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Cottage hospital

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A cottage hospital is a mostly obsolete type of small hospital, most commonly found in the United Kingdom.

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132-483: The original concept was a small rural building having several beds. The advantages of such a hospital in villages were the provision of care which avoided long journeys to county or voluntary hospitals, facilities to deal more immediately with emergencies, and familiarity the local physician might have with their patients that may affect their treatment. This local knowledge of the patient would probably have been lost had they been referred to their nearest county hospital, as

264-965: A referendum on devolution proposals in 1997 , the Scotland Act 1998 was passed by the British Parliament, which established a devolved Scottish Parliament and Scottish Government with responsibility for most laws specific to Scotland. The Scottish Parliament was reconvened in Edinburgh on 4 July 1999. The first to hold the office of first minister of Scotland was Donald Dewar , who served until his sudden death in 2000. The Scottish Parliament Building at Holyrood opened in October 2004 after lengthy construction delays and running over budget. The Scottish Parliament's form of proportional representation (the additional member system ) resulted in no one party having an overall majority for

396-893: A dispute over the successor to the Surgeon Astley Cooper , Guy's established its own separate medical school in 1825. The medical school subsequently remerged in 1982 with that at Guy's to form the United Medical and Dental Schools of Guy's and St Thomas' Hospitals (UMDS). Subsequent additions included the Royal Dental Hospital of London School of Dental Surgery joining with Guy's Dental School on 1 August 1983 and St John's Institute of Dermatology on 1 August 1985. The latter had previously been located at 5 Lisle Street in Soho . Following discussion held between 1990 and 1992 with King's College London and

528-635: A distinctive Norse–Gaelic culture that saw many Old Norse loanwords enter the Scottish Gaelic spoken by islanders, and through successive generations the Norse would become almost completely assimilated into Gaelic culture and the Scottish clan system. After the conflict, Scotland had to affirm Norwegian sovereignty of the Northern Isles , but they were later integrated into Scotland in

660-589: A full legal union be sought instead, a proposal to which the Scots Parliament would not assent, causing the king to withdraw the plan. Except for a short period under the Protectorate , Scotland remained a separate state in the 17th century, but there was considerable conflict between the crown and the Covenanters over the form of church government . The military was strengthened, allowing

792-588: A letter addressed to Adolf Hitler that detailed his intentions to open peace negotiations with the British. Pintsch delivered the letter to Hitler at the Berghof around noon on 11 May. Albert Speer later said Hitler described Hess's departure as one of the worst personal blows of his life, as he considered it a personal betrayal. Hitler worried that his allies, Italy and Japan, would perceive Hess's act as an attempt by Hitler to secretly open peace negotiations with

924-645: A line between the River Tyne and the Solway Firth . Along this line, Trajan's successor Hadrian ( r.  117–138 ) erected Hadrian's Wall in northern England and the Limes Britannicus became the northern border of the Roman Empire. The Roman influence on the southern part of the country was considerable, and they introduced Christianity to Scotland. The Antonine Wall

1056-402: A number of Scottish-born authors achieved international reputations, such as Robert Louis Stevenson , Arthur Conan Doyle , J. M. Barrie and George MacDonald . Scotland also played a major part in the development of art and architecture. The Glasgow School , which developed in the late 19th century, and flourished in the early 20th century, produced a distinctive blend of influences including

1188-467: A population of 4.8 million in 1911, Scotland sent over half a million men to the war, of whom over a quarter died in combat or from disease, and 150,000 were seriously wounded. Field Marshal Sir Douglas Haig was Britain's commander on the Western Front. The war saw the emergence of a radical movement called " Red Clydeside " led by militant trades unionists. Formerly a Liberal stronghold,

1320-482: A small cottage into a hospital in the village of Cranleigh in Surrey. This hospital opened because Napper was concerned that there were no local hospital facilities for the poor in the village. St Thomas’ Hospital was the nearest voluntary hospital and that was about 45 kilometres away on unmade roads, a dangerous journey for an ill person. The only other possibility for care was in a local workhouse infirmary but this

1452-509: A state funeral. This is not true, since state funerals for any person other than a sovereign require an order from the reigning monarch as well as a parliamentary vote to authorise the funding. A similar myth suggests that the place of death is changed because a death in a royal palace would require an inquest from the Coroner of the Queen's Household and a hearing before a jury of members of

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1584-637: Is 30,977 square miles (80,231 km ) with a land area of 30,078 square miles (77,901 km ), comparable to the size of the Czech Republic . Scotland's only land border is with England, and runs for 96 miles (154 km) between the basin of the River Tweed on the east coast and the Solway Firth in the west. The Atlantic Ocean borders the west coast and the North Sea is to the east. The island of Ireland lies only 13 miles (21 km) from

1716-597: Is a country that is part of the United Kingdom . It contains nearly one-third of the United Kingdom's land area, consisting of the northern part of the island of Great Britain and more than 790 adjacent islands , principally in the archipelagos of the Hebrides and the Northern Isles . To the south-east, Scotland has its only land border , which is 96 miles (154 km) long and shared with England ;

1848-466: Is a UK-based charity that funds research into pregnancy problems and provides information to parents. The charity believes that it is unacceptable that one in four women in the UK will lose a baby during pregnancy and birth. It started when two obstetricians working in the maternity unit at the hospital were inspired to start fundraising for more research into pregnancy problems. It funds three research centres in

1980-473: Is funded by central government with money separate from other NHS trust funds. It originally consisted of two 28-bed wards, but nowadays Dreadnought patients are treated according to clinical need and so are placed in the ward most suitable for their medical condition. Following the merger of Guy's and St Thomas' Hospitals into one trust, accident and emergency services were consolidated at St Thomas' Hospital in 1993. Former prime minister Harold Wilson died at

2112-541: Is now applied to most of these buildings where they are used to deliver healthcare, reflecting the wider range of services that are provided in more modern times. Following King Henry VIII 's Dissolution of the Monasteries in 1536-40, only a few hospitals remained in use: St Thomas' , St Bartholomew's , the Bethlehem Hospital for the insane and two lock hospitals for the treatment of syphilis. From

