ST EBBA'S HOSPITAL, EPSOM: RECORDS

The series of records comprise:

6292/1/ BOARD OF CONTROL 1960

6292/2/ PRE-1948 MANAGEMENT 1903-1948

6292/2/ Registers of extracts and resolutions from the minutes of the sub-committee 1903-1948
Extracts from the minutes of St Ebba's Asylum Sub-Committee were supplied to the Clerk of the Asylum, Medical Superintendent and House Steward. Each officer accumulated his own paste-up set of volumes containing the extracts he had received. Examination of these volumes has shown that those collected by the Clerk and Medical Superintendent were usually more complete extracts from the minutes than those supplied to the Steward which related generally to the provision of goods and services. In order to avoid duplication the volumes listed here are those accumulated by the Clerk of the Asylum unless otherwise stated.

6292/2/ 'Wages and Rents' Books 1923-1948
These volumes contain extracts from the minutes of the sub-committee which relate specifically to the employment of staff and their terms and conditions.

6292/2/ Circulars and Memoranda 1941-1948

6292/2/ House Steward 1935-1948

6292/2/ Medical Superintendent 1923-1948

6292/2/ Visitors' Books 1904-1948

6292/3/ ST EBBA'S AND BELMONT GROUP, LATER FOUNTAIN AND CARSHALTON GROUP HOSPITAL MANAGEMENT COMMITTEE AND SUB-COMMITTEES 1948-1974
This section comprises copy minutes of the hospital management committee responsible for St Ebba's: St Ebba's and Belmont Group HMC, 1948-1962, and, 1962-1974, and its sub-committees drawn from the papers of senior officers. Some overlaps exist. The sub-committees are arranged alphabetically. Minutes of committees entirely concerned with the internal affairs of St Ebba's Hospital itself, and not with the other hospitals in the group, will be found in -/6/- below. As it is possible that signed minutes of these committees may yet come to light when the present files of copy minutes have been box listed. Their temporary numbers appear in square brackets at the end of each description.

6292/3/ St Ebba's and Belmont Group Hospital Management Committee 1948-1974

6292/3/ Catering Sub-Committee 1954-1963

6292/3/ Catering and Clothing Sub-Committee 1962-1969

6292/3/ Clothing for Independence Working Party 1972-1973

6292/3/ Sub-Committee on the Education and Training of Sub-normal Patients 1963-1973

6292/3/ Establishment Sub-Committee 1948-1969

6292/3/ Finance and Establishment Sub-Committee 1969-1974

6292/3/ Finance and General Purposes Sub-Committee 1948-1969

6292/3/ Joint Consultative Staff Committee 1950-1968
For copy minutes, 5 May 1975-16 Nov 1979, see below, 6292/4/Box 5.

6292/3/ Group Medical Advisory Committee 1954-1974

6292/3/ Nursing Education Sub-Committee 1955-1974

6292/3/ Research Sub-Committee 1962-1966

6292/3/ Training of Mentally Handicapped Patients Sub-Committee 1973

6292/3/ Working Party on Play and Training Equipment 1974-1978

6292/3/ Works and Buildings Sub-Committee 1960-1962

6292/3/ Works and Planning Sub-Committee 1962-1967

6292/3/ Works and Supplies Sub-Committee 1962-1974

6292/4/ MERTON SUTTON AND WANDSWORTH AREA HEALTH AUTHORITY AND MERTON AND SUTTON HEALTH AUTHORITY: MINUTES OF SUB-COMMITTEES AND OTHER GROUPS 1974-1982
The Sub-Committees are arranged alphabetically. Minutes of committees relating entirely to the internal affairs of St Ebba's Hospital will be found in -/6/- below.

