THE MANOR HOSPITAL, EPSOM: RECORDS

The main series of records comprise:

6282/1/ BOARD OF CONTROL 1933-1960

6282/2/ LONDON COUNTY COUNCIL MENTAL HOSPITALS COMMITTEE, THE MANOR ASYLUM SUB-COMMITTEE 1899-1949
Extracts from the minutes of the Manor 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.

6282/2/ House Steward's Reports to the Manor Asylum Sub-Committee 1899-1934

6282/2/ Reports of the Treasurer and Clerk to the Manor Asylum Sub-Committee 1916-1931

6282/2/ Reports of the Medical Superintendent to the Manor Asylum Sub-Committee 1928-1949

6282/3/ NATIONAL HEALTH SERVICE HOSPITAL MANAGEMENT COMMITTEE 1948-1974

6282/3/ Finance and General Purposes Committee 1956-1964

6282/3/ Reports on Visits 1972-1973

6282/4/ MID-SURREY DISTRICT HEALTH AUTHORITY 1974-1977

6282/4/ Professional Executive Committee, Mental Handicap Division 1974-1977

6282/5/ MEDICAL SUPERINTENDENT 1902-1964

6282/6/ CLERK OF THE ASYLUM 1943-1951

6282/7/ HOSPITAL MANAGEMENT COMMITTEE SECRETARY 1919-1974

6282/7/ General files 1951-1960

6282/7/ South West Metropolitan Regional Hospital Board 1948-1971

6282/7/ Association of Hospital Management Committees 1950-1967

6282/7/ National Association of Hospital Management Committees Group Secretaries 1952-1967

6282/7/ Epsom Mental Hospitals Consultative Advisory Committee 1957-1959

6282/7/ Visitors' Book 1919-1974

6282/8/ MATRON 1937

6282/9/ CHAPLAIN 1899-1955

6282/10/ STAFF 1899-1968

6282/10/ Registers 1899-1968

6282/10/ Staff Committee 1946-1950

6282/10/ Staff Insurance and Taxation 1899-1955

6282/11/ FINANCE 1899-1948

6282/11/ Treasurers' Account Books 1899-1923

6282/11/ General Ledgers 1899-1921

6282/11/ Private Patients' Ledgers 1899-1942
These ledgers were compiled as a financial record of the costs incurred by individual private patients. They provide the name of the patient and information relating to the date of admission, the name and address of the person to pay, or cause to be paid to the Clerk of the Asylum the weekly cost of maintaining the patient together with the deposit paid as a guarantee against future non-payment. In the event of a patient subsequently being transferred from the private to the pauper class the name of the Union to which they became chargeable is also given.

6282/11/ Goods and Services 1936-1948

6282/12/ FABRIC AND FITTINGS 1911-c.1975

6282/13/ PATIENT RECORDS 1899-1974

6282/13/ Admissions Registers 1899-1950
These provide information relating to patients' names, reference numbers, date of admission, date of reception order, date of continuation of the order, sex, marital status, occupation, address, union, county or borough to which chargeable, form of mental disorder, supposed cause and duration of attacks, bodily health and the date of discharge, removal or death. The names of hospitals from which or to which a patient was transferred are also given.

6282/13/ Ward Admission Books 1922-1952
These record the name, age, weight, height, occupation, marital status and religious denomination of patients admitted to The Manor Hospital. Other information included whether the patient was subject to epileptic fits, disposed to self-injury, violent to others, or of unclean habits. They were compiled at the time of admission to the hospital and record which ward the patient was assigned to, stating whether a bath was necessary, where they were to sleep, the name of the nurse who was to care for them and dietary instructions. The name of the workhouse or infirmary whence they had been referred was also given. Each page comprised two copies of the admission form. One was removed to be held on the ward and the other remained in the volume as a counterfoil. The reverse of the ward copy could be used to record changes in weight and ward transfers

6282/13/ Medical Registers 1907-1921
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.

6282/13/ Civil Registers 1907-1921
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.

6282/13/ General Registers 1949-1964
These were compiled under the Medical Treatment Rules, 1948. Details include admission date, general reference number, name, sex, age, whether voluntary, temporary or certified, whether a private, NHS or criminal patient, mode of admission, whether previously dealt with under the Lunacy Act, date of departure, discharge, removal or death and observations.

6282/13/ Alphabetical Registers 1899-c.1973
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.

6282/13/ Index of Patients Detained Under Section 9 c.1922-c.1955
Section 9 of the Mental Deficiency Act, 1913, provided for the transfer of those undergoing imprisonment who were, in the opinion of two qualified medical practitioners, mentally defective, to a mental hospital. In the metropolitan police district the powers imposed on a police authority under this section were exercised, with regard to London, by the London County Council.

