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{{Short description|Hospital in London,
{{Use dmy dates|date=April 2022}}
{{Infobox hospital
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| Emergency = None
| Affiliation= [[Institute of Cancer Research]]<br />[[Imperial College London]]
| Beds =
| Founded = {{Start date and age|1851}}
| Closed = <!-- optional -->
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| map_type = United Kingdom London Kensington and Chelsea
| map_caption = Shown in Kensington and Chelsea
| patron = [[William, Prince of Wales]]
|}}
[[File:The_Royal_Marsden_Hospital_frontage_Fulham_Road_(1).jpg|right|thumb|]]
[[File:The_Royal_Marsden_Hospital_frontage_Fulham_Road_(2).jpg|right|thumb|]]
The '''Royal Marsden Hospital'''
In addition to providing [[cancer]] diagnosis, treatment and care, The Royal Marsden is a major centre for [[cancer research]] and teaching. It has a close affiliation with the [[Institute of Cancer Research]], which originated as the hospital's research department and is located alongside the hospital in Brompton and Belmont. Through its subsidiary '''The Royal Marsden School''', it offers undergraduate and postgraduate degrees in cancer care validated by the [[University of East Anglia]].
▲The '''Royal Marsden Hospital''' (RM) is a specialist [[cancer]] treatment hospital in [[London]] based in [[Royal Borough of Kensington and Chelsea|Kensington and Chelsea]], next to the [[Royal Brompton Hospital]], in [[Fulham Road]] with a second site in [[Belmont, Sutton|Belmont]], close to Sutton Hospital, [[High Down (HM Prison)|High Down]] and [[Downview (HM Prison)|Downview]] Prisons. It is managed by [[the Royal Marsden NHS Foundation Trust]].
==
The Royal Marsden's Brompton site is adjacent to the [[Royal Brompton Hospital]], in [[Fulham Road]]. {{As of|2020}}, this site had 112 inpatient beds and 7 [[operating theatre]]s.<ref name=CQC>{{cite web |title=The Royal Marsden - London - Care Quality Commission |url=https://www.cqc.org.uk/location/RPY01/inspection-summary |website=www.cqc.org.uk}}</ref>
The Belmont site is in the far south of [[Greater London]], adjacent to the former Sutton Hospital, [[High Down (HM Prison)|High Down]] and [[Downview (HM Prison)|Downview]] Prisons, and the [[Metropolitan Green Belt]]. This site houses some of the hospital's large diagnostic and [[radiotherapy]] equipment, including the UK's only combined [[magnetic resonance imaging|MR]]-[[Linac]].<ref>{{cite news |title=Brain cancer patient from Cheam test drives pioneering machine at Royal Marsden |url=https://www.yourlocalguardian.co.uk/news/17613789.royal-marsden-hospital-patient-test-drives-pioneering-machine/ |work=Your Local Guardian |date=2 May 2019 |language=en}}</ref>
==Healthcare==
The Royal Marsden provides diagnostic services, treatment and care for
{{As of|2020}}, the [[Care Quality Commission]] reported that the Royal Marsden had 219 inpatient beds, 70 day care beds, and 513 outpatient clinics.<ref name=CQC/>
==Research==
The Royal Marsden works in collaboration with [[The Institute of Cancer Research]] (ICR),<ref name=NHS2019>{{Cite web|date=28 September 2009|title=Overview – The Royal Marsden NHS Foundation Trust - NHS|url=https://www.nhs.uk/Services/Trusts/Overview/DefaultView.aspx?id=1063|url-status=live|archive-url=https://web.archive.org/web/20100820105553/https://www.nhs.uk/Services/Trusts/Overview/DefaultView.aspx?id=1063|archive-date=20 August 2010|access-date=9 February 2022|website=www.nhs.uk}}</ref> which was founded in 1909 as the hospital's research department.<ref name=2009review>{{cite web|url=http://www.icr.ac.uk/about_us/annual_review/15136.pdf |title=Annual Review 2009 |access-date=21 October 2010 |publisher=Institute of Cancer Research |url-status=dead |archive-url=https://web.archive.org/web/20101124214033/http://icr.ac.uk/about_us/annual_review/15136.pdf |archive-date=24 November 2010}}</ref> The ICR legally separated from the hospital when the latter became part of the NHS in 1948,<ref>{{cite web |title=Our history - The Institute of Cancer Research, London |url=https://www.icr.ac.uk/about-us/our-achievements/our-history |website=www.icr.ac.uk |language=en}}</ref> but the two retained close ties. The ICR's laboratories are located alongside the Royal Marsden in Brompton and Belmont, and the two organisations produce a joint research strategy.