Queen Victoria Hospital
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The Queen Victoria Hospital (QVH), located in
East Grinstead East Grinstead is a town in West Sussex, England, near the East Sussex, Surrey, and Kent borders, south of London, northeast of Brighton, and northeast of the county town of Chichester. Situated in the extreme northeast of the county, the civ ...
, West Sussex, England is the specialist reconstructive surgery centre for the south east of England, and also provides services at clinics across the region. It has become world-famous for its pioneering burns and plastic surgery. The hospital was named after
Queen Victoria Victoria (Alexandrina Victoria; 24 May 1819 – 22 January 1901) was Queen of the United Kingdom of Great Britain and Ireland from 20 June 1837 until her death in 1901. Her reign of 63 years and 216 days was longer than that of any previ ...
. It is managed by the Queen Victoria Hospital NHS Foundation Trust. Proposals that the trust should be taken over by
University Hospitals Sussex NHS Foundation Trust University Hospitals Sussex NHS Foundation Trust is an NHS foundation trust which provides clinical services to people in Brighton and Hove, parts of East Sussex and West Sussex. It is abbreviated as UHSx to avoid confusion with University Ho ...
in 2021 were objected to by the governors of the trust. In September 2021 66% of the consultants said they had no confidence in the chief executive. In September 2022 the merger plans were abandoned.


History

Founded as East Grinstead
Cottage Hospital A cottage hospital is a semi-obsolete type of small hospital, most commonly found in the United Kingdom. The original concept was a small rural building having several beds.The Cottage Hospitals 1859–1990, Dr. Meyrick Emrys-Roberts, Tern Publicati ...
in 1863, the hospital adopted the name, "Queen Victoria Hospital", in the 1930s and moved to its present site in 1936. 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 ...
, it developed as a specialist burns unit under the leadership of Sir Archibald McIndoe, and became world-famous for pioneering treatment of RAF and allied aircrew who were badly burned or crushed and required reconstructive plastic surgery. It was where the
Guinea Pig Club The Guinea Pig Club, established in 1941, was a social club and mutual support network for British and allied aircrew injured during World War II. Its membership was made up of patients of Archibald McIndoe in Ward III at Queen Victoria Hospit ...
was formed in 1941, as a social club and support network for the aircrew and their family members. The club continued to provide assistance for Guinea Pigs for many years after the war, and met regularly in
East Grinstead East Grinstead is a town in West Sussex, England, near the East Sussex, Surrey, and Kent borders, south of London, northeast of Brighton, and northeast of the county town of Chichester. Situated in the extreme northeast of the county, the civ ...
until 2007. The Queen Victoria Hospital remains at the forefront of specialist care today, and is renowned for its burns treatment facilities and expertise throughout England. In recent years a major programme of site developments has been underway to replace the ageing estate. In 2012, a new outpatients department opened, along with refurbished burns and paediatric units. Six new operating theatres were opened by the
Princess Royal Princess Royal is a style customarily (but not automatically) awarded by a British monarch to their eldest daughter. Although purely honorary, it is the highest honour that may be given to a female member of the royal family. There have been se ...
in October 2013.


