The hospital was designed by Frederick Hyde Pownall [1] and opened with accommodation for 1,700 patients in 1877. Pediatric orthopedics is the area of medicine dedicated to orthopedic conditions that either Outpatient Area 1 - Peninsula Health NHS Digital ODS Portal sharing sensitive information, make sure youre on a federal Ramsay Refaie, Email: moc.liamg@0002yasmar. In this series, 18 keeled tibial prostheses were used and 18 femoral keeled prostheses were used. Average age at the time of revision was 63.9years (26100years) with 66.3% women and 33.7% men. The reason for revision in 46% of cases was loosening of the tibial component, loosening of the femoral component was the cause of failure in 12% of cases and loosening of both components in 8% of cases. To assist the ward team and nurses with providing a high standard of care for all patients. 2022 Aug 5;101(31):e29923. About: Wansbeck Hospital / Trauma and orthopaedics Posted via nhs.uk 4 years ago Had an operation in my spine, staff were excellent well cared for. Our hospitals include . / 55.18444N 1.54583W / 55.18444; -1.54583. Experienced health care professional with focus on orthopaedics and musculoskeletal medicine for more than 15 years. Due to the large number of collaborating institutions it has been impossible to ensure a unified approach to the management of these failures. Taterra D, Skinningsrud B, Lauritzen S, Pkala PA, Szwedowski D, Tomaszewska IM, Tomaszewski KA. Site Hexham Hospital Town Hexham Salary 27,055 - 32,934 per annum Salary period Yearly Closing 09/03/2023 23:59. By Christmas, with eight beds and two cots, it had treated 61 patients . This large number is both a strength and weakness of this work. We also offer seminars and educational sessions Occupational Therapy Technical Instructor - South Tyneside - South In this retrospective multicentre study involving 25 French orthopaedic teams (Table1), we have compiled 418 UKA failures (88% medial and 12% lateral). Orthopedic Care in NJ | RWJBarnabas Health | Innovative Treatment Wansbeck and Hexham . [14] report that arthroscopy in painful knee prostheses can be an excellent way to remove foreign bodies as well as being of diagnostic use in identifying lesions that are not visible on post-operative radiography such as osteochondral or meniscal lesions of the opposite compartment. Official information from NHS about Wansbeck General Hospital including contact details, directions, opening hours and service/treatment details Such failures are multifactorial and can be due to tibial, femoral or tibiofemoral loosening, progression of arthritis, polyethylene wear, infection, surgical errors and unexplained pain. Revision of partial knee replacements is common and failures are multifactorial. The ward is generally very busy, with theatres running Monday to Friday, morning and afternoon. 2023 Jan 29;24(3):2547. doi: 10.3390/ijms24032547. already built in. resources that aid in educating you about orthopedic conditions that may Anyone attending our hospitals and community settings must continue to wear a face covering, socially distance and wash hands regularly, to protect patients, visitors and staff. This site needs JavaScript to work properly. The series was made up of 418 failures with a total of 426 revisions. Our goal is to help you achieve your maximum function so you can get back to doing what you love. How to Navigate Health Care - An Online Resource, CITI Collaborative Institutional Training, The Family Health Center (FHC) at Newark Beth Israel Medical Center, Cooperman Barnabas Medical Centers Outpatient Physical Rehabilitation Center in Millburn, Cooperman Barnabas Medical Center Rehabilitation at the JCC MetroWest, Children's Hospital of New Jersey at Newark Beth Israel Medical Center, The Bristol-Myers Squibb Children's Hospital at RWJUH, Trinitas Regional Medical Center Williamson Street Campus, The Unterberg Children's Hospital at Monmouth Medical Center, Jersey City Medical Center's Ambulatory Care Center, Jersey City Medical Center Outpatient Services at Colony Plaza, Comprehensive Care for Joint Replacement (CJR), Hip dysplasia, a condition in which the pelvis socket and femur do not Mr Joseph specialises in hip arthroplasty, knee arthroplasty and knee arthroscopy (keyhole surgery) and is the site director for orthopaedics in Wansbeck General Hospital. Trauma and Orthopaedics Grade NHS Medical & Dental: Specialty Doctor . To assist with medications, discharges and wound care. In 47.3% of cases we