Philadelphia General Hospital

The Blockley Almshouse, later known as Philadelphia General Hospital, was a charity hospital and poorhouse located in West Philadelphia. It originally opened in 1732/33 in a different part of the city as the Philadelphia Almshouse (not to be confused with the Friends' Almshouse, established 1713). Philadelphia General Hospital closed in 1977.

The Blockley Almshouse had its roots in the Philadelphia Almshouse, a facility first located in the block between Third, Fourth, Spruce and Pine Streets. Constructed in 1731–32, this institution provided the first government-sponsored care of the poor in America, as it offered an infirmary and hospital for the sick and insane, besides housing and feeding the impoverished.

In 1767, it moved to larger quarters occupying the block between Tenth, Eleventh, Spruce and Pine Streets. This site was officially called the Philadelphia Bettering House.

In 1835, the overcrowded Philadelphia Almshouse moved to Blockley Township in West Philadelphia, an area once known as "Blockley Farm" now between 34th Street and University Avenue. Built to house a variety of Philadelphia's indigent population, the facility consisted of a quadrangle of four sizable buildings including a poorhouse, a hospital, an orphanage, and an insane asylum. Construction of the first building had begun in 1830, with its cornerstone laid on May 26. William Strickland was the architect and Samuel Sloan, later to be a well-known architect, worked as journeyman carpenter on the project.

The institution was later renamed the Philadelphia Almshouse and Hospital, but it was commonly called "Old Blockley" for decades after. Operated by a city committee known as the Guardians of the Poor, Blockley's early reputation for care was dismal. In 1864, the "Female Lunatic Asylum" building was accidentally destroyed by workers installing heaters, killing 18 women and injuring another 20. Blockley's geographical isolation from city medical institutions limited clinical care until the University of Pennsylvania, with its medical school, moved to a site just north of the Almshouse grounds in 1871.

As the latter 19th century saw advancements in both medicine and psychiatry, Blockley's mission gradually embraced that of a more conventional public hospital. A nursing school was opened at the site in 1885 under the direction of Alice Fisher, replacing ad hoc patient nurses with a system of skilled nursing. In 1903, operations of the hospital were turned over to the newly created Bureau of Hospitals in the Philadelphia Department of Public Health. In 1906, the insane were moved to the Byberry Mental Hospital, later known as the Philadelphia State Hospital.

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