2244-435: Is placed on a bed utterly unfit for the treatment of a broken limb, and which his restless tossings has disordered. Perhaps he may possess a coverlid or counterpane; but more generally the top covering of a sick man’s bed is the collection of unused clothes in the house; the floor, generally occupied by some ingeniously-constructed temporary bedding for the wife and younger children; no useful sanitary arrangements to be obtained;

2376-700: Is said to have invested in the Darien scheme . After another proposal from the English House of Lords was rejected in 1695, and a further Lords motion was voted down in the House of Commons in 1700, the Parliament of Scotland again rejected union in 1702. The failure of the Darien Scheme bankrupted the landowners who had invested, though not the burghs. Nevertheless, the nobles' bankruptcy, along with

2508-525: Is typical of the north-west of Europe, although several of the larger mammals such as the lynx, brown bear, wolf, elk and walrus were hunted to extinction in historic times. There are important populations of seals and internationally significant nesting grounds for a variety of seabirds such as gannets . The golden eagle is something of a national icon. On the high mountain tops, species including ptarmigan , mountain hare and stoat can be seen in their white colour phase during winter months. Remnants of

2640-753: The Bruce dynasty and their long-term rivals of the House of Comyn and House of Balliol lasted until the middle of the 14th century. Although the Bruce faction was successful, David II's lack of an heir allowed his half-nephew Robert II , the Lord High Steward of Scotland , to come to the throne and establish the House of Stewart . The Stewarts ruled Scotland for the remainder of the Middle Ages . The country they ruled experienced greater prosperity from

2772-701: The Celtic Revival the Arts and Crafts movement , and Japonism , which found favour throughout the modern art world of continental Europe and helped define the Art Nouveau style. Proponents included architect and artist Charles Rennie Mackintosh . Scotland played a major role in the British effort in the First World War . It especially provided manpower, ships, machinery, fish and money. With

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2904-526: The Community Charge (widely known as the Poll Tax) one year before the rest of Great Britain, contributed to a growing movement for Scottish control over domestic affairs. On 21 December 1988, Pan Am Flight 103 exploded mid–air over the town of Lockerbie , killing all on board as well as eleven Lockerbie residents. It remains the deadliest terrorist attack in the United Kingdom . Following

3036-568: The Guy's and St Thomas' NHS Foundation Trust , together with Guy's Hospital , Evelina London Children's Hospital , Royal Brompton Hospital and other sites. It is also a member of King's Health Partners , an academic health science centre , and is one of three sites used by King's College London GKT School of Medical Education . Originally located in Southwark , but based in Lambeth since 1871,

3168-539: The Hebrides , which had been ruled by various Scottish clans following the death of Somerled in 1164. In 1266, Scotland fought the short but consequential Scottish-Norwegian War which saw the reclamation of the Hebrides after the strong defeat of King Haakon IV and his forces at the Battle of Largs . Up until that point, the Hebrides had been under Norwegian Viking control for roughly 400 years and had developed

3300-646: The Highland Boundary Fault , which runs from Arran to Stonehaven . This part of Scotland largely comprises ancient rocks from the Cambrian and Precambrian , which were uplifted during the later Caledonian orogeny . It is interspersed with igneous intrusions of a more recent age, remnants of which formed mountain massifs such as the Cairngorms and Skye Cuillins . In north-eastern mainland Scotland weathering of rock that occurred before

3432-525: The House of Hanover from the British throne. The threat of the Jacobite movement to the United Kingdom and its monarchs effectively ended at the Battle of Culloden , Great Britain's last pitched battle . The passing of the Treaty of Union did not bring about immediate economic prosperity to Scotland as was widely speculated by the pamphleteer as a result of the little consideration given to prospects of

3564-564: The House of Stuart was resumed with the Restoration in Scotland in 1660. The Parliament of Scotland sought a commercial union with England in 1664; the proposal was rejected in 1668. In 1670 the Parliament of England rejected a proposed political union with Scotland. English proposals along the same lines were abandoned in 1674 and in 1685. The Scots Parliament rejected proposals for a political union with England in 1689. Jacobitism ,

3696-769: The Last Ice Age has shaped much of the landscape. A significant exception to the above are the fossil-bearing beds of Old Red Sandstones found principally along the Moray Firth coast. The Highlands are generally mountainous and the highest elevations in the British Isles are found here. Scotland has over 790 islands divided into four main groups: Shetland , Orkney , and the Inner Hebrides and Outer Hebrides . There are numerous bodies of freshwater including Loch Lomond and Loch Ness . Some parts of

3828-778: The Moscow region in Russia , and the Kamchatka Peninsula on the opposite side of Eurasia . Temperatures are generally lower than in the rest of the UK, with the temperature of −27.2 °C (−17.0 °F) recorded at Braemar in the Grampian Mountains , on 11 February 1895, the coldest ever recorded anywhere in the UK. Winter maxima average 6 °C (43 °F) in the Lowlands, with summer maxima averaging 18 °C (64 °F). The highest temperature recorded

3960-533: The Northern Isles and Western Isles , where a lack of trees led to most structures being built of local stone. Evidence of sophisticated pre-Christian belief systems is demonstrated by sites such as the Callanish Stones on Lewis and the Maes Howe on Orkney , which were built in the third millennium BC. The first written reference to Scotland was in 320 BC by Greek sailor Pytheas , who called

4092-533: The Parliament of Great Britain , which succeeded both the Parliament of Scotland and the Parliament of England , which rejected proposals from the Parliament of Ireland that the third kingdom be incorporated in the union. Andrew Fletcher , a prominent Scottish patriot, argued that the ratification of the treaty would see Scotland "more like a conquered province", and by 1713, the former Lord Chancellor of Scotland , James Ogilvy, 4th Earl of Findlater , who

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4224-715: The River Tay , flows for a distance of 117 miles (188 km). The whole of Scotland was covered by ice sheets during the Pleistocene ice ages and the landscape is much affected by glaciation. From a geological perspective, the country has three main sub-divisions: the Highlands and Islands, the Central Lowlands, and the Southern Uplands. The Highlands and Islands lie to the north and west of

4356-531: The Roman Empire , was culturally divergent. Repeated glaciations, which covered the entire land mass of modern Scotland, destroyed any traces of human habitation that may have existed before the Mesolithic period . It is believed the first post-glacial groups of hunter-gatherers arrived in Scotland around 12,800 years ago, as the ice sheet retreated after the last glaciation . At the time, Scotland