6282/13/ Reception Orders c.1910-c.1970
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.

6282/13/ Maintenance Registers 1922-1939
These were used to calculate the cost per head of maintaining patients at The Manor and provide details of the reference number of the patient (male in black, female in red), the number of the order made under the particular Section of the Mental Deficiency Acts, the patient's name and the period for which they were maintained at The Manor. These periods are arranged in quarterly columns. Details of the date and place of discharge are also given.

6282/13/ Medical Treatment Registers c.1925-1951

6282/13/ Registers of Mechanical Restraint 1936-1970

6282/13/ Disease Registers 1902-1942

6282/13/ Patients' Conduct Registers 1937-1950
These record cases of bad behaviour by patients and the punishments they received. The nature of the offences recorded included physical and verbal abuse, lewd behaviour, smoking in wards, vandalism, gambling, theft, insubordination and absconding from the hospital. Punishments included reprimands, confinement to bed and withholding of favours such as cigarettes, passes to leave the grounds or permission to attend the hospital dances.

6282/13/ Patients' Property 1899-1921

6282/13/ Working Patients c.1937-c.1943

6282/13/ Addresses of Patients and Patients' Friends 1899-1921

6282/13/ Discharge Registers 1899-1921
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).

6282/13/ Discharges and Transfers Registers 1899-1921
According to the Rules made by the Commissioners in Lunacy in June 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'.

6282/13/ Registers of Deaths 1909-1920
These provide details of the date of death, the date of the last admission, the number of the patient in the civil register, the name of the patient and whether they are 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.

6282/13/ Post Mortem Registers 1899-1974

6282/13/ Pathological Examination Book 1936-1940

6282/14/ CASE BOOKS AND PAPERS 1899-c.1975

6282/14/ Case Books 1899-1915
Male and female patients were allocated different sequences of reference numbers. This number was the same as that of the folio upon which their details were entered in the case book. The only admission registers to survive for this period against which the reference numbers found in the case books can be checked are those for private patients. Comparison between the admissions register, (6282/13/1), and the corresponding case book, 6282/14/16), shows that the reference numbers are the same for each patient in both documents. A similar check was made between the reference number in the case books and those listed in the alphabetical registers for non-private patients and again the numbers corresponded. For case notes relating to patients entered in the missing female case book 4 see 6282/14/52.

6282/14/ Case Books for Private Patients 1899-1916

6282/14/ Loose Case Notes 1899-1916
These case notes were found loose and have been at present roughly sorted into numerical groups according to the case reference numbers. At present male and female patients have been grouped together although they originally had separate reference numbers. The dates are those of admission, where known. Where no case numbers are known, the case notes are arranged by case book number. There are gaps in the sequences. Comparison between a few of the case notes and their corresponding entries in the case books suggests that the notes were written upon the admission and subsequent medical examinations of patients and copied, almost verbatim, into the case books at a slightly later date. Despite this duplication, however, there are significant differences between the two records: photographs of the patient are generally found in the case books but very rarely in the notes, while details of ward changes, alterations in weight and copies of post mortem reports are usually filed with the case notes but not bound into the case books.

6282/14/ Patients' Intelligence Tests c.1955-c.1975

6282/15/ PATIENT STATISTICS 1924-1975

6282/15/ Numerical Record Books 1924-1970
Numerical record books comprise a daily record of numbers of patients admitted to or discharged from The Manor Hospital and include totals for those allowed out on licence and those who had escaped. Names are given only for those who have died or been discharged or transferred. The total number of patients remaining in the hospital each day is also given, together with the total number of days charged in the accounts.

6282/15/ Daily Numbers Registers 1944-1975
These record similar statistical information to the numerical record books but name those admitted, discharged or transferred as well as recording daily patient totals.

6282/15/ Monthly, Quarterly and Annual Statistics 1952-1965

6282/16/ MEDICAL JOURNALS 1899-1965
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. Between 1922 and 1928 joint registers were kept for male and female patients, (6282/16/34-40). Separate registers were also kept for private patients, (6282/16/41-45), and those under guardianship, (6282/16/46).

6282/16/ Medical Journals, Male 1899-1965

6282/16/ Medical Journals, Female 1899-1965

6282/16/ Medical Journals, Male and Female 1922-1928

6282/16/ Medical Journals Relating to Private Female Patients 1900-1920

6282/16/ Medical Journal for Patients under Guardianship 1935-1944

6282/17/ WARD REPORT BOOKS 1958-1972

6282/17/ Grant Ward 1958-1970

6282/17/ Kestrel Ward 1966-1970

6282/17/ Miller Ward 1963-1970

6282/17/ ACMN's Ward Report Books 1965-1972
These relate to all wards, so it is possible that ACMN was a senior nursing officer.