<ref>{{cite news |title=Scientists plot ‘extinction’ of cancers by disrupting their ecosystems |url=https://www.icr.ac.uk/news-archive/scientists-plot-extinction-of-cancers-by-disrupting-their-ecosystems |work=www.icr.ac.uk |date=22 November 2022 |language=en}}</ref> Many of the hospital's consultants also have research roles with the ICR,<ref>{{cite web |title=Consultant directory {{!}} The Royal Marsden |url=https://www.royalmarsden.nhs.uk/our-consultants-units-and-wards/consultant-directory |website=www.royalmarsden.nhs.uk}}</ref> and some facilities are shared between the organisations, such as the Joint Department of Physics, which operates the [[linac]].<ref>{{cite news |title=Joint Department of Physics {{!}} The Royal Marsden |url=https://www.royalmarsden.nhs.uk/our-consultants-units-and-wards/clinical-departments/joint-department-physics |work=www.royalmarsden.nhs.uk}}</ref>
The hospital also participates in wider research collaborations, including a major partnership with [[Imperial College London]] in the Imperial College Academic Health Science Centre.<ref>{{cite web |title=Cancer |url=https://ahsc.org.uk/cancer/ |website=AHSC |language=en}}</ref>
== History ==
===Foundation: Free Cancer Hospital at Canon Row===
The Royal Marsden was the first hospital in the world dedicated to the study and treatment of [[cancer]]. It was founded as the Free Cancer Hospital in 1851 by [[William Marsden (surgeon)|William Marsden]] at 1, [[Cannon Row]], [[Westminster]]. Marsden, deeply affected by the death of his wife Elizabeth Ann from cancer, resolved to classify tumours, research the causes and find new treatments. The hospital at first consisted solely of a dispensary and the drugs prescribed were [[palliative]] and aimed at treating symptoms, but it allowed William Marsden the opportunity to study and research the disease.<ref name="lost">{{cite web|title=Royal Marsden Hospital (Brompton Branch)|url=https://ezitis.myzen.co.uk/royalmarsdenlondon.html|url-status=live|archive-url=https://web.archive.org/web/20180524222048/https://ezitis.myzen.co.uk/royalmarsdenlondon.html|archive-date=24 May 2018|access-date=9 February 2022|publisher=Lost Hospitals of London}}</ref><ref name=Hughes2017>{{Cite book|last=Hughes|first=Kieran|url=https://books.google.com/books?id=BP4sDwAAQBAJ&pg=PT103|title=Being British|publisher=Pen & Sword History|year=2017|isbn=978-1-84468-075-7|location=South Yorkshire|chapter=13. The Best of `british `designs and Inventions}}</ref>
The hospital quickly outgrew its original premises as it became apparent that some patients required inpatient care. It moved locations several times during the 1850s until its benefactors decided to find a permanent solution.<ref name=lost/>
===
Funds were raised to build a dedicated new building on a tract of land in
===NHS era and Sutton site===
When the [[National Health Service]] was formed in 1948, the Royal Marsden became a post-graduate teaching hospital. In 1954, it was renamed the Royal Marsden Hospital in recognition of the vision and commitment of its founder.<ref name=lost/><ref name=Richardson>{{Cite book|last=Richardson|first=Harriet|url=https://books.google.com/books?id=_j1rAAAAMAAJ|title=English hospitals 1660–1948: a survey of their architecture and design|last2=Goodall|first2=Ian H.|publisher=Royal Commission on the Historical Monuments of England|year=1998|isbn=9781873592298|location=University of Michigan|pages=128}}</ref>