4488-668: The Royal Household . Although the position of Coroner of the Queen's Household was abolished by the Coroners and Justice Act 2009 , in the past the Coroner was responsible for inquests where the victim was "lying within the limits of the Queen's palaces", which would have included the Palace of Westminster. However, there is no proof that deaths at Westminster were ever reported as happening at St Thomas' Hospital to avoid involving

4620-711: The Scots Confession , which signalled the Scottish Reformation 's sharp break from papal authority and Roman Catholic teaching. The Catholic Mary, Queen of Scots, was forced to abdicate in 1567 . In 1603, James VI, King of Scots inherited the thrones of the Kingdom of England and the Kingdom of Ireland in the Union of the Crowns , and moved to London. This was a personal union as despite having

4752-486: The Second World War , with three ward blocks destroyed. Limited reconstruction began in the 1950s including the building now known as East Wing. Complete rebuilding to a more ambitious plan to designs by Yorke Rosenberg Mardall was agreed on in the 1960s requiring the realignment of Lambeth Palace Road further away from the river to enlarge the hospital campus. The new buildings have white-tiled cladding, which

4884-665: The Wars of Scottish Independence , until Robert the Bruce was crowned king of Scotland in 1306. Victory at the Battle of Bannockburn in 1314 proved the Scots had regained control of their kingdom. In 1320 the world's first documented declaration of independence, the Declaration of Arbroath , won the support of Pope John XXII , leading to the legal recognition of Scottish sovereignty by the English Crown. A civil war between

5016-611: The beaver and wild boar . Today, much of the remaining native Caledonian Forest lies within the Cairngorms National Park and remnants of the forest remain at 84 locations across Scotland. On the west coast, remnants of ancient Celtic Rainforest remain, particularly on the Taynish peninsula in Argyll , these forests are particularly rare due to high rates of deforestation throughout Scottish history. The flora of

5148-816: The glens in the Highlands, the Caledonians were again in revolt in 210–211 and these were overrun. To the Roman historians Tacitus and Cassius Dio , the Scottish Highlands and the area north of the River Forth was called Caledonia . According to Cassius Dio, the inhabitants of Caledonia were the Caledonians and the Maeatae . Other ancient authors used the adjective "Caledonian" to mean anywhere in northern or inland Britain, often mentioning

5280-471: The 14th century is now a crown dependency outside of the United Kingdom; the island groups Orkney and Shetland , which were acquired from Norway in 1472; and Berwick-upon-Tweed , lost to England in 1482 The geographical centre of Scotland lies a few miles from the village of Newtonmore in Badenoch . Rising to 4,413 feet (1,345 m) above sea level, Scotland's highest point is the summit of Ben Nevis , in Lochaber , while Scotland's longest river,

5412-401: The 15th century. Scandinavian culture in the form of the Norn language survived for a lot longer than in the Hebrides, and would strongly influence the local Scots dialect on Shetland and Orkney . Later, a system of feudalism was consolidated, with both Anglo-Norman incomers and native Gaelic chieftains being granted land in exchange for serving the king. The relationship with England

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5544-405: The 1870s, and the Fortingall Yew may be 5,000 years old and is probably the oldest living thing in Europe. Although the number of native vascular plants is low by world standards, Scotland's substantial bryophyte flora is of global importance. St Thomas%27 Hospital St Thomas' Hospital is a large NHS teaching hospital in Central London , England. Administratively part of

5676-423: The Apostle ". A hospital belonging to two men, both called Thomas, would be Thomases', so the name change in the late 20th century is considered by some to be a simple mistake. Within the South Wing of the hospital there are a number of late Victorian brass plaques headed "St Thomas's Hospital" i.e. using singular genitive. However, the medical school used the singular genitive s's ; the explanation given for this

5808-493: The British. After 1945, Scotland's economic situation worsened due to overseas competition, inefficient industry, and industrial disputes. Only in recent decades has the country enjoyed something of a cultural and economic renaissance. Economic factors contributing to this recovery included a resurgent financial services industry, electronics manufacturing , (see Silicon Glen ), and the North Sea oil and gas industry. The introduction in 1989 by Margaret Thatcher's government of

5940-411: The Coroner. When Sir Alfred Billson died in the House of Commons in 1907, his death was recorded as occurring in the House and not at St Thomas' Hospital. The hospital was requisitioned by the War Office in 1914 to create the 5th London General Hospital, a facility for the Royal Army Medical Corps to treat military casualties. The northern part of the hospital site was severely damaged during

6072-528: The King's College London Act 1997, the UMDS merged in 1998 with King's College School of Medicine and Dentistry to form as The Guy's, Kings & Thomas' Schools of Medicine (GKT School of Medicine), of Dentistry and of Biomedical Sciences. This was renamed as King's College London School of Medicine and Dentistry at Guy's, King's and St Thomas' Hospitals in 2005. The Nightingale Training School and Home for Nurses opened at St Thomas' Hospital on 9 July 1860 under Matron Sarah Elizabeth Wardroper , endowed from

6204-448: The Monasteries in 1539. Dr. Eleazar Hodson was the first St Thomas' physician about whom the medical historian Joseph Frank Payne was able to find any precise information. Hodson received his medical degree at Padua in 1612 and became F.R.C.P. in 1618. At the end of the 17th century, the hospital and church were largely rebuilt by Sir Robert Clayton , president of the hospital and a former Lord Mayor of London . Thomas Cartwright

6336-402: The Pictish language went extinct as its speakers shifted to Gaelic. From a base in eastern Scotland north of the River Forth and south of the River Spey , the kingdom expanded first southwards, into the former Northumbrian lands, and northwards into Moray . Around the turn of the millennium, there was a centralization in agricultural lands and the first towns began to be established. In

6468-416: The Roman victory, Roman forts were briefly set along the Gask Ridge close to the Highland line , but by three years after the battle, the Roman armies had withdrawn to the Southern Uplands . Remains of Roman forts established in the 1st century have been found as far north as the Moray Firth . By the reign of the Roman emperor Trajan ( r.  98–117 ), Roman control had lapsed to Britain south of

6600-405: The Scottish Enlightenment is traditionally considered to have concluded toward the end of the 18th century, disproportionately large Scottish contributions to British science and letters continued for another 50 years or more, thanks to such figures as the physicists James Clerk Maxwell and Lord Kelvin , and the engineers and inventors James Watt and William Murdoch , whose work was critical to