6292/4/ Administrators' Meetings 1981-1983

6292/4/ Area Health Consultative Committee 1977-1978

6292/4/ Carshalton School of Nursing Hospital Procedures Committee 1984-1986

6292/4/ Carshalton School of Nursing Curriculum Development Group 1983-1986

6292/4/ Clinical Staff Meetings 1974-1975

6292/4/ Clinical Team meetings, South Side Home and the Turret 1981-1982

6292/4/ District Management Team and Board 1975-1987

6292/4/ District Personnel Department Meetings with Unit Staff 1984-1985

6292/4/ Heads of Service Meetings 1983

6292/4/ Joint Consultative Staff Committee 1964-1987
For copy minutes, 5 Jul 1950-5 Feb 1976, see above, 6292/3/Box 13

6292/4/ Medical Advisory Committee: Control of Infection Sub-Committee 1973-1986

6292/4/ Medical Advisory Committee: Pharmacy and Therapeutics Sub-Committee 1980-1986

6292/4/ Mental Handicap Care Group Planning Team 1977-1986

6292/4/ Nursing Managers' Meetings 1982-1986

6292/4/ Paediatric and Mental Handicap Sector Working Party on Fire Precautions 1982

6292/4/ Senior Administrators' Meetings 1978-1981

6292/4/ Senior Nursing Officers' Meeting with Divisional Nursing Officer 1977-1981

6292/4/ Senior Officer's Meetings 1974-1985

6292/4/ Special Meetings of Heads of Department 1986

6292/4/ Training Team 1983-1986

6292/4/ Unit Management Board for Paediatric and Mental Handicap Services 1983-1986

6292/5/ PUBLICATIONS OF MERTON, SUTTON AND WANDSWORTH AND MERTON AND SUTTON HEALTH AUTHORITY 1974-1985

6292/6/ ST EBBA'S HOSPITAL HOUSE COMMITTEE, MANAGEMENT TEAM, AND INTERNAL HOSPITAL COMMITTEES AND WORKING PARTIES 1962-1986
In this section have been grouped minutes of committees and working parties relating specifically to the internal management and administration of the hospital. Some are working parties established by the health authority, some are internal hospital bodies.

6292/6/ St Ebba's Hospital House Committee 1962-1974

6292/6/ Hospital Management Team and Local Management Group 1977-1986

6292/6/ Ad Hoc Committee 1973-1978

6292/6/ Advocacy Alliance 1980-1986
The Advocacy Alliance scheme was launched in June 1981 to recruit and train volunteers to be advocates for residents of long-stay mental handicap hospitals. Advocates worked with patients on a one-to-one basis to provide friendship and support, give practical help, enable social integration, co-operate with staff and intervene in instances of neglect. The Alliance was a private limited company and a registered charity.

6292/6/ Behavioural Unit Team, formerly Community Mental Handicap Team 1983-1986

6292/6/ Clinical Staff Meetings 1979-1986

6292/6/ Design Team for the Sensory Deficit Unit at St Ebba's 1984-1986

6292/6/ Heads of Department Meetings 1983-1984

6292/6/ Hospital Officers' Meetings 1974-1983
This committee comprised the Hospital Secretary, Senior Nursing Officer, a doctor and other senior staff co-opted when their departments were under discussion

6292/6/ Residents' Committee 1976-1980

6292/6/ Residents' Financial Affairs Committee 1982-1985

6292/6/ St Ebba's Project Team Relating to Provision of Semi-Independent Living Facilities 1984-1985

6292/6/ Staff Meetings 1963-1972

6292/6/ Sub-Group Planning Team 1983-1985

6292/6/ Ward Sisters/Charge Nurses' Meetings 1976-1986

6292/7/ SOUTH WEST THAMES REGIONAL HOSPITAL BOARD, LATER HEALTH AUTHORITY: MINUTES OF GROUPS 1958-1986

6292/7/ Physician Superintendents of Psychiatric Hospitals Meetings 1958-1963

6292/7/ Working Party on the Proposed Change of use of St Ebba's Hospital 1961-1962

6292/7/ District Nursing Officers' Meetings 1983-1986

6292/7/ Epsom Cluster Nursing Group 1984-1986

6292/9/ PHYSICIAN, LATER MEDICAL SUPERINTENDENT 1941-1969

6292/10/ HOSPITAL SECRETARY 1934-1985

6292/10/ Hospital Administration 1934-1985

6292/10/ Hospital Development 1949-1977

6292/10/ Nursing 1958-1971

6292/10/ Patients' Affairs 1962-1974

6292/10/ League of Friends 1963-1967
For the Hospital Administrator's file of correspondence with the League of Friends see 6292/11/19.