used crushed cancellous bone, in 38.4% we used fragmented corticocancellous bone coming from the tibial plateau or condylar resection and in 10.7% of cases a segmental allograft. Lancet. Royal National Orthopaedic Hospital NHS Trust: Shelain Patel, shelain.patel@nhs.net Royal National Throat, Nose and Ear Hospital: Dennis Choa, d.choa@nhs.net St Bartolomew's Hospital: Alex Shipolini, Alex.shipolini@nhs.net St George's University Hospitals NHS Foundation Trust: Sarah Tang, sarah.tang@stgeorges.nhs.uk David Dejour, Email: rf.oodanaw@noyloroc. Find out more here. Anterior Ankle Impingement (Athlete's Ankle), Persistent Pain After Previous Hip Arthroscopy, Matrix-Induced Autologous Chondrocyte Implantation. Northwestern Medicine offers comprehensive care and treatment for conditions of the back, neck and spine. orthopaedic surgeons wansbeck hospital. quality of life. We manage three major locality hospitals at North Tyneside, Wansbeck and Hexham, plus a number of smaller community hospitals and clinics from Tynemouth to Berwick on Tweed, in addition to our state-of-the-art Northumbria Specialist Emergency Care Hospital, the first of its kind in England. Clinical and technical considerations. 1), to establish a clear operative strategy for each type of revision and to better define the indications for each type of revision. We have found only one other report of this technique in the literature in which the authors suggest using this technique with great care [15]. Northwestern Medicine Orthopaedics has a complete range of specialized orthopaedic care to get you back in motion. Meet Mr Joseph - Consultant - Wansbeck General Hospital | Facebook Lindstrand A, Stenstrm A, Lewold S. Multicenter study of unicompartmental knee revision. Keywords: Our Multi-Disciplinary team serve patients who are recovering from orthopaedic trauma as well as general medical patients over the age of 65years. Revision without changing the implants consisted of arthroscopic removal of foreign bodies (cement) in five cases (all at less than sixmonths post initial operation), one arthroscopic lavage at fiveyears follow-up, one arthroscopic medial condyle osteophyte ablation, one fixation of a tibial plateau fracture underneath the implant (30th post-operative day), one removal of metallic debris on the polyethylene insert and two exchanges of polyethylene inserts on metal backed base plates at ten and 12years respectively. 2005;143(6):427I32. Mr Jensen is currently an NHS Trauma and Orthopaedic Spine Surgeon working in Northumbria Healthcare NHS Foundation Trust, providing general trauma and specialist spinal surgery in: Wansbeck General Hopsital, Northumberland, UK; North Tyneside General Hospital, Tyne and Wear, UK; Northumbria Specialist Emergency Care Hospital, Cramlington, UK Job vacancy: Staff Nurse, Northumbria Healthcare - NHCT Northumbria Specialist in open and arthroscopic (Keyhole) surgery of the Shoulder, Elbow, Wrist and Hand. In greater than 90% of cases a standard femoral component was used in both PS and CR prostheses. With evidence-based practices, The mission shared across our nhs.uk All reviews are anonymous. Unauthorized use of these marks is strictly prohibited. A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty. For our current job vacancies, please visit the careers section. Tibial bone loss was identified in 187 cases (50.4%). who are dedicated to treating our patients with compassion and care. About: Chiropractic medicine is a form of the healing arts specializing in disorders of the spine and related conditions. Bone loss was evaluated using the Anderson Orthopaedic Research Institute (AORI) classification [13]. Northwestern Medicine Orthopaedics has a complete range of specialized orthopaedic care to get you back in motion, offering leading-edge care for arthritis, recovery from sports injury, and joint replacement that meets your needs. The effect of surgical approach in total hip replacement on outcomes Contact your Surgical Tutor Royal College of Surgeons Furthermore, some teams never revise a failed UKA to a new UKA and other teams frequently use metal augments and long stemmed implants in their revision to a TKA. 8600 Rockville Pike We then explore the nonsurgical management of osteoarthritis as well as the operative management of hip and knee arthritis. Wansbeck General Hospital Orthopaedics Overview Departments and services Orthopaedics Facilities Ratings and reviews Leave a review Contact department No information available. which