Services

The hospital is the regional centre of excellence for
burn A burn is an injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or ultraviolet radiation (like sunburn). Most burns are due to heat from hot liquids (called scalding), solids, or fire. Burns occur ma ...
s and for
reconstructive surgery Reconstructive surgery is surgery performed to restore normal appearance and function to body parts malformed by a disease or medical condition. Description Reconstructive surgery is a term with training, clinical, and reimbursement implicat ...
– the use of specialist techniques such as
tissue transplant Tissue may refer to: Biology * Tissue (biology), an ensemble of similar (or dissimilar in structure but same in origin) cells that together carry out a specific function * ''Triphosa haesitata'', a species of geometer moth ("tissue moth") found in ...
and microvascular surgery in the restoration of people who have suffered disfigurement or destructive damage from disease, trauma, major surgery, or congenitally. Specialist units that carry out these services include: * Burns Centre: The QVH Burns Centre provides specialist burns care treatment for people living in the South East of England. The hospital was involved in controversy in August 2007 when it turned away an 8-month-old burn victim arriving by
air ambulance Air medical services is a comprehensive term covering the use of air transportation, aeroplane or helicopter, to move patients to and from healthcare facilities and accident scenes. Personnel provide comprehensive prehospital and emergency and cri ...
. The row was finally resolved with both sides agreeing to disagree over the issue. In conjunction with the
Kent Police Kent Police is the territorial police force responsible for policing the and approximately 1.8 million inhabitants of Kent, a county in the south east of England. History On 14 January 1857, a 222-strong 'Kent County Constabulary' was formed u ...
, a young woman who was seriously burned by a firework and treated at Queen Victoria Hospital has made a video telling her story to help other young people understand the dangers that fireworks present. The paediatrics burns inpatient service was closed in 2019. * Corneo Plastic Unit: The Corneo Plastic Unit was established by Sir Benjamin Rycroft in the 1940s. The unit specialises in
corneal transplantation Corneal transplantation, also known as corneal grafting, is a surgical procedure where a damaged or diseased cornea is replaced by donated corneal tissue (the graft). When the entire cornea is replaced it is known as penetrating keratoplasty a ...
surgery and
oculoplastics Oculoplastics, or oculoplastic surgery, includes a wide variety of surgical procedures that deal with the orbit (eye socket), eyelids, tear ducts, and the face. It also deals with the reconstruction of the eye and associated structures. Training ...
. The
eye bank Eye banks recover, prepare and deliver donated eyes for cornea transplants and research. The first successful cornea transplant was performed in 1905 and the first eye bank was founded in 1944. Currently, in the United States, eye banks provide ti ...
, previously named the National Eye Bank at the Queen Victoria Hospital, was established formally in 1952. Sir Benjamin Rycroft was instrumental in the passage of the Tissue Procurement Act, a key piece of legislation with respect to all transplant surgery in the UK. The Corneo Plastic and
Ophthalmology Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a me ...
unit continues to perform
corneal transplantation Corneal transplantation, also known as corneal grafting, is a surgical procedure where a damaged or diseased cornea is replaced by donated corneal tissue (the graft). When the entire cornea is replaced it is known as penetrating keratoplasty a ...
,
lamellar A ''lamella'' (plural ''lamellae'') is a small plate or flake, from the Latin, and may also be used to refer to collections of fine sheets of material held adjacent to one another, in a gill-shaped structure, often with fluid in between though s ...
grafts, and stem cell transplantation for occular surface rehabilitation.
Raman Malhotra Raman Malhotra is a British ophthalmologist and oculoplastic surgeon. He is a consultant ophthalmic surgeon and head of the Corneoplastic unit, Queen Victoria Hospital, East Grinstead. Education and early career Born on 13 September 1968 at Isl ...
, consultant ophthalmologist at the hospital, discovered a method of treating
Blepharospasm Blepharospasm is any abnormal contraction of the orbicularis oculi muscle. The condition should be distinguished from the more common, and milder, involuntary quivering of an eyelid, known as myokymia, or fasciculation. In most cases, blepharosp ...
using filters. * Plastic Surgery Unit: The hospital is a major centre for Plastic Surgery.
Hand surgery Hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand or upper extremity (commonly from the tip of the hand to the shoulder)Hand surgery is extremely difficult, ranking last ...
is also performed at the hospital. Videos of complex hand operations have been shared on YouTube by Mr Harry Belcher, a consultant hand surgeon at the hospital. A man had his arm successfully reattached in a 14-hour operation by surgeons at Queen Victoria Hospital, after he accidentally cut it off with a 'chainsaw'. After the operation he regained use of his fingers. * Maxillofacial Surgery: The Maxillofacial unit has an international reputation as a training and teaching unit, with staff specialising in oral surgery,
orthodontics Orthodontics is a dentistry specialty that addresses the diagnosis, prevention, management, and correction of mal-positioned teeth and jaws, and misaligned bite patterns. It may also address the modification of facial growth, known as dentofacial ...
,
facial trauma Facial trauma, also called maxillofacial trauma, is any physical trauma to the face. Facial trauma can involve soft tissue injuries such as burns, lacerations and bruises, or fractures of the facial bones such as nasal fractures and fractures ...
,
head and neck cancer Head and neck cancer develops from tissues in the lip and oral cavity (mouth), larynx (throat), salivary glands, nose, sinuses or the skin of the face. The most common types of head and neck cancers occur in the lip, mouth, and larynx. Symptom ...
,
orthognathic surgery Orthognathic surgery (), also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and lower face related to structure, growth, airway issues including sleep apnea, TMJ disorders, malocclusi ...
,
salivary gland The salivary glands in mammals are exocrine glands that produce saliva through a system of ducts. Humans have three paired major salivary glands ( parotid, submandibular, and sublingual), as well as hundreds of minor salivary glands. Salivary ...
disease, face and jaw
reconstruction Reconstruction may refer to: Politics, history, and sociology * Reconstruction (law), the transfer of a company's (or several companies') business to a new company *''Perestroika'' (Russian for "reconstruction"), a late 20th century Soviet Unio ...
, and developmental facial deformity. The unit performed major reconstructive surgery on a Crawley woman who was savaged by her own dog. * Therapies Department: The Therapies Department support the rehabilitation of patients undergoing specialist treatment at the hospital. It also provides a wide range of services for the local community, including
physiotherapy Physical therapy (PT), also known as physiotherapy, is one of the allied health professions. It is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, management, prognosis, patie ...
,
back pain Back pain is pain felt in the back. It may be classified as neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) based on the segment affected. The lumbar area is the most common ...
clinics, speech and language therapy, weight management clinics and
Parkinson's Parkinson's disease (PD), or simply Parkinson's, is a long-term degenerative disorder of the central nervous system that mainly affects the motor system. The symptoms usually emerge slowly, and as the disease worsens, non-motor symptoms becom ...
groups. The department is also part of the first and largest multidisciplinary expert facial palsy team, treating palsy and paralysis patients from across the country. In July 2012, the hospital produced a short film about its services: the Queen Victoria Hospital Short Film 2012.