6292/10/ Civil Defence 1958-1965

6292/11/ HOSPITAL ADMINISTRATOR 1953-1987

6292/12/ DEPUTY DIVISIONAL ADMINISTRATOR 1983-1985

6292/13/ NURSING ADMINISTRATOR 1956-1984

6292/14/ SENIOR NURSING OFFICER 1970-1987

6292/15/ DIRECTOR OF NURSING AND MENTAL HANDICAP SERVICES 1975-1986

6292/16/ CONSULTANT PSYCHIATRIST 1974-1975

6292/17/ PARKLANDS MENTAL HEALTH SERVICES DIRECTOR OF FINANCE AND ADMINISTRATION 1989-1993

6292/18/ SURREY HEARTLANDS NHS TRUST BOARD SECRETARY 1992-1994

6292/19/ FINANCE 1903-1973 For wages books see 6292/21/2-6

6292/19/ Ledgers 1903-1930

6292/19/ Cash and Account Books 1903-1959

6292/19/ Public Assistance Account Books 1930-1948

6292/19/ Private Patients' Account Books 1904-1943

6292/19/ Queen Adelaide Fund 1963-1968

6292/19/ South West Thames Regional Hospital Board Published Accounts 1967-1973

6292/20/ FABRIC AND FITTINGS ND [c.1900]-1971
For hospital secretary's files relating to the development of St Ebba's hospital, see 6292/10/7-18

6292/21/ STAFF 1903-1989

6292/21/ Registers c.1903

6292/21/ Salaries Books 1903-1936

6292/21/ Senior Staff Personnel Files 1900-1948

6292/21/ Staff Administration 1909-1956

6292/21/ Staff Social and Sports Club 1972-1989

6292/22/ PATIENT REGISTERS c.1899-1977

6292/22/ Alphabetical Registers 1903-c.1957
These provide details of the date of admission, reference number, patient's name, the union to which they were chargeable (until 1929), whether they were removed from the asylum or died there and the date of removal or death.

6292/22/ Register of Patients 1903-1906
This records the date of last previous admission, number in admission register, date of admission, date of reception order, dates of continuation of reception order, name of patients, age, marital status, occupation, previous place of abode, union, county or borough to which chargeable, name of person by whom authority the patient was sent to St Ebba's, form of mental disorder, supposed cause, bodily condition, whether epileptic or congenital idiot, duration of present attack, age at first attack, date of removal, discharge or death and observations.

6292/22/ Admission Registers 1914-1949

6292/22/ Medical Registers c.1903-1948
Details include date of admission, civil register number, date of discharge, transfer or death, patient's name and whether private or pauper, marital status, occupation, age on admission, type of attacks, duration of attacks, aetiological factors, bodily state on admission, form of mental disorder and observations.

6292/22/ Civil Registers 1914-1953
These were compiled in accordance with Rule 4 of the Rules of the Commissioners in Lunacy dated 31 Oct 1906 which required the Clerk of every asylum to make an entry in a Civil Register of Patients immediately upon the reception of a person as a lunatic. Details include the date of any previous admission, general reference number, admission date, date of reception order, date of continuation of the reception order, whether the patient was directly admitted to the asylum or transferred, patient's name, private or pauper status, address, previous institution, sex, marital status, religion, county or borough to which chargeable, date of discharge, transfer or death and name of institution they may have been transferred to.

6292/22/ Admission Notices 1953-1956
These comprise notices of admission which state the name of the ward to which a patient was admitted, the date of admission, patient's name, date of birth, religion, national insurance number, home address and next of kin.

6292/22/ Reception Orders Registers c.1899-c.1938
These include the date of admission, date of reception order, general reference number, name of patient, dates upon which the order was renewed and remarks. Each page relates to orders issued on one particular date over a period of years.

6292/22/ Registers of the Physical Condition of Patients 1943-1948
These consist of counterfoils of receipts issued to the Medical Superintendent of the hospital responsible for referring each patient to St Ebba's. They provide a summary of the physical state of each patient at the time of admission, noting cleanliness, bruises and injuries and whether any spectacles, dentures, surgical appliances of jewellery had been left with the patient.