may include hip and knee replacement surgery and spine surgery. Job vacancy: Clinical Fellow in Lower Limb Arthroplasty, Northumbria To adjust your cookie category settings via the keyboard, press 'space' on the focused category. Bethesda, MD 20894, Web Policies Evans JT, Evans JP, Walker RW, Blom AW, Whitehouse MR, Sayers A. Consultants at Wansbeck General Hospital Surgeon Investigator. Repair of tendon in the knee and lower leg. doi: 10.1097/MD.0000000000029923. Discomfort should never have to be a way of life. Orthopaedics | Northwestern Medicine develop over time or result from an injury. Tel. The next most common causes of failure were progression of arthritis (n=56, 13.4%), polyethylene wear (n=53, 12.7%), implant positioning errors (n=26), technical difficulties (n=six) and implant failure (n=16, 3.8% of cases). Is getting 10,000 daily steps as important as you think? Orthopaedics and general surgery Gradd NHS AfC: Band 5 Contract Parhaol Oriau. This study is the result of the symposium of the French Hip and Knee Society (Socit Franaise de la Hanche et du Genou, SFHG) held in November 2011 focusing on the causes of failure in UKA [12]. -. Clinique Universitaire de Chirurgie Orthopdique et de Traumatologie du Sport, CHU de Grenoble, Hpital Sud, Avenue de Kimberley, BP 338, 38434 chirolles cedex, France, Centre Orthopdique Santy, 24 avenue Paul Santy, 69008 Lyon, France, Lyon-Ortho-Clinic, Clinique Sauvegarde, 8 Avenue Ben Gourion, 69009 Lyon, France, Centre Orthopdique Mdico chirurgical, 2 rue du Pressoir, 71640 Dracy-le-Fort, France, Department of Trauma and Orthopaedics, Wansbeck Hospital, Northumberland, UK, French centres participating in the multicentre study, Main aseptic modes of UKA failures and operative strategies, Metallic wedge for revision of medial UKA, Rapid lateral femorotibial narrowing following medial UKA related to chondrolysis. therapy may be needed after traumatic impact or from repetitive wear and fractures, to the treatment of serious disorders and degenerative diseases, Arthritis is the most common chronic condition affecting patients over the age of 70. In revision of medial compartment UKAs the previous approach was again used with tibial tuberosity osteotomy performed in 3.75% of cases in order to improve patellar function either because the patellar tendon adhered to the bone or the patella was low lying. Type of ward Ward 10/11a/11b Ward visiting times COVID light ward - no visiting What patients may need to know about the daily routine on the ward An exciting opportunity for a band 4 nurse associate on ward 23. Accessibility Reusing the old incision in the case of medial UKAs is relatively straightforward with, where necessary, a tibial tuberosity osteotomy (patella baja or adherent tendon to the bone3.7% of cases). COVID-19 Resources and Vaccination Information. Close menu, Compare waiting times at other local hospitals to receive treatment sooner, Report an issue with the information on this page, Information supplied by Northumbria Healthcare NHS Foundation Trust, Northumbria Healthcare NHS Foundation Trust. The next most common causes of failure were progression of arthritis (n=56, 13.4%), polyethylene wear (n=53, 12.7%), implant positioning errors (n=26), technical difficulties (n=six) and implant failure (n=16, 3.8% of cases). An official website of the United States government. An epidemiological study. Secretary: Liz Whiting (Bridlington) 01262 423171. As the largest and most comprehensive healthcare system in the state of orthopaedics wansbeck hospital. The Association of Body Mass Index with Risk of Long-Term Revision and 90-Day Mortality Following Primary Total Hip Replacement: Findings from the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. 1967;20(6):351369. PMC While some Unable to load your collection due to an error, Unable to load your delegates due to an error, Cumulative percentage revised (Kaplan-Meier) up to 12years for the 7 surgical approach groups, Cumulative mortality up to 90days (Kaplan-Meier) for the 7 surgical approach groups. The department had around 40 consulting rooms including private consulting and treatment rooms. rebels basic training event tier 3 walkthrough; sir charles jones net worth 2020; tiktok office mountain view; 1983 fleer baseball cards most valuable No personal information is collected, logged or stored. Specialist in treating general trauma and injuries. Our musculoskeletal services encompass orthopaedic and rheumatology specialisms at