However infectious diseases of several types affected everyone -
typhus and typhoid were common, and were usually described as
"fever". A series of cholera epidemics, spread by contaminated
drinking water, caused a lot of public concern. In 1832, 250 people
died of cholera in Kilmarnock, and in 1849 another 130.
At that date hospitals were usually paid for by rich benefactors
or by public subscription, and often run by town councils. This
continued till the National Health Service was set up in 1948.
The Crichton Royal, Dumfries
James Crichton was born in Sanquhar in 1765. In 1808 he retired
from his career in India to live at Friars' Carse, five miles north
of Dumfries. When James Crichton died in 1823 he left his wife
Elizabeth a large sum of money to be used to help the community in
any way she choose. Finally she decided to establish a hospital to
treat the insane. At this time mentally ill people lived in the
local Poor House, a place for those who could not support
themselves. For the wealthy there were private institutions, but
for the violent or criminally insane prison was the only
alternative.
While the hospital was being built Elizabeth Crichton searched
for someone to run it. She chose the Superintendent of Montrose
Lunatic Asylum, Dr William Alexander Browne. He believed in curing,
not confining, the insane. He wrote that his ideal asylum should be
spacious and fitted with galleries, workshops and music rooms.
Extensive grounds and gardens should surround it. At the Crichton
Royal the 33 year old Dr Browne was given the opportunity to
implement his ideas. He was an enthusiastic Superintendent,
determined to fulfil Elizabeth Crichton's aim to establish an
asylum that would be the best in Europe. On 4 June 1839 the first
patient was admitted.
Dr Browne found that the chief obstacle to his ideal was the
lack of suitable staff. Nurses were untrained, yet they were the
people who had most contact with patients. In 1854, six years
before Florence Nightingale instituted her training school at St.
Thomas' Hospital, London, Dr Browne began a course of nursing
lectures - a landmark in nursing history.
At its peak the Crichton Royal housed up to 1300 patients. It
had its own water supply, power station, farm and gardens.
Dr Browne wanted his patients to be kept busy and interested.
From its opening the Crichton Royal had a patients' library. The
New Moon Magazine, produced by patients, first appeared in 1844,
and in 1846 Dr Browne established a museum. He placed great
emphasis on entertainment, and staff and patients participated in
concerts and plays. Painting and drawing were encouraged, as well
as other forms of creative arts and crafts.
Dumfries and Galloway Royal Infirmary
The establishment of the first hospital in Dumfries in 1776 was
the achievement of one man - Doctor John Gilchrist of Speddoch.
He believed that sick people should to be cared for in a
hospital and strived to get the support of the townsfolk. He met
with some hostility because people feared that a hospital would,
"become the resort of vagrants or of those unhappy persons whose
habitual hardships, imprudence or intemperance, had rendered them
useless and burdensome to the public".
He received a better response from local landowners, and a
society was formed to campaign and raise money. While it looked for
a site for the hospital, the society began converting a house in
Burns Street as a temporary measure. By November 1776 the
out-patient clinic and dispensary were ready, and a few months
later two wards, each with four beds, were opened.
Meanwhile work on a hospital at the High Dock was underway, and
in October 1778 the building opened. It was supported by annual
subscriptions, legacies and donations and could accommodate 42
patients. Admission was limited to those recommended by
subscribers, who had to guarantee to find the funeral expenses
should treatment prove unsuccessful! The patient had to agree to
leave the hospital within a certain period of time, and some
illnesses, particularly those that were incurable or infectious,
were not treated.
By the mid 1800s Dumfries was a busy port and market town. The
town was over-crowded and the dirty and badly ventilated houses
were an ideal breeding ground for disease. The hospital was now too
small to cope with the demands of the expanding population, and a
new building was proposed. The new hospital, known today as
Nithbank, opened in 1873.
One hundred years later came the opening of the current Dumfries
and Galloway Royal Infirmary, built on the site of the Crichton
Royal Hospital's golf course. This hospital had 424 beds and 400
staff, but it has expanded rapidly.