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Leeds General Infirmary

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A porte-cochère ( / ˌ p ɔːr t k oʊ ˈ ʃ ɛ r / ; French: [pɔʁt.kɔ.ʃɛʁ] ; lit.   ' coach gateway ' ; pl.   porte-cochères or portes-cochères ) is a doorway to a building or courtyard , "often very grand," through which vehicles can enter from the street or a covered porch -like structure at a main or secondary entrance to a building through which originally a horse and carriage and today a motor vehicle can pass to provide arriving and departing occupants protection from the elements.

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38-704: Leeds General Infirmary , also known as the LGI , is a large teaching hospital based in the centre of Leeds , West Yorkshire , England , and is part of the Leeds Teaching Hospitals NHS Trust . Its previous name The General Infirmary at Leeds is still sometimes used. The LGI is a specialist centre for a number of services, including the regional Major Trauma Centre and hand transplants . It also provides many general acute services like A&E, intensive care and high dependency units, maternity and state-of-the-art operating theatres. A helipad on

76-507: A residency program to educate qualified physicians, podiatrists , dentists , and pharmacists who are receiving training after attaining the degree of MD , DO , DPM , DDS , DMD, PharmD , BDS , BDent , MBBS, MBChB, or BMed . Those that attend a teaching hospital or clinic would practice medicine under the direct or indirect supervision of a senior medical clinician registered in that specialty, such as an attending physician or consultant . The purpose of these residency programs

114-612: A cost of £92 million. It is both a major expansion in the form of a north extension to the hospital and also provides links between the various buildings, with a new major entrance off Clarendon Way. It has an L-shaped plan of seven storeys in red brick and white metal cladding and barrel vaulted roofs. There is a large curved glazed entrance. Outside, the practicalities of vehicle and pedestrian traffic are dealt with in Jubilee Square, landscaped in decorative brickwork by Tess Jaray with flower beds and sculptures by Tom Lomax . It has

152-618: A helicopter landing pad for the Yorkshire Air Ambulance Service . These are as follows: The LGI is the designated major trauma centre for adults and children in West Yorkshire and one of the busiest in the UK, being rated in the top three in the country for providing the highest quality specialist care for patients with complex and often life-threatening multiple injuries. Cardiac services are also located in

190-678: A million visitors, the profit came to only £5. It was officially opened on 19 May 1869 by Prince Albert , the Prince of Wales (later King Edward VII). The building was extended to designs by George Corson between 1891 and 1892. The Brotherton Wing, which now faces Millennium Square opened in 1940, the Martin and Wellcome Wings opened in the 1960s, the Worsley Building, which accommodates the Leeds Dental Institute and

228-422: A raised vehicle ramp gives an architectural portico the functionality of the latter. Today portes-cochères are found at both elaborate private homes and such public buildings as churches, hotels, health facilities, and schools. Portes-cochère differ from carports in that the vehicles pass through for passengers to board or exit rather than being parked beneath the covered area. Guard stones are often found at

266-491: A reception hall with a baronial fireplace leading to a glazed roof corridor with columns featuring carvings of medicinal plants by William Brindley and a mosaic floor. This leads to a staircase with decorative ironwork leading up to a landing with stained-glass windows. (As the site is on a slope, this is the level of the Thoresby Place entrance which is the primary floor for patients. The lower Great George Street level

304-538: A single Laboratory Information Management System (LIMS) across West Yorkshire and Harrogate. 53°48′07″N 1°33′03″W  /  53.80208°N 1.55083°W  / 53.80208; -1.55083 Teaching hospital A teaching hospital is a hospital or medical center that provides medical education and training to future and current health professionals . Teaching hospitals are almost always affiliated with one or more universities and are often co-located with medical schools . Teaching hospitals use

342-577: A structure for vehicle passage, is to be distinguished from a portico , a columned porch or entry for human, rather than vehicular, traffic. The porte-cochère was a feature of many late 18th- and 19th-century mansions and public buildings. A well-known example is at Buckingham Palace in London . A portico at the White House in Washington, D.C. is often confused with a porte-cochère, where

380-602: A teaching hospital in the 1990s, and offers a 6-year MBBS degree. Chris Hani Baragwanath Hospital is a teaching hospital affiliated with the University of the Witwatersrand Medical School, and is the third-largest hospital in the world. Another academic hospital, University of Cape Town 's Groote Schuur Hospital , was the site of the first human-to-human heart transplant . Aga Khan University Hospital (Aga Khan Hospital and Medical College)

418-447: A teaching hospital to be affiliated with a medical school, but plans fell through until 1928, when Royal Prince Alfred Hospital became Australia's first teaching hospital, to educate students of the University of Sydney . Porte-coch%C3%A8re Portes-cochères are still found on such structures as major public buildings and hotels, providing covered access for visitors and guests arriving by motorized transport. A porte-cochère,