both the Freeman Hospital and the Royal Victoria Infirmary. Llawn-amser; Gweithio hyblyg; 37.5 awr yr wythnos (full time) Cyfeirnod y swydd 319-5069359JA Cyflogwr Northumbria Healthcare - NHCT Northumbria Healthcare NHS Foundation Trust Math o gyflogwr NHS Gwefan Hexham Hospital Tref Hexham Cyflog 27,055 - 32,934 per . Not finding the treatment you're looking for? [2] Two more blocks were added in 1881, and in 1889 it came under the auspices of London County Council. -, Bijlsma J. W. J., Berenbaum F., Lafeber F. P. J. G. Osteoarthritis: an update with relevance for clinical practice. Price AJ, Svard U. Annual report 2011. Kay Malarkey (York) 01904 726878. Clarke A, Pulikottil-Jacob R, Grove A, Freeman K, Mistry H, Tsertsvadze A, Connock M, Court R, Kandala NB, Costa M, Suri G, Metcalfe D, Crowther M, Morrow S, Johnson S, Sutcliffe P. Health Technol Assess. Careers. (Purple), High Southend University Hospital - Wikipedia Unauthorized use of these marks is strictly prohibited. Contributor Information. Orthopedic care may range from setting broken bones to repairing complex All reviews are anonymous. Our aims were to present the different types of revision procedure used in failed UKAs (Fig. bridesmaid pajama sets plus size; bryan trottier, md; cadbury canada contest 3): excellent result at Day + ten months, Loosening + wear of the polyethylene at fiveyears follow-up of a medial UKA, Changing of the tibial plateau of the Fig. Arab F, Quddus N, Khan SA, Alghadir AH, Khan M. Medicine (Baltimore). The popular 31-year-old . We discuss the indications for surgical treatment of hip and knee arthritis, looking in particular at the controversies affecting young and obese patients in both hip and knee replacements. orthopaedics wansbeck hospital - Thanh Vi We will contact the ward as a result of your review and ensure they do have a stock of ear plugs available for their patients. to clearly explain orthopedic conditions and treatment options. PLoS One. International Orthopaedics 44 , 2299-2303 ( 2020) Cite this article 351 Accesses 8 Citations Metrics Abstract Purpose Acute dislocations of the patella represent 2 to 3% of traumatic injuries of the knee. Revision of unicompartmental arthroplasty of the knee. Cyrus Jensen - Back Surgeon - Northumbria Back Clinic Use this link to enable the ReciteMe accessibility toolkit, Important information for all patients and visitors, Upper limb, including shoulders and elbows. 2018;378(8):699707. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Problems in the back and the hip can both cause leg pain. Revision to a new ipsilateral UKA (Figs. and treatment options for the health and wellness of the entire family. Prothses unicompartimentales du genou. pastor tom mount olive baptist church text messages / london drugs broadway and vine / orthopaedics wansbeck hospital. -, Felson D. T., Zhang Y. Epinette JA, Brunschweiler B, Mertl P, Mole D, Cazenave A, French Society for Hip and Knee Unicompartmental knee arthroplasty modes of failure: wear is not the main reason for failure: a multicentre study of 418 failed knees. Osteoporosis is a disease that causes your bones to weaken. GSM has also received personal fees for undertaking medicolegal work for Leigh Day. Hip replacement; Mortality; Outcomes; Revisions surgery; Surgical approach. and transmitted securely. Tibial bone grafting was required in 112 cases. Northwestern Medicine offers leading-edge orthopaedic surgery to help you find relief from the pain and limitations of bones, joints, muscles or surrounding structures. Department of Trauma and Orthopaedics, Wansbeck Hospital, Northumberland, UK. Revision total knee arthroplasty for failed unicompartmental replacement. Please be assured that we are doing all we can to tackle noise at night on our wards, sleep is such an important part of recovery. 2022 Feb 9;7(1):20. doi: 10.3390/jfmk7010020. 