6292/22/ Registers of Enquiries About Patients c.1904-1956
These registers consist of binders of large format index cards which are arranged in numerical order of the patients' general reference numbers. They record the patient's name, the number of the area from which they were referred, dates of admission, discharge, transfer, death or departure, the dates of receipt of written or personal enquiries about each patient, the relationship to the patient of the person making the enquiry and the name and address of that person. For enquiries relating to patients transferred to St Ebba's from Horton Hospital in 1915 see below.

6292/22/ Addresses of Patients c.1950-c.1955

6292/22/ Nominal Role of Patients nd [c.1975]
The names of patients are filed on thin pieces of card held on fragile cardboard and plastic pages in a folder. Many are loose. Each page relates to a ward. Each piece of card gives the patient's case number, name, date of birth, date of admission, religion and states whether they are incontinent or epileptic.

6292/22/ Indexed Lists of Patients 1958-1962
These lists record the name of patients in alphabetical order and sometimes include their reference numbers and details of their ward

6292/22/ Medical Treatment Registers 1927-1960

6292/22/ Registers of Mechanical Restraint 1903-1956

6292/22/ Disease Registers 1904-1957

6292/22/ Patients Absent on Trial 1904-1959

6292/22/ Patients' Property Registers 1929-1952

6292/22/ Patients' Pensions 1927-1951

6292/22/ Discharge Orders 1904-1958
Discharge Orders were issued under Sections 25, 72, 77 and 79 of the Lunacy Act, 1890, according to whether a patient was of pauper or private status. Under Section 25 the medical officer of the institution was able to discharge a pauper not recovered to a workhouse which had proper accommodation for lunatics. A pauper could also be discharged by the visiting committee upon the application of a relative or friend who could ensure that they would no longer be chargeable to any union, county or borough (Section 79). Private patients could be discharged on the written authority of the person upon whose petition the original reception order was made (Section 72). They could also be discharged by two visitors of the asylum acting on the written advice of the medical officer (Section 77).

6292/22/ Discharge and Transfer Registers 1903-1954
According to the Rules made by the Commissioners in Lunacy in Jun 1895 the Clerk of the Asylum had to keep a record of all patients who were discharged or transferred in status from private patient to pauper or vice versa. The details included in each register comprise the date of discharge or transfer, date of last admission and the name of patient, stating whether private or pauper. If the patient was discharged the new address was given. If the patient was transferred to another asylum the name of that institution was noted. Medical details were only provided of those patients who were discharged 'recovered'.

6292/22/ Discharge Notices 1953-1956

6292/22/ Registers of Deaths 1907-1959
These provide details of the date of death, the date of last admission, the number of the patient in the civil register, the name of the patient and whether they were private or pauper, their sex, age, the duration of their last attack of mental illness, the forms of their disorder on admission and at death, the principal and contributory causes of death and whether these were confirmed by a post-mortem.

6292/22/ Post Mortem Registers 1904-1953

6292/22/ Undertaker's Register 1940-1948

6292/23/ MEDICAL JOURNALS 1906-1918
These are daily summaries of the number of patients in the hospital. They list those in seclusion, describing the period of and reason for the treatment. They also list those undergoing medical treatment and describe the nature of their bodily disorder. Deaths, injuries and violence among the patients are also recorded.

6292/24/ DESK DIARIES 1951-1958
These were used to record patient admissions, movements, departures and deaths.

6292/25/ WARD REPORT BOOKS 1952-1983
These comprise daily reports relating to patients and events in a ward. They were kept by the duty nurse and signed by the relieving nurse taking over duty on the ward. The forms record the ward temperature, visits by officers, and the number of adults or children in the ward, on leave, at Osborne House in Hastings or in the clinical area. The names of all staff on duty throughout the day are recorded and details are given of patients having special treatment. Admissions, discharges, transfers, accidents, seizures, suicide attempts, seclusions and deaths are also recorded. The following ward report books represent a sample of the large number which were found at the hospital

6292/25/ Furze Ward 1971-1983
Ward report books for the years 1973-1976, 1978-1981 and 1983 have not been retained.

6292/25/ Laurel Ward 1974
Only one ward report book was found for this ward.

