BLC BARTS and the LONDON CHRONICLE
In this issue… • Supporting us • The Fountain: A case report • Barts in wartime • London Hospital Dental School: A century of achievement • Your news
The magazine for the alumni community of Barts and The London School of Medicine and Dentistry
Barts and The London Alumni Association (BATLAA) Barts and The London Alumni Association was formed in 2000, joining together Barts Alumni Association, The London Hospital Dental Club and The London Hospital Medical Club. Barts and The London Alumni Association aims to foster a mutually beneficial lifelong relationship between Barts and The London School of Medicine and Dentistry and its former students.
As a member of BATLAA, you can receive: • Our alumni magazine (printed/online) • The Queen Mary Alumni e-Newsletter sent to your inbox • Invitations to medical and dental meetings, social events and reunions at the School and wider Queen Mary • Help with organising your own year reunions • Help with finding lost friends, former classmates and tutors • The Queen Mary Alumni Extra card which includes reference access to the College Library, both at Whitechapel and Mile End • Discounts on membership of Qmotion health and fitness centre on our Mile End campus
QUEEN MARY ALUMNI NETWORK incorporating BARTS AND THE LONDON ALUMNI ASSOCIATION Head of Alumni Relations and Fundraising and Editor of BLC Susan Nettle
Alumni Relations and Fundraising Office Development Directorate Queen Mary, University of London Mile End Road London E1 4NS UK Tel: +44 (0)20 7882 7790 Email: firstname.lastname@example.org www.qmul.ac.uk/alumni
We welcome your contributions, comments and ideas.
The Barts and The London Chronicle is edited and produced by the Alumni Relations and Fundraising Office, Queen Mary, University of London. No part of this publication may be produced without the prior permission of the publisher. Whilst every care has been taken to ensure accuracy, no responsibility can be taken for any errors or omissions. The views expressed are not necessarily those of Queen Mary, University of London or Barts and The London Alumni Association. All rights reserved. © Queen Mary, University of London 2013 ISSN 1470 – 2282 Design www.rfportfolio.com
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A welcome from the President of BATLAA I would like to thank those members of Barts and The London Alumni Association (BATLAA) who were present at last years’ Annual General Meeting for electing me as your President for the next three years. I consider it a great honour and will do my best to justify the confidence shown in me. I will be relying very heavily on the staff of Queen Mary, the Trustees and Management Committee of BATLAA and especially the long serving Immediate Past-President, Professor Brian Colvin who has written a message on page 8. As a Dental graduate (q 1969) who spent the whole of my career at The Royal London I hope a few of you will know me, but to those who do and those who don’t, I would really like to create some opportunities to meet with you. Dental alumni continue to hold the Annual Clinical Meeting which is attended by the faithful few but the enthusiasm for other BATLAA functions has waned in recent years. The average age of BATLAA enthusiasts is far too high and we need to find a way of engaging with younger alumni. Brian comments on the long gap between issues of Barts and The London Chronicle, but in any case such printed publications do not encourage interaction between alumni. The Queen Mary Alumni e-Newsletter is better, allowing more interaction, but how many of you take any positive action in response to this contact? I hope to find a way to engage more with alumni over the next year and would really welcome any suggestions for the best way to do this. I am considering a survey to find out what alumni want from their association but to make it worthwhile, we need to have some confidence that we will get responses from a good number and range of members. You are all life members for free! Is that why many do not seem to value your association? I hope you will enjoy this issue of BLC and that it will make you think of the positive aspects of being an alumnus of this famous institution. I also hope that I can transmit some of my enthusiasm for BATLAA to you and revitalise your association. With best wishes
Professor Paul Wright q BDS, The London, 1969 President of Barts and The London Alumni Association
Contents The Queen visits Whitechapel 4 Supporting us 6 A message from the former President of BATLAA 8 The Fountain: A case report 10 Barts in wartime 12 Barts in Herts…the story continued 14 Elective support 15 The London Hospital Dental School: A century of achievement 17 The Making of Queen Mary 32 Elective support (continued) 33 Student news 35 An appreciation of Professor Sir Nicholas Wright 36 Alumni news 37 Obituaries 41 Forthcoming events 48
Get involved with BATLAA: come to events; keep updated on developments at the School and Queen Mary; keep us informed of your news; become a Committee member for BATLAA or the LHDC; organise a reunion for your year and encourage your contemporaries to join BATLAA. To find out more, contact the Alumni Relations and Fundraising Office at email@example.com or +44 (0)20 7882 7790. www.qmul.ac.uk/alumni/batlaa
Welcome from the Vice-Principal (Health) I am delighted to have this first opportunity to write to you and update you on the work, now commenced, to undertake a strategic review of the School of Medicine and Dentistry. The present operational structure of the School has been in place for 10 years and over that period it has been a tremendous success. Following a poor performance in the 2001 Research Assessment Exercise (RAE), the subsequent re-organisation has been associated with a substantial improvement in academic standing, as reflected in the 2008 RAE, a growth in research income and continued improvement in the quality of student applications and experience. However, as I am sure many of you are aware; the UK academic environment is undergoing further substantial change, which means that the School is faced with significant challenges and opportunities to provide for further growth and development of education and research. Some of the indicators suggest that the present School structure requires review in order to respond to these challenges and emerging opportunities, thus: • In some areas, there will be a smaller REF 2014 return than the 2008 RAE • There is potential for new cross-disciplinary/faculty research activity • The need for new broad-based doctoral training programmes • The upcoming reduction in both MBBS and BDS student numbers, enabling diversification of UG taught programmes delivered across the School • Further opportunities for structured development and expansion of PGT programmes via a co-ordinated cross-School approach • The ability to respond to the Government’s strategy for investment in Life Sciences • Undertaking and delivering a sustainable estate development plan, for research and teaching • The development of partner estate, including Whitechapel and West Smithfield and Life Sciences at Queen Mary. To take this forward I have established a steering group and a reference group, including representatives from both the School and the wider university community. I very much hope that alumni will also become engaged in this process and my intention is to use future alumni media opportunities to inform you of progress and to invite your comments. Kind regards
Professor Richard Trembath Vice-Principal (Health) and Executive Dean Barts and The London School of Medicine and Dentistry
Professor Richard Trembath F Med Sci (q Guy’s) was appointed as Vice-Principal (Health) and Executive Dean of Barts and The London School of Medicine and Dentistry on 1 September 2011. Prior to this, he was Director of the NIHR Comprehensive Biomedical Research Centre at Guy’s and St Thomas’ NHS Foundation Trust and Head of the KCL Division of Genetics & Molecular Medicine at King’s College London.
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Her Majesty The Queen visits Whitechapel Her Majesty The Queen, accompanied by His Royal Highness The Duke of Edinburgh, visited Whitechapel on Wednesday 27 February to open two of east London’s finest new medical research and hospital facilities Her Majesty The Queen officially opened the £3m National Centre for Bowel Research and Surgical Innovation (NCBRSI) at Queen Mary, University of London. The NCBRSI was set up to help bring bowel disease – a neglected area of medicine – to the forefront of scientific and surgical innovation. Based at Barts and The London School of Medicine, part of Queen Mary, it is supported by the charity Bowel & Cancer Research, which raised more than £2.5m towards the cost of setting up the centre. Other funding came from the Wolfson Foundation and Barts and The London Charity. The National Centre has brought together scientists, surgeons and industry, providing them with a first-class facility to enable breakthroughs in the understanding and treatment of bowel disease. It is also intended to accelerate the uptake of surgical innovation in this area into the NHS and provide a model for other disciplines. Diseases of the gastro-intestinal tract (or gut) account for one-in-six hospital admissions in the UK and are the third most common cause of death. Each year more than 41,000 people are diagnosed with bowel cancer in the UK and 16,000 die from it, making it the nation’s second biggest cancer killer after lung cancer. On arrival, Her Majesty The Queen, accompanied by His Royal Highness The Duke of Edinburgh, was met by the Lord-Lieutenant of Greater London who introduced the Royal party to Professor Norman Williams (q The London, 1970), Director of the NCBRSI and President of the Royal College of Surgeons, and Professor Mike Curtis, Deputy VicePrincipal (Health) and Director of Queen Mary’s Blizard Institute, where the NCBRSI is based. Once inside, the Royal couple listened to a presentation on the setting up of the NCBRSI from Professor Williams, who
explained how he and colleagues had recognised that there was a need for a multidisciplinary approach to bowel problems if progress was to be achieved in the understanding and treatment of this relatively neglected area. The Centre’s Co-Director, Professor Charles Knowles (q Cambridge/The London, 1992; PhD, Barts and The London, 2000), then accompanied the Royal party on a tour of the laboratories, starting with an overview of the state-of-the-art human tissue laboratory, the first of its kind in the world, which enables research with living human tissues. The Queen and Duke of Edinburgh met some of the 30 clinicians and scientists based at the Centre who explained their work and provided demonstrations of human muscle, tissue and nerve experiments. On leaving the laboratories the Royal party met some of the Research Fellows based at the Centre who explained the clinical trials run by the unit. The party then moved on to the offices of Bowel & Cancer Research, where they met Chief Executive, Deborah Gilbert, along with charity staff and supporters.
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Above: Her Majesty The Queen meeting staff at The Royal London Hospital Below: Andrew Silver, Professor of Cancer Genetics, talks the Queen through some of the bowel cancer research being carried out at the National Centre for Bowel Research and Surgical Innovation
Her Majesty The Queen officially opens the new Royal London Hospital Her Majesty The Queen, accompanied by His Royal Highness The Duke of Edinburgh, officially opened the new Royal London Hospital. Her Majesty has a long association with the Hospital and the East End of London, and this marked Her Majesty’s sixth visit. Her Majesty first visited in 1954 as the Hospital’s Royal Patron and last visited immediately after the 7 July 2005 London bombings. During the visit, the Royal party toured the children’s hospital and the renal dialysis ward before meeting former patients who were receiving treatment for their injuries when the Queen last visited in 2005. Her Majesty unveiled a plaque in the ground floor atrium to mark the official opening. A number of Barts Health staff were involved in the visit and met the Royal party as they made their way around the Hospital.
The Royal London Hospital: facts and figures • 6,000 rooms • 23 theatres • More than 3,000 staff work in the new Hospital • The tallest building has 17 floors and is 284ft tall – the same height as the Elizabeth Tower at the Palace of Westminster which houses Big Ben • Footprint equivalent to 40 football pitches • 40% of ward accommodation is single rooms with ensuite facilities; the remainder in four-bed bays • 727 beds • 97% of materials from the demolished buildings have been recycled • More than 1,000 toilets • 7,000km of metal reinforcement
(the distance between London and Miami) and 175,00 tonnes of concrete was used in the construction • 52,000 pieces of new furniture and loose equipment • 28,000 towels • 3,000 pillows • 75,000 bed sheets
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Supporting us 2012 Annual Fund Did you receive a telephone call from one of our current medical or dental students in November or December 2012? If yes, did you make a gift? Over 40 per cent of all alumni called either made a one-off or a regular gift to the 2012 Annual Fund. More than £200,000 has been pledged with gifts from alumni across the College, including Barts and The London and Queen Mary. Many alumni have said how much they enjoyed speaking to the student callers. Six callers were current medical students, and included Mei-Leng Lau-Robinson who had worked on the 2011 campaign. Abbie Edwards had been so enthused by her experiences of calling dental alumni in 2011 that she recruited Elise Morgan and Dental Society President, Rebecca Iles to help.
Alumni generously gave to support student scholarships and student opportunities such as travel expeditions, sports, clubs and societies and electives. We will report in future issues which projects have been supported. There is still time to make a donation in the 2012-13 academic year, which will support medical and dental students in 2013-14. Please see the enclosed Update Form or give online at www.qmul.ac.uk/alumni
(l-r) Abbie, Rebecca and Elise
Swimming for research The Clinical Trials team at the Barts Cancer Institute recently received a gift of £14,000 as a result of one of its patients, Jo Beecham, undertaking a sponsored swim. Jo had been diagnosed with ovarian cancer in March 2011 and was referred to the clinical trials programme. Her swim took place on 30 July 2012 and family, friends and supporters made over 150 gifts to the Queen Mary, University of
London Foundation to encourage her achievement and to support the vital work of the clinical trials programme. Professor Nicholas Lemoine (q Barts, 1983), Director of Barts Cancer Institute, praised Jo for her fantastic fundraising effort and said: “We are proud that Barts is one of the top recruiting Centres across the UK for studies, including those translating discoveries in our own labs into novel therapies in the clinic.”