6732-423: The Scottish Parliament after the referendum, following cross-party talks in the Smith Commission . Since the 2014 referendum, events such as the UK leaving the European Union, despite a majority of voters in Scotland voting to remain a member, have led to calls for a second independence referendum . In 2022, the Lord Advocate Dorothy Bain argued the case for the Scottish Government to hold another referendum on

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6864-401: The Scottish economy. Campaigners for the union between Scotland and England believed that there would be economic advantages to Scotland as a result of the failed Darien scheme which left the Kingdom of Scotland bankrupt. Eventually however, with trade tariffs with England abolished, trade blossomed, especially with Colonial America . The clippers belonging to the Glasgow Tobacco Lords were

6996-494: The Southern Uplands is Merrick with an elevation of 843 m (2,766 ft). The Southern Uplands is home to Scotland's highest village, Wanlockhead (430 m or 1,411 ft above sea level). The climate of most of Scotland is temperate and oceanic , and tends to be very changeable. As it is warmed by the Gulf Stream from the Atlantic, it has much milder winters (but cooler, wetter summers) than areas on similar latitudes, such as Labrador , southern Scandinavia ,

7128-418: The UK, including St Thomas' in London, Saint Mary's Hospital, Manchester , and the recently established Royal Infirmary of Edinburgh . The use of the plural genitive s' in place of the singular genitive s's is fairly recent. The hospital newsletter in 2004 claimed that plural s' is grammatically correct, as "there are two men called St Thomas linked to the hospital's history: Thomas Becket and Thomas

7260-477: The Village Hospital, as it was called, and kept records from the start. Among the first 100 patients he recorded " compound fracture of both bones in the leg", "extensive cicatrix from a burn", "chronic pneumonia in both lungs", "multiple injuries" and amputation of fingers in a boy". Scotland – in Europe  (green & dark grey) – in the United Kingdom  (green) Scotland ( Scots : Scotland ; Scottish Gaelic : Alba )

7392-442: The army and navy, trade, economics, colonial enterprises and other areas across the nascent British Empire . Historian Neil Davidson notes "after 1746 there was an entirely new level of participation by Scots in political life, particularly outside Scotland." Davidson also states "far from being 'peripheral' to the British economy, Scotland – or more precisely, the Lowlands – lay at its core." The Scottish Reform Act 1832 increased

7524-439: The campus leads to a glazed link between the Lambeth Wing and the North Wing. Guy's and St Thomas' Charity commissioned sculptor Rick Kirby to produce a sculpture " Cross the Divide ", and this was unveiled in 2000 outside the Main Entrance. To the north of the North Wing (closer to Westminster Bridge Road) there is a garden area above car parking with Naum Gabo 's fountain sculpture Revolving Torsion at its centre. Tommy's

7656-508: The central belt of the country. Perhaps the most significant air raid in Scotland was the Clydebank Blitz of March 1941, which intended to destroy naval shipbuilding in the area. 528 people were killed and 4,000 homes totally destroyed. Perhaps Scotland's most unusual wartime episode occurred in 1941 when Rudolf Hess flew to Renfrewshire, possibly intending to broker a peace deal through the Duke of Hamilton . Before his departure from Germany, Hess had given his adjutant, Karlheinz Pintsch ,

7788-399: The coastline consist of machair , a low-lying dune pasture land. The Central Lowlands is a rift valley mainly comprising Paleozoic formations. Many of these sediments have economic significance for it is here that the coal and iron-bearing rocks that fuelled Scotland's industrial revolution are found. This area has also experienced intense volcanism, Arthur's Seat in Edinburgh being

7920-402: The continuation of Scottish culture and national identity . Scottish English and Scots are the most widely spoken languages in the country , existing on a dialect continuum with each other. Scottish Gaelic speakers can be found all over Scotland, however the language is largely spoken natively by communities within the Hebrides . The number of Gaelic speakers numbers less than 2% of

8052-402: The cottager is a familiar object, the cottage itself generally consisting, at the best, of a kitchen and a back shed, with perhaps two bedrooms, which are often without a fireplace; the windows, small, low and frequently not made to open; the laboring man, who has met with a severe accident, with difficulty is carried up the narrow staircase – generally of the stepladder description – and

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8184-399: The country is surrounded by the Atlantic Ocean to the north and west, the North Sea to the north-east and east, and the Irish Sea to the south. The population in 2022 was 5,439,842. Edinburgh is the capital and Glasgow is the largest of the cities of Scotland . The Kingdom of Scotland emerged as an independent sovereign state in the 9th century. In 1603, James VI succeeded to

8316-444: The country is varied incorporating both deciduous and coniferous woodland as well as moorland and tundra species. Large-scale commercial tree planting and management of upland moorland habitat for the grazing of sheep and field sport activities like deer stalking and driven grouse shooting impacts the distribution of indigenous plants and animals. The UK's tallest tree is a grand fir planted beside Loch Fyne , Argyll in

8448-462: The end of the 14th century through the Scottish Renaissance to the Reformation , despite the effects of the Black Death in 1349 and increasing division between Highlands and Lowlands . Multiple truces reduced warfare on the southern border. The Treaty of Perpetual Peace was signed in 1502 by James IV of Scotland and Henry VII of England . James married Henry's daughter, Margaret Tudor . James invaded England in support of France under

8580-497: The execution of the Scottish king at Whitehall in 1649, amid the Wars of the Three Kingdoms and its events in Scotland , Oliver Cromwell , the victorious Lord Protector , imposed the British Isles' first written constitution – the Instrument of Government – on Scotland in 1652 as part of the republican Commonwealth of England, Scotland, and Ireland . The Protectorate Parliament was the first Westminster parliament to include representatives nominally from Scotland. The monarchy of

8712-426: The family unit and had sharp divisions in wealth, although the vast majority were poor and worked full-time in subsistence agriculture . The Picts kept slaves (mostly captured in war) through the ninth century. Gaelic influence over Pictland and Northumbria was facilitated by the large number of Gaelic-speaking clerics working as missionaries. Operating in the sixth century on the island of Iona , Saint Columba