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456-441: Is a 721-bed teaching hospital that trains doctors and hospital administrators with support from American and Canadian universities. The hospital also coordinates a network of over 100 health care units primarily in rural or remote areas. In France, the teaching hospitals are called "CHU" ( Centre hospitalier universitaire ). They are regional hospitals with an agreement within a university, or possibly several universities. A part of

494-581: Is a faithful copy of the original style by George Corson . On the West of Thoresby Place is the School of Medicine, an 1893 Grade II* listed building by William Henry Thorp (1852–1944) in red brick, stone dressings and slate roofs in Perpendicular Revival style. Some of the entrance hall is lined with Burmantofts Faience . In similar style is the 1897 Nurses' Home, also by Thorp, which

532-586: Is divided into small groups of hospitals and universities which are commonly called CHU as if they were separate CHU: There are 32 teaching hospitals in France. Amongst these are 30 University hospitals and only two Regional teaching hospitals. The first teaching hospital in the United States was founded at the College of Philadelphia (now the University of Pennsylvania ) in 1765, when medical students at

570-482: Is now north of the Brotherton Wing, and facing it on the entry road from Calverley Street. An appeal for the building of this extension was commenced in 1911. The project's general manager was F.J. Bray. Its treasurer was Charles Lupton who, along with his brothers - including Alderman F. M. Lupton and his daughter Olive and her husband Richard Noel Middleton - had promised to have made donations "up to

608-445: Is the main entrance and provides internal links to all other sections. Though the main entrance was on Thoresby Place, the south frontage on Great George Street provided the main decorative display, with plainer more functional facades elsewhere. Gilbert Scott's Gothic Revival frontage is in red brick with stone dressings, red granite pillars, slate roof with pinnacles and Venetian Gothic windows. The original plan largely follows

646-581: Is to create an environment where new doctors can learn to practice medicine in a safe setting which is supervised by physicians that provide both oversight and education. The first teaching hospital where students were authorized to methodically practice on patients under the supervision of physicians was reportedly the Academy of Gundishapur in the Persian Empire during the Sassanid era. Some of

684-629: The Leeds School of Medicine , opened in 1979. The Clarendon Wing opened in 1984, replacing the former Leeds Women's and Children's Hospital, and now houses the Leeds Children's Hospital. The Jubilee Wing, named in celebration of the 50th anniversary of the National Health Service, which provides new Emergency Department services as well as housing regional cardiothoracic and neurosurgery facilities, opened in 1998. It

722-532: The 15th of June, 1914". F. M. Lupton's niece, Miss Elinor G. Lupton (later Leeds Lady Mayoress ), and his first cousin - Baroness von Schunck (née Kate Lupton) and her son-in-law Lord Airedale - also gave generous donations towards the extension scheme. The Brotherton Wing on Calverley Street is in Portland Stone, in keeping with the Leeds Civic Hall on the other side of the road. It was

760-501: The Infirmary's Chief Physician, Dr Charles Chadwick, visited many of the great contemporary hospitals of Europe. They were particularly impressed by hospitals based on the pavilion plan recommended by Miss Florence Nightingale , and adopted this for the new Infirmary. It featured the latest innovations, with plentiful baths and lavatories throughout, and a system of hydraulic hoists to reduce the labours of attendants and nurses. However,

798-556: The Jubilee wing and include some of the largest services in the country for Transcatheter Aortic Valve Implantation (TAVI). The LGI has a large and busy Emergency Department for adults, and next to it is a separate dedicated facility for children up of the age of 16, adjacent to the facilities of the Leeds Children's Hospital. The department was featured in the first ever live broadcast from an A&E department as part of prime time ITV documentary, A&E Live. Hosted by Davina McCall ,

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836-544: The UK to have a double hand transplant. and in 2018 Tania Jackson became the first woman in the UK to have a double hand transplant. The pathology labs, based in the Old Medical School at LGI, process thousands of samples every day. Prime Minister Boris Johnson visited the pathology services to hear about future plans following an announcement by the Department of Health of £12m additional funding to develop

874-710: The United States beginning the early 1900s and they largely resembled those established by Johns Hopkins University , the University of Pennsylvania and the Lakeside Hospital in Cleveland. The hospitals that followed the example of these universities were all very large, technologically sophisticated and aimed to have a global impact through both patient care and scientific research. Additionally, these hospitals had large patient bases, abundant financial resources, and renowned physicians, advisors and staff. Many of

912-547: The college began taking bedside instruction at the Pennsylvania Hospital (an institution that predated the medical school by several years). Following that were King's College of New York in 1768, Harvard University in 1783, Dartmouth College in 1798, and Yale University in 1810 to begin the history of notable university-affiliated teaching hospitals in America. Teaching hospitals rose to prevalence in

950-767: The earliest teaching hospitals were the Islamic Bimaristans , which included the Al-Adudi Hospital founded in Baghdad in 981 and the Al-Fustat Hospital in Cairo founded in 872. The following definitions are commonly used in connection with teaching hospitals: Many teaching hospitals and medical centers are known for the medical research that is performed in their hospitals. Close association with medical colleges and universities enhances