Barts and The London Charity During the 2011-12 financial year, Barts and The London Charity awarded grants in excess of £3m to support a number of research projects at Barts and The London School of Medicine and Dentistry. We wish to thank the Charity and its Trustees for their generous support. • £1m jointly with the Orchid charity, to support research and treatment of prostate cancer in the north-east London health sector. • £500,000 to the Early Arthritis Referral Centre in the William Harvey Research Institute to support improved research
Remembering Dr Alastair McDonald A new student prize has been established in memory of the cardiologist and teacher Dr Alastair McDonald, who died in July 2012 (see page 43 for an obituary). Alastair was a leading figure in cardiology at The London from the 1970s onwards and chaired The London Hospital Medical Council from 1991 to 1994. Following his retirement in 1997, he continued to work in NHS management and was appointed Chairman of the North West London Hospitals NHS Trust in 1999. Alastair played an important role at the Medical College and was Sub-Dean for Clinical Medicine in the late 1980s. He was also a former Staff President of the Students’ Association. Many former students and colleagues may wish to remember Alastair by contributing to the fund which will support an annual essay prize on a broad topic of medical ethics, which was of such interest to him. It is hoped that the first prize winner will be announced in 2013-14. Contributions should be made payable to ‘Barts and The London Hospital Medical Club Benevolent Fund’ and sent to BATLAA, c/o Alumni Relations and Fundraising Office, Queen Mary, University of London, Mile End Road, London E1 4NS. A gift form can be downloaded from the alumni website at www.qmul.ac. uk/alumni/supportingqm/batlaa
and clinical practice. • £492,000 to the Barts Cancer Centre to support research in cell biochemistry to understand why some cancers respond to drugs and others do not. • £200,000 to understand the links between rare inherited skin conditions and oesophageal cancer.
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John and Lorraine Davies Elective Bursary For the past five years, a generous gift from Canada-based John Davies (q The London, 1950) and his wife Lorraine, has meant that a medical student has been supported to undertake an elective in a country where medical care is not readily available. During the 2012 Annual Fund campaign, a number of John’s contemporaries also made gifts which are contributing towards establishing a second overseas elective prize from the Class of 1950. A medical Mzungu in Uganda Andrew Smith (q Barts and The London, 2012), current President of the Barts and The London Students’ Association, received the John and Lorraine Davies Elective Bursary in 2011. He spent his elective at Rushere Community Hospital in the Kiruhara District of Uganda. Andrew writes: “There was an immediate awareness of the differences in facilities, namely quality of beds, condition of the hospital itself and a lack of equipment compared to that of the NHS. Doctors were jacks-(or masters)-of-all-trades and, with only two doctors looking after the whole hospital, they had an unenviable job. Not only were they on call 24/7 but one would do the adult
ward round in the morning, the other would do maternity. Whoever finished first would do paediatrics and then one or both of them may do some surgery in the afternoon or attend the outpatient clinics. I assumed they were many years out of training but it turned out they had only graduated a few years back and were in the process of applying for postgraduate training jobs. During my stay, I was able to put certain skills to use with regards to examining patients and assisting in surgery. It seemed that patients left their disease to fester for longer thus there was a vast amount of accrued pathology. There were also a number of clinical signs rarely seen in the UK, for example, I diagnosed aortic valve disease after spotting Corrigan’s sign in a young lady from the end of the bed. Also of note was the man that was suffering from necrotizing faciitis after a human bite. This had led to him having his skin and deeper tissues removed on the whole of
his forearm extending up half his bicep. Due to the widespread use of motorbikes and a lack of helmets, head trauma is a common occurrence. I saw some road traffic accidents and even acted as a medical support in the transfer of one patient to the regional referral centre – a 90 minute drive away. I delivered a confirmed stillbirth which turned out to be breech to complicate matters. The most shocking and hard-hitting fatality was that of a young man who was suffering from diarrhoea. Such an eminently treatable disease but despite aggressive fluid and antibiotic therapy, he passed away one night. I also helped a group of Americans run a community clinic for which they had sourced some free medications. We worked solidly for two days in a field and as a group, with the help of translators in some cases, we saw just under 600 patients. It was an exhausting and quite remarkable experience. I do hope we helped some people who would otherwise not have received medical care. I was struck by how green Uganda is and I particularly enjoyed the stunning landscape of Lake Mburu, as well as being greeted by a rainbow over Lake Victoria on my final day (on which I also bumped into a pharmacist from The Royal London Hospital!). I thank the Davies family for their generous contribution towards my travels. It would not have been feasible without such support.” If you wish to make a gift to support electives, please use the Update Form or give online at www.qmul.ac.uk/alumni
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A message from the former President of BATLAA
It is now over three years since we last published and I must apologise for this omission. BLCâ€™s silence has been particularly unfortunate at a time of great success for the College, the School and the Trust. Queen Mary has recently joined the Russell Group of universities following its excellent performance in the Research Assessment Exercise in 2008 and is now making further progress under the leadership of the Principal, Professor Simon Gaskell. Professor Sir Nicholas Wright has retired as Warden of the School after 10 years of unparalleled achievement and an appreciation of him appears on page 35. The School is now led by Professor Richard Trembath, Vice-Principal (Health) and Executive Dean, who has kindly outlined his vision for the future. The Dental School celebrated its Centenary in style in 2011 and looks forward to its next 100 years with enthusiasm. You will find a detailed history of the first 100 years in this edition. Our students are thriving and BATLAA continues to provide academic and social financial assistance to those in need. It has been a great privilege to
work with the Trustees of the BATLAA Benevolent Funds; during the past six years over ÂŁ136,000 has been disbursed to help nearly 250 medical and dental students with support towards electives, intercalated degrees and scholarships. Over the past two years many alumni have also contributed to the Barts and The London Annual Fund which will be used to support scholarships and enhance student opportunities. I thank you for your generosity and urge your continued support for these vital initiatives. Meanwhile, new hospital buildings have opened at Barts and The Royal London sites and the dream of modern facilities to supplement the existing excellent care has become a reality for our patients. Barts and The London, Newham and Whipps Cross have recently merged into a single NHS Trust. The challenge will now be to use the potential of the critical mass that the merger offers without losing any aspect of our very high quality clinical service. There are also plans to extend our interests to the West and clinical academic links with University College are being forged. This is a time of unparalleled opportunity for us working together with our partners in a very difficult financial and social environment. Sadly we have lost a number of our distinguished alumni in the past three years and we particularly regret the delay in the publication of important obituaries. Lastly, it is a pleasure to provide news of our alumni over a very wide range of years and to report forthcoming reunions. The future looks bright for all aspects of our work. We can be proud of our past and look forward to the future of BATLAA with confidence. I wish Professor Paul Wright every success in his role as your new President. Professor Brian Colvin q The London, 1969 President of Barts and The London Alumni Association (2007-12)
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Queen Mary Medal Professor Brian Colvin was awarded the prestigious Queen Mary Medal during the 2012 summer graduation ceremonies. The Queen Mary Medal is awarded by the College Council to a retired member of staff who has made an exceptional and sustained contribution to the College, beyond the normal requirements of the post held. Brian was Dean for Student Affairs at the School of Medicine and Dentistry from 1998-2008, managing undergraduate academic progress and all aspects of pastoral care.
(l-r) Professor Simon Gaskell, Principal of Queen Mary, University of London, with Professor Brian Colvin
Your reunions Many alumni have organised reunions for their contemporaries. For a list of forthcoming reunions, please see the back page. If you require help organising a reunion, or to have your event noted, email firstname.lastname@example.org
50th anniversary reunion of Barts 1962 starters, September 2012
Barts Golf Society autumn meeting The Barts Golf Society held its autumn meeting at Ashridge Golf Club in Hertfordshire on Wednesday 3 October 2012. There was a good turnout with two new members: Jon Ireland (q Barts, 1983) and Nick Eynon-Lewis, Consultant ENT Surgeon. Despite a few showers the golfers had a very pleasant day with Ashridge proving a fair test. Martin Savage (q Barts, 1972), Emeritus Professor of Paediatric Endocrinology at Barts and London School of Medicine and Dentistry, won the handicap prize with 40 points and Hugh Maurice (q Barts, 1977), an Orthopaedic Consultant in East Surrey, won the scratch prize with 35 points. After a convivial lunch, the afternoon greensomes were won by Seamus Banim (q Barts, 1967), Cardiologist at Barts and The London NHS Trust, and Andy Gibbs (q The London, 1968),
an Orthopaedic Surgeon in Suffolk. The next meetings will be held at Berkshire Golf Club on Friday 28 June and at Ashridge Golf Club on Wednesday 25 September 2013. All medical and dental Barts and The London alumni are eligible to join, as well as all past and present “Barts
Health” medical and dental staff. For further information, contact Michael Wareing (q Barts, 1988), Consultant ENT Surgeon at St Bartholomew’s and The Royal London Hospitals, by email at email@example.com or telephone +44 (0)20 7935 1304.
25 years of the Griffin Community Trust
Griffin House (1st and 2nd floors) and Lansbury Lodge (Day Centre)
2013 marks the 25th anniversary of the Griffin Community Trust, which was set up by students from the Medical School in 1988. The original aims were two-fold: to forge links between dental and medical students in East London and local senior citizens, and to provide cost-effective accommodation for the students in return for volunteering with their elderly neighbours. The charity went on to raise
£1m to build Griffin House in Poplar, East London, which opened in 1997 and the Griffin Community Trust continues to work to its original aims. Griffin House provides accommodation for 23 students of Barts and The London School of Medicine and Dentistry. Shaftesbury Lodge, also located in Poplar and adjacent to Griffin House, provides sheltered housing for 32 elderly people. Students living at Griffin House each befriend an elderly resident whom they visit regularly. Lasting friendships are often formed between students and senior citizens, many of which continue long after students have graduated. In addition to the befriending scheme, our resident students regularly organise a variety of special events which the elderly are encouraged to attend. Events include flower arranging, afternoon tea at The Dorchester, bingo nights, ‘Ready, Steady, Cook!’ and the annual Garden Party. Many of these events take place in Shaftesbury Lodge where the elderly residents live. Others may be excursions such as trips to the theatre requiring transport to particular venues, but all events are arranged by the students and funded by the Griffin Community Trust.
The group activities, augmented by the befriending scheme, help to foster a sense of community among the body of students and elderly residents. The friendships formed through the befriending scheme promote an inclusive atmosphere, and they are a key component of the group activities. The work of the Trust has also been expanded to involve supporting activities at Toynbee Hall in Aldgate and our current medical and dental students continue to bring their enthusiasm, energy and commitment to the project. The Griffin Community Trust celebrates its 25th anniversary this year. All medical and dental alumni who were involved with the Griffin Community Trust during their time as students at Barts and The London are invited to attend a special celebratory dinner at Drapers’ Hall in the City on Thursday 3 October 2013. Places for the dinner are £100 per person, inclusive of a three-course meal and drinks. Please RSVP by email to griffin25thanniversary@gmail. com to be sent further details about the event, including booking information. Veronica White q The London, 1991 Chairman, Griffin Community Trust
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The Fountain: A case report Alan Bailey (q Barts, 1966) and Heather Hackett (q Barts, 1973) report a syndrome of unusual clinical signs occurring in a group of four workers at St Bartholomew’s Hospital in London, whose job it is to maintain the fountain in Hospital Square
the causative organism of what happened later. After a particularly harsh winter, the left leg of Cherub North turned green and fell off (Fig 2). He did not seem to be particularly in pain – ‘He’ is used throughout, not to indicate gender; cherubs are eternal and therefore have no need for reproductive organs (New Testament: Gospel According to St Mark 12:25). Closer inspection of the other cherubs show South is lacking toes on his right foot (Fig 3) and West has a severe fracture of his right great toe. These lesions were thought to be neurosensory in origin; in fact South’s lesions have the appearance of leprosy. Barts has not seen indigenous leprosy for about 350 years, prior to which it was coordinator of the leper hospitals in the City of London, the monks being knowledgeable on the subject and unafraid of its potential to spread. Many of the benefactors of Barts also supported the leper hospitals. Since the Great Fire in 1666, from which Barts was mercifully saved by the width of Giltspur Street, leprosy has died out in London. However, more evidence that this may be a contagious process is seen in the ulcers developing in the lower basin (Fig 4) which were revealed when the SLIME and water were removed during a routine check-up.