In response to the need to expand to treat more patients and train more doctors, a second hospital in [[Sutton, London|Sutton]], London, was opened in 1962.<ref name=suttonlost/><ref name=Hughes2017/> The original buildings on the Sutton site were first used as the [[Banstead]] Road branch of the South Metropolitan District School, which was a 'district' school for children of [[workhouse]] inmates in south London. In the 1890s, girls were kept at the Banstead Road site and boys were kept at a site in Brighton Road, which was built in 1851. The Brighton Road site later became Belmont workhouse and Belmont Psychiatric hospital, before being demolished in the 1980s. The Banstead Road site later became a [[sanatorium]], before the southern half of the site was acquired by Royal Marsden in 1962.<ref name="suttonlost">{{cite web|title=Royal Marsden Hospital (Sutton Branch)|url=https://ezitis.myzen.co.uk/royalmarsdensutton.html|url-status=live|archive-url=https://web.archive.org/web/20180728154525/https://ezitis.myzen.co.uk/royalmarsdensutton.html|archive-date=28 July 2018|access-date=9 February 2022|publisher=Lost Hospitals of London}}</ref>▼
===2008 Brompton fire===
▲The original buildings on the Sutton site were first used as the [[Banstead]] Road branch of the South Metropolitan District School, which was a 'district' school for children of [[workhouse]] inmates in south London. In the 1890s, girls were kept at the Banstead Road site and boys were kept at a site in Brighton Road, which was built in 1851. The Brighton Road site later became Belmont workhouse and Belmont Psychiatric hospital, before being demolished in the 1980s. The Banstead Road site later became a [[sanatorium]], before the southern half of the site was acquired by Royal Marsden in 1962.<ref name="suttonlost">{{cite web|title=Royal Marsden Hospital (Sutton Branch)|url=https://ezitis.myzen.co.uk/royalmarsdensutton.html|url-status=live|archive-url=https://web.archive.org/web/20180728154525/https://ezitis.myzen.co.uk/royalmarsdensutton.html|archive-date=28 July 2018|access-date=9 February 2022|publisher=Lost Hospitals of London}}</ref>
On 2 January 2008, just before 1:30 pm, a fire broke out in a plant room on the top floor of the hospital. When the fire was at its peak, 125 firefighters and 16 ambulances were in attendance.<ref name= "SkyReport" /> Over the period of the fire, 111 fire appliances attended with 56 officers including the assistant commissioner.<ref name="whatdotheyknow.com">{{cite web|url=https://www.whatdotheyknow.com/request/230687/response/571529/attach/3/FOIA1977.1%20838081.pdf|title=Incident Report|publisher=London Fire Brigade|access-date=24 May 2018}}</ref> The smoke was visible for miles around.<ref name="BBC08">{{cite web|title= Fire forces hospital's evacuation|publisher= [[BBC]]|date= 2008-01-02|url= http://news.bbc.co.uk/1/hi/england/london/7168206.stm|access-date= 2008-01-02}}</ref>
All 200 staff, outpatients, and 79 inpatients were evacuated to a local church and the neighbouring [[Royal Brompton Hospital]], some carried on mattresses by emergency responders and doctors.<ref name= "SkyReport">{{cite web|title= Fire At Royal Marsden Hospital In London|publisher= [[Sky News]]|date= 2008-01-03|url= http://news.sky.com/skynews/Home/Fire-At-Royal-Marsden-Hospital-In-London/Article/20080111299030?lid=ARTICLE_1299030_Fire%20At%20Royal%20Marsden%20Hospital%20In%20London&lpos=Home_0|archive-url= https://web.archive.org/web/20110522022632/http://news.sky.com/skynews/Home/Fire-At-Royal-Marsden-Hospital-In-London/Article/20080111299030?lid=ARTICLE_1299030_Fire%20At%20Royal%20Marsden%20Hospital%20In%20London&lpos=Home_0|url-status= dead|archive-date= 2011-05-22|access-date= 2008-09-22}}</ref> Five operating theatres and at least two wards were put out of action. Two patients were undergoing surgery in the operating theatres in the basement and had to be evacuated. Two firefighters and one member of staff suffered slight smoke inhalation but there were no other casualties or injuries. They were taken to another hospital for treatment.<ref>{{cite news|url=https://www.timesofmalta.com/article/top-london-cancer-hospital-gutted-by-fire.190594|title=Top London cancer hospital gutted by fire|date=3 January 2008|newspaper=Times of Malta|access-date=27 August 2024}}</ref>