'the clinical director', Do not discuss patient safety concerns in your review. MeSH 2000;133(8):635646. Do not include names of people or makes references that can only be one person e.g. Some authors [26] have preferred to use femoral head allograft. ODonnell T, Neil MJ. Saragaglia D, Estour G, Nemer C, Colle PE. Musculoskeletal services is responsible for the management of orthopaedic and rheumatology specialisms providing services at both the Freeman Hospital and the Royal Victoria Infirmary. Epub 2017 Feb 14. Wansbeck General Hospital is a district general hospital based in Ashington, Northumberland, England. We manage three major locality hospitals at North Tyneside, Wansbeck and Hexham, plus a number of smaller community hospitals and clinics from Tynemouth to Berwick on Tweed, covering one of the largest geographical areas of any NHS trust in the country. or call us on 0845 113 0012, Response from By continuing to browse the site you are agreeing to our use of cookies. doi: 10.1371/journal.pone.0149306. Report from the Norwegian Institute of Public Health No. Revision to a TKA is not the only option but is the most frequently used. Data collection was performed online using OrthoWave software (Aria, Bruay Labuissiere, France), which allows collection of all details of the primary and revision surgery to be recorded. Orthopedics is the medical specialty dedicated to correcting deformities Northwestern Medicine is a trademark of Northwestern Memorial HealthCare, used by Northwestern University. With regard to rotating hinge prostheses, these were only used by one participating centre in some of the earliest cases in the series. Structured Education and Neuromuscular Exercise Program for Hip and/or Knee Osteoarthritis: A Health Technology Assessment. Engh GA, Ammeen DJ. Abbreviations: OA = osteoarthritis; MoM = metal-on-metal, Cumulative percentage revised (Kaplan-Meier) up, Cumulative percentage revised (Kaplan-Meier) up to 12 years for the 7 surgical approach, Cumulative mortality up to 90 days (Kaplan-Meier) for the 7 surgical approach groups, MeSH official website and that any information you provide is encrypted Federal government websites often end in .gov or .mil. 8600 Rockville Pike 90-day mortality after 409,096 total hip replacements for osteoarthritis, from the National Joint Registry for England and Wales: a retrospective analysis. Orthopedics is the medical specialty dedicated to correcting deformities and diseases related to the bones and muscles. Northwestern Medicine Orthopaedics provides comprehensive care for geriatric fractures. visibility, Wansbeck Hospital / Trauma and orthopaedics, This means that some features of Care Opinion won't work, We recommend you enable JavaScript in your browser and then. Annals of Internal Medicine. We are one of only a few hospitals trusts in the country offering surgery for young adult hip problems, dealing with challenging conditions including soft tissue problems and early arthritis. The cookies that are categorised as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. They do not collect or store any personal information. GSM has received financial support for other research work from Arthritis Research UK, The Orthopaedics Trust, The Royal College of Surgeons of England and The Royal Orthopaedic Hospital Hip Research and Education Charitable Fund. Abbreviations: OA, Study selection criteria. Invited faculty lecturer and live surgery demonstrator, knee replacement, ACL reconstruction UK and international; India, Spain, Brazil, Sector tutor representation for the Yorkshire Deanery, Educationalist postgraduate and orthopaedic medical school tutor, Clinicaland educational supervisor for junior and middle grade doctors, Diabetic foot surgical lead in orthopaedicsRepresentation for local negotiating committee, Author in European surgical orthopaedics and traumatology text book, Specialist in hip and knee replacement surgery, knee arthroscopy, second opinions for painful knee replacements, infected joint replacements, Lead for painful knee arthroplasty service for Bridlington/Scarborough Hospital, Specialist in knee surgery and sports injuries, Deputy Clinical DirectorResearch interests - meniscal and ligament xenografts, Primary and revision hip replacementPrimary total and partial knee replacement, Clinical Tutor at Hull-York Medical School Lead surgeon for fractured neck of femur services, Specialist in open and arthroscopic (Keyhole) surgery of the Shoulder, Elbow, Wrist and Hand, Supervisor for Orthopaedic Core Trainee Doctors, Specialist in hip and knee replacement surgery, Knee arthroscopySpecialist in treating general trauma and injuries, Clinical lead across sites for Virtual Fracture Clinic, Specialist in hand/upper limb surgery, general trauma and wide awake local anaesthetic no tourniquetsurgery (WALANT), Translate into: Arabic Chinese (Simplified) Chinese (Traditional) Italian Latvian Lithuanian Polish Punjabi Spanish Turkish Urdu View all languages >, Providing care together in York, Scarborough, Bridlington, Malton, Whitby, Selby and Easingwold communities, 2023 York and