6292/25/ Lilac Ward 1974-1979
Ward report books for this ward for the years 1975, 1977 and 1979 have not been retained, representing a sample of one in every two years.

6292/25/ Linden Ward 1952-1963
These ward report books have not been weeded.

6292/26/ PATIENTS' STATISTICS 1953-1962

6292/27/ CASE BOOKS AND FILES 1903-1960

6292/27/ Case Books 1903-1940
Section 12 of the 'Rules of the Commissioners in Lunacy', 26 Jun 1895, stated that within seven days of the admission of a patient, certain particulars had to be entered in a Medical Case Book. These comprised (a) a statement of the name, age, sex and previous occupation of the patient, their marital status and a copy of the facts contained in the medical certificates accompanying the reception order; (b) an accurate description of the external appearance of the patient upon admission, habit of body and temperament, appearance of the eyes, facial expression, any peculiarity of shape of head, physical state of the vascular and respiratory organs and of the abdominal viscera, state of the pulse, tongue, skin and the presence of any bruises or injuries; (c) a description of the phenomena of the mental disorder, the manner and period of attack, a minute account of the symptoms, changes produced in the patient's manner, whether the patient suffered from delusions, irrational conduct or morbid or dangerous habits, whether the memory had failed, the presence of epilepsy or of ordinary or general paralysis and (d) every particular which could be obtained regarding the previous history of the patient, the supposed causes of the attack, previous habits, whether active or sedentary, temperate or otherwise, whether there had been previous attacks, whether any relatives had suffered in a similar way, whether the patient had undergone any previous treatment or had been subject to any restraint. Section 13 of the 'Rules' ordered that subsequent entries in the case book describing the course and progress of the case and recording the medical and other treatment with the results, should be made once a week during the first month after admission, thereafter at least once a month and, in chronic cases subject to little variation, once in every three months. In addition, all special circumstances affecting the patient, including seclusion and mechanical restraint, had to be recorded. In addition to these particulars, the case books usually record the case number of the patient and include photographs taken of the patient's front and side views.

6292/27/ CASE FILES PRE 1948
Boxes 1 to 157 comprise patient case files created prior to the creation of the National Health Service in 1948. All surviving case files relating to this period have been retained. They have been sorted into male and female case files and arranged in numerical order in the boxes listed below. For case files created since 1948 see 6292/27/Boxes 1a to 19a. In the early days of the hospital it was common practice for files as well as case books to be maintained for each patient. Although the information recorded in each document is often similar both case books and early case files have been retained due to the poor condition of the early case books. Bundles of unsorted case notes, c.1903-c.1960, which were found loose at the time of deposit, will be found at the end of the boxed series. This is a provisional box list.

6292/27/ Male Patient Case Files pre 1948
The following files all carry the prefix M

6292/27/ Female Patient Files pre 1948
The following files all carry the prefix F

6292/27/ Loose Case Notes c.1903-c.1939

6292/27/ Case Files of Female Patients post 1948
Patient's case files for the period from 1948 were found to have been stored separately from those of the earlier period. The following files represent a ten percent sample of those that were found.

6292/27/ Case Files of Male Patients post 1948
These case files also represent a ten per-cent sample of those that were found.

6292/27/ Loose Case Notes c1940-c.1960

6292/28/ PSYCHIATRIC SOCIAL WORKER'S CASE FILES 1935-c.1962
These typescript reports provide much important information about the psychological and family background of particular patients. Details include name, home address, ward name, reason for admission, name of informant, details of previous mental illness and nature of present condition, family history of mental illness in either parents or siblings, home conditions, father's occupation and financial means. Personal details relating to the patient in particular include type of birth, whether breastfed, course of development, early behaviour, later behaviour, schooling and qualifications, employment, interest in sex, health, habits and personality. Many of the reports also include much personal information on other members of the patient's family, together with correspondence with the patient and the family.