Multidisciplinary Meeting (MDM)
Above main: The restored fountain. Above (l-r): Fig 1 (lower leg ulceration), Fig 2 (absent left leg – note the slime), Fig 3 (missing toes, right foot), Fig 4 (ulcerations in the bowl of the fountain)
The workers are cherubs. They have been employed since around 1860 to maintain the upper bowl of the fountain in a horizontal position at the appropriate height to catch the water and deliver it via gargoyle exits to a lower bowl in which they stand on a plinth. Despite the European Working Time Directive, they still work 24 hours a day, seven days a week. They are in close contact with each other (NB. names have been changed to protect patient identity).
Clinical signs The early signs of a problem were seen earlier in the year (2010 AD) when ulcers started to appear on the thighs and lower legs (Fig 1 shows the lateral aspect of Cherub East’s leg, just below the knee). At around this time a green discharge was noted from various parts of the base of the upper bowl. This was probably SLIME (Serious Leg Infiltration by Mould Extract) and could contain
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Seven experts from different specialties recently held a MDM. It concluded that the cherubs should be admitted as a matter of urgency for diagnosis and treatment. Unfortunately, as they lack reproductive systems and are therefore not of the species Homo Sapiens, they fall outside the remit of the NHS. Their private medical insurance contains conditions in the small print concerning pre-existing conditions (and it is rumoured that one of the cherubs has previously lost a leg). Also there is a paragraph, usually applicable to other kinds of insurance, an exclusion based on normal wear and tear. A further problem arose when admission to the London Clinic was considered. Surprisingly, the Clinic, which is very well supplied with modern high-tech equipment, did not have the necessary
facilities for these sad cases. An institution in Manchester, St Onemason (thought to be founded by a latter day monk by the name of Bullen) was found to have the necessary equipment for the proposed treatment. Among the famous patients they have treated are Sir Joshua Reynolds and members of the Royal Academy.
Proposed surgery In order to admit the cherubs to St Onemason’s they need to be divided surgically. This will involve a horizontal incision through the centre of the abdomen, dividing each cherub in half. This is a very tricky procedure and has no coding under private medical insurance categories. It may also be difficult to get the incision right as cherubs, being created, have no umbilicus for guidance. To add to the expense, each half may need its own life support system, although as they are eternal creatures they may survive without, but it will need to be available, just in case. Following their transfer by specially designed vehicles to the Manchester Institution, they will be rehabilitated and the various body parts treated or replaced with prostheses.
Conclusion A thorough search of the literature shows that there is no medical precedence for this sort of treatment. It is not routine in the NHS, nor recognised by the private sector. Funds must be raised to pay for this restorative surgery otherwise the cherubs may have to mortgage or even sell their home which they have inhabited for the last 150 years.
Update: May 2013 The fountain has since undergone extensive restoration works and has been reinstated to its former glory. Andrew Douglas, Chief Executive of Barts and The London Charity, commented: “Barts Charity was pleased to be able to jointly fund the restoration with Skanska and the Fountain Club. The heritage in and around Barts Square is a unique historic asset and needs on-going financial support.” For a photo story of the works, visit the Fountain Club website at www.fountainclub.org
The Heart of Bart’s It is curious, but true, that if I had not been closely acquainted with the fountain in the square of St Bartholomew’s Hospital, I should have been deprived of much entertainment, laughter and a deal of reflection after reading The Heart of Bart’s, so competently compiled and edited by Greta Barnes who completed her training as a nurse at Barts in 1962. The many contributions include memories of an illustrious consultant surgeon, medical students, housemen, registrars, a consultant physician, as well as those of a ward maid and Barts trained sisters and nurses, including those associated with the many voluntary services. Their accounts paint some unforgettable pictures of their individual experiences. These include that of Mary Penny (1942-46) who continued to give her report to her junior one night as a buzz bomb exploded nearby; the ward maid Maureen Lennon describing the time immediately after World War Two as “like going back to the Victorian era – very strict and status conscious”; not to mention the nurses’ starched collars and cuffs and their sore feet which often required the application of surgical spirit. All this for a staff nurse’s pay in the fifties of £15 per month! The sixties were thought by many to be the happiest of times at Barts and particularly the Christmas activities remembered by the much loved Mary Walker, Sister Waring. The time is hilariously portrayed by Prilli Willoughby [Stevens] who, initially advised by the Sister Tutor that she should “perhaps turn to the stage instead”, was subsequently promoted to Sister! The author of Doctor in the House who qualified at Barts in the 1940s, and is featured in the section devoted to some famous Barts names, would surely have approved. Perhaps, too, of Alan Bailey’s tale recalling an infamous incident at the Richmond Athletic Ground when Barts played The London in a Rugby Cup Final and Mark Britton’s account of the club’s 129 years history.
The seventies are described by James Malpas, a distinguished Consultant Physician and former Dean of the Medical School, outlining the many problems posed by the need for increasing specialisation. In conclusion, the words of William Shand, a retired honorary consultant surgeon, reflect optimistically on the present development of Barts which, as a centre of excellence in cardiac and cancer care, has established its place as “a world leader in health care.” The Heart of Bart’s deserves to be read and then displayed prominently on the bookshelf of all who have trained there and it certainly merits reading by those with a medical and historical interest. John Lloyd Parry MBE q Barts, 1962 Former surgical houseman, Fleet Street and Harmsworth Wards (1963)
Visit www.fountainclub.org/ heartofbarts.html for an order form or send a cheque, made payable to ‘Obelisk Books’, for £19 (inc p&p and a donation to the Barts Fountain Restoration Fund) to: Obelisk Books, c/o Tarvers Orchard, Sutton-under-Brailes, Banbury, Oxon, OX15 5BH
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BATLAA in wartime
Barts in wartime A previous issue of BLC contained an interesting article about the life of a medical student during the war by the late Richard Harrison (q Barts, 1944). As a supplement to this, here is an account of the impact of the war itself on student life. I started the preclinical course in September 1939. It was done in Cambridge where we were accommodated in Queens’ College and were fortunate in having all the advantages of Cambridge life with none of the disadvantages. For instance, in town in the evenings we were immune from the attentions of the proctors although it was compulsory to wear a Barts badge instead of a gown. The only snag was that we had to share rooms, with two students occupying rooms meant for one. Unfortunately my roommate arrived first and commandeered the bed so I slept in a sleeping bag on an inflatable mattress on the floor. Doctors were desperately needed for the armed forces so the course for the 2nd MB could be taken in only one year – the notorious “46 week course”. We had a one week break at Christmas, one week at Easter and four weeks in the summer but the exam was taken immediately upon our return so the break was spent, not on the beach, but in frantic revision. The 46 week course was later abandoned as being too stressful.
We must have worked extremely hard but still seemed to have plenty of time for other activities. For example, there was a Barts eight on the river which took part in the “bumps” races. We played squash on the college courts and there was superb skating on Lingay fen during the harsh winter of 1939-40. Most of us had bicycles with the traditional basket for books on the handlebars so we often explored the surrounding countryside. I bought a second hand bike for 10 shillings (50p). At the end of May 1940, the evacuation from Dunkirk took place and one evening a large number of soldiers arrived at the college in buses. We spent the night in the kitchens making huge corned beef sandwiches and steaming mugs of cocoa which we took round to the exhausted men resting on all the lawns. In June 1940 we experienced our first air raid during which bombs landed on the town and several people were killed, including one of the college waiters. This really brought things home to us; these
Fig 1: The “Hill Billies”, an item from Fountain Follies – (l-r) George Morse, Mac Dowling, David Moffat and Stuart Stephen
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were the first civilians killed during the war. One of the bombers was brought down in the Gog-Magog hills about four miles away and we cycled over to inspect the wreckage. Our rooms were decorated with pieces of Heinkel for a long time afterwards. As soon as the 2nd MB was over, the successful candidates travelled to Hill End hospital in St Albans, for their first clinical year. We were taught by Barts clinicians, including James Paterson Ross (later Sir), Professor of Surgery. At that time there was a severe shortage of surgical gloves and Professor Ross experimented with operating without gloves. It seems strange nowadays that the worry was the danger to the patient, not that to the surgeon. We had a rota for sleeping on the wards (in a side room if we were lucky!) in order to help with the evacuation of the patients in the event of air raid damage. The hospital was never bombed although a stick of bombs fell on a row of houses just outside the hospital causing numerous casualties and the windows of our common room were blown out. Fortunately it was lunch time so the room was empty. The hospital had a large assembly hall and there were Saturday night dances and, on Wednesday evenings, classes in Scottish dancing which were very popular. There was also a fully equipped stage that was used for various productions. On one occasion we did a play called Death on the Table, in which the main scene was a murder in an operating theatre. The programme contained the acknowledgement: “Furniture begged, borrowed or stolen from this hospital”. The performances were open to the public and, as stage manager, I had to make the obligatory announcement before each show started: “In the event of an air raid the curtain will be lowered for five minutes when those who wish to leave the theatre may do so. The performance will then continue”. I don’t think I ever saw anyone leave, even in the London theatres. After a year at Hill End we proceeded to Barts itself where many of us took advantage of free board and lodging in the West Wing, in exchange for being on call 24/7 for duty in Casualty (A&E) and the operating theatres. During busy periods we had to work extremely hard, especially in the treatment of multiple injuries, and thus gained valuable
BATLAA in wartime
Fig 2: The Islington Mobile First Aid Unit (note the double doors on the back of the ambulance, a converted bus)
experience early on in our careers. Our rooms in the West Wing were somewhat primitive. Access to them was via the fire escape because the main staircase had been destroyed. They were very badly heated and the furniture was fairly basic. Most of us bought small (and strictly forbidden) electric fires so the fuses often blew. On one occasion I went down to replace a blown fuse and found that in many cases the fuse wire had been replaced by thick copper wire by person or persons unknown. We also managed to salvage some quite good furniture from bombed buildings on the hospital site. Formal lectures were infrequent and took place in the Old Anatomy Lecture Theatre in Charterhouse Square. Most of the other buildings around the Square had been destroyed or damaged and the green was occupied by a barrage balloon with a crew of RAF personnel. Their CO had boasted to one of the consultants that the site was impregnable in the event of an invasion and after an argument they had a bet about whether it could be captured by a platoon of students. We were armed with “hand grenades” made of paper bags filled with sand and we had to wear coloured ribbons pinned to our chests. They had rifles and there was a machine gun in the tower. If any of us were visible long enough for one of them to call out the correct colours, we
were “dead”. We infiltrated the bombed buildings under cover of a smoke bomb, killed most of our opponents and won the day. We entertained the RAF in the Vicarage (see below) that evening, and had an excellent party. At Christmas, students and housemen put on the traditional “Ward Shows”. There were three or four of these and we went round the wards on Christmas afternoon giving a variety performance in each (Fig 1). We also enjoyed our own pub, “The Vicarage”, situated in one of the network of tunnels under the hospital. It was furnished by Whitbreads brewery, the only brewery in the City of London, and had a fully equipped bar with the usual trimmings, a dart board, shove-ha’penny board and a complete range of glasses. We took it in turns to act as barmen. On the night we qualified, one of our number had the soles of his feet blackened and, with adequate support, walked up one wall, across the ceiling and down the opposite wall. His footprints were varnished over and, I believe, were a feature of the Vicarage for a long time afterwards. We finally proceeded to Friern Hospital, in north London, the old Colney Hatch mental hospital. It still had about a thousand of the original patients and had the longest corridor in Europe, one third of a mile long, which presented some difficulties for ward rounds.