6282/18/ PHOTOGRAPHS ND [c.1960]-1972

The Manor Hospital was opened by the London County Council in 1899 for the treatment of persons detained under the Lunacy Acts. It initially consisted of a series of huts erected close to the previously derelict Horton Manor, which was adapted to provide administrative and staff facilities. By 1909 ten permanent brick buildings had been added to the hospital. Between 12 August 1916 and 1 April 1919 The Manor was used to treat military casualties. It reverted to a mental hospital after the war before becoming a hospital for the mentally handicapped from 1922 until its closure in 1994. Unlike many other mental hospitals The Manor was primarily used to care for and rehabilitate improveable and trainable patients. Its staff, training facilities and accommodation were developed accordingly. From 1948 the hospital devoted itself to the training of moderately handicapped, disturbed adolescents and young adults and gained an international reputation in the field of industrial and behaviour therapy.

The Manor Hospital was managed by the LCC until the establishment of the National Health Service in 1948 when responsibility for it passed to its own Hospital Management Committee under the aegis of the South West Metropolitan Regional Hospital Board. Under the National Health Service Reorganisation Act, 1973, the hospital became part of the Mid-Surrey Area Health Authority and was managed by the Mid-Surrey District Management Team.

The Manor Hospital also operated a sixty-bed unit called Aldingbourne House, near Chichester, West Sussex, to which groups of patients would be sent for seaside holidays. On 1 April 1973 the former Queen Elizabeth Hospital for Children at Banstead was added to the Manor Group and fifty-five patients working in the community, moved into a hostel called Elizabeth House which had been converted from former nurses' accommodation.

Records relating to named patients are closed to public inspection for 100 years from date of creation of record.

Deposited by the Projects Manager, West Park Hospital, Epsom, in February 1995 under the Public Records Act, 1958.

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

A brief history of The Manor Hospital is included within the Mid-Surrey District Profile, 1974, held by Surrey Record Office as 3376/2. Registers of officers, attendants and servants at The Manor Hospital, 1899-1925, are held as 2865/5/1-8, while a register of nursing and domestic staff at The Manor, 1933-1946, is held as 2865/5/9. For registers of staff at The Manor Hospital, c.1923-c.1965, see 6280/1/1-6. Copy burial registers of the Horton Estate Cemetery, Hook Road, Epsom, used by The Manor and other of the Epsom Cluster hospitals, 1907-1957, are held as 6275/-. A sale catalogue relating to an auction of furniture and equipment at The Manor on 14 Mar 1995 is held as 6299/-. For reports of the workshop manager at the Sherwood Training Unit of The Manor Hospital, c.1973-c.1979, see 6274/-.

For photographs (boxes of glass plate negatives) of patients and staff, c.1900-c.1930, see 6317. For photographs of the hospital, 1974-1975 and 1992, see 6417 and 8989. For building plans of alterations in 1972 see 6423. For a register of male deaths, 1939-1947, and a post-mortem book, 1974-1991, see 7329. For the medical superintendent's file of correspondence and papers relating to the administration of the Manor Hospital, Epsom, including wartime air raid precautions, 1929-1948, patient daily numbers register, 1971-1983, and history and organisational manuals, 1968-1974, see 7856. For microfiche of case book entries, male and female patient index cards, and administrative papers, 1920s-1980s, see 8837. For nursing lecture notebook of Ellen Edith Wright, nurse at the hospital, 1930-1932, see 9393. For papers of Dr Frances Felicity Kerr (1923-2008), clinical assistant at the hospital, see 9839.

Minutes of the London County Council Asylums Committee, later Mental Hospitals Committee, Manor Sub-Committee, 1899-1948, and presented papers for 1932-1948 are held by the London Metropolitan Archives (LMA) as LCC/MIN/1197-1228. A Manor Hospital admission and discharge register for the period 1913-1927 is held by the LMA as PH/MENT/4/26. For records relating to the re-planning of the main kitchen at the Manor, Jan 1958, see A/KE/716/147. A report by garden advisors relating to the Epsom Group Hospitals in 1959 is held by the LMA as A/KE/727/13. For Manor Hospital Management Committee papers and correspondence relating to the staff recreation centre see A/KE/736/17. Visitors' reports of the Epsom Group Hospital Management Committee, Apr 1960-Oct 1963, are held by the LMA as A/KE/738/18/1-3.