6292/29/ NEWSLETTERS 1955-1995

6292/30/ PRESS CUTTINGS 1968-1982

6292/31/ COLLECTED PUBLICATIONS 1940-1994

6292/31/ Research Publications 1940-1968

6292/31/ Publications by other bodies 1981-1994

6292/32/ ST EBBA'S LEAGUE OF FRIENDS 1958-1986

6292/33/ QUEEN MARY'S HOSPITAL FOR CHILDREN, CARSHALTON c.1972-1986
This was the headquarters of the Fountain and Carshalton Group to which St Ebba's also belonged between 1962 and 1986. The Hospital had units at Reigate for sick children. They were known as the Ellen Terry Home and Brooklands Home and were situated in Wray Park. Children attending these homes were transferred to St Ebba's upon reaching a certain age.

6292/33/ Queen Mary and Ellen Terry Joint Consultative Staff Committee 1981-1982

6292/33/ Queen Mary's Hospital for Children Healthy Eating Policy Group 1985-1986

6292/33/ Publications c.1972-c.1977

6292/34/ ELLEN TERRY HOME AND BROOKLANDS SCHOOL, LATER, ELLEN TERRY AND DAFFODIL HOMES, REIGATE 1954-1986

6292/34/ Minutes 1954-1984

6292/34/ Administrator 1971-1984

6292/34/ Consultant Psychiatrist 1969-1970

6292/34/ League of Friends and School Association 1979-1986

6292/34/ Ward Diaries: Brooklands Ward 1976-1983
As with the ward report books for St Ebba's Hospital, these have been weeded: one in every three years has been preserved. Those relating to 1977-1978, 1980-1981 and 1983 have not been retained.

6292/34/ Ward Diaries: Daffodil Ward 1968-1985

6292/34/ Ward Diaries: Ellen Terry Home 1967-1986
Ward report books for 1969, 1971-1972, 1974-1975, 1977-1978, 1980-1981, and 1983-1984 have not been retained.

6292/35/ DARENTH PARK HOSPITAL, KENT 1947
This hospital, at Dartford in Kent, was transferred to the London County Council from the former Metropolitan Asylums Board. According to 'The London County Council Hospitals. A Retrospect' (London, 1949) it received medium high-grade adult mental defectives and had space for 2,260 patients. The reason for the presence of this document with the records of St Ebba's Hospital is not known.

The Ewell Epileptic Colony, later known as St Ebba's Hospital, was opened on 1 Jul 1903 by the London County Council. It consisted of nine villas and originally accommodated 326 patients. In 1909 two more villas were built and the number of patients was increased to 429. From 1918 to Jan 1927 the institution served as a war hospital and treatment centre for neurasthenic ex-servicemen and was administered by the Ministry of Pensions. In Feb 1927 it returned to the LCC as a mental hospital and was enlarged by a further two villas and additional outbuildings.

In 1930 the Mental Treatment Act permitted for the first time the reception of voluntary patients in public mental hospitals. St Ebba's was readily suited to this purpose and plans for the enlargement of the hospital were prepared. The extensions were completed in two stages, the first in 1936 and the second in Nov 1938. Many of the voluntary patients at St Ebba's were admitted after attendance at out-patient clinics at various teaching hospitals. Students from these hospitals attended St Ebba's to see cases and receive instruction on them and staff from St Ebba's held out-patient clinics in London.

The selection by the LCC of voluntary or temporary patients with illness of recent onset and the further classification of patients within the hospital into separate accommodation facilitated by the villa system, encouraged the early admission of patients who might otherwise have been reluctant to accept psychiatric treatment in hospital for fear of being associated with chronic mentally ill patients. The result was that St Ebba's achieved good results with a large number of patients by retaining them for a maximum period of two years before transferring them elsewhere. The hospital developed a good liaison with Wandsworth Prison and prisoners were seen at St John's Hospital and treated at St Ebba's if necessary.

In 1948 the Hospital became part of the National Health Service and was governed by St Ebba's and Belmont Hospital Management Committee. The HMC answered to the South West Metropolitan Regional Hospital Board who decided to abandon the cental admission arrangements for mental hospitals operated by the LCC in favour of local autonomy within a defined catchment area. In view of the special part played by St Ebba's in the psychiatric service for London the Board's Mental Health Committee recommended that St Ebba's should not have a defined catchment area but should remain available to the London area of each of the Metropolitan Regions with the exception of that for the North West.