One house surgeon did his night round on a bicycle and another on roller skates. During our time at Friern, many of us took jobs to bolster our finances (there were no grants in those days). I worked at Islington Mobile First Aid Unit (Fig 2). Luckily, at that time, there were very few air raids so I spent my evenings on a deck chair in one of the decontamination rooms with Bailey and Love on my lap. Many others had jobs as scene shifters in the London theatres but by far the most popular jobs, with a huge waiting list, were for two spotlight operators at the Windmill Theatre, illuminating the scantily-clad showgirls. Because of the need for more doctors it was possible to take the final “Conjoint” exam (MRCS, LRCP) after only two and a half years clinical work and many of us did so in order to get into one of the services as soon as possible. I took advantage of this so was able to qualify at the age of 21, joined the Navy and didn’t complete my degree until many years after the war when I took the final MB and the final FRCS in the same year. All in all, being a medical student during the war was very hard work with no holidays but was otherwise an unbelievably enjoyable and stimulating experience that I wouldn’t have missed for anything. Professor David Moffat q Barts, 1943
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BATLAA in wartime
Barts in Herts...the story continued On the outbreak of World War Two in September 1939 the medical and surgical professorial units, together with the specialised eye, ENT and orthopaedic wards of St Bartholomew’s Hospital, were evacuated to a mental hospital at Hill End, St Albans In addition, specialised regional thoracic and neurosurgical units were established under JEH Roberts and Oswald Tubbs, and John O’Connell respectively. The professorial units returned to London at the end of the war, but the regional units remained in St Albans until 1961. In 1953, Oswald Tubbs was invited to contribute to a book on operative surgery and he asked the artist Robert Lane to illustrate the work, for which he took preliminary photographs of the various stages of thoracic operations. He was, of course, also able to observe the general scene in the operating theatre. A cartoon depicts the situation shortly after the arrival of OST, as he was always called,
from his home in Highgate. The artist with his paintbrushes on his back is shown in the foreground whilst endeavouring with difficulty to take a photograph of the anatomy of the lung which is being pointed out by OST. The chest had previously been opened by the senior registrar, the writer of this article, who is shown separating the ribs prior to the insertion of a self-retaining retractor. The consultant anaesthetist, Ronnie Bowen, is studying the patient’s vital signs and is assisted by his new senior registrar, Tom Boulton, who is depicted killing stray insects during quiet periods of the operation. He was nevertheless subsequently appointed to the Barts consultant staff. To the left of the surgeon is Sheila Kellock, the
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three-handed theatre sister who, with one eye is threading a needle and, at the same time, with the other eye and a third hand, is seeking an instrument demanded by the surgeon. Beneath the drapes covering the patient is a nurse’s hand retrieving a swab from the floor which had been dropped by the surgeon. On the left is the indispensable theatre technician who was so expert at manipulating the portable light to illuminate an important area of the interior of the chest. He has just witnessed through the window, the arrival posthaste from London of our revered chief, whose vintage Bentley invariably had a leaking radiator. One of the many tasks of OST’s dutiful and very loyal secretary, Joan Selves, was to replenish the water prior to the return journey to Highgate. The time is shown as 9.35am; this must have been a day with little traffic for the surgeon’s arrival time was usually around 10am. Raymond Hurt q Barts, 1944
Elective support Our current students are supported by bursaries from the Barts and The London Medical and Dental Benevolent Funds which help them with the expense of undertaking electives both in the UK and overseas. To support BATLAA electives, download a Gift Form at www.qmul.ac.uk/alumni/supportingqm/batlaa
Medical electives A Belize excursion Dr Jonathan Anthonypillai (q Barts and The London, 2012) writes: “I completed my elective at the Western Regional Hospital in a small town called Belmopan, in Belize. It was a fantastic opportunity to see medicine practiced with the same core fundamental skills that I have seen within the NHS, however, applied very differently. I spent my time in general medicine as doctors at the hospital are not separated by specialty; there being only the clear division between medics and consultants. Patients present to the hospital very differently to how they do in the UK. For example, medical practice in the UK is directed at preventing diabetes and its complications. I did not see much of this in Belmopan, instead patients were cared for once they had developed complications and had come in to the hospital. The emphasis was on treatment rather than prevention. Thus, I was able to see patients with far gone complications; ones that I had not previously seen much of at hospitals in England.
The poverty of the country was evident within the hospital. Equipment routinely available in NHS hospitals was not present at the Western Regional. Lack of imaging tools made diagnosis heavily reliant on patient history and examination. The experience taught me how much a thorough examination combined with a good history can truly reveal. Although frustrating at times, because so many of the problems that patients came in with could have been prevented, my work at Belmopan was a fantastic personal experience that I greatly value.”
Hue Central Hospital in Vietnam Dr Samantha Baillie (q Barts and The London, 2012) writes: “I travelled with three colleagues to Vietnam for our medical elective. A 16-hour flight landed us in Ho Chi Minh City where we were immediately introduced to Vietnamese heat, humidity and terrible driving skills, which we would eventually become accustomed to. Fortunately these discomforts were easily compensated for by the amazing food, cheap beer and friendly locals. From Ho Chi Minh we headed north to central Vietnam where we joined the gynaecology team at Hue Central Hospital. The patients we met had unwavering trust in the doctors and many were uninterested in the medicines they had been given or the procedures they had undergone. This was a noticeably different experience to the UK, where patients are extremely well informed about their diagnosis and management. During our stay we were lucky enough to also visit the traditional medicine department which specialises in herbal medicine and acupuncture. It was fascinating to see these traditional practices used alongside modern drugs and therapies. We also visited a number of clinics and projects in isolated rural areas which were designed to improve the living conditions of the poorer Vietnamese. Simple measures such as teaching good hand washing techniques and providing birth control has made a huge difference to the lives of the local tribes. It was a fascinating trip and I would love to return to Vietnam one day as a more experienced doctor.”
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Studying neurocysticerosis in India
New York, New York! Dr Sarah Zulaikha Samad (q Barts and The London, 2012) writes: “My elective was spent in New York City, more specifically the College of Physicians and Surgeons at Columbia University. I spent three weeks in the plastic surgery department at the New York Presbyterian Hospital (NYPH) and four weeks in paediatric haematology, oncology and bone marrow transplant (BMT) at the Morgan Stanley Children’s Hospital of NYPH. The elective was part of an exchange programme between the School and Columbia University. During my three weeks in plastic surgery, I spent most of my time in the operating theatre observing procedures, which included breast reconstruction following mastectomy, tongue reconstruction following the removal of a tumour, and cleft lip and palate reconstruction. I was scrubbed for most of the procedures, and received a lot of teaching from the surgeons. I also attended ward rounds with my fellow interns, learnt a lot about wound dressing and was able to observe the peri-operative management of patients. In paediatric haematology, oncology and BMT, I was allocated at least two patients for whom I was responsible and had to present during the daily ward rounds. I found this useful as I got to know the patients and became more attentive during ward rounds. I learnt much about the management of oncology and BMT patients, which included the prophylactic use of antibacterials and antivirals, and also the management of complications like mucositis and other effects of immunosuppressive treatments. It was difficult seeing children with malignancies, and I felt that the placement has really made me appreciate what I have and realise that there is more to life than work.”
Dr Simran Grewal (q Barts and The London, 2012) writes: “I decided to spend my elective in India, where I grew up. I was mainly based at St Joseph’s Hospital, the largest hospital and also one of the oldest in Delhi with over 700 beds. Most of my time was spent in the neurology and cardiac care units. On entering the hospital grounds I was confronted by what resembled a large campsite, with dozens of beds laid out and prospective patients lying in the sweltering heat. While the hospital is not government run, it is heavily subsidised and gets a rich influx of donations, therefore the price of treatment approaches affordability for some of India’s burgeoning middle-class. The result is that the hospital is almost laid to siege by patients day and night and its corridors are full to the brim. While the hospital does its best, it appears that the burden is great; security is under strain and arguments ensue in the Delhi sun. My time in neurology was spent working with two consultants (one of whom had spent time at Barts and The London doing research about 15 years ago!) in a general medical ward with neurology patients, as well as outpatients. Infectious diseases with neurological manifestations, such as cerebral TB, were far more commonplace than I had expected. Thus, I learnt a lot more about the leading cause of epilepsy in the younger population in India, neurocysticerosis. This is a pathogen that I had known little about prior to my elective. The disease is spread via the faecal-oral route through contaminated food and water; after ingestion the eggs pass through the lumen of the intestine into the tissues and migrate preferentially to the brain and muscles where they form cysts that can persist for years. In some cases the cysts will eventually cause an inflammatory reaction presenting as painful nodules in the muscles and seizures, when the cysts are located in the brain. Indeed it is the most common helminth infection in the brain worldwide. Learning about this disease with the clinical presentation of young people was invaluable. Cardiology was also an amazing experience. This was mostly ward-based in the cardiac care unit. Patients were rushed in and the turnover was quick. Interestingly, the junior doctors took far more responsibility on the ward, with up to three days without any senior doctor attending the ward. Sometimes things did become
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chaotic and veered on the unsafe; in one instance a patient with ventricular tachycardia was cardioverted without sedation. The patient was restored to sinus rhythm but still required angiography and stenting. However, he could not afford this treatment and was subsequently discharged despite having significant ECG changes. This gap between rich and poor was also exemplified in the difference between private and general outpatients. Consultations in the general OPD were far busier, it being usual practice to have two patients in the consultation at the same time; one waited inside the room while the other received the consultation. The speed of the consultation was also far quicker due to the sheer volume of patients. In comparison, the private OPD still retained a sense of time pressure, although the consultations were lengthier. The level of patient interaction and education was far higher but patients still had to wait hours for appointments. This system remains mainly accessible to the middle-class in India. I enjoyed my elective at St Joseph’s immensely; the staff were friendly, the patients wonderful and the frantic environment stimulating. I came with the intention of learning more about working as a doctor in India as it is a realistic future plan of mine and this experience has certainly not dented that aspiration. The bursary I received helped me to pay for my accommodation at the hospital, as well as food and plenty of drinking water – temperatures during the day rose above 40 degrees Celsius! The support was invaluable in enriching my experience and I am deeply thankful to BATLAA.”
More elective reports appear on page 33
THE LONDON HOSPITAL DENTAL SCHOOL: A CENTURY OF ACHIEVEMENT By Professor Stanley Gelbier
All archive photographs ÂŠ Royal London Hospital Archives and Museum
The Institute of Dentistry at Barts and The London, School of Medicine and Dentistry, part of Queen Mary, University of London, is a leading dental school with 411 undergraduate students, 30 trainee dental hygienists and therapists, 30 trainee dental nurses, 124 postgraduates on taught courses and 45 PhD students. The high standard of research is widely acknowledged. So where did it all start?
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Conservation Room, 1911
Beginnings In September 1740, The London Infirmary (renamed The London Hospital in 1748) was founded to care for sick poor people, merchant seamen and the East End’s ‘manufacturing classes’. In 1785, it transformed to include England’s first medical school, The London Hospital Medical College, which pioneered teaching theory, as well as clinical skills. In June 1990, the Hospital celebrated its 250th anniversary by becoming The ‘Royal’ London Hospital.
on their gums. In general, the population suffered from severe tooth decay, oral sepsis and abscesses. People died from poor treatment, and no dentist at The London could provide the necessary care. By the late nineteenth-century, many from across the social classes had lost all of their teeth by the age of 30, including Queen Victoria. As sugar cheapened and the Industrial Revolution made money more readily available, disease spread through the population, but poorer people, in particular, could not afford treatment when it became available.
Disease in the nineteenth-century Some patients had severe conditions with oro-facial manifestations, including tuberculosis. East End factories produced patients with mercury and arsenic intoxication, and ‘phossy jaw’ (decay of jawbones from yellow phosphorous fumes) was especially rife at Bryant & May’s matchbox factory in Bow. At other accumulator factories, staff had lead lines
Providers of Victorian Dentistry Most dental treatment in the nineteenthcentury comprised of extractions. Surgeondentists treated the rich whilst those of the middle classes sought care from dentists who had been apprenticed for five to seven years. The poor, however, were treated by quacks with few skills, applying medicaments to the gums and extracting
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teeth at street markets – drums and bugles were played to drown out screams in the days before the availability of anaesthetics. Additionally, blacksmiths of this and previous eras made forceps and sometimes used them to ‘practise’ dentistry. Barbers and other traders also provided dental treatment as a sideline. In 1700, William Norman of Stepney called himself a ‘peruke [wig] maker and operator of the teeth’. In 1856, a number of eminent surgeondentists petitioned the Royal College of Surgeons of England for an examination in dental surgery, forming the Odontological Society of London, the Dental Hospital of London just two years later in Soho Square, and the London School of Dental Surgery the following year.1 An 1859 charter for the Royal College of Surgeons empowered it to examine candidates and award certificates of fitness to practise dental surgery and the first 43 people gained their Licence in Dental Surgery (LDS) – the first dental qualification in the United Kingdom – in March 1860. People preferring the profession’s development apart from surgery formed a College of Dentists of England in 1857. Their Metropolitan School of Dental Science opened four days after the Dental Hospital, but did not make adequate arrangements for clinical experience until 1861, when the National Dental Hospital was established on Tottenham Court Road.2 Just two years later, the Odontological Society of Great Britain was formed, providing an important focus for dental science and learning through meetings and Transactions.
The London Hospital and Dentistry Henry Barrett lectured on dental surgery to medical students. The need for dental support was first raised in July 1855 by the Hospital’s House Committee, suggesting extractions should be supervised by students, but the Committee pointed out that The London was one of very few hospitals without a trained surgeon-dentist. Barrett thus advised The London to appoint someone who had studied dental surgery to supervise students and carry out complicated procedures, and that a room should be equipped with a chair and instruments. The Committee agreed and suggested that the post be offered to Barrett himself; he became the first surgeon-dentist and started lecturing on dental surgery to medical students in June 1857.