8844-512: The fastest ships on the route to Virginia . Until the American War of Independence in 1776, Glasgow was the world's premier tobacco port, dominating world trade. The disparity between the wealth of the merchant classes of the Scottish Lowlands and the ancient clans of the Scottish Highlands grew, amplifying centuries of division. In the Highlands, clan chiefs gradually started to think of themselves more as commercial landlords than leaders of their people. These social and economic changes included

8976-526: The first cottage hospital providing free medical services. 1842 saw the commissioning of a cottage hospital in Wellow , Nottinghamshire with six beds and managed by a board which included many eminent gentlemen. Mr. W Squire Ward was the surgeon on its inception and remained so for 25 years. One nurse was employed with occasional assistance and a wide range of surgical interventions were successfully carried out. p21 Between 1855 and 1898, 294 cottage hospitals were established. In 1859, Albert Napper converted

9108-475: The first phase of the Highland Clearances and, ultimately, the demise of clanship. The Scottish Enlightenment and the Industrial Revolution turned Scotland into an intellectual, commercial and industrial powerhouse — so much so Voltaire said "We look to Scotland for all our ideas of civilisation." With the demise of Jacobitism and the advent of the Union, thousands of Scots, mainly Lowlanders, took up numerous positions of power in politics, civil service,

9240-507: The first three Scottish parliament elections. The pro- independence Scottish National Party led by Alex Salmond achieved an overall majority in the 2011 election , winning 69 of the 129 seats available. The success of the SNP in achieving a majority in the Scottish Parliament paved the way for the September 2014 referendum on Scottish independence . The majority voted against the proposition, with 55% voting no to independence. More powers, particularly concerning taxation, were devolved to

9372-437: The foundation stone was laid by Queen Victoria in 1868. There was a seventh pavilion at the north end of the site next to Westminster Bridge Road for the "Treasurer's House" (hospital offices). The hospital initially had 600 beds. This was one of the first new hospitals to adopt the "pavilion principle" – popularised by Florence Nightingale in her Notes on Nursing – by having six separate ward buildings at right angles to

9504-415: The hospital has provided healthcare freely or under charitable auspices since the 12th century. It is one of London's most famous hospitals, associated with people such as Sir Astley Cooper , William Cheselden , Florence Nightingale , Alicia Lloyd Still , Linda Richards , Edmund Montgomery , Agnes Elizabeth Jones and Sir Harold Ridley . It is a prominent London landmark – largely due to its location on

9636-495: The hospital on 24 May 1995, as a result of cancer and Alzheimer's disease . In the late 1980s Dr Chris Aps introduced changes at St Thomas' Hospital which allowed cardiothoracic surgical patients to recover away from the intensive care unit in an overnight intensive recovery unit: this has become a template for similar units across the United Kingdom. In October 2005 children's departments moved to new facilities designed by Michael Hopkins at Evelina London Children's Hospital to

9768-464: The idea of finding some accommodation for the care and nursing of the ill poor. Then an occurrence of a single incident is recorded by Swete as being the catalyst for the development of the cottage hospital. Sapte was riding across the common in Cranley when he heard of a serious accident. The victim had been carried to a nearby cottage and when Sapte arrived he found Napper and two assistants amputating

9900-414: The imposition of royal authority on the western Highland clans. The 1609 Statutes of Iona compelled the cultural integration of Hebridean clan leaders. In 1641 and again in 1643, the Parliament of Scotland unsuccessfully sought a union with England which was "federative" and not "incorporating", in which Scotland would retain a separate parliament. The issue of union split the parliament in 1648. After

10032-777: The industrial districts switched to Labour by 1922, with a base among the Irish Catholic working-class districts. Women were especially active in building neighbourhood solidarity on housing issues. The "Reds" operated within the Labour Party with little influence in Parliament and the mood changed to passive despair by the late 1920s. During the Second World War, Scotland was targeted by Nazi Germany largely due to its factories, shipyards, and coal mines. Cities such as Glasgow and Edinburgh were targeted by German bombers, as were smaller towns mostly located in

10164-628: The issue, with the Supreme Court later ruling against the argument. Following the Supreme Court decision, the Scottish Government stated that it wished to make amendments to the Scotland Act 1998 that would allow a referendum to be held in 2023. The mainland of Scotland comprises the northern third of the land mass of the island of Great Britain, which lies off the northwest coast of Continental Europe . The total area

10296-631: The later 4th century, which included the participation of the Gaelic Scoti and the Caledonians, who were then known as Picts by the Romans. This was defeated by the comes Theodosius ; but Roman military government was withdrawn from the island altogether by the early 5th century, resulting in the Anglo-Saxon settlement of Britain and the immigration of the Saxons to southeastern Scotland and

10428-435: The leg of the injured man. This incident confirmed for both men the need for some local facility where sick or injured people could receive urgent care. Sapte made a cottage available, rent-free, which after being whitewashed and simply furnished opened after a few weeks as the first cottage hospital. That same cottage still exists today at the entrance to Cranleigh Village Hospital. Napper proceeded to admit local patients to

10560-683: The likes of Tiree and Coll are much flatter. Scotland comes from Scoti , the Latin name for the Gaels . Philip Freeman has speculated on the likelihood of a group of raiders adopting a name from an Indo-European root , * skot , citing the parallel in Greek skotos ( σκότος ), meaning "darkness, gloom". The Late Latin word Scotia ("land of the Gaels") was initially used to refer to Ireland, and likewise in early Old English Scotland

10692-664: The mid-16th century until the Voluntary Hospital Movement in the early part of the 18th century there was a dearth of hospital care in the UK. The first voluntary hospital created to provide free care through the philanthropic action of doctors and surgeons for the ill poor was the French Hospital in Finsbury , London, started in 1718 by Huguenot immigrants. The movement developed with the opening of Westminster Hospital near St James's Park . This

10824-409: The most mountainous region of the British Isles and contain its highest peak, Ben Nevis , at 4,413 feet (1,345 m). The region also contains many lakes, called lochs ; the term is also applied to the many saltwater inlets along the country's deeply indented western coastline. The geography of the many islands is varied. Some, such as Mull and Skye , are noted for their mountainous terrain, while

10956-405: The native Scots pine forest exist and within these areas the Scottish crossbill , the UK's only endemic bird species and vertebrate , can be found alongside capercaillie , Scottish wildcat , red squirrel and pine marten . Various animals have been re-introduced, including the white-tailed eagle in 1975, the red kite in the 1980s, and there have been experimental projects involving