A special unit for the treatment of adolescents was established at St Ebba's in 1949. Successive physicians at St Ebba's developed an interest in the endochrinological aspect of psychoses and undertook considerable research in this field. Early in 1961 a joint appointment was made by the Board and the Medical Research Council of a consultant to work at St Ebba's in connection with the MRC's Neuropsychiatric Unit at Carshalton.

In 1962 the South West Metropolitan Regional Hospital Board changed the use of St Ebba's Hospital from a psychiatric hospital to a hospital for mentally subnormal patients. The change came into effect on 27 Feb 1962 and psychiatric patients ceased to be admitted on 17 March. Upon changing its use in 1962, St Ebba's was attached to the Fountain and Carshalton Group. The headquarters of this group was the Queen Mary's Hospital for Children at Carshalton. Other hospitals in the group included the Ellen Terry Home and Brooklands Home in Wray Park Road, Reigate, Osborne House at 245 The Ridge, Hastings, East Sussex, and South Side Home and The Turret which were in Streatham.

Upon the reorganisation of the National Health Service in 1974 the constituent units of the Fountain and Carshalton Group were included in the St Helier Hospital and Queen Mary's Hospital District of the Merton, Sutton and Wandsworth Area Health Authority. All of the units, with the exception of Queen Mary's, were outside the geographical area covered by the district and so were managed on an extra-territorial basis. The Ellen Terry and Daffodil Homes closed in Apr 1986. For records of Queen Mary's Hospital, the Ellen Terry Home and Brooklands Home see below, 6292/34/-.

On 1 Apr 1982 Merton and Sutton Health Authority was formed from the former Merton, Sutton and Wandsworth Area Health Authority and St Ebba's was included within the new administrative area to serve Merton and Sutton, Richmond Twickenham and Roehampton and Wandsworth Health Authorities. In April 1990 responsibility for St Ebba's was transferred to Mid Surrey Health Authority. In 1991 Mid-Surrey Health Authority's Mental Handicap Services Unit applied to become an NHS Trust and this was granted in April 1995 with the creation of Surrey Heartlands NHS Trust. St Ebba's Hospital now forms part of Surrey Heartlands, providing a residential service to over 360 people with learning disabilities.

Records less than 30 years old are closed to public inspection. Staff records are closed for 75 years. Documents relating to named patients are closed for 100 years.

Deposited by the Projects Manager, West Park Hospital, Epsom, between 1994 and 1995.

An item level description of the archive is available on the Surrey History Centre online catalogue .

For a visitors' minute book, 1908-1972, see 6380/1/1. An account books of the Queen Adelaide's Fund relating to St Ebba's is held as 6380/1/2. Ward report books relating to Beech Villa and Holly Villa, 1920-1925, are held as 6380/1/4/1-10. Prescription books, 1916-1967, and pharmacy books, 1990-1992, are held as 6380/1/5/1-9. For additional copies of 'The Trees', 1951-1962, see 6380/1/6/1-8. Photographs of St Ebba's Hospital, c.1970s, are held as 6380/1/7/1-24 and plans of the hospital, early 20th cent., as 6380/1/8/1-2. For an address book of Patients' relatives and friends, c.1906-c.1912, see 6390/2/1. For press cuttings relating to St Ebba's and other Epsom Cluster hospitals, 1965-1991, see 6390/2/2-42. Publications relating to St Ebba's Hospital, 1961-1992, see 6390/2/43-47. For registers of burials at the Horton Estate Cemetery which served St Ebba's and other Epsom Cluster hospitals, 1902-1955, see 6336/-.

For photographs of the hospital, 1992, see 6417. For site plans and architectural drawings, c.1920-1970, and an aerial photograph, c.1950s, see 6423. For a register of male deaths, 1945-1959, see 7329. For a general register, admission register, discharge and death registers and patient daily numbers registers, 1958-1994, see 7856. For a volume of 'standard serial' circulars and official memoranda issued by the Medical Officer of the London County Council Public Health Department, 1932-1941, see 8094. For male and female patient index cards, 1927-2004, see 8837. For photograph of currency used at the hospital including Ewell colony sixpence and one shilling coins, 1973, see 8989. For records of the parents and relatives group, 1981-2011, see 9072 and 9402. For a hospital staff photograph, 1928, see Z/563.