The Dental Department opened that October and two months later Harold Chambers, probably a senior pupil, became an assistant dentist – in Barrett’s absence, extractions were carried out by unsupervised pupils. In 1874, Henry Barrett was replaced by AW Barrett, who was then succeeded in 1896 by William Dolamore and George Cunningham. Within three years, the latter was succeeded by Francis Farmer, and Dolamore resigned in 1907. Francis Farmer quickly developed ideas for a Dental School and, by November 1910, the Medical Dean, William Wright, brought a proposal to the House Committee to extend the facilities of the dental department for the teaching of 40 students, which required more accommodation and dentists. The College Board’s dental sub-committee discussed this and, in March 1911, reported unanimous support, pointing out that many needy patients were being sent to Guy’s Hospital for treatment and that a Dental School would complement the Medical College. Although Francis Farmer had originated the idea, William Wright discussed it with his friend George Northcroft, an operative dental surgeon and President of the British Society for the Study of Orthodontics (BSSO) and the European Orthodontic Society. A few months earlier The London Hospital had declined a request from the London County Council (LCC) to treat school children, so was aware of potential demand and income for services. Two years later, when Sir Sydney Holland asked if the School could treat LCC children, it was agreed.3 The dental sub-committee said the scheme could proceed, provided there were 20 students to cover expenses. Three members of the Hospital Committee (Sydney Holland, Harry Buxton and ‘Mr Goeyz’) met three representatives from the College Board (William Wright, Francis Farmer and FJ Smith) to recommend that the dental mechanics laboratory should be provided on the roof of the outpatients theatre at a cost of £1,250; that the Medical College equip the lab; that the House Committee should lend £1,500-£2,000; that the School should be under the control of the College Board and that the cost of the upkeep of the School should be borne by the College. The Hospital and College accepted their ideas and agreed that a Dental School should open in September 1911, with the Hospital loaning it £2,650.
Appointment of staff On 20 July 1911, a committee of the Medical Council recommended the appointment of George Northcroft; George Paton Pollitt, an industrialist chemist; J Sim Wallace, co-founder of the BSSO and King’s Dental School; Francis Farmer; Harold Chapman, co-founder of the BSSO; and Evelyn Sprawson, a dental surgeon to Dr Barnardo’s Homes, and who is often referred to as ‘the father of The London Hospital Dental School,’ as surgeon-dentists (Table 1), to be paid on a daily wage.4 Later, the first lecturers were appointed, and all dentists had a Licentiate in Dental Surgery of the Royal College of Surgeons. In November, the College established a Dental Council (later Board) responsible to the College for dental matters, empowering the Dean, honoraries and EW Morris to equip the School for £500-£750. By December the College approved The London for the training of dental students, and in the 1911-12 academic year the School had four pupils. Although this number tripled the following year, The London still paled in comparison with the 170 students at Guy’s Hospital. There were short courses in dental metallurgy, mechanical dentistry, dental anatomy, practical histology, materia medica and dental surgery. Mechanics was important – much treatment was extractions, sometimes supplemented by the provision of dentures. The first clinical lecture was given by Harold Chapman in June 1912, and the following month the College advertised for two demonstrators and one house surgeon (salaries £75 pa), plus one dental mechanic (£208 pa). In the autumn, the Joint Dental Committee considered the appointment of an anaesthetist, and also experts able to train students for working with dentures. By March 1914, three dental students passed Chemistry and Physics, and in June the first students gained the Licence in Dental Surgery. That same year, staff argued that the four-year fee of £210 was excessive and the course too long, suggesting chemistry and physics should be studied before joining the School. In June, a meeting at the College of Surgeons proposed Latin should be optional, elementary biology introduced, less time spent on materia medica and mechanical dentistry – with more demonstrations rather than lectures – and that general courses in Anatomy, Physiology, Medicine and Surgery be replaced with special courses for dental students.
1 This was renamed the Royal Dental Hospital in 1903. 2 This later became part of University College Hospital. 3 Sir Sydney Holland served as Chairman of The London
Hospital and its House Committee. Additionally, he served as a doctor on the East and West India Docks, director of three banks and of the City & South London Railway’s development. He became 2nd Viscount Knutford in 1914. 4 Dr Barnardo’s Homes were established by Thomas
Barnardo, a philanthropist who provided homes and medical treatment for poor, displaced children in the East End; Barnardo had also attended The London as a student in the 1860s.
Table 1: Surgeon-dentists and dental surgeons to 1948 and the onset of the NHS Name
Year of appointment HJ Barrett MRCS 1857 AW Barrett 1874 H Dolamore MRCS LRCP LDS 1896 G Cunningham DDS (Harv) LDS 1896 F Farmer LDS 1899 H Chapman FDS 1911 EC Sprawson MC DSc LDS 1911 MRCS LRCP G Northcroft DDS Mich LDS 1911 GP Pollitt DDS Penn LDS 1911 J Sim Wallace MD DSc LDS 1911 HD Clapham LDS MRCS LRCP 1919 WS Herman LDS MRCS LDS 1924 AG Allen FDS MRCS LRCP 1926 GT Hankey OBE TD FDS 1928 MRCS LRCP WR Keizer FDS MRCS LRCS 1931 SG Allen FDS MRCS LRCS 1937 AEW (Loma) Miles FDS 1946 MRCS LRCP AM Horsnell AO FDS 1948 MRC LRCP
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World War One The war drew away staff and potential students. June 1915 saw £774 of debt lead to the closure of the department for three days a week, and in October it was incorporated into the Hospital. The remaining students, complaining of a lack of staff, transferred to Guy’s Hospital, although attending some practicals at The London. During the war, Francis Farmer was knighted for his work in repairing facial injuries and Evelyn Sprawson was awarded the Military Cross for gallantry in the field.
Sir Francis Farmer
Director of Dental Studies After the war the School restocked, contacted ex-staff and appointed new members. In January 1919, its re-opening was approved by the Medical College and it was agreed that an application would be made for a grant from the Board of Education to appoint a ‘well-qualified dentist’ to undertake treatment, in addition to the honoraries. Evelyn Sprawson was appointed part-time Director of Studies and by May there were 16 students. The gas room was open for three days a week, but, by December, the demand for treatment could not be satisfied. George Pollitt and Francis Farmer resigned in 1920 and George Northcroft gave way to a younger specialist. Two part-time demonstrators were also appointed and the Dean suggested paying teachers. In 1921, the Medical College shared its overall grant and fees with the School.
A closed profession In the 1919-20 academic year the School was down to just 36 students and conservation chairs were reduced from 36 to 24. An official report painted a horrific story of treatment by unqualified practitioners and recommended future specialists should be trained, examined and registered.5 The 1921 Dentists Act created a closed profession and the establishment of the Dental Board of the United Kingdom, which levied registration fees from dentists. It was also realised that more dentist-training would be needed, as by 1922 the 100 students faced a shortage of conservation patients. The immediate post-war entrants included ex-servicemen and some students who claimed credit for time spent studying before the war and who therefore did not do the full course. In 1926 there was concern at only 18 new entrants, reaching a total of 66 students registered. This trend continued and, by 1939, there were about 40 students. That April, Evelyn Sprawson told the Dental Council
that measures were needed to improve the poor environment and student pass rate.
1930s drive for expansion Between 1920 and 1930 there was terrible poverty in the East End and annual patient attendances rose by 9,000 to 22,000, including 5,600 new patients. With only 40 students, facilities became overcrowded. Regardless, a 1930 Dental Board visit recommended more sessions. In May that year, the Board granted funds towards the salary of a full-time Demonstrator in Operative Dental Surgery.
World War Two On 2 September 1939, the day before the declaration of war, the Medical College moved to emergency hospitals; the pre-clinical school went to Cambridge.
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At Claybury Mental Hospital, Essex, Evelyn Sprawson and Arthur Maxwell (Max) Horsnell established a Conservation and Prosthetics theatre with seven chairs and four units, radiography, a large laboratory, a comprehensive tutorial programme and a clinic. Third-years continued to go to Whitechapel for clinicals. By December there were no air-raids, so all returned to London. The Blitz of September 1940 to May 1941, however, proved the return to the capital had been premature, as the Outpatients theatre was hit by incendiary bombs; windows were shattered but there were no serious fires. In response, Horsnell joined the RAF. On 3 August 1944, the East Wing of the Hospital was destroyed by a V1 flying bomb; two patients were killed and two nurses badly injured, but the Hospital stayed open.
DENTAL BATLAA Centenary feature
In April 1940, Albert Edward William (Loma) Miles came from the Royal Dental Hospital in Leicester Square as Clinical Assistant in Prosthetics. At the end of the war in 1945, the College was re-established in Whitechapel, and ambitious plans to expand the institution came to the fore. A committee examining its post-war needs recommended in-patient facilities and a four-fold increase in floor area for Dentistry to 16,500 square feet.
Beveridge and Teviot Reports The 1942 Beveridge Report, commissioned by social reformer and economist William Beveridge, recommended a comprehensive health service for all with ‘preservative dentistry’ an essential element. Baron Teviot’s interim report two years later examined the details before recommending that a comprehensive dental service be made available, exclusively financed by public funds, that the state should finance increased student numbers, building programmes for existing and some new schools, and sufficient, adequately remunerated teachers enabled to carry out research. The College examined post-war needs when considering the implications, including dentistry, and concluded that the School should have a full-time professor and reader in Dental Surgery, six senior dental surgeons and four part-time demonstrators, but no increased staff numbers. In March 1945, the College set up a Dental Teaching (Education) Committee to include the Professor of Dental Surgery, Director of Dental Education, teachers in clinical dentistry and the Professors of Anatomy and Physiology. The Chairman of the College Board, Dean and Secretary of the College were the ex-officio members. That June, the University Grants Commission (UGC), University of London and the College agreed an entry of up to 25 dental and 100 medical students.
more money for the School. Eventually all students took the degree, following a four-year, one term course until 1990.
The post-war era Evelyn Sprawson planned to retire in September 1946 and so the University of London was asked to appoint a full-time Professor of Dental Surgery. However, there was no full-timer until 1950 when Loma Miles became Professor of Oral Pathology and Histology, and Dental Surgery was taught by an honorary. In October 1946, Miles became an honorary dental surgeon, then reader the following year, and it was decided that future teachers of honorary rank should have medical, as well as dental qualifications. The 1946 entry of 20 students, many ex-forces members, raised the total to 44. By 1947 there were insufficient chairs to cover patient numbers so the LCC Clinic was asked to leave the premises and, in 1948, it was decided that the entry of postgraduate students be refused. Some junior staff, however, were trained for the new exam to become Fellows in Dental Surgery of the Royal College of Surgeons. In November 1946, Max Horsnell changed from registrar to Demonstrator in Conservative Dentistry (later part-time Director). Together with Miles he greatly influenced developments and amid great support for a strengthened School, the College stressed the need for a high-grade lecturer or reader for each department.
This was an era of many improvements in conservative and prosthetic materials, and the 1948 introduction of NHS dentistry produced a demand for extractions and dentures. Practitioners and The London were swamped and the much increased cost to the NHS was enormous. As a result, charges were introduced for dentures in 1960, the first break from a free NHS.
5 F Dyke Acland MP, Report of the Committee on the
Extent and Gravity of Dental Practice by People Not Qualified Under the Dentists Act, 1919 6 S Gelbier, ‘Dentistry and the University of London’,
Medical History, 49 (2005): pp445-62 7 Gordon Seward later became Professor of Oral and
Maxillofacial Surgery and Dean. John Carter, who qualified from The London in 1972, said of Professor Seward, ‘He has been for a long time my mentor and has helped and guided me through my career.’