11088-412: The ninth century, the Norse threat allowed a Gael named Kenneth I (Cináed mac Ailpín) to seize power over Pictland, establishing a royal dynasty to which the modern monarchs trace their lineage, and marking the beginning of the end of Pictish culture. The kingdom of Cináed and his descendants, called Alba, was Gaelic in character but existed on the same area as Pictland. By the end of the tenth century,

11220-460: The northern tip of Britain "Orcas", the source of the name of the Orkney islands. Most of modern Scotland was not incorporated into the Roman Empire , and Roman control over parts of the area fluctuated over a rather short period. The first Roman incursion into Scotland was in 79 AD, when Agricola invaded Scotland; he defeated a Caledonian army at the Battle of Mons Graupius in 83 AD. After

11352-462: The number of Scottish MPs and widened the franchise to include more of the middle classes. From the mid-century, there were increasing calls for Home Rule for Scotland and the post of Secretary of State for Scotland was revived. Towards the end of the century prime ministers of Scottish descent included William Gladstone , and the Earl of Rosebery . In the late 19th century the growing importance of

11484-619: The old St. Thomas' Church , now used mostly as offices but including the Old Operating Theatre , which is now a museum. However the hospital left Southwark in 1862, when its ancient site was compulsorily purchased to make way for the construction of the Charing Cross railway viaduct from London Bridge Station. The hospital was temporarily housed at Royal Surrey Gardens in Newington (Walworth) until new buildings on

11616-579: The opposite bank of the River Thames to the Houses of Parliament . St Thomas' Hospital is accessible from Westminster tube station (a 10-minute walk across Westminster Bridge ), Waterloo station (tube and national rail, also a 10-minute walk) and Lambeth North tube station (another 10-minute walk). The hospital was described as ancient in 1215 and was named after St Thomas Becket – which suggests it may have been founded after 1173 when Becket

11748-433: The patient parched with thirst, and with the capricious appetite of illness, turns his head away from the badly cooked food; the wife, tired out with bad nights, and "worritted" with the children who are constantly crying; added to which may be the close, sickening steam of ‘washing out a few things’, which some neighbour with well-meant kindness has dropped in to do, keeping up an incessant chatter of village gossip that drives

11880-513: The patient returning to their home after treatment. In 1818 the village surgeon, Mr. Henry Lilley Smith opened a dispensary in Southam , Warwickshire . This comprised an 8 bed-roomed cottage with 4 beds. It was for the use of manual labourers and their families. Except in name this facility fulfills the broad definition of a cottage hospital. p20 In 1827 Sir Astley Cooper converted some cottages at Piccotts End , close to Hemel Hempstead, into

12012-640: The political support for the exiled Catholic Stuart dynasty, remained a threat to the security of the British state under the Protestant House of Orange and the succeeding House of Hanover until the defeat of the Jacobite rising of 1745 . In 1698, the Company of Scotland attempted a project to secure a trading colony on the Isthmus of Panama . Almost every Scottish landowner who had money to spare

12144-741: The poor, sick, and homeless. In the 15th century, Richard Whittington endowed a lying-in ward for unmarried mothers. The monastery was dissolved in 1539 during the Reformation and the hospital closed but reopened in 1551 and rededicated to Thomas the Apostle . This was due to the efforts of the City of London who obtained the grant of the site and a charter of 1553 from Edward VI (26th June, 7 Edw. VI) establishing three institutions Bridewell Hospital , Christ's Hospital and St Thomas' Hospital. The hospital has remained open ever since. The hospital

12276-685: The present site in Lambeth near Lambeth Palace were completed in 1871. The present-day St Thomas' Hospital is located at a site historically known as Stangate in the London Borough of Lambeth . It is directly across the River Thames from the Palace of Westminster on a plot of land largely reclaimed from the river during construction of the Albert Embankment in the late 1860s. The new buildings were designed by Henry Currey and

12408-475: The provision of care under the Poor Law Acts of 1722 and 1782. The County Hospitals received enormous public charity support. Alongside these care facilities were dispensaries. Accommodated in a single building, they provided what is now called out-patient and day-patient care. Medicines (termed ‘physics’) were prescribed, and minor surgical procedures as well as cupping and bleeding were carried out,

12540-524: The publicly donated Fund raised after the Crimean War to honour Florence Nightingale . Alicia LLoyd Still (matron of the hospital and superintendent of the training school from 1913 to 1937) created the first post of sister tutor, setting a model internationally. Notable alumini of the training school included: Dorothy Bannon , (Chief Matron-in-Charge of the Hospital and School Nursing Service of

12672-594: The redevelopment, which would have included a second tall block, was never constructed. The three remaining Victorian ward pavilion blocks were refurbished in the 1980s. They are now Grade II listed buildings . In November 1949, in an operating theatre in St Thomas' Hospital, Harold Ridley achieved the world's first implantation of an intraocular lens (IOL), treating a cataract in a 49-year-old female patient. In later life Ridley himself underwent successful bilateral intraocular lens implantation at St Thomas's. What

12804-568: The region's people and animals, its cold climate, its pearls, and a noteworthy region of wooded hills ( Latin : saltus ) which the 2nd century AD Roman philosopher Ptolemy , in his Geography , described as being south-west of the Beauly Firth . The name Caledonia is echoed in the place names of Dunkeld , Rohallion , and Schiehallion . The Great Conspiracy constituted a seemingly coordinated invasion against Roman rule in Britain in

12936-577: The remnant of a once much larger volcano. This area is relatively low-lying, although even here hills such as the Ochils and Campsie Fells are rarely far from view. The Southern Uplands is a range of hills almost 125 miles (200 km) long, interspersed with broad valleys. They lie south of a second fault line (the Southern Uplands fault) that runs from Girvan to Dunbar . The geological foundations largely comprise Silurian deposits laid down some 400 to 500 million years ago. The high point of

13068-523: The rest of eastern Great Britain. Beginning in the sixth century, the area that is now Scotland was divided into three areas: Pictland , a patchwork of small lordships in central Scotland; the Anglo-Saxon Kingdom of Northumbria , which had conquered southeastern Scotland; and Dál Riata , which included territory in western Scotland and northern Ireland, and spread Gaelic language and culture into Scotland. These societies were based on

