West London Mental Health (NHS) Trust
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West London NHS Trust is a
NHS trust
which provides mental and physical health services to the London boroughs of
Ealing Ealing () is a district in West London, England, west of Charing Cross in the London Borough of Ealing. Ealing is the administrative centre of the borough and is identified as a major metropolitan centre in the London Plan. Ealing was histor ...
,
Hammersmith and Fulham The London Borough of Hammersmith and Fulham () is a London borough in West London and which also forms part of Inner London. The borough was formed in 1965 from the merger of the former Metropolitan Boroughs of Hammersmith and Fulham. The borou ...
and Hounslow. It also provides some services on a national basis, including forensic and high-security services. The trust operates across several sites, including
Broadmoor Hospital Broadmoor Hospital is a high-security psychiatric hospital in Crowthorne, Berkshire, England. It is the oldest of the three high-security psychiatric hospitals in England, the other two being Ashworth Hospital near Liverpool and Rampton Secure ...
in Crowthorne and
St Bernard's Hospital St Bernard's Hospital is the only civilian general hospital in the British overseas territory of Gibraltar. History Juan Mateos In 1567, during Gibraltar's Spanish period, a retired Spanish innkeeper by the name of Juan Mateos converted his ...
in Hanwell.


History

The trust was established as the West London Mental Health NHS Trust on 1 October 2000, and took its current name on 31 August 2018. * 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 St Bernard's Hospital is the only civilian general hospital in the British overseas territory of Gibraltar. History Juan Mateos In 1567, during Gibraltar's Spanish period, a retired Spanish innkeeper by the name of Juan Mateos converted his ...
(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 St Bernard's Hospital, also known as Hanwell Insane Asylum and the Hanwell Pauper and Lunatic Asylum, was an asylum built for the pauper insane, opening as the First Middlesex County Asylum in 1831. Some of the original buildings are now part of ...
. Here the first superintendent Dr (later Sir) William & Mrs Mildred Ellis who were so much impressed with
Moral therapy Moral treatment was an approach to mental disorder based on humane psychosocial care or moral discipline that emerged in the 18th century and came to the fore for much of the 19th century, deriving partly from psychiatry or psychology and partly fr ...
and humane treatment they saw offered to people suffering
Mental disorder A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitti ...
s 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 John Conolly (27 May 1794 – 5 March 1866) was an English psychiatrist. He published the volume ''Indications of Insanity'' in 1830. In 1839, he was appointed resident physician to the Middlesex County Asylum where he introduced the princip ...
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. 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

It won a contract for community services in Ealing for 10 years from May 2019 leading a partnership with Central and North West London NHS Foundation Trust and
Hillingdon Hospitals NHS Foundation Trust The Hillingdon Hospitals NHS Foundation Trust is the NHS trust responsible for the healthcare services provided at Hillingdon Hospital and Mount Vernon Hospital in the London Borough of Hillingdon. The trust is part of Imperial College Health P ...
.


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 eight service lines - high secure services at Broadmoor Hospital, the West London Forensic Service, integrated care services (community health services), liaison and long-term conditions (integrated mental health services), access and urgent mental health care, primary and planned mental health care, cognitive impairment and dementia,
Child and Adolescent Mental Health Services Child and Adolescent Mental Health Services (CAMHS) is the name for NHS-provided services in the United Kingdom for children, generally until school-leaving age, who are having difficulties with their emotional well-being or are deemed to have pe ...
(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 was preciously the guardian 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 Runwell Hospital was a hospital in the Chelmsford district of Essex. It was managed by the South Essex Partnership University NHS Foundation Trust. History Following the ending of contracts accommodating patients at the Essex County Council's ...
until the 1990s when a major reprovision programme was envisioned; the collection was started at
Runwell Hospital Runwell Hospital was a hospital in the Chelmsford district of Essex. It was managed by the South Essex Partnership University NHS Foundation Trust. History Following the ending of contracts accommodating patients at the Essex County Council's ...
by Dr John Corsellis. No larger depository of this speciality is known.


See also

* Healthcare in London * List of NHS trusts


References


External links

* {{Official website
West London NHS Trust on the NHS website

Inspection reports
from the Care Quality Commission Health in London NHS trusts Psychiatric hospitals in England