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Shropshire Routes to Roots

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Visionary
  1. Early days
  2. Florence House
  3. Robert Jones
  4. World War I
  5. A New Site
  6. Legacy

2. Florence House

How did the idea for the Orthopaedic hospital begin?

Introduction

An image of Florence House, Baschurch [Opens in new window: image size 42kb]
Florence House, Baschurch
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[Shropshire Archives:PH/B/3]

In 1900 Agnes Hunt was working as a district nurse when her mother, a formidable woman, decided she was going to come and live with her daughter. She proposed that they should live at Florence House in Baschurch. Agnes and her close friend Emily Goodford, a fellow nurse, were to move in and set up a convalescent home for crippled children. This was to be an outpost of the Salop Infirmary in Shrewsbury. Mrs Hunt was to pay wages and support the home.

On the first of October 1900 they took in their first eight crippled children. This was the beginning of what was to become one of the most famous orthopaedic hospitals in the country.

A photograph of Patients in the Hay field [Opens in new window: image size 43kb]
Patients in the Hay field
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[Reproduced with kind permission of "Healing and Hope" c/o Robert Jones and Agnes Hunt Orthopaedic Hospital]

What sort of conditions did these children have?

At the end of the 19th and in the early 20th centuries, the pattern of bone disease was quite different from today. Many of the children were suffering from congenital disorders, those they had been born with. Other conditions were the result of poverty brought on by poor diet and overcrowded living conditions. Before antibiotics, infections were rife. Any blood borne infection had the potential to attack the bone and joints. Tuberculosis of the joints and osteomyelitis of the bone would have been common. Although cures were not possible at this time, treatment by surgery was helpful. Many of the children were sent to Florence House to build up their strength in advance of operations.

What was Agnes Hunt's vision of convalescence and her role as a nurse?

In 1887 Agnes Hunt had begun training as a nurse at the Royal Alexandra Hospital in Rhyl. This had been crucial in forming her ideas. Fresh air had been an integral part of treatment there, along with the therapeutic value of happiness. It was felt important that the patients should have a positive attitude to their affliction. Agnes Hunt was determined that the children should have the freedom she had had as a child.

Unfortunately Florence House was unsuitable, as a home for disabled children because the wards were upstairs. To get around this problem Agnes Hunt decided to erect open air sheds in the grounds. The children were now exposed to fresh air day and night.

A photograph of an open-sided shed at Baschurch [Opens in new window: image size 20kb]
Open air sheds at Baschurch
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[Reproduced with kind permission of "Healing and Hope" c/o Robert Jones and Agnes Hunt Orthopaedic Hospital]

What was the principle behind the open air sheds?

Simply that fresh air was good for you. Although never scientifically proven, there were many advantages. Children crippled by rickets would have benefitted.
A photograph showing a page of Agnes Hunt's treatment book [Opens in new window: image size 55kb]
Page of treatment book for child with Rickets
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[Reproduced with kind permission of The Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS Trust]

Rickets is a metabolic disorder resulting from a lack of vitamin D in the diet. This leads to a lack of mineralisation in the growing skeleton which fails to calcify normally. The weight bearing bones, particularly the legs, become bent and deformed. Vitamin D is present in fresh meat and oily fish as well as green vegetables, but it can also be manufactured by the body in the presence of sunlight. A good diet and lots of fresh air would therefore have cured this condition. This page from Agnes Hunt's treatment book records the treatment for a child suffering from Rickets in 1906. Note that they were placed on an anti rickety diet. This would have included fresh meat and vegetables.

The other effect the outdoor sheds had was to cut down on the number of colds and chest complaints. They would also have gone some way in hampering the spread of airborne diseases such as tuberculosis.

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Page created June 2004 and last updated 13 July 2007

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