988-503: The gift of, and named after, Charles Frederick Ratcliffe Brotherton (1882–1949) and opened in 1940. First planned in 1926, in a then modern style, it has semi-circular balconies at the South End, where it was intended that patients would rest and enjoy fresh air, which did not prove to be the case because of the rise of the motor car and other pollution. This 1984 building is Leeds Children's Hospital. When first opened it replaced

1026-596: The layout of Lariboisière Hospital (1853) in France: a 'pavilion' arrangement providing cross lighting and ventilation for the wards and a Winter garden in a central glazed courtyard. The garden remains, but the glazing was removed in 1911. There are three wings North and South of this courtyard, the central South one being the George Street entrance, which has a porch in Porte-cochère style. Inside it has

1064-528: The medical schools that ensued the prospect of being associated to a nearby hospital tended to be private institutions that received philanthropic support. While some funding comes from Medicaid for the GME process, teaching hospitals must consider paying residents and fellows within their budgets. These additional costs vary between hospitals based on funding by Medicaid and their general salary for residents and fellows. Despite these costs, they are often offset by

1102-741: The medical staff are both medical practitioners and teachers under the two institutions agreement, and receive dual compensation. There are at least one per French administrative region. In the city of Paris and its suburbs, the Greater Paris , it is the local public hospital system called the Greater Paris University Hospitals (in French: Assistance publique - Hôpitaux de Paris , AP-HP) which has an agreement with 5 major universities in Paris. However, it

1140-401: The old woman's hospital which was located about 1/4 mile away. This was built to be self governing from the rest of the main hospital. Clarendon wing had its own kitchens, laboratories, and loading bays. It is separate building of dark brick and grey slate with four storeys around a central courtyard. The Leeds Inner Ring Road runs in a tunnel underneath it. The Jubilee Wing opened in 1998 at

1178-662: The prices of procedures which are elevated in comparison to most non-teaching hospitals. Teaching hospitals often justify this additional cost factor by boasting that their quality of care rises above non-teaching hospitals, or ensuring the patient that they are improving medicine of the future by having their procedure done with medical trainees present. According to the Medical Journal of Australia , Australian teaching hospitals typically receive less funding for research than they do in similarly situated countries. The late 1800s and early 1900s saw several attempts at instituting

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1216-639: The programme was broadcast live from the LGI Emergency Department for three consecutive nights in celebration of the NHS 70th birthday. The programmes gave an unprecedented insight into the workings of the hospitals and partner services in Leeds. It is the regional tertiary centre for Neurosciences, which includes services for spinal surgery, neurosurgery, neurology, neuro-rehabilitation, neurophysiology and stroke. The Leeds Teaching Hospitals NHS Trust

1254-399: The research programs at teaching hospitals. Some of the more notable teaching hospitals include: The Algerian Ministry of Health, Population and Hospital Reform maintains 15 public university teaching hospital centres (French: Centre Hospitalo-Universitaire or CHU ) with 13,755 beds and one public university hospital (EHU) with 773 beds. Edward Francis Small Teaching Hospital became

1292-562: The roof of the Jubilee Wing gives direct access to the hospital for the Yorkshire Air Ambulance . Two new hospitals are planned on the site. One will be a maternity unit with capacity to deliver up to 10,500 babies a year. Completion is planned between 2026-2028. It will remove the need to transfer expectant mothers between St James’s Hospital and Leeds General Infirmary. The first hospital known as Leeds Infirmary

1330-403: The very high ceilings recommended by Nightingale meant that it could not be adequately heated, and doors to bathrooms were too narrow to admit a wheelchair. Though completed in 1868, it had no patients for the first year. Instead it actually housed a temporary loan exhibition (‘National Exhibition of Works of Art’), held to recover some of the £100,000 construction costs. Unfortunately, after half

1368-564: Was opened in 1771 on what is now the site of the former Yorkshire Bank in Infirmary Street off City Square , Leeds. Notably, the founding five physicians at the infirmary were all graduates of the University of Edinburgh Medical School . Construction of the current hospital on its new site in Great George Street started in 1863 to the designs of Sir George Gilbert Scott . Before drawing up the plans Gilbert Scott and

1406-460: Was the first regional stroke centre in the UK to adopt the RapidAI advanced imaging platform across various sites in its stroke network.  Professor Simon Kay and his team were the first in the country to perform the first double hand transplants , thanks to pioneering expert care by the teams on the hand and plastics units at Leeds General Infirmary. In 2016, Chris King was the first person in

1444-458: Was used for administration and storerooms, the upper two floors for wards.) This opens onto a corridor going around the garden. In the corridor is a Potts clock and just along the corridor is a chapel dedicated to Saint Luke which opened in 1869. The three wings on the south are joined by single storey closed colonnades to make the South facade. A further, but open colonnade East and another wing

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