University of London BDS degree In 1922, the University established a Bachelor of Dental Surgery (BDS), though few students took it as the exams clashed with the Licence in Dental Studies (LDS) course.6 By 1931, however, students could take both the LDS and BDS, and many did. In 1944 Gordon Seward joined The London, although he and a few others studied for the BDS without a proper course.7 From 1945 the Dental Board offered funds for additional posts and the UGC allocated
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Professor Evelyn Sprawson (appointed Dean in 1919)
Children’s Dentistry In the first quarter of the twentieth-century, Evelyn Sprawson developed links with Barnardo’s Children’s Homes, GR Curtis was a Lecturer in Children’s Dentistry and George Northcroft was also interested in paediatric dentistry. Overall, however, there was little interest in the subject until the late 1940s and few students treated children. Max Horsnell was Sprawson’s pupil, colleague and successor. His war service and private practice interested him in preventive and public health dentistry, and as a supporter of the care of children, he re-established links with Barnardo’s whilst Sprawson remained a consulting dental surgeon. In 1949 the Dental Council commissioned him, Harold Chapman and Herbert Wilson to consider proposals for a Children’s Department, to coordinate preventive, conservative and orthodontic treatments.8 It recommended the appointment of a full-time Director of Children’s Dentistry with sufficient junior staff and a full-time student dressership. The report was referred back and SG Allen joined the committee. A year later it recommended two sub-departments, Children’s and Orthodontics, each with its own chief and demonstrators, but with shared hospital junior staff; once again, consideration of an overall
Professor Max Horsnell (appointed Dean in 1945)
Director was postponed for three years. Horsnell’s departure for an Australian chair left the way for Geoffrey Slack to come from the Liverpool School of Dentistry in 1959 as Professor of Dental Surgery. He headed Conservation, Bacteriology and Children’s Dentistry (including Orthodontics). Slack made major strides in children’s practice at The London, in the United Kingdom and abroad, so changed his title from Dental Surgeon to Child Dental Health specialist. Later, Old Londoner David (Denis) Berman received the British Dental Association’s George Northcroft Memorial Prize for his outstanding contribution to Children’s Dentistry, re-joining The London as a demonstrator in paediatric treatment.9 Later appointments of Denis Berman, JS Bulman and Neil Swallow as senior lecturers were sponsored partly by Unilever and Proctor & Gamble.10
Research at The London In the mid-1930s Harold Chapman and Evelyn Sprawson became famous for their research and writing. The University of London awarded a Doctor of Science degree to Sprawson in 1933 for nine published articles on Physiology related to Dentistry. A 1936 application to the University for his promotion to professor was rejected,
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possibly because he was part-time – he eventually became Professor of Dental Surgery and Pathology in 1940.11 Although, Loma Miles came in 1940 to Prosthetics, he had an interest in Oral Pathology and Parodontology. Five years later he was appointed as a research worker and as Professor of Dental Pathology in 1950.12 By 1954 the School’s research was growing. Donald Soul was appointed as a research assistant to study root canal therapy, a study later continued by Ted Nichols, Neil Livingstone Ward and Ralph Grundy, who helped the Ministry assess the Watford Fluoridation scheme. 1957 saw the purchase of a major research tool – an electron microscope. The Dean reported that he, Loma Miles and Sir Richard John Harrison, Professor of Anatomy at The London, had met the Wellcome Trust, which agreed to fund one for the College’s Histology Department. The Dean thanked Professor Ron Fearnhead, previously a senior lecturer, for valuable guidance; Fearnhead later established an international reputation in electron microscope examinations of dental tissues, chiefly enamel, and was frequently referred to by his students at The London as ‘inspirational’. Loma Miles later obtained funds from the Medical Research Council (MRC) to
Professor Loma Miles
support the appointment of a research physicist – Jim Elliott, a crystallographer with a considerable reputation in ultrastructure studies of calcified tissues – and the Nuffield Foundation for a research assistant. Meanwhile, the Leverhulme Trust financed a year at Ibadan, Nigeria’s Department of Preventive Medicine for Aubrey Sheiham. In 1989, £82,000 purchased a Coordinate Measuring Machine, which used tactile or laser probes to record surface contours, including facial, to produce three-dimensional images and profiles. September of that year saw research end at the Royal College of Surgeons Unit at Downe, Kent, and its Hunterian Dental Research Unit moved to The London, remaining part of the Royal College of Surgeons’ Department of Dental Sciences under Newell Johnson. The seven staff included Roy Russell and David Beighton.13 Another collaboration of Newell Johnson’s was between the MRC Unit and Unilever Dental Research Labs, which provided £160,000 over three years.14
The advance of Dental Materials Reorganisation by the University of London of the Bachelor of Dental Surgery degree meant more time could be spent purchasing
Professor Geoffrey Slack (appointed Dean in 1965)
new, state-of-the-art equipment and expanding studies. S Francis Fish, Professor of Prosthetic Dentistry, began lecturing at the institution in the 1950s and oversaw the development of the study of Physiology by dental students. In 1961 a vacant post of Lecturer in Prosthetics was awarded to Michael Braden, a non-dentist teacher. He developed what became a foremost department of its kind, with major support for others as well as his own research.15 In 1990 Braden and Professor Robert Benfield of Queen Mary and Westfield College gained a South Eastern Regional College award for developing an Interdisciplinary Research Centre in Biomedical (including dental) Materials, with an annual budget of £250,000. Such favourable developments prompted the UGC to raise its endowment from the standard 16 to 20 per cent, allowing Braden to establish a joint department with the Eastman’s Institute of Dental Surgery at University College London (UCL). A major grant from the Higher Education Funding Council in 1998 allowed the development of two of the Dental Institute’s floors as a Centre for Oral Informatics, grouping together clinical and health services-related research to complement strong lab-based research groups.
8 George Northcroft and Harold Chapman both
served as President of the British Dental Association, and the former founded the British Society for the Study of Orthodontics. The Northcroft Memorial Prize continues to be awarded annually at the British Orthodontic Conference. 9 Denis Berman served as Secretary for the British
Paedodontic Society and the International Association of Dentistry for Children. 10 Neil Swallow later started a course on Children’s
Dentistry at Cardiff Dental School. 11 Evelyn Charles Sprawson, Who Was Who, A & C
Black, 1920-2008; online edn, Oxford University Press, Dec 2007 [http://www.ukwhoswho.com/view/article/ oupww/whowaswho/U2432301] 12 Loma Miles had worked with Sir Wilfred Fish
at the Royal. 13 David Beighton currently researches Oral
Microbiology at Guy’s Hospital. 14 Newell Johnson went on to become Professor of Oral
Health at King’s College London. He was awarded an OBE for services to Medicine and a CMG for services to Oral Microbiology. 15 Michael Braden later became a Professor of Dental
Materials Science. He was also the only non-clinician to be President of the British Society for the Study of Prosthetic Dentistry.
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Dental Dame Dame Margaret Seward (q BDS, The London, 1959) was the first woman to be elected to the General Dental Council, serving as President from 1994-99. She was President of the British Dental Association from 1993-94 and was appointed Chief Dental Officer from 2000-02. Dame Margaret was editor of the British Dental Journal from 1979-92 and the International Dental Journal from 1990-2000. She was awarded a CBE in 1994 and a DBE in 1999, making her the only Dental Dame. Her autobiography Open Wide: Memoir of the Dental Dame was published in 2010. In recognition of her work, the Medical College of St Bartholomew’s Hospital Trust
Community and Public Health Dentistry Geoffrey Slack changed emphasis by developing a Community Dental Health programme. He also strengthened The London by bringing in outside specialists, including Jack Bingay, First Director of the New Cross School for Dental Auxiliaries; Tom Liptrott, Second Director; Donald Norman, Chief Dental Officer of Hounslow; and Stanley Gelbier, then Chief Dental Officer of Hackney and specialist in the dentistry of deprived people, as Honorary Advisers in Public Health Dentistry; Colin Cowell, Senior Dental Officer at Unilever; H Colin Davis, Director of the Gibbs’ Oral Hygiene Service; and Margaret Seward, to undertake a study of Teething. Slack gained a number of important grants – £10,000 from Messrs Thomas Hedley to study the clinical effectiveness of stannous fluoride toothpaste; a MRC grant to appoint Ken Williams as Research Assistant in Children’s Dentistry; and Hedley and Unilever grants to appoint Denis Berman as Senior Research Fellow in Preventive Dentistry. 1960 saw Denis Berman transferred to support the New Cross School, though he returned to The London two years later as a Senior Research Fellow. Slack was a moving spirit for epidemiology at home and abroad, advising on training courses for the World Health Organisation. In 1963 he led a pilot study for the Nuffield Provincial Hospitals Trust, the stimulus for which was Sir E Wilfred Fish, President of
recently established the Margaret Seward Undergraduate Award to support the most academic dental student of limited financial means during their training.
the General Dental Council (GDC). The GDC provided £22,500 for a study of dental services in Stockton and Darlington, with JS Bulman as Senior Research Fellow, to develop and test epidemiological and associated sociological studies.16 In 1970 the MRC established a major Dental Epidemiology Unit with Geoffrey Slack as its Director. Utilising his considerable experience and epidemiological expertise, combined with the microbiological knowledge of Jeremy Hardie and George Bowden, a longitudinal study of caries in teenagers was carried out and changes in the microbial composition of dental plaque on caries-prone tooth surfaces was monitored. This highly ambitious and labour-intensive project involved much laboratory, clinical and support staff and generated an enormous amount of data. November 1975 saw the establishment of a Department of Community Dental Health when Geoffrey Slack’s chair was again re-named. The Department was responsible for the teaching of dental needs and the demands of the community, students’ understanding of dentistry’s role in society, the philosophy of professional service and NHS practice management.
Oral and Maxillofacial Surgery The early surgeon-dentists were actually tooth extractors, but they slowly developed other oral surgery skills. They were replaced by dental surgeons (Table 1), then consultants from the onset of the NHS.
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World War One vastly increased their skills and range of operations, and by 1926 there were two ‘gas’ and one local anaesthetic rooms where all surgery took place. Until the 1930s there was no operating table, only a folding recovery couch, no patients were admitted to a bed until 1929 and for one-night post-operation only. After a death in 1937 patients were also allowed a one-night pre-operative stay. Only after World War Two were dental patients treated in Hospital theatres. In February 1950 the House Governor was convinced one male and two female beds were insufficient, so added another for males. Superb consultants expanded The London’s expertise and knowledge. Starting in 1928, George Hankey began pioneering mandibular osteotomies and temporomandibular joint surgery. SG Allen pioneered, at The London Hospital Annexe at Brentwood, Essex, the treatment of oral cancer with intra-oral radium in 1941. He and part-timers William Keizer and Arthur Allen also held weekly operating lists to remove impacted wisdom teeth and cysts. In 1959 Gordon Seward became a full-time lecturer, becoming reader and honorary consultant three years later, before becoming Professor of Oral Surgery in 1968.17 He was awarded a CBE in 1990. Other consultants included Hugh Cannell, Patrick James and Terry English.18
Radiology A radiology course was first proposed in 1913. By 1922, staff stressed radiographs were poor, and so the School sought its own apparatus after the House Committee agreed to pay half the cost; it finally appearing in the Outpatient Radiographic Department in 1926. The following year the Hospital paid for a radiographer, as most x-rays were for diagnosis rather than teaching, and it was not until 1942 that the School had a dental radiography unit and service. Rita Mason became the first Tutor in Dental and Maxillofacial Radiology in Gordon Seward’s department in 1972.
Major developments in the 1960s The School was strengthened in 1961 when Harry Allred came from the Manchester Dental Hospital to practise Conservative Dentistry at The London, followed later that year by Roy Duckworth to Oral Pathology. In 1962 the UGC gave the University of London earmarked funds for new developments; £197,000 for The London allowed the appointment of new teachers for dental students.
In 1968 the Hospital continued to gain accolades, as Roy Duckworth confirmed fluoride toothpastes reduced decay on proximal tooth surfaces, Geoffrey Slack and his colleagues studied the effects of chewing gum in Crete, and Denis Berman and Geoffrey Slack also carried out a major study of caries in Essex and Kent schoolchildren.19 The same year saw Oral Microbiology and Periodontology split from Oral Pathology, with Roy Duckworth as professor of the former. As a result of Loma Miles’ efforts, Newell Johnson joined as Reader in Experimental Oral Pathology. The 1967-72 Quinquennium report reviewed the School’s aspirations – improvements in research, preventive dentistry, materials, fluoridation, treatment of more elderly people, the employment of operating auxiliaries and an awareness of social factors relating to oral health. An economic crisis in 1967 curtailed funds for the College’s plans for building expansion and equipment purchasing. Two years later the Hospital’s annual overspend was £101,000, but the School gathered sufficient funds to the end of the Quinquennium. In spite of the spending limits, the electric motors (2,500 rpm) were replaced by high-speed airotors (250,000 rpm).
