted locals with her singing. It has recently been renamed

8066-657: The north is clay . The belt of Thanet sands allowed wells to provide clean water, and this attracted settlements from a very early date. The Sutton and Cheam Water Company began operations in 1864, and by 1900 had built 142 miles of mains. The company merged with the East Surrey Water Company in 1996 to form Sutton and East Surrey Water . Elevations in and around the town range from 115 metres (377 ft) AOD in Belmont to 23 metres (75 ft) in Sutton Common , at

8175-467: The number of GPs has fallen by 1,622. Some family doctors have 2,500 patients each, forcing patients to attend A&E instead. Certain regions have fewer than 50 GPs per 100,000 people, while other regions have more than 70, presenting a challenge to the NHS's founding principle of equal treatment. A growing number of family doctors are reporting unsustainable workloads, and many have chosen to work part-time. A Health and Social Care spokesperson said that

8284-412: The opening of coaching inns , spurring its growth as a village. When it was connected to central London by rail in 1847, it began to grow into a town, and it expanded further in the 20th century. It became a municipal borough with Cheam in 1934, and became part of Greater London in 1965. Sutton has the largest library in the borough, several works of public art and four conservation areas . It

8393-420: The past) are liable to charges for services. There are some other categories of people who are exempt from the residence requirements such as specific government workers and those in the armed forces stationed overseas. In 2016, the systems were 98.8% funded from general taxation and National Insurance contributions, plus small amounts from patient charges for some services. As of 2016, about 10% of GDP

8502-530: The patients. In wards which had not closed staff sometimes worked under stress due to staff shortages. It was also predicted then, that Brexit was likely to aggravate those problems. In November 2019, it was reported that due to the shortage of nurses the NHS was then relying on less qualified staff like healthcare assistants and nursing associates. For the period between 2010 and 2018 the Health Foundation funded research by Birmingham University said there

8611-425: The personal relationship between doctor and patient. Conservative MPs voted in favour of their amendment to Bevan's Bill to maintain local control and ownership of hospitals and against Bevan's plan for national ownership of all hospitals. The Labour government defeated Conservative amendments and went ahead with the NHS as it remains today; a single large national organisation (with devolved equivalents) which forced

8720-475: The police station. It was opened by the chairman of the then Sutton Urban District Council in 1914, and its fountain was added in 1924–1925. A plaque on the pool surround states: "This fountain was presented to the town by Councillor Chas Yates Chairman of Sutton U.D.C.1924–25" The park is the site of the Sutton War Memorial, which was unveiled in 1921 by Sir Ralph Forster, a resident whose son had died in

8829-448: The real Living Wage", and ranked trusts using a 'good employer index'. Ambulance trusts were ranked worst. On 6 June 2022, The Guardian said that a survey of more than 20,000 frontline staff by the nursing trade union and professional body, the Royal College of Nursing , found that only a quarter of shifts had the planned number of registered nurses on duty. The NHS is facing a shortage of general practitioners . From 2015 to 2022,

8938-419: The remaining 20% split between buildings, equipment, training costs, medical equipment, catering and cleaning. Nearly 80% of the total budget is distributed by local trusts in line with the particular health priorities in their areas. When the NHS was launched in 1948 it had a budget of £437 million (equivalent to £20.07 billion in 2023). In 2016–2017, the budget was £122.5 billion. In 1955/56 health spending

9047-437: The report showed that staff were pressured into not reporting grievances. In June 2023, the delayed NHS Long term Workforce Plan was announced, set up to train more doctors and nurses and create new roles within the health service. In 2024, multiple NHS hospitals started mandating radiographers to ask all male patients aged 12 to 55 if they were pregnant. This policy was instated as part of an 'inclusivity' drive and received

9156-472: The start of the Pyl Brook stream. Sutton has formed part of Greater London since 1965. The town is often referred to as "Sutton", "Sutton, London", or "Sutton, Surrey" for mailing addresses. Surrey was the former Postal County and remains the historic or traditional county in which Sutton lies. This is because Greater London was formally created in 1965, and county boundaries were changed in 1974. However,

9265-509: The time of Domesday until the 19th century, Sutton formed a parish in the Wallington hundred of Surrey in the feudal system . Jose Glover , who was Rector of Sutton from 1628 to 1636, became a pioneer of printing in the English colonies of North America and one of the people instrumental in establishing Harvard College in the 1630s. The road from London to Banstead Downs , through Sutton,