The entire roof of the Chelsea Wing of the hospital was burned through, and the top floor was also affected, but a hospital official said that damage was less than thought and no research documentation had been lost.<ref>{{cite news|title=Hospital to open for outpatients|url=http://news.bbc.co.uk/1/hi/england/london/7170536.stm|publisher=BBC News|date=3 January 2008}}</ref><ref name="BBC08" />
===Past physicians and surgeons===
The surgeon [[William Ernest Miles]] was appointed to the hospital in 1899 and at the age of 60 was forced to retire, much against his will.<ref name=Campos>{{Cite journal|last=Campos|first=Fábio Guilherme|date=1 March 2013|title=The life and legacy of William Ernest Miles (1869-1947): a tribute to an admirable surgeon|url=https://reader.elsevier.com/reader/sd/pii/S0104423013000158?token=C303CC129A330BBA302359584F012EAC0B95D09EA6E1E1440269AF1D70ABBE31A54229758054FFBC126CC8FB928062BA|journal=Revista da Associação Médica Brasileira|language=en|volume=59|issue=2|pages=181–185|doi=10.1016/j.ramb.2012.09.001|issn=0104-4230|doi-access=free}}</ref> In 1908, [[Thomas Horder, 1st Baron Horder|Thomas Horder]], later raised to the [[Peerage of the United Kingdom|peerage]], was appointed as the hospital's first physician.<ref name=Hudson>{{Cite web|last=Hudson|first=Trevor|title=Percy Ellis Thompson Hancock {{!}} RCP Museum|url=https://history.rcplondon.ac.uk/inspiring-physicians/percy-ellis-thompson-hancock|url-status=live|archive-url=https://web.archive.org/web/20200614133922/https://history.rcplondon.ac.uk/inspiring-physicians/percy-ellis-thompson-hancock|archive-date=14 June 2020|access-date=14 June 2020|website=history.rcplondon.ac.uk}}</ref><ref name=Walford>{{Cite book|last=Walford|first=Edward|url=https://books.google.com/books?id=TuHIDwAAQBAJ&pg=PA679|title=The county families of the United Kingdom; or, Royal manual of the titled and untitled aristocracy of England, Wales, Scotland, and Ireland|publisher=Dalcassian Publishing Company|language=en|page=679}}</ref>
Professor of radiotherapy at the University of London
==NHS Foundation Trust==
{{Infobox NHS organisation
| name = The Royal Marsden NHS Foundation Trust
| former_name =
| logo =
| logo_alt =
| logo_size =
| logo_caption =
| logo_padding =
| image =
| image_alt =
| image_size =
| image_caption =
| map =
| map_size =
| map_alt =
| map_caption =
| start_date = April 2004
| end_date = <!-- {{End date|YYYY|MM|DD|df=y}} -->
| headquarters =
| cqc_rating =
| region_served =
| nhs_region =
| area =
| population =
| establishments =
| type = Specialist
| budget = £578 million (2022-23)<ref name=2023AR>{{cite web |title=Annual Review 2022-23 |url=https://rm-live-drupal-files.s3.eu-west-2.amazonaws.com/RMT-trust-live_live/2023-09/Annual-Review%202022-23.pdf |website=The Royal Marsden NHS Foundation Trust}}</ref>
| hospitals = The Royal Marsden Hospital
| chair = [[Douglas Flint]]
| chief_exec = [[Cally Palmer]]
| dep_chief_exec = Karl Munslow Ong
| staff = 3,978<ref name=CQC/>
| website = {{Official URL}}
}}
[[File:The Royal Marsden NHS Foundation Trust.jpg|thumb|The former Brompton Hospital building, Fulham Road, London]]
The Royal Marsden Hospital is operated by an [[NHS Foundation Trust]]. Formed in April 2004, it was one of the first NHS Foundation Trusts.<ref>{{cite web|url= https://www.royalmarsden.nhs.uk/about-royal-marsden/who-we-are/foundation-trust-status |title=Foundation trust status|publisher=Royal Marsden Hospital|access-date=27 August 2024}}</ref>
===Performance===
It was named by the [[Health Service Journal]] as one of the top hundred NHS trusts to work for in 2015. At that time it had 3528 full-time equivalent staff and a sickness absence rate of 2.85%. 89% of staff recommend it as a place for treatment and 71% recommended it as a place to work.<ref>{{cite news|title=HSJ reveals the best places to work in 2015|url=http://www.hsj.co.uk/leadership/best-places-to-work/hsj-reveals-the-best-places-to-work-in-2015/5087434.article#.VgJD8ejkJv4|access-date=23 September 2015|publisher=Health Service Journal|date=7 July 2015}}</ref>