Professor Roy Duckworth (appointed Dean in 1969)
Experimental Dental Care Project In 1970 Harry Allred, Roy Duckworth and Geoffrey Slack gained a two-year grant, later extended, from the Department of Health and Social Services (DHSS) to test methods of training dental teams and improving leadership in general practice. Harry Allred was Director of the Experimental Dental Care Project, which consisted of a Research Care Unit to test ideas and techniques of training and organisation, a Training Unit to teach undergraduates’ modes of operating and a Community Care Unit to examine ideas in a ‘test’ in the General Dental Practitioner (GDP) setting. A final report to the Department was supplied to the DHSS.20 A 1980 Nuffield Foundation committee, with Geoffrey Slack as a member, examined dental education. It recommended closure of the New Cross School for Dental Therapists, which happened in 1982.21 In July the DHSS funded a School for Therapists at The London, training eight trainees for two years to qualify as hygienists-therapists. The first Director, Stuart Morgenstein, was replaced in 1989 by Dayananda Samawickrama, affectionately known
as ‘Professor Sam,’ who developed a scheme for Dental Orderlies, training people unemployed for six months to provide assistance in dental clinics. After 48 weeks, most trained as dental nurses, but the scheme ended in 1994. Professor Sam was then succeeded by Elizabeth Davenport the following year.
16 JS Bulman, ND Richards, GL Slack and AJ Willcocks,
Demand and Need for Dental Care: A Socio-Dental Study for the Nuffield Provincial Hospitals Trust (Oxford: Oxford University Press, 1968) 17 This was commonly referred to as Oral and
Maxillofacial Surgery from 1990. 18 Hugh Cannell served as personal tutor for 1984
qualifier Warren Law, who said of his mentor, ‘Without him I wouldn’t have qualified’. 19 PG Gray, JE Todd, GL Slack, JS Bulman, ‘Adult Dental
Health in England and Wales in 1968: A survey carried out for the Department of Health’, (London: HMSO, 1970); DS Berman and GL Slack, ‘Dental Caries in English School Children: A Longitudinal Study’, BDJ, 35 (1972): pp133-5 20 H Allred et al, ‘Assessment of the Quality of Dental
Care’, Report to the DHSS 21 Nuffield Inquiry into Dental Education, 1980
Professor Gordon Seward (appointed Dean in 1975)
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The 1970s October 1976 saw the separation of Prosthetics and Materials Science and a new Department of Oral Microbiology under Jeremy Hardie. September of the following year saw the end of an era, with the retiring of Loma Miles, Francis Fish and Geoffrey Slack. To ease the situation Loma Miles retired a year early, with Newell Johnson elevated to the Chair.
Mergers and Developments In 1983 Aubrey Sheiham was appointed to a Chair in Community Dentistry and Dental Practice at University College London (UCL) before merging it with The London’s department. 1990 saw two joint departments established with the Eastman’s Institute of Dental Surgery – Pathology and Materials with David Williams and Michael Braden as heads. In 1994 Oral Microbiology joined with the Eastman under Professor Crispian Scully.
Postgraduate courses 1926 saw the introduction of the first postgraduate course for naval dentists, the School hosted a meeting of the British Dental Association’s Eastern Counties Branch and some finance from the Dental Board assisted its education programme. In the 1930s there were courses in Orthodontics and Prosthetics, but it was not until the 1950s that it was agreed that
improvements should be made to improve the School’s postgraduate teaching. Ten students were taught for the British Postgraduate Medical Federation. In the 1950s Max Hornsnell extended the Old Londoners’ Clinical Meeting to two days, a format that continues, and by the 1960s there was a plethora of courses in all subjects, including a series of programmes for people, especially women, returning to dentistry after an absence. However, the explosion of postgraduate taught courses only really began in the late 1990s with large programmes in Dental Public Health taught by Ray Croucher, Experimental Oral Pathology by David Williams, and Robin Heath in Gerontology. It was also at that time that Fred Smales and Paul Wright developed the two-year Masters of Clinical Dentistry in Periodontics and Prosthodontics course, later to be expanded to a three-year speciality training programme. Payal Sharma (q BDS, Barts and The London, 2008) credited Paul as being ‘really instrumental’ in the major changes which occurred in the 90s and noughties.
Premises for Dentistry By February 1920 the School claimed a lack of space for the 37 students and crammed 13 ex-army chairs into the Conservation Room. Therefore, when the UGC increased its allotment to the
College that year it was decided that it was to partially go towards improving Dentistry. Evelyn Sprawson suggested increasing the capacity of students to 47 students and weekly patients to 320. By 1925, 7,000 patients attended on 21,500 occasions in massively-overcrowded accommodation, and the following year Sprawson told the Dental Council about the need for improved accommodation and equipment, both of which paled in comparison with other schools. Ten years on and 1935 brought another crisis – with 37 students instead of the average 43, the House Governor was concerned about the capacity for performing fillings and dentures. The School wanted 100 students, but Arthur Allen, Assistant Director of Dental Studies, informed him of the lack of space. Many requirements were listed – more space in Outpatients (eg for extractions), enlarge Conservation and Prosthetics, set up Dental Radiography and Demonstration rooms, plus add new units and a porcelain furnace. Thankfully some money was provided by the Dental Board, Hospital Committee and the Dental Council. The following year, in 1936, the School occupied parts of the Outpatients wing, holding the main clinic plus Orthodontics, Phantom Head, Prosthetics, and a general anaesthetics room. Consequently, the
Top prize for Dental Student Mark Franks, a third year dental student, won the British Dental Association (BDA)/ Dentsply Student Clinician Award in March 2013. He received the award for his presentation, ‘A novel approach to designing a rechargeable fluoride battery’, which outlines research into the design of a device that can provide a slow constant release of fluoride at the tooth surface. Mark’s research was a collaborative effort with fellow undergraduate student, Corwin Ezra Hine, with contributions and academic support from Dr Mangala Patel, Professor Robert Hill, Dr Sandra Parker and Dr Natalia Karphukina. Speaking of his award, Mark said: “It was fantastic to be announced overall winner and was far beyond my expectations. Corwin and I are both current third year dental students, which leaves us two more years to further develop this
research. It will be exciting to see where it goes from here.” As the national winner, Mark will be invited to the American Dental Association meeting in New Orleans this October as a guest of dental supplier, Dentsply. He also won a £10,000 research grant for the Institute to support further undergraduate research projects.
(l-r) Mark Franks with Corwin Ezra Hine
Professor Harry Allred (appointed Dean in 1979)
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Professor Fred Smales (appointed Dean in 1989)
School sought a new building that June. Archie Clark-Kennedy, the new Medical Dean, asked the Dental Board for support, as visitors in January 1939 reported a serious lack of accommodation and a need for improvements. The Board agreed a grant of £4,000 provided the Hospital provided the balance. The Hospital accepted the plan, but with minds turning towards war it was too late. After war service, Max Horsnell returned as Registrar, and with Loma Miles and Hugh Laird, Secretary of the College, laid down plans for expansion, including an extension on the roof for a Dental Laboratory. A new School featured in the 1947-52 Hospital plans, and the following year it came under the Ministry of Health as part of the new NHS. The University of London, pressed by the UGC to increase student numbers by 50 per cent, asked The London to take more. The College said it would prefer more students, but would need a new School with increased and more adequate facilities. UGC visitors reported that the staff shortage in all departments, cramped conditions, poor facilities and substandard Radiography would hinder recruitment, and therefore not meet the School’s demands. Relief came in 1953 when Phantom Head, Children’s Dentistry, Orthodontics, Periodontology and Prosthetics moved into a new extension and the Ashfield Street research building became available. With planning for the 1957-62 Quinquennium, dentistry’s needs were revisited with ‘heated controversy’ about
Dental Institute, c1965
the need to continue the School.22 In spite of the controversy which ensued, Medical Dean Harry May‘s strong support won the day and the future of Dentistry was secured; the inclusion of a new dental building was thus included in the College’s plans.
and Max Horsnell were members of the planning committee, and, in January 1957, architects prepared plans supported by the University of London, Treasury and Ministry of Health, perhaps influenced by the McNair Report about the need to increase the numbers of dental students nationally from 650 to 1,000.23
The new Dental Institute In July 1956 the Academic Board, Governors and Medical Council approved a project for a new Dental Department and School, with the use of at least 50,000 square feet. George Hankey, Loma Miles
22 Hugh Laird, ‘Recollections of Important Changes’,
LH Gazette (Dec 1969) 23 McNair Committee’s Report (1956)
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Professor David Williams (appointed Dean in 1994)
Professor Jeremy Hardie (appointed Dean in 1998)
Professor Paul Wright (appointed Dean in 1999)
Construction of the Dental Institute commenced in 1961, 25 years after the School first sought a new building, and was completed in four years. This new facility included a polyclinic to house Conservation, Prosthetics and Periodontology in one, to ease the integration of practice.24 Capacity was also greatly increased with 133 chairs, 28 full-time lecturers, 18 part-timers, five research assistants, four part-time honorary advisers and 15 technicians for 50 students a year. The vastly improved facilities and increased staff body enabled many advances in teaching and research, both in which The London is now a world leader.
Surgery course incorporated two extra terms, providing scope for an enormous development of a joint medical course between The London and Barts, providing an opportunity for common teaching of Medical and Dental students. Basic medical sciences relocated to Queen Mary and Westfield College at Mile End as the Faculty of Basic Medical Sciences, taking with them Peter Warren, Tony Williams and Robert Wong.25 Eighty per cent of the first five terms’ and 50 per cent of the following two terms’ teaching was integrated with that of the medics, with both bodies of students making use of the new £10m building. The appointment of Mary O’Farrell as joint district dental officer for the Tower Hamlets and City & East London health authorities led to improved teaching and research
links in the community; early trials at the Steele’s Lane clinic in Whitechapel had demonstrated the value of teaching in the locality’s facilities. Consequently, in 2003, a 17-chair centre was opened at Barkantine community clinic on the Isle of Dogs. In 2005 the School was awarded places for an extra 23 students, bringing the total to 75, in addition to four from overseas. The resultant extra money allowed the replacement of all chairs at the Dental Hospital. As a consequence for the need for additional outreach clinical facilities, a 25-chair clinic was opened in Southend-onSea, Essex, in 2007.
An enlarged School By 1990 the new five-year Bachelor of Dental
Triple Gold In Summer 2012, Dr Alice Middleton (q BDS, Barts and The London, 2012) became the Dental Institute’s third consecutive dental student to win the prestigious University of London Gold Medal for Dentistry. Professor Farida Fortune, Dean for Dentistry, commented: “The fact that the School has won the award for the third year running is an achievement for us all to be proud of.” Both Barts and The London School of Medicine and Dentistry and King’s College London Dental Institute are invited to nominate the top four per cent of final year students for the Gold Medal exam,
Left: Dr Alice Middleton Above: Dr Nike Goodluck Right: Dr Reena Wadia
which is a 30-minute oral examination conducted by four external examiners. The Medal was previously won in 2011 by Dr Reena Wadia (q BDS, Barts and The London, 2011) and in 2010, by Dr Nike Goodluck (q BDS, Barts and The London, 2010).
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Other 1990s developments The 1992 Tomlinson Report on Medical Education in London recommended the merging of The London with St Bartholomew’s Hospital, The London Hospital Medical College, St Bartholomew’s Medical College and Queen Mary, University of London. The merger was agreed and came into effect in September 1995, bringing medical and dental studies under Queen Mary’s umbrella for the first time in the College’s 108 year history. 1994 also turned out to be a landmark year in the history of The London with the retirement of Roy Duckworth and Harry Allred, officially ending the era of ‘Geoffrey Slack’s men’. Jeremy Hardie, who qualified in 1962 before becoming Dean, stated that these men ‘made a big difference to the future of the School.’ In the same year it was decided that the School would become the Dental Faculty of the School of Medicine and Dentistry. In 1998 Hardie became Dean of Clinical Dentistry, now called ‘Dean of the Dental School’. David Williams was promoted to Deputy Warden of Barts and The London School of Medicine
Award for outstanding contribution to Dental Hygiene and Therapy
Professor Farida Fortune (appointed Dean in 2007)
and Dentistry. Illness cut short Hardie’s tenure as Dean and by 1999 Paul Wright replaced him, followed by Farida Fortune in 2007.
Sarah Murray, Principal Dental Hygienist/ Therapist Tutor and Chair of the London regional group of the British Society of Dental Hygiene and Therapy, received the Outstanding Contribution to Dental Hygiene and Therapy award at the inaugural DH&T awards ceremony in December 2012. Sarah was nominated for her significant contributions to the field. Sarah was nominated for her outstanding achievement and significant contribution to the profession. The award is given to an ‘unsung hero’ whose commitment and sense of duty has been instrumental in driving standards in education, increasing the profile of the profession and providing the framework for direct access.
(l-r) Sarah Murray receives her award from Margaret Ross, Senior Lecturer and Programme Director at the Edinburgh Postgraduate Dental Institute
Over 200 students have qualified from the Dental Hygiene and Therapy programmes since their inception in 1983, with the first cohort graduating in 1985.