13200-412: The river frontage set 125 feet apart and linked by low corridors. The intention was primarily to improve ventilation and to separate and segregate patients with infectious diseases. An urban legend suggests that by convention, deaths in the Palace of Westminster are recorded as occurring in St Thomas' Hospital, because it is technically a royal palace, and as such people who die there would be entitled to

13332-467: The same monarch the kingdoms retained their separate parliaments, laws and other institutions. The first Union Jack was designed at James's behest, to be flown in addition to the St Andrew's Cross on Scots vessels at sea. James VI and I intended to create a single kingdom of Great Britain, but was thwarted in his attempt to do so by the Parliament of England , which supported the wrecking proposal that

13464-476: The sick man wild, and here we have a tolerably fair picture of the cottage home in sickness." The moneyed class could afford much better conditions and treatment in private hospital without the risk of loss of employment, a slide in poverty or worse. Albert Napper's sympathy for the poorer classes was shared by the Reverend JH Sapte , Rector of Cranley (as the name was than spelled) and they fostered

13596-493: The south-east of St Thomas' Hospital. As the situation in Wuhan deteriorated, at the end of January 2020, four hospital trusts in the UK, including St Thomas' and The Royal Free were put on standby to receive suspected patients. After testing positive to COVID-19 on 27 March, Prime Minister Boris Johnson was admitted to St Thomas' on 5 April and as his condition deteriorated, he was moved to intensive care later that day. He

13728-610: The south-western peninsula of Kintyre ; Norway is 190 miles (305 km) to the northeast and the Faroe Islands , 168 miles (270 km) to the north. The territorial extent of Scotland is generally that established by the 1237 Treaty of York between Scotland and the Kingdom of England and the 1266 Treaty of Perth between Scotland and Norway. Important exceptions include the Isle of Man , which having been lost to England in

13860-485: The technological developments of the Industrial Revolution throughout Britain. In literature, the most successful figure of the mid-19th century was Walter Scott . His first prose work, Waverley in 1814, is often called the first historical novel. It launched a highly successful career that probably more than any other helped define and popularise Scottish cultural identity. In the late 19th century,

13992-805: The terms of the Auld Alliance and became the last monarch in Great Britain to die in battle, at Flodden in 1513. The war with England during the minority years of Mary, Queen of Scots between 1543 and 1551 is known as the Rough Wooing . In 1560, the Treaty of Edinburgh brought an end to the Siege of Leith and recognized the Protestant Elizabeth I as Queen of England. The Parliament of Scotland met and immediately adopted

14124-629: The threat of an English invasion, played a leading role in convincing the Scots elite to back a union with England. On 22 July 1706, the Treaty of Union was agreed between representatives of the Scots Parliament and the Parliament of England . The following year, twin Acts of Union were passed by both parliaments to create the united Kingdom of Great Britain with effect from 1 May 1707 with popular opposition and anti-union riots in Edinburgh , Glasgow , and elsewhere. The union also created

14256-511: The thrones of England and Ireland , forming a personal union of the three kingdoms . On 1 May 1707, Scotland and England combined to create the new Kingdom of Great Britain , with the Parliament of Scotland subsumed into the Parliament of Great Britain . In 1999, a Scottish Parliament was re-established, and has devolved authority over many areas of domestic policy . The country has its own distinct legal system , education system and religious history , which have all contributed to

14388-599: The total population, though state-sponsored revitalisation attempts have led to a growing community of second language speakers. The mainland of Scotland is broadly divided into three regions: the Highlands , a mountainous region in the north and north-west; the Lowlands , a flatter plain across the centre of the country; and the Southern Uplands , a hilly region along the southern border. The Highlands are

14520-694: The twelfth and thirteenth centuries, much of Scotland was under the control of a single ruler. Initially, Gaelic culture predominated, but immigrants from France, England and Flanders steadily created a more diverse society, with the Gaelic language starting to be replaced by Scots; and a modern nation-state emerged from this. At the end of this period, war against England started the growth of a Scottish national consciousness . David I (1124–1153) and his successors centralised royal power and united mainland Scotland, capturing regions such as Moray, Galloway , and Caithness , although he could not extend his power over

14652-418: The wettest, with annual rainfall in a few places exceeding 3,000 mm (120 in). In comparison, much of lowland Scotland receives less than 800 mm (31 in) annually. Heavy snowfall is not common in the lowlands, but becomes more common with altitude. Braemar has an average of 59 snow days per year, while many coastal areas average fewer than 10 days of lying snow per year. Scotland's wildlife

14784-513: The whole of Great Britain was forestalled by Roman forces becoming bogged down in punishing guerrilla warfare and the death of the senior emperor Septimius Severus ( r.  193–211 ) at Eboracum ( York ) after he was taken ill while on campaign. Although forts erected by the Roman army in the Severan campaign were placed near those established by Agricola and were clustered at the mouths of

14916-488: The wooden sailing vessels of both the merchant fleets and the battle fleets of the world. It became the world's pre-eminent shipbuilding centre. The industrial developments, while they brought work and wealth, were so rapid that housing, town planning, and provision for public health did not keep pace with them, and for a time living conditions in some of the towns and cities were notoriously bad, with overcrowding, high infant mortality, and growing rates of tuberculosis. While

15048-881: The working classes was marked by Keir Hardie 's success in the Mid Lanarkshire by-election, 1888 , leading to the foundation of the Scottish Labour Party , which was absorbed into the Independent Labour Party in 1895, with Hardie as its first leader. Glasgow became one of the largest cities in the world and known as "the Second City of the Empire " after London. After 1860, the Clydeside shipyards specialised in steamships made of iron (after 1870, made of steel), which rapidly replaced

15180-574: Was 35.1 °C (95.2 °F) at Floors Castle , Scottish Borders on 19 July 2022. The west of Scotland is usually warmer than the east, owing to the influence of Atlantic ocean currents and the colder surface temperatures of the North Sea . Tiree , in the Inner Hebrides, is one of the sunniest places in the country: it had more than 300 hours of sunshine in May 1975. Rainfall varies widely across Scotland. The western highlands of Scotland are

