North Middlesex University Hospital, known locally as North Mid, is a district general hospital in

Edmonton Edmonton ( ) is the capital city of the Canadian province of Alberta. Edmonton is situated on the North Saskatchewan River and is the centre of the Edmonton Metropolitan Region, which is surrounded by Alberta's central region. The city ancho ...

in the

London Borough of Enfield The London Borough of Enfield () is a London borough in North London. It borders the London boroughs of Barnet to the west, Haringey to the south, and Waltham Forest to the southeast. To the north are the districts of Hertsmere, Welwyn Hat ...

. The hospital is managed by North Middlesex University Hospital NHS Trust.

History

The hospital was established as the infirmary for the

workhouse In Britain, a workhouse () was an institution where those unable to support themselves financially were offered accommodation and employment. (In Scotland, they were usually known as poorhouses.) The earliest known use of the term ''workhouse' ...

at Langhedge Field: it opened on 25 July 1910, and was separated from the workhouse itself by an iron fence, although the two shared a common gate, which still stands today. In 1915 the complex was handed over to the military for use as a military hospital, known as Edmonton Military Hospital. Following its transfer back into civilian hands in 1920, the hospital became the North Middlesex Hospital. Control passed from the Edmonton Board of Guardians to

Middlesex County Council Middlesex County Council was the principal local government body in the administrative county of Middlesex from 1889 to 1965. The county council was created by the Local Government Act 1888, which also removed the most populous part of the coun ...

in April 1930. The hospital was the first British hospital to appoint a radiotherapist ( Margaret Bromhall) to lead a radiotherapy department, in 1934. In 1938, the workhouse closed, with inmates being transferred to Chase Farm, and its buildings were made available to the hospital. During the

Second World War World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposi ...

, six high explosive bombs fell on the site, damaging several buildings. Upon the establishment of the

National Health Service The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...

in 1948, Southgate Isolation Hospital became an annexe of the North Middlesex and was renamed

Greentrees Hospital Greentrees Hospital was a hospital in Palmers Green, North London. Situated in Tottenhall Road, the hospital was built in 1902 as the Southgate Isolation Hospital, commissioned by Southgate Urban District Council. History The hospital hosted a ...

. The accident and emergency department opened in 1955, having been built on the bombed section of the site. A new outpatients' department was officially opened by Princess Margaret in April 1960. Part of the hospital site was cleared to make way for the expansion of the

North Circular Road The North Circular Road (officially the A406 and sometimes known as simply the North Circular) is a ring road around Central London in England. It runs from Chiswick in the west to Woolwich in the east via suburban North London, connecting ...

in 1973, with the Watermill Lane site being added to the hospital grounds to compensate. Construction of the buildings there was completed the following year. Additions in the 1980s included new pathology laboratories in 1982, a new car park, boilerhouse and estates offices in 1987 and the Pymmes Building (housing four elderly care wards) in 1988. Temporary operating theatres (theatres 3 and 4) were constructed in 1991 and 1992, respectively. In the late 1990s, parts of the hospital site were sold off for development, to raise funds for the refurbishment of the remaining facilities. As a result, the accident and emergency department was refitted in 1999. In 2000, an NHS Walk-in centre was added. The hospital became the North Middlesex University Hospital in 2001. The Care of the Elderly department transferred its day hospital from St Ann's hospital to the Pymmes building in 2008 to allow greater continuity of care. New facilities, including a new diagnostic centre, inpatient wards, operating theatres, an outpatients' department and an Accident & Emergency department, were procured under a Private Finance Initiative contract to replace the aging facilities in October 2007. The works were carried out by Bouygues at a cost of £118 million, and the new facilities opened in June 2010. A new women's and children's unit was procured under the Procure 21 Plus initiative; it was built by

Kier Group Kier Group plc is a British construction, services and property group active in building and civil engineering, support services, and the Private Finance Initiative. Founded in 1928 in Stoke-on-Trent it initially specialised in concrete enginee ...

at a cost of £80 million and opened in November 2013.

Performance

The Trust did poorly in the cancer patient experience survey of 2015/6 and agreed to pair up with

Torbay and South Devon NHS Foundation Trust Torbay and South Devon NHS Foundation Trust is the main provider of NHS services in Torbay and South Devon. The organisation is seen as pioneering in the English NHS because of the work done with Torbay and Southern Devon Health and Care NHS Tr ...

, which did very well, in a scheme intended to “spread and accelerate innovative practice via peer to peer support and learning”. Eleven trainee anaesthetists were withdrawn from the trust by

Health Education England Health Education England (HEE) is an executive non-departmental public body of the Department of Health and Social Care. Its function is to provide national leadership and coordination for the education and training within the health and public h ...

in September 2015 because they were not receiving adequate supervision. The General Medical Council had been raising concerns since 2009. In the last quarter of 2015 it had one of the worst performances of any hospital in England against the four-hour waiting target and in January it was the worst, seeing just 66.4% of A&E patients within 4 hours. It was ordered by the

Care Quality Commission The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care services in England. I ...

in June 2016 to improve the performance of its Accident and Emergency Department. The inspectors "found there were delays in the initial assessment of patients, in their assessment by a doctor and in moving them to specialist wards and that there were insufficient middle grade doctors and consultants.” In February 2020 the Care Quality Commission praised the continuing improvements in the Accident and Emergency department at North Middlesex University Hospital in an inspection report. England's Chief Inspector of Hospitals, Professor Ted Baker, said: "Care provided at the North Middlesex University Hospital emergency department has continued to improve and I am pleased to see it".

References

External links

Trust websiteNorth Middlesex University Hospital on the NHS websiteInspection reports
from the

{{authority control NHS hospitals in London Hospitals established in 1910 Health in the London Borough of Enfield Edmonton, London

History

Performance

See also

References

External links