9374-494: The town's housing stock. Of architectural interest because of its particularly varied style is the Victorian residential quarter east of the high street known as Newtown, where no single developer was in overall charge. The town features more recent architectural styles from the 1930s (including some art deco and moderne). The most prominent examples of 21st century architecture include the Aspects and Lamborne apartment buildings and

9483-431: The transfer of ownership of hospitals from local authorities and charities to the new NHS. Bevan's principle of ownership with no private sector involvement has since been diluted, with later Labour governments implementing large scale financing arrangements with private builders in private finance initiatives and joint ventures. At its launch by Bevan on 5 July 1948 it had at its heart three core principles: That it meet

9592-533: The trust was ranked third in the Learning from Mistakes League . The trust hopes to raise 45% of its income from private patients and other non-NHS sources in 2016/17 and is trying to raise its income from paying patients from £90m to £100m. According to LaingBuisson it is the most commercially orientated NHS hospital. It increased private patient income by 13% from 2014 to 2016 to £77 million. In 2018-19 it made £121 million through its private patient units, more than

9701-521: The war had made things easier. In anticipation of massive air raid casualties, the Emergency Medical Service had brought the country's municipal and voluntary hospitals into one umbrella organisation, showing that a national hospital service was possible." Webster wrote in 2002 that "the Luftwaffe achieved in months what had defeated politicians and planners for at least two decades." The NHS

9810-519: The war. The memorial, in portland stone , consists of a large ornamental cross on a plinth. 524 men who died in the First World War are commemorated on the memorial. There are four depictions of angels on the plinth overlooking the park. The current Manor Park Café opened in October 2010. It is eco-friendly and has a range of environmental features, including its straw-bale construction , giving

9919-543: The word ‘Royal’. When the National Health Service was formed in 1948, the Royal Marsden became a post-graduate teaching hospital. In 1954, it was renamed the Royal Marsden Hospital in recognition of the vision and commitment of its founder. In response to the need to expand to treat more patients and train more doctors, a second hospital in Sutton , London, was opened in 1962. The original buildings on

10028-568: The world's second largest cancer research campus and improving connectivity to central London and the London Underground through the Sutton Link tram project (currently awaiting funding). Sutton is one of several towns located on a narrow bed of Thanet Sands which extends from Croydon in the east, to Epsom in the west. To the south of this belt is chalk of the North Downs, and to

10137-413: The year to 2018. It was also said that some expressed doubt over whether May could carry out this proposed increase in funding. The next day, Health Secretary Jeremy Hunt backed the extra £20bn annual increase in NHS funding and responded to criticism by stating that taxation would be used to carry out the funding and that details would be revealed at the next budget. In June 2018 it was reported that

10246-450: Was 11.2% of the public services budget. In 2015/16 it was 29.7%. This equates to an average rise in spending over the full 60-year period of about 4% a year once inflation has been taken into account. Under the Blair government spending levels increased by around 6% a year on average. Between 2010 and 2017 spending growth was constrained to just over 1% a year. A 2019 report said that a study by

10355-464: Was a haven for highwaymen in the 18th century. In 1755, two turnpike roads, which met at Sutton, were built: one from London to Brighton (Brighton Road), the other from Carshalton to Ewell (Cheam Road). The toll bars for the roads were originally located by the Cock Hotel, a coaching inn at the junction. The inn's sign straddled the Brighton road. The London to Brighton stagecoach began in 1760, and

10464-417: Was born out of the ideal that healthcare should be available to all, regardless of wealth. Although being freely accessible regardless of wealth maintained Henry Willink 's principle of free healthcare for all, Conservative MPs were in favour of maintaining local administration of the NHS through existing arrangements with local authorities fearing that an NHS which owned hospitals on a national scale would lose

10573-455: Was built in Grove Road. Freemasons have met there since its foundation, apart during World War II when the military requisitioned it and it served as a shelter for displaced people. In 1898 a new, larger Cock Hotel replaced the original one. By 1901, the town's population had reached 17,223 as further housing was built and the High Street was developed. In 1902 the Banstead Road site of

10682-541: Was built overlooking the historic crossroads in 1894. Designed in the French Renaissance architectural style, it is four storeys tall and forms a prominent local landmark. There is a series of arches at ground level, and an ornate entrance where the roads meet. In 1884 Sutton High School for Girls was founded by the then Girls' Public Day School Trust. In 1899 Sutton County Grammar School (now Sutton Grammar School for Boys ) opened. In 1897 Sutton Masonic Hall