15312-417: Was a characteristic of several other university and hospital buildings designed by that practice. As construction of the thirteen storey block (now North Wing) was completed by John Laing & Sons in 1975 there was a widespread public reaction against the scale and appearance of this building – most notably from MPs who could see it from the river terrace of the Palace of Westminster. The southern part of

15444-445: Was a prominent supporter for the Treaty of Union between Scotland and England had changed his position on the treaty, and unsuccessfully advocated for the treaty to be reversed. The deposed Jacobite Stuart claimants had remained popular in the Highlands and north-east, particularly among non- Presbyterians , including Roman Catholics and Episcopalian Protestants . Two major Jacobite risings launched in 1715 and 1745 failed to remove

15576-590: Was also where one of the first printed English Bibles was produced in 1537, and this is commemorated by a plaque on the surviving wing in Borough High Street. The plaque inaccurately refers to "the first printed Bible in English" rather than "one of the first". There were some twenty-four priors, masters, wardens or rectors who served between the foundation of the hospital and the Dissolution of

15708-497: Was built from 142 at the order of Hadrian's successor Antoninus Pius ( r.  138–161 ), defending the Roman part of Scotland from the unadministered part of the island, north of a line between the Firth of Clyde and the Firth of Forth . The Roman invasion of Caledonia 208–210 was undertaken by emperors of the imperial Severan dynasty in response to the breaking of a treaty by the Caledonians in 197, but permanent conquest of

15840-472: Was canonised. This date was when it was relocated from the precinct of St Mary Overie Priory to "Trenet Lane", then later to St Thomas Street . However, it is possible it was only renamed in 1173 and that there was an infirmary at the priory when it was founded at Southwark in 1106. Originally the hospital was run by a mixed order of Augustinian canons regular and canonesses regular , dedicated to St Thomas Becket, and provided shelter and treatment for

15972-598: Was complex during this period: Scottish kings tried several times, sometimes with success, to exploit English political turmoil, followed by the longest period of peace between Scotland and England in the mediaeval period: from 1217–1296. The death of Alexander III in March 1286 broke the succession line of Scotland's kings. Edward I of England arbitrated between various claimants for the Scottish crown. In return for surrendering Scotland's nominal independence, John Balliol

16104-429: Was covered in forests, had more bog-land, and the main form of transport was by water. These settlers began building the first known permanent houses on Scottish soil around 9,500 years ago, and the first villages around 6,000 years ago. The well-preserved village of Skara Brae on the mainland of Orkney dates from this period. Neolithic habitation, burial, and ritual sites are particularly common and well preserved in

16236-469: Was followed by the commissioning of St George's Hospital at Hyde Park Corner. Over the next 50 years, voluntary hospitals were built across the UK with a larger number in the south of England, although one of the largest voluntary hospitals opened in Edinburgh in 1729. Funding was problematic in the early years as the development of voluntary hospitals competed with government, county and local funding for

16368-735: Was most pleasing to him was that he had the operation done in the same hospital where he had performed the first operation in 1949. Ridley was subsequently made a Knight Bachelor "for pioneering services to cataracts surgery". With the closure of the Dreadnought Seamen's Hospital at the Greenwich Hospital in 1986, services for seamen and their families are provided by the Dreadnought Unit at St Thomas' Hospital. It allows eligible merchant seafarers access to priority medical treatment, except cardiac surgery, and

16500-709: Was moved out of intensive care on 9 April and discharged 3 days later. The current main pedestrian entrance is in Westminster Bridge Road, although there is a separate vehicle and A&E entrance in Lambeth Palace Road; there is also a riverside pedestrian entrance, and the Lane Fox Unit (chronic respiratory problems) has its own riverside entrance, mainly for the use of patients on the Lane Fox Ward. The pedestrian entrance to

16632-399: Was one of the earliest and best-known missionaries. The Vikings began to raid Scotland in the eighth century. Although the raiders sought slaves and luxury items, their main motivation was to acquire land. The oldest Norse settlements were in northwest Scotland, but they eventually conquered many areas along the coast. Old Norse entirely displaced Pictish in the Northern Isles . In

16764-477: Was pronounced king in 1292. In 1294, Balliol and other Scottish lords refused Edward's demands to serve in his army against the French. Scotland and France sealed a treaty on 23 October 1295, known as the Auld Alliance . War ensued, and John was deposed by Edward who took personal control of Scotland. Andrew Moray and William Wallace initially emerged as the principal leaders of the resistance to English rule in

16896-574: Was some 12 kilometres away in Guildford, had no trained nurses and carried the real (at that time) risk of the patient being stigmatized as a pauper. The third possibility was to stay at home; in those days and for poor people this condition is indicated by Horace Swete, a village surgeon in Wrington in Somerset , UK, in his book of 1870. To those who visit their poorer neighbours, the sick room of

17028-500: Was that as the medical school of the hospital it was called " St Thomas's Hospital Medical School " (although following this logic it should perhaps have been called "St Thomas's Hospital's Medical School"). St Thomas's Hospital Medical School was established in 1550. Following the establishment of Guy's Hospital as a separate institution, this continued as a single medical school, commonly known as The Borough Hospitals , with teaching across St Thomas' and Guy's Hospitals. Following

17160-414: Was the architect for the work. A statue of Clayton now stands at the north entrance to Ward Block of North Wing at St Thomas' Hospital and is Grade I listed. In 1721 Sir Thomas Guy , a governor of St Thomas', founded Guy's Hospital as a place to treat 'incurables' discharged from St Thomas'. Some parts of the old St Thomas' Hospital survive on the north side of St Thomas Street, Southwark including

17292-700: Was typical for poorer patients. Some of these buildings continued to be known as cottage hospitals until recent times. In particular, several are still recognisable in Scotland within the infrastructure of NHS Grampian , Kirkcudbrightshire , Dumfries & Galloway , and in Norfolk and Suffolk in England , an example being the Aldeburgh Cottage Hospital , which is still working as a traditional cottage hospital. The term community hospital

17424-525: Was used for Ireland. By the 11th century at the latest, Scotia was being used to refer to (Gaelic-speaking) Scotland north of the River Forth , alongside Albania or Albany , both derived from the Gaelic Alba . The use of the words Scots and Scotland to encompass all of what is now Scotland became common in the Late Middle Ages . Prehistoric Scotland , before the arrival of

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