St Luke's, Old Street, Middlesex, London
The parish of St Luke's, Old Street, had a workhouse in operation by 1733. It was located at the north side of Featherstone Street.
St Luke's, like a number of other London parishes such as Islington, St Marylebone, St Pancras, and St Leonard's, Shoreditch, was constituted under a local Act of Parliament to give it greater powers for the management of its own poor relief. In 1782, a new parish workhouse costing £2,000 was built at the junction of City Road and Shepherdess Walk in Islington. Its location and layout are shown on the 1830 map below:
St Luke's constitution meant that St Luke's largely fell outside the jurisdiction of the 1834 Poor Law Amendment Act and it continued to manage its own poor relief.
A snapshot of the workhouse's activity in 1854 is provided by a rare surviving printed weekly summary of its admissions, discharges and consumption of foodstuffs:
In 1868, the recently formed Metropolitan Asylums Board set up six new Sick Asylum Districts for the purposes of providing hospital care for the poor on separate sites from workhouses. One of the new Districts, named Finsbury, comprised the Holborn Union together the parishes of St James & St John, Clerkenwell and St Luke's. However, the large new hospital required by the new scheme was felt to be too expensive and, instead, the Finsbury Sick Asylum District was reconstituted as an enlarged Holborn Union.
The enlarged union redeployed its existing sites to provide the separate workhouse and hospital accommodation that was required. Holborn's Gray's Inn workhouse was designated for able-bodied inmates. The former St Luke's workhouse on City Road was adapted for use as a union hospital. To this end, in 1870-1, new female wards were erected at the rear of the workhouse which were to accommodate 450 patients. A contemporary report of the project stated that:
The layout of the workhouse in the early 1870s is shown on the large-scale map below which dates from around 1873.
St Luke's parish Vestry Hall lay at the south of the site which contained a meeting room for the parish's Board of Guardians. Receiving wards for new admissions stood at its west. Along the west of the site were male and female imbecile wards, a nursery and female infirm wards. A dining-hall and chapel were located at the centre of the site and along the east were female wards, casual wards and workshops. The map shows relatively little male accommodation — this is probably explained by the fact that at this period, able-bodied males would have been sent to the Poplar workhouse.
In a further redevelopment in 1877-9, infirm wards and administrative offices were erected along Shepherdess Walk at the east of the site which continued to be known as St Luke's workhouse.
Details of the new buildings were given in The Builder:
INFIRM WARDS AND ADMINISTRATIVE OFFICES OF ST. LUKE'S WORKHOUSE.
This range of buildings, fronting Shepherdess-walk, City-road, is erected from the designs of Mr. H. Saxon Snell, architect, and forms a portion of the reconstruction of St. Luke's workhouse. The central block contains the entrances to the building, and the receiving wards and master's offices and residence, also the lying-in wards, and dormitories for those able-bodied paupers who assist in the general work of the establishment. The wings on either side are for the accommodation of the male and female infirm paupers of the union. Generally, the plan of the building is similar to the model infirm wards erected some ten years since at St. Marylebone Workhouse from the designs of the same architect, but upon a much more extensive scale.
It has become almost a universal rule in the planning of any description of wards used for the reception of the sick, that the beds should be ranged opposite to one another, and down each side of the exterior walls of the apartments, and that between the beds there should be opposite windows. But it will be seen that one disadvantage of this plan is, that the bed being next an outside wall, the patient occupies the coldest position in the room. This objection can best be appreciated by those who have experienced the increased warmth and comfort of a house standing between two others, as compared with the corner house of a row. It is, nevertheless, counterbalanced by the fact that ventilation by opposite windows between the beds has been found the most perfect that can be obtained, and so far the plan must continue to be adopted in all buildings where other circumstances do not suggest an alteration. This principle of ventilation by opposite windows, however, only holds good where the cubic space allotted to each patient is so large as to admit of the beds being placed far enough apart to insure the inmate freedom from the effect of the draught passing between the windows when open, or the downward current of cold air proceeding from the glass when the external atmosphere is colder than that of the room, and the windows are shut. This point appears to have been overlooked; and large public buildings have been erected where the beds are not only so close to the windows that the patient must suffer to a greater or less degree from the effects of through and down draughts; but in some cases the beds are necessarily placed directly under the windows, and this, together with the proximity of the bed to an outside wall, can hardly fail to have an injurious effect on the inmates of the wards so built. In order to avoid this evil, Mr. Snell considers that the beds of all such wards should be placed at a distance of not less than 6 ft. apart, and when the space allotted to each inmate will not admit of this distance, then some other plan should be adopted, as in the new buildings at St. Marylebone and St. Luke's Workhouses, where the beds are ranged opposite to one another along the internal walls and partitions in each ward, leaving a central gangway between.
The windows are in the external walls at either end. The internal walls next the heads of the end row of beds are hollow, and contain large air-flues which permit the introduction of warm air under, and an exit for foul air over, each bed.
The St. Luke's Workhouse buildings consist of four stories of wards, and, in addition, store and day rooms in the basement. The wards generally are 80 ft. long, 40 ft. wide, and 13 ft. high, with four bay windows, each 16 ft. long, and 6 ft. wide, and this allows 800 cubic feet of air space to each inmate.