10791-528: Was costing about £10,000 per household in the UK. This, they said, reflected the third highest share of GDP of any nation in Europe. This was said to show that the UK "has one of the most costly health systems – and some of the worst outcomes". The findings were made before the government increased health spending significantly, with a 1.25% increase in National Insurance , in April 2022. Civitas said this showed evidence "runaway" spending as health spending in

10900-407: Was demolished. However, the inn sign and its fingerposts survive, overlooking the historic crossroads. The sign and fingerposts were given Grade II listed status by English Heritage on 18 April 2018. In 1959 a local resident, George Edgar Alcock, started a campaign to preserve a unique avenue of copper beech trees. This campaign led the same year to the formation of the Sutton and Cheam Society,

11009-494: Was found in Sutton town centre. The Roman road of Stane Street formed part of the northern boundary of the parish. Sutton was recorded as Sudtone in a charter of Chertsey Abbey believed to date from the late 7th century, when the Manor was granted to the Abbot of Chertsey by Frithwald, Governor of Surrey. Some sources state the name as Suthtone or Sudtana. The 1086 Domesday Book records Sutton as spanning about 800 acres, and having about 30 houses and 200 people. It states that

11118-473: Was increased to £400 in 2018. The discounted rate for students and those on the Youth Mobility Scheme will increase from £150 to £300. From 15 January 2007, anyone who is working outside the UK as a missionary for an organisation with its principal place of business in the UK is fully exempt from NHS charges for services that would normally be provided free of charge to those resident in the UK. This

11227-543: Was insufficient and falling NHS capital spending that put patient care and put staff productivity at risk. The Health Foundation said that £3.5 billion more a year would be required to get capital spending to the OECD average. Spending limits were effecting service efficiency, and patient care. Shortages of equipment and equipment failures had an impact as did relying on ageing diagnostic equipment. In 2018, British Prime Minister Theresa May announced that NHS in England would receive

11336-551: Was reported that Cancer Research UK maintained that more NHS cancer personnel were needed to enable the UK to catch up The NHS in England was expanding early diagnosis services with the goal of increasing the proportion of cancers diagnosed early (at stages 1 and 2) from 53% to 75% in the decade to 2028. In September 2018, it was reported that the NHS was the first health service in Europe to negotiate coverage for novel CAR-T cancer therapy, with agreement reached within 10 days of its European marketing authorisation. On 7 January 2019,

11445-507: Was reported that death rates from breast cancer were falling faster in Britain than in any other of the six largest countries in Europe, and were estimated then to have improved beyond the European average. In October 2018, according to Breast Cancer Care , 72% of NHS trusts across the UK did not provide dedicated specialist nurses for patients with incurable breast cancer." In September 2019 it

11554-479: Was reported that staff shortages at histology departments were delaying diagnosis and start of treatment for cancer patients. In England and Scotland cancer wards and children's wards have to close because the hospital cannot attract sufficient qualified doctors and nurses to run the wards safely. In November 2018 it was reported that cancer patients and child patients were having to travel very long distances to get treatment and their relatives had to travel far to visit

11663-475: Was short of doctors, foreign doctors were forced to leave the UK due to visa restrictions. A study reported in November 2018 found that a fifth of doctors had faced bullying from seniors in the previous year due to pressure at work. In May 2018 it was reported that the NHS was under-resourced compared to health provisions in other developed nations. A King's Fund study of OECD data from 21 nations, revealed that

11772-531: Was spent on health and was the most spent in the public sector. In 2019, the UK spent roughly 10.2% of GDP on healthcare compared to 11.7% in Germany and 11.1% in France. The money to pay for the NHS comes directly from taxation. The 2008/09 budget roughly equated to a contribution of £1,980 per person in the UK. Some 60% of the NHS budget is used to pay staff. A further 20% pays for pharmaceuticals and other supplies, with

11881-494: Was thought that inflation may erode the real value of this funding increase. As part of the 2018 funding increase the UK Government asked the NHS in England to produce a 10-year plan as to how this funding would be used. In September 2019, it was reported that cancer survival rates in the UK had been rising fast but probably still lagged behind the best results internationally, mainly because of late diagnosis. In March 2019 it

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