Voluntary hospital

Voluntary hospitals were created from the eighteenth century in the United Kingdom. In America, Ireland and Australia voluntary hospitals were established later. They can be distinguished from municipal hospitals which were publicly owned, and private hospitals which were run commercially. They were initially financed by public subscription. A voluntary hospital may also be a charitable hospital.

By the middle of the 18th century there were five in London: (St Barts, Guy's, St Thomas', Westminster and St George's). They provided free medical care to those who could not afford it. They were "amongst the chief sources of the advancement of medical science". They were the earliest teaching hospitals.

St Mary's Hospital, London was the last to be founded in England, in 1851.

The 1851 census recorded 7,619 patients in hospital in England and Wales. At that time those who could afford it were generally cared for in their own homes. In 1901 there were 39,184 hospital patients. Standards of care, and of nursing in particular had improved as formal training was established and staffing ratios improved. Nursing was almost entirely by women. Even in 1937 there were less than 100 male nurses employed in the voluntary hospitals. In 1900 there were about 11.000 nurses working in voluntary hospitals, some of whom were sent out to do domiciliary nursing. In 1937 there were more than 33,000, mostly actually in the hospitals. They worked longer hours for less pay than nurses in the municipal hospitals.

After the First World War the hospitals began to admit private paying patients and by 1921 171 of the provincial hospitals had pay beds.

Public collections, Hospital Saturday Funds and flag days to support the hospitals continued in the UK until the 1930s.

The King's Fund supported the voluntary hospitals in London.

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