In March 2016 the trust was ranked third in the [[NHS Improvement#Learning from Mistakes League|Learning from Mistakes League]].<ref>{{cite news|title=Trusts ranked in 'learning from mistakes' league|url=http://www.hsj.co.uk/topics/quality-and-performance/trusts-ranked-in-learning-from-mistakes-league/7003092.article|access-date=2 May 2016|publisher=Health Service Journal|date=9 March 2016}}</ref>
▲The Royal Marsden provides care for people with cancers, as inpatients and outpatients, or as day care. It works in collaboration with [[The Institute of Cancer Research]].<ref name=NHS2019>{{Cite web|date=28 September 2009|title=Overview - The Royal Marsden NHS Foundation Trust - NHS|url=https://www.nhs.uk/Services/Trusts/Overview/DefaultView.aspx?id=1063|url-status=live|archive-url=https://web.archive.org/web/20100820105553/https://www.nhs.uk/Services/Trusts/Overview/DefaultView.aspx?id=1063|archive-date=20 August 2010|access-date=9 February 2022|website=www.nhs.uk}}</ref> 50,000 people are treated at the Royal Marsden every year.<ref name=ICR>{{Cite web|title=The Royal Marsden NHS Foundation Trust - The Institute of Cancer Research, London|url=https://www.icr.ac.uk/our-research/our-strategic-partners/the-royal-marsden-nhs-foundation-trust|url-status=live|archive-url=https://web.archive.org/web/20150808072146/https://www.icr.ac.uk/our-research/our-strategic-partners/the-royal-marsden-nhs-foundation-trust|archive-date=8 August 2015|access-date=9 February 2022|website=www.icr.ac.uk}}</ref>
==
The trust hopes to raise 45% of its income from private patients and other non-NHS sources in 2016/17 and is trying to raise its income from paying patients from £90m to £100m.<ref>{{cite news|title=NHS in dash for private cash|url=http://www.thetimes.co.uk/article/nhs-in-dash-for-private-cash-nsnjw569z|access-date=26 January 2017|work=The Times|date=1 January 2017}}</ref> According to [[LaingBuisson]] it is the most commercially orientated NHS hospital. It increased private patient income by 13% from 2014 to 2016 to £77 million.<ref>{{cite news|title=NHS expands private care to help fill £20bn funding gap|url=https://www.ft.com/content/4d3d8364-da3f-11e5-98fd-06d75973fe09|access-date=26 January 2017|publisher=Financial Times|date=2 March 2016}}</ref> In 2018-19 it made £121 million through its private patient units, more than a quarter of its total income, and about 18% of all the private healthcare carried out in England by the NHS. This growth was led by imaging and robotic surgery.<ref>{{cite news |title=Specialist trust now providing a fifth of all NHS private patient work |url=https://www.hsj.co.uk/the-royal-marsden-nhs-foundation-trust/private-patients-account-for-25pc-of-fts-income-as-nhs-benefits-from-market-growth/7025787.article |access-date=1 October 2019 |publisher=Health Service Journal |date=20 August 2019}}</ref> In 2019-20 50% of the trust's total revenue, £463 million, came from NHS work. 9% came from Kuwait. Payments from health insurance firms accounted for 16%, and self-pay patients for 2%. The main commercial rival is Leaders in Oncology Care which in 2018 had income of £95 million across its four sites.<ref>{{cite news |title=Trust earned £39m from Middle Eastern country in one year |url=https://www.hsj.co.uk/finance-and-efficiency/trust-earned-39m-from-middle-eastern-country-in-one-year/7033176.article? |access-date=28 October 2022 |publisher=Health Service Journal |date=16 September 2022}}</ref>
==Arms==
{{Infobox COA wide
|escutcheon = Per pale Gules and Azure a dance argent sur mounted by a rod of Aesculapius ensigned by an ancient crown between in base two coots Or.
|crest = On a wreath of the colours between two rays of lightning Or a stag's head erased Gules thereon a bee volant Gold.
|supporters = On the dexter side an owl and on the sinister side an unicorn each resting the interior leg upon a crab Or.<ref>{{cite web|url=https://www.heraldry-wiki.com/wiki/Royal_Marsden_Hospital |publisher=Heraldry of the World |accessdate= 30 August 2024 |title=Royal Marsden Hospital}}</ref>
|motto = Labor Omnia Vincit
|notes = Granted 14 February 1963.}}
==See also==
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*{{Official|http://www.royalmarsden.nhs.uk/rmh }}
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