Isabella Forshall
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Isabella Forshall
FRCSE The Royal College of Surgeons of Edinburgh (RCSEd) is a professional organisation of surgeons. The College has seven active faculties, covering a broad spectrum of surgical, dental, and other medical practices. Its main campus is located on ...
(2 October 1900 – 10 August 1989) was an English paediatric surgeon who played a leading role in the development of the speciality of paediatric surgery in the United Kingdom. She took a particular interest in neonatal surgery and was instrumental in the establishment of the Liverpool Neonatal Surgical Unit, the first
neonatal intensive care unit A neonatal intensive care unit (NICU), also known as an intensive care nursery (ICN), is an intensive care unit (ICU) specializing in the care of ill or premature newborn infants. Neonatal refers to the first 28 days of life. Neonatal care, as kn ...
in the UK and indeed in the world.


Early life

Forshall was born in
Sussex Sussex (), from the Old English (), is a historic county in South East England that was formerly an independent medieval Anglo-Saxon kingdom. It is bounded to the west by Hampshire, north by Surrey, northeast by Kent, south by the English ...
, England, on 2 October 1900. She did not attend school, her education being conducted at home by her mother, a
Cambridge Cambridge ( ) is a university city and the county town in Cambridgeshire, England. It is located on the River Cam approximately north of London. As of the 2021 United Kingdom census, the population of Cambridge was 145,700. Cambridge bec ...
classics Classics or classical studies is the study of classical antiquity. In the Western world, classics traditionally refers to the study of Classical Greek and Roman literature and their related original languages, Ancient Greek and Latin. Classics ...
graduate. She went on to study medicine at the
London School of Medicine for Women The London School of Medicine for Women (LSMW) established in 1874 was the first medical school in Britain to train women as doctors. The patrons, vice-presidents, and members of the committee that supported and helped found the London School of Me ...
and the
Royal Free Hospital The Royal Free Hospital (also known simply as the Royal Free) is a major teaching hospital in the Hampstead area of the London Borough of Camden. The hospital is part of the Royal Free London NHS Foundation Trust, which also runs services at Barn ...
from where she qualified
MB BS Bachelor of Medicine, Bachelor of Surgery ( la, Medicinae Baccalaureus, Baccalaureus Chirurgiae; abbreviated most commonly MBBS), is the primary medical degree awarded by medical schools in countries that follow the tradition of the United King ...
in 1927.


Surgical career

She worked as house surgeon at the Royal Liverpool Children's Hospital, and later at
Alder Hey Children's Hospital Alder Hey Children's Hospital is a children's hospital and NHS foundation trust in West Derby, Liverpool, England. It is one of the largest children's hospitals in the United Kingdom, and one of several specialist hospitals within the Liverpool ...
and was to continue to work in both of these until she retired in 1965. She was elected
FRCSE The Royal College of Surgeons of Edinburgh (RCSEd) is a professional organisation of surgeons. The College has seven active faculties, covering a broad spectrum of surgical, dental, and other medical practices. Its main campus is located on ...
in 1932. In 1939, she was appointed assistant surgeon at Waterloo and District General Hospital, Liverpool and at Birkenhead and Wirral Children's Hospital, Birkenhead. Her ambition had always been for a career in paediatric surgery and this was progressed with her appointment as honorary surgeon to the Royal Liverpool Children's Hospital in 1942. With many of her male colleagues serving in the forces, she worked virtually single handed as a paediatric surgeon in the Liverpool region for the remainder of the war. After the war she set about assembling a team of paediatric specialists in Liverpool that would promote the development of the speciality not only in Liverpool but nationally in the United Kingdom. It was largely the result of her efforts that the Liverpool Neonatal Surgical Unit at the Alder Hey Children's Hospital was opened in 1953. This unit, the first
neonatal intensive care unit A neonatal intensive care unit (NICU), also known as an intensive care nursery (ICN), is an intensive care unit (ICU) specializing in the care of ill or premature newborn infants. Neonatal refers to the first 28 days of life. Neonatal care, as kn ...
in the United Kingdom and indeed in the world, was able to demonstrate a reduction in surgical mortality for neonatal surgery with the survival of neonates postoperatively increasing from 22% to 74%. Much of the credit for this lay with Isabella Forshall and her junior colleague, Peter Rickham. A Government Report on neonatal surgery recommended that similar units should be set up throughout the country.


Further qualifications and awards

In 1957 she gained the diplomas of MRCS and LRCP and in 1960 she became
FRCSE The Royal College of Surgeons of Edinburgh (RCSEd) is a professional organisation of surgeons. The College has seven active faculties, covering a broad spectrum of surgical, dental, and other medical practices. Its main campus is located on ...
. The latter part of her career saw her gaining many honours. She was involved in the founding and early development of the
British Association of Paediatric Surgeons The British Association of Paediatric Surgeons (BAPS) is a registered charity that aims to advance the study and practice of paediatric surgery. The organisation The organisation was founded in 1953. The idea for the group came up when a group of f ...
becoming its second president in 1958. The following year she was president of the paediatric section of the
Royal Society of Medicine The Royal Society of Medicine (RSM) is a medical society in the United Kingdom, headquartered in London. History The Society was established in 1805 as Medical and Chirurgical Society of London, meeting in two rooms in barristers’ chambers ...
. She became president of the
Liverpool Medical Institution The Liverpool Medical Institution is a historic medical organisation based in Liverpool, United Kingdom. Its building on the corner of Mount Pleasant and Hope Street was opened in 1837, but the site has been used as a medical library since 1779. ...
and in 1970 received the degree of
Master of Surgery The Master of Surgery (Latin: Magister Chirurgiae) is an advanced qualification in surgery. Depending upon the degree, it may be abbreviated ChM, MCh, MChir or MS. At a typical medical school the program lasts between two and three years. The p ...
(ChM) from the
University of Liverpool , mottoeng = These days of peace foster learning , established = 1881 – University College Liverpool1884 – affiliated to the federal Victoria Universityhttp://www.legislation.gov.uk/ukla/2004/4 University of Manchester Act 200 ...
.


Later life and legacy

She retired to Sussex and died in
Chichester Chichester () is a cathedral city and civil parish in West Sussex, England.OS Explorer map 120: Chichester, South Harting and Selsey Scale: 1:25 000. Publisher:Ordnance Survey – Southampton B2 edition. Publishing Date:2009. It is the only ci ...
on 10 August 1989. She was commemorated by the Forshall Lecture given at the Annual Congress of the British Association of Paediatric Surgeons.


References

{{DEFAULTSORT:Forshall, Isabella 1900 births 1989 deaths People from Sussex British paediatric surgeons 20th-century surgeons Paediatrics in the United Kingdom Alumni of the University of London Alumni of the University of Liverpool Fellows of the Royal College of Surgeons of Edinburgh Fellows of the Royal College of Surgeons Women surgeons