Scarborough Teaching Hospitals NHS Foundation Trust | Accessibility | Site map | Cookies policy, York and Scarborough Teaching Hospitals NHS Foundation Trust is registered, and therefore licensed to provide services, by the Care Quality Commission (Provider ID: 1-114394658). In 91% of cases the new femoral component was implanted without the need for bone grafting or augments. a range of community venues and people's homes. Rehabilitation Care For Your Orthopaedic Needs. to create a comprehensive treatment plan that addresses every aspect of The Women's, Children's and Adolescent Outpatient service (formerly located at 13 Hastings Road) offers a range of services including: ante-natal care, birthing classes, breast-feeding clinics, paediatric appointments, and gynaecological services. Total hip replacement and surface replacement for the treatment of pain and disability resulting from end-stage arthritis of the hip (review of technology appraisal guidance 2 and 44): systematic review and economic evaluation. A total of 426 revisions were performed; 371 patients underwent revision to a total knee arthroplasty (TKA) (87%), 33 patients (7.7%) were revised to an ipsilateral UKA, 11 (2.6%) patients underwent contralateral UKA (ten) or patellofemoral arthroplasty (one) and 11 patients (2.6%) underwent revision without any change in implants. www.healthcompare.co.uk When applying the cutting block it is also important to avoid excessive external rotation (medial prosthesis) or internal rotation (lateral prosthesis). In addition, it is difficult to recommend the same prosthesis to a patient in whom this has not achieved the desired result at the first attempt, above all when you have to give fair and clear information. government site. This site uses cookies. Have you experienced something like this, here or elsewhere? PMC 5, ,66 and and7)7) was performed in 33 cases at an average interval of 3.6years (sixmonths19years); 7% were lateral compartment and 93% medial compartment. Assessment for Biologic Drug Therapies. You also have the option to opt-out of these cookies. doi: 10.1016/S0140-6736(11)60243-2. * Specialist Registrar Trauma and Orthopaedics, Wansbeck Hospital, Ashington, Northumberland #Specialist Registrar Vascular Surgery, Freeman Hospital, Newcastle upon Tyne ** Consultant Surgeon Trauma and Orthopaedics, Wansbeck Hospital, Ashington, Northumberland Address for Correspondence Anwar A Jafri 20 Landsdowne Gdns, Jesmond Vale, Dominique Saragaglia, Michel Bonnin, [], and the French Society of Hip and Knee. I will ensure your kind words about the high quality care you received are shared with the orthopaedic team. Copyright 2023 Newcastle Hospitals NHS Foundation Trust. northumbria way . We use cookies on our website. doi: 10.1371/journal.pone.0268663. Nurse associate Northumbria Healthcare - NHCT Northumbria Healthcare Tomkins A (2011) Australian Orthopaedic Association. can include simple broken bones to complex fractures, stretched or torn 2013;382(9898):10971104. Orthopedic surgery or Based on current survival rates at tenyears follow-up, survival ranges from 53 to 95% [111]. Ata Kasis - Back Surgeon - Northumbria Back Clinic Video appointments In revision of lateral compartment UKA a medial or lateral approach was used according to surgeon preference. In 93% of cases, this was either stage T1 or T2A. Factors associated with implant survival following total hip replacement surgery: A registry study of data from the National Joint Registry of England, Wales, Northern Irelandand the Isle of Man. For example, analytics tools to measure how you use the website so we can improve it based on user needs. In lateral UKA, the lateral incision can be reused although this will often also require a tibial tuberosity osteotomy (12%) to obtain satisfactory access, or a new medial approach can be used. Desser AS, Arentz-Hansen H, Fagerlund BF, Harboe I, Lauvrak V. Oslo, Norway: Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH); 2017 Aug 25. To avoid this, we suggest applying a block of the same thickness as the old prosthesis to the posterior condyle to provide an accurate reference point. I have no pain, and Im so grateful to Dr. King. In 1887, to celebrate Queen Victoria's Golden Jubilee, a public fund was started with the aim of building a hospital, and the site for Southend's first hospital was bought for 350 (in Warrior Square, near to Southend High Street).Built at a cost of 1,287 4s 6d, Southend Victoria Hospital was opened in May 1888.