West London NHS Trust

West London Mental Healthcare NHS Trust was established 1 October 2000. The Trust changed its name on 25 September 2018 to West London NHS Trust to reflect the wider diversity of its services, which includes more community-based services.

The Trust's headquarters is at 1 Armstrong Way, Southall, near to the St Bernard's Hospital site. ^HQ[›] This is on the south side of the Uxbridge Road between the towns of Southall and Hanwell and 8½ miles west from London, in the Southall district of the London Borough of Ealing, Greater London, England.

Services are spread across 25 sites, notably including Broadmoor Hospital, and the trust employs around 3,500 people,^[1] serving a local population of over 700,000 and treating more than 99,000 people each year.^[2] Due to its larger remit there are seven executive directors, and eight non-executive directors.^[3] It has been embroiled in a series of controversies, however, involving millions of pounds of unaccounted overspend, poor Care Quality Commission reports and whistleblower allegations of a bullying management style; the Chief Executive retired in 2015.^[4]

History

• Middlesex County Asylum, Hanwell (1831–1889)
• London County Asylum, Hanwell (1889–1917)
• London County Mental Hospital (1918–1928)
• Hanwell Mental Hospital (1929–1937)
• St Bernard's Hospital (1938–1980)
• Psychiatric Unit (1980–1992) – part of a re-organised complex of divisions on same site and called Ealing General Hospital with a central corporate body.
• West London Mental Healthcare (NHS) Trust. (1992–1999) See: Statutory Instrument 1992 No. 2539. The West London Healthcare National Health Service Trust (Establishment) Order 1992.
• Ealing, Hammersmith & Fulham Mental Health (NHS) Trust (1999–2001)
• West London Mental Health NHS Trust (2001–24 September 2018)
• West London NHS Trust (25 September 2018- present)

Some of the trust's services based at St Bernard's Hospital, Hanwell.

Here the first superintendent Dr (later Sir) William & Mrs Mildred Ellis who were so much impressed with Moral therapy and humane treatment they saw offered to people suffering Mental disorders at the Quaker Asylum in York that they both imposed these methods on the staff at Hanwell. This was as such the very first large scale experiment. The second superintendent brought mechanical restraints – as a form of treatment – back. The third superintendent Dr John Conolly against stiff opposition backed up with much vitriol, took the example further, and did away with all mechanical restraints. To the surprise and disbelief of many he found, like the Ellises before, that bedlam diminished, behaviour became less defensive and cooperation improved dramatically, and many recovered or much improved. This event added to his other pioneering work such as developing proper diets and conditions for his patients and battles to set up regular training lecture specialising in mental health, for doctor training, all led to him receiving worldwide recognition.

Broadmoor high secure hospital: In order to end the isolation suffered by the high secure services from the rest of the NHS, the Health Act 1999 was passed, allowing NHS Trusts to provide for these. ^sth[›] After a three-month consultation in the early part of the following year it was agreed that the high secure services based at Broadmoor Hospital and those provided by the Ealing, Hammersmith and Fulham Mental Health NHS Trust should be combined into one organisation. This created the West London Mental Health NHS Trust, which took over governance in 2001; the Trust then changed its name to West London NHS Trust on 25 September 2018.

Local services division

Forensic services division

In November 2004 a new directorate, the Woman's Secure Services was created. This was to separate the medium secure women's facilities from Broadmoor Hospital and relocate them on the Ealing site.

• The Paddock Centre (70 beds) – Dangerous Severe Personality Disorder and Broadmoor Hospital (300 bed) – male High Secure Service are at Crowthorne in Berkshire.
• The Orchard (60 bed) – (female Enhanced Medium Secure and Low Secure services), Three Bridges Unit (male Medium Secure services), The Tony Hillis Wing – (male Medium and Low Secure services) and The Wells Unit (Forensic Child and Adolescent Mental Health service) are all at the Ealing site.

Clinical Service Units and Service Lines

In 2014 the trust restructured so that it now delivers services from two clinical service units - High secure and forensic services, and local and specialist services. It has seven service lines - high secure services at Broadmoor Hospital, the West London Forensic Service, liaison and long-term conditions, access and urgent care, primary and planned care, cognitive impairment and dementia, Child and Adolescent Mental Health Services (CAMHS) and developmental services.

Geographical spread

West London NHS Trust either runs or provides services at the following sites:

Corsellis Collection

West London NHS Trust currently act as guardians of the Corsellis Collection, containing some nine thousand specimens of brains dating back to the 1950s. The Corsellis collection was originally housed at Runwell Hospital until the 1990s when a major reprovision programme was envisioned; the collection was started at Runwell Hospital by Dr John Corsellis.^[5] No larger depository of this speciality is known.

See also

• Healthcare in London
• List of NHS trusts
• St Bernard's Hospital
• Broadmoor Hospital
• *Dell Susanne, Robertson, Graham.(1988) Sentenced to hospital : offenders in Broadmoor. Oxford University Press, Oxford ; New York. ISBN 0-19-712156-X Dewey Class 365/.942294 19 authors describe the treatment of some Broadmoor patients and together with their psychiatric and criminal histories.

References

External links

• Official West London NHS Trust site.
• The Healthcare Commission: West London Mental Health NHS Trust: Performance ratings. Accessed 2007-05-19
• "Photographs of Hanwell Asylum/St. Bernard's Hospital". County Asylums. December 2005. Retrieved 2 October 2006.
• The local voluntary Patient and Public Involvement (PPI) Forum. Retrieved on 2006-10-05
• Transport for London: Bus services to and from Hanwell. Accessed 2007-06-05
• National Rail Station: Hanwell. Accessed 2007-06-05

Coordinates: 51°30′23″N 0°21′06″W / 51.50644°N 0.35160°W / 51.50644; -0.35160