Touching the heating and ventilation of the wards, the skirting at the back of the beds' forms a box 9 in. square, with a perforated zinc front, and running through this box are hot-water pipes. At the ends of these channels in the front and back walls are large openings, through which the external fresh air is admitted, and, passing over the hot-water pipes, it is warmed and rises upwards, and is emitted through the perforated front of the skirting boxes into the wards immediately under the beds. The foul air is carried off through wide channels in the ceilings, which communicate with large flues running up the side walls, and terminating just above the level of the eaves of the roof.
The upper wards, occupied by the bedridden, are somewhat differently constructed from those of the lower wards, inasmuch as the ceilings follow the line of the sloping sides of the roof, which is supported at intervals by semi-elliptic cast-iron ribs. The escape of foul air in these upper wards is provided for by a channel in the apex of the ceiling, running the whole length of the room, with zinc shafts at intervals open to the air.
The wards at the southern end of the buildings were differently planned, in order that bay windows might be placed in the end walls, and so that they would have a more cheerful outlook on to the City-road than was possible in the case of the other wards. Moreover, these wards are occupied by the more convalescent patients, and therefore ventilation by the windows can be effected when the inmates are not lying in bed.
The gas-burners of the wards are contrived to serve the purposes of ventilation by being placed under inverted enamelled iron basins, from the tops of which are pipes communicating with horizontal wrought-iron tubes running the whole length of the ceilings and into the upright shafts of the side walls. These tubes, it is understood, not only carry off the products of combustion, but they largely contribute to changing the air of the rooms.
In addition to the hot-water pipes, there are in each ward two open fire-stoves, that tend to give a cheerful aspect to the rooms in cold weather. These stoves are placed against the outer walls, and have openings underneath for the supply, from the outside, of fresh air, which, on entrance, strikes against the heated cast-iron hearth-plate and fire-brick sides, and is thus passed into the room in a warm state.
The nurses' rooms, situated between the wards, are entered off the staircases on the various floors ; they are for the accommodation of the paid nurses only, the pauper assistant nurses being housed at another part of the building, especially set apart for this class of inmates.
Adjoining the nurses' rooms are large well-lighted closets for the storage of clean linen.
The central portion of each wing contains the staircase, nurses' rooms, lift, bath-room, water-closets, and lavatories. The staircases are lighted from the roof, and on each landing there are entrances to the cages of the hydraulic lifts, 8 ft. long and 4 ft. wide, used for raising the bedridden to the top floor, and for the conveyance of coals and meals to the various wards.
The baths, scullery-sinks, and water-closets, are next the outside wall, and their contents are discharged directly into two large cast-iron pipes that run down the exterior face of the building, after the manner of ordinary rainwater pipes, and thence into the road sewer. The joints of these soil-pipes are made air-tight, and the upper portions above the level of the highest set of closets are turned into flues in the wall, having outlets at the level of the ordinary chimneys.
The level of the ground-floor is 5 ft. above the pavement outside, and underneath is a well-lighted dry basement, used as store, work, and day rooms. On this floor is a corridor of communication, 12 ft. wide, connecting all parts of the building, and also the washhouse and kitchen, both new erections, situated on the same level, but outside the main building. This subway is one of the most useful features of the building, for by it the whole of the meals, coals, &c., are brought in trucks to the foot of the lifts, up which they are raised, then wheeled to the different wards, and when empty returned in the same manner.
The building has been erected in three different sections, and the builders were respectively Messrs. Crabb & Vaughan, Messrs. Wall Bros., and Mr. John High. The heating and sanitary works, and the lifts were executed by Messrs. Turner & Co., Messrs. Potter. & Sons, and Messrs. May Bros. ; the gas pipes and fittings by Messrs. Abercrombie & Sons and Messrs. Jeal Bros.
The whole of the block of buildings, accommodating 930 inmates, besides the administrative offices, work-room, &c., cost 36,0001., or less than 381. per bed, and this amount includes all stoves, fixtures, engineering, and sanitary works, and architect's commission.
The compact arrangement of the wards is shown on the the architect's plan below (click on the image for an enlarged version).
The layout of the site was extended in 1892 and 1894 shown on the 1894 map below:
The hospital later became the Holborn and Finsbury Institution. It was taken over by the London County Council in 1930 for the care of the chronic sick. In 1936, it was renamed St Matthew's Hospital. In October of the following year it became a 627-bed general hospital for the sick, with its association with poor-law patients then ending. On 8th October, 1940, the old south ward block suffered a direct hit from a high explosive bomb, killing many patients and some members of staff. In 1948, the hospital joined the new National Health Service as one of the Central Group of Hospitals of the North East Metropolitan Regional Hospital Board. In February 1952, visitors from the King Edward's Hospital Fund for London described Saint Matthew's as "a dump for the chronic sick, the buildings being no less antiquated than those of Saint Leonard's or Bethnal Green, patients still being accommodated in great 40-bedded wards". From 1948 to 1954, great efforts were made to improve conditions at the hospital, but in 1960 it was reported that the progress had not been maintained. Saint Matthew's was by then a 320-bed hospital for the care of geriatric and chronic sick patients. The south west block was still standing empty and the war damage only partially repaired. The hospital finally closed in 1986. In 2001, the southern entrance to the site on City Road still had gates bearing the initials "SM" — St Matthews.
The main surviving workhouse building is the northern part of the 1871 ward block which has now been converted to flats.
- London Metropolitan Archives, 40 Northampton Road, London EC1R OHB. (Some LMA records viewable online via Ancestry) Holdings include: Workhouse admissions and discharges (1743-69); Guardians' minute books (1836-1930); Admissions and discharges (1860-1931).
- The Builder (18th March, 1871; 11th January, 1879).
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