Telemedicine

As the regional specialist centre for reconstructive surgery following trauma, Queen Victoria Hospital (QVH) has a well-established telemedicine referral system. In 2008 the service won the regional Innovation and Communications Technology Award and the QVH telemedicine system was also chosen to form part of the Institute of Engineering & Technology's 2008 Faraday Lecture on the overall theme of engineering in health and has been included in a documentary.


Performance

In the national cancer patient survey for 2011/12, the hospital achieved the highest score for care quality out of all 160 hospital trusts providing cancer services. Ninety-four per cent of cancer patients surveyed rated the care they received at QVH as 'excellent' or 'very good'. In the national NHS inpatient survey for 2011, the hospital achieved the highest scores in the country for 27 of the 61 questions asked, including 'Overall, how would you rate the care you received?'. In the 2011 national NHS staff survey, 94% of doctors and nurses said they would recommend their hospital to friends and family, more than at any other hospital in the country. In 2011, it was found to be the most recommended NHS hospital in the country by the independent Dr Foster Hospital Guide. It was named by the
Health Service Journal ''Health Service Journal'' (''HSJ'') is a news service that covers policy and management in the National Health Service (NHS) in England. History The '' Poor Law Officers' Journal'' was established in 1892. In 1930, it changed its name after ...
as one of the top hundred NHS trusts to work for in 2015. At that time it had 817 full-time equivalent staff and a sickness absence rate of 3.58%. 91% of staff recommend it as a place for treatment and 74% recommended it as a place to work. In 2018/9 it faced a £5.9 million deficit, around 10% of its turnover, and needed to borrow money to pay its bills. It forecasts deficits of around £7 million, roughly 10% of its turnover, each year from 2019 to 2023.


Transport links

Local bus services are provided by Metrobus. The following routes pass the hospital: *Route 281: an hourly service which links QVH to the town centre and station, Worsted Farm, Imberhorne, Felbridge, Crawley Down, Copthorne, Three Bridges, Crawley, Lingfield and Dormansland *Route 400: an hourly service which links QVH to the town centre, Felbridge, Copthorne, Three Bridges, Crawley, Horley, East Surrey Hospital, Redhill, Godstone and Caterham


See also

*
Healthcare in Sussex Healthcare in Sussex was the responsibility of seven Clinical Commissioning Groups covering: Brighton and Hove; Coastal West Sussex; Horsham and Mid Sussex; Crawley; Eastbourne Hailsham and Seaford; Hastings and Rother; High Weald; and Lewes-Hav ...
*
List of hospitals in England The following is a list of hospitals in England. For NHS trusts, see the list of NHS Trusts. East Midlands * Arnold Lodge, Leicestershire * Babington Hospital – Belper, Derbyshire *Bassetlaw District General Hospital – Worksop, Nottingha ...


References


Further reading

*


External links


Trust website
{{authority control Hospitals in West Sussex East Grinstead NHS hospitals in England Archibald McIndoe 1863 establishments in England