The 2000s In 1994 the School received the highest research grade in the Research Assessment Exercise (RAE), and in 2000 earned maximum marks in a quality assurance review on behalf of the Quality Assurance Agency of the Higher Education Funding Council. Together they made The London one of the best schools in the country, and this was reinforced with further internationally excellent outcomes for the 2001 and 2008 RAEs and a satisfactory General Dental Council report in 2005. Also in 2000, for the first time, an NHS consultant in restorative dentistry was appointed – Serpil Djemal – to be followed by several others, strengthening the secondary and tertiary care of the Dental Hospital. The London continued to develop into the noughties, starting with Elizabeth Davenport’s appointment as the first Professor of Dental Education. 2004 saw a 100 per cent pass rate of Bachelor of Dental Surgery students – ‘White Gloves’ for the Dean. In 2005, the School was listed as the top dental school in the country by The Guardian, in addition to further expansion of research with Kenneth Parkinson becoming Professor of Head and Neck Cancer. In 2007 the Clinical Skills laboratory, which many remember as the Phantom Head room, was fully refurbished with 50 state-of-the-art simulation centres and modern teaching facilities. The first cohort of MSc in Endodontic Practice students completed the programme in 2012; all received the award of Merit.
Research excellence Following the success of Oral and Dental Sciences in the 2008 RAE – ranked first for 4* and 3* research output and second in the UK overall according to the Times Higher Education – and alongside strategic developments at Barts and The London School of Medicine, there has been a focusing of research in four key areas within the Institute of Dentistry. The Caries, Hard Tissues and Materials Research Group is undertaking fundamental and applied research in biophysics and biomaterials relevant to clinical dentistry. The Group are pioneers in the development and application of X-ray microtomography and diffraction, microradiography and solid state NMR spectroscopy to teeth. The research falls into two main themes: the structure of teeth and dental material science and also builds on existing expertise in the area of apatite and dental biomaterials, thus the development of novel physical methods to study oral hard tissue and polymeric restorative materials. The combination of academic skills and resources means that this research grouping has skills and facilities found nowhere else in the world. The second research group considers Infection, Immunity and Inflammation and works on three main themes: molecular microbiology, aetiology and treatment of periodontal disease, and mucosal immunology. Major interests in oral microbiology are in microbial diversity and virulence factors. Together with Professor Mike
Curtis from the Centre for Immunology and Infectious Disease, the group is internationally renowned for its work on the molecular biology of the periodontal pathogen, Porphyramonas gingivalis. This work has successfully attracted major Research Council funding. Work on the aetiology and treatment of periodontal disease includes longstanding studies on the biology of periodontal regeneration and application of growth factors in periodontal wound healing and regeneration. Work funded by the Medical Research Council has established a large tissue bank and database enabling complex modelling of the relative role of different risk and aetiological factors in disease risk and outcome, including psychosocial and behavioural, clinical, microbiological and genetic factors and a range of proteomic markers. The Institute’s well-established expertise in mucosal immunology includes national and international recognition of the establishment of the clinical network for the study of Behçets disease. Cellular immunology of the oral mucosa and immunogenetics are also major research areas. Thirdly, the Institute has established the largest Oral Cancer Research group 24 Fifty-five per cent of funding came from the Ministry
of Health, 45 per cent from the UGC. 25 The Anthony J Williams Memorial Prize is still awarded
to students annually.
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Olympic Dentistry The Institute was asked by LOCOG to manage the London 2012 Dental Clinic for the Olympic and Paralympic Games. A Clinical Lead team included Dr Wendy Turner (q BDS, The London, 1992), Clinical Lecturer and Honorary Consultant; Dr Judith Jones (q BDS, The London, 1987), Clinical Senior Lecturer and Honorary Consultant, and Dr Jason Niggli (q MClinDent Prosthodontics, Barts and The London, 2005), Clinical Lecturer and Senior Tutor, as Dental Leads and Dr Mike Cattell (q MSc Dental Technology, The London, 1994), Senior Lecturer in Dental Technology, as Laboratory Lead with Lucy Price, General Manager (Dentistry), leading administration. Overall, the Olympic Dental service had 25 dentists, 26 nurses, 10 hygienists, 10 dental technicians and two receptionists. Alongside staff members, there were also dental volunteers, many of whom were alumni. The team treated 100 patients a day, saw 2,000 patients during the Olympics
Professor Farida Fortune (centre), Dean for Dentistry, with Dr Wendy Turner (second right), Dr Judith Jones (far right) and colleagues
and 1,000 during the Paralympics. The majority of the treatment was general dentistry with plenty of periodontal issues, caries and extractions. The Dental Lab team provided temporary dental crowns,
Dental Outreach Clinic at Southend The Barts and The London Academic Dental Clinic at Southend-on-Sea, Essex offers members of the public free, routine NHS dentistry undertaken by senior dental students under the supervision of qualified dentists. Treatments include check-ups; preventive advice and treatment; simple gum treatment; routine fillings; simple root canal treatment; straight forward extractions; simple crowns and bridges and dentures. Students benefit from qualified nursing support and a range of high-tech equipment, including 20 state-of-the-art dental chairs and bays, complete with networked IT facilities. There are over 3,000 patients registered at the clinic and all fourth year students spend time there as part of their training. The clinic is part of Southend Health and Dental Care and was developed in partnership with Barts Health NHS Trust, NHS South Essex, Barts and The London
HRH The Princess Royal meets students at the official opening of the Academic Dental Clinic in Southend in 2008 © Nicky Lewin
School of Medicine and Dentistry and the University of Essex. It was officially opened in April 2008 by HRH The Princess Royal, Chancellor of the University of London.
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bridges, dentures and an extensive and successful mouth guard programme. Dental facilities were also provided at the Eton Dorney (rowing and sprint canoe) and Weymouth (sailing) sites.
in the UK; this has been an area of major investment. Head and neck carcinomas, the sixth most common cancer worldwide and a significant public health issue within the local population in East London, where south Asian men have a four-fold greater risk of developing oral cancer than the UK population in general. The early identification of oral cancer could have a great health economic impact if achieved and dentists would have a large role to play in this. The fourth and final area is Patient and Population Orientated Research. The group’s main mission is to address social oral health inequalities in the burden of oral diseases at local, national and global levels; to identify oral health protective factors; and to develop a cost effective oral health promotion strategy, which includes minimal intervention evidence-based dental care. This patient and population-orientated research represents a major new development in the Institute of Dentistry’s research strategy and will lead to the further development of a strong research team to test the patient benefits of findings from basic science research through to methodologically rigorous randomised clinical trials.
100 years and beyond At the Dental School today, the intake at undergraduate level is currently set to remain at 77 five-year students. Consequently the establishment of further outreach centres are planned – one on Mile End’s Ocean Estate, replacing the muchloved Steele’s Lane centre in Whitechapel. The crowning glory will be realised in Spring 2014 when the Institute of Dentistry finally re-locates into a new facility in the Alexandra Wing of the old Royal London Hospital.
Acknowledgements Professor Paul Wright and Dame Margaret Seward have given much support, and some of the text leans on Francis Fish’s history, The Dental School of The London Hospital Medical College, 1911-1991.26 Special thanks also go to the archivists at Barts and The London Archives, as well as Helen Nield of the British Dental Association Library and Charlotte McDonaugh of Senate House Library at the University of London.
New premises for the Dental Institute Due to open in Spring 2014, the new Dental Institute will incorporate modern clinical standards. The 111 operatories will be larger and easier to move about and work in, with crafted worktops and flooring to assist in reducing the risk of cross infection. Dental chairs will be provided in suites of open plan and single rooms.
be entirely digital with the introduction of the new PACS system, making instant diagnostics and the retrieval of images easier. Information supplied by Alison Cann, Senior Clinical Advisor, and Mark Viner, Senior Commissioning Co-ordinator, at Barts Health NHS Trust
The facilities will include: • Teaching operatories • Consulting suites • Paediatric Dentistry • Restorative Dentistry • Dental Imaging • Modern Production labs • Maxillo-Facial suite The Dental Imaging department will be expanded in the new build and will
26 SF Fish, The Dental School of The London Hospital
Medical College, 1911-1991 (The London Hospital Medical College, 1991)
© Skanska and David Hawkins Architectural Partnership Mock-up of the new operatories – spacious, light and modern with a hint of School blue
Author: Stanley Gelbier, Honorary Professor in the History of Dentistry, King’s College London. Stanley was a Lecturer in Child Dental Health at The London from 1964-67.
Dental Centenary Fund The London Hospital Dental School Centenary Fund was established in 2011 to provide support to future generations of dental students with scholarships and student opportunities.
There is still time to make a gift in the 2012-13 academic year, which will support dental students in 2013-14. Please see the enclosed Update Form or give online at www.qmul.ac.uk/alumni
Dental Institute Student Staff Conference at the Royal College of Physicians, January 2013
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The Making of Queen Mary This new book is reviewed by Professor Mike Curtis, who has himself been associated with the London Hospital Medical College since 1986, three years before the merger with Queen Mary. Mike is currently Deputy Vice-Principal (Health) and Director of the Blizard Institute The Making of Queen Mary by Ruth Valentine gives a vivid description of the journey taken by Queen Mary, University of London since 1985 and is an informative history of the institutions that have come together over the last quarter of a century to form the present day College. Queen Mary College, established as the East London Technical College in 1887, and Westfield College, one of a small number of nineteenth-century higher education institutions for women founded in 1882, merged in 1989. In 1995 this new college welcomed in Barts and The London Medical and Dental School, itself the product of two previously separate institutions, each with rich histories dating back over several centuries. Throughout this comprehensive history the author gives illuminating examples of particularly successful research and educational achievements in each of the faculties of the College. These include descriptions of cancer research in the School of Medicine and Dentistry, particle physics research in the Faculty of Science and Engineering and the origins of the Centre for Commercial Law Studies in the Faculty of Humanities and Social Sciences. More than simply an illustrated timeline, however, The Making of Queen Mary also reveals the effect that the last 50 years of higher education policy and changes in the
governance arrangements of the University of London have had on the development of the College. The Murray Committee report on the structure of the University of London in 1972, the Tomlinson report on health service and medical education in London in 1991 and the Further and Higher Education Act of 1992 were driving forces in the mergers of Westfield College and the Medical and Dental Schools with Queen Mary and with the establishment of Queen Mary as a financially independent constituent college of the University of London with its own degree awarding powers. The Making of Queen Mary succeeds in conveying this story in a highly entertaining and engaging way by focusing on the people who were responsible for steering the College through these turbulent times, illustrated by quotations from past and current staff. These descriptions are frequently remarkable for their candour; the difficulties encountered in achieving a successful merger prompted Professor Sandy MacNeish, then Warden of the School, to comment that bringing Barts and The London together was like joining together “two regiments that have hated each other for 250 years.” As Professor Simon Gaskell, the current Principal of Queen Mary, points out in the Foreword, the common thread running through all of the institutions that have come together to form the College, is
service to their local communities. This continues to the present day, shown by an extensive repertoire of public engagement activities some of which are profiled throughout this work: Computer Science for Fun, a wonderful project designed to attract students back to Computer Science degrees when applications were falling; the Centre of the Cell, which attracts children from local boroughs and further afield into the Medical and Dental School to learn about bioscience in a hands-on way; and the Mile End Group, a discussion forum which tackles political and governmental issues via a series of publicly accessible talks and lectures. As a result, whilst Queen Mary has gone from strength to strength, and can now rightfully claim its place as one of the leading higher education institutions in the UK, it remains firmly in touch with its local communities. The Making of Queen Mary successfully charts this remarkable journey and reminds us that growth and institutional mergers do not necessarily always have to lead to the loss of the identity and ethos of each of the founder organisations.
All proceeds from the sale of this book will go toward supporting the Queen Mary, University of London Foundation which provides scholarships and support for gifted young people to access a world-class education at Queen Mary. Alumni may purchase the book online for £15 (exc p&p). Visit www.qmul.ac.uk/makingqm
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Elective support (continued) Dental electives Oral surgery practices in Singapore
Dr Liyawdeen in a Sarawak longhouse
Hospital Umum Sarawak, Borneo Dr Muhammad Liyawdeen (q Barts and The London, 2012) writes: “The hospital I was attached to is located in Kuching, the capital of the Malaysian state of Sarawak, Borneo. As the biggest hospital in Sarawak, people attend from far and wide. Sarawak differs from mainland Malaysia, it being home to the indigenous tribes of Borneo which make up a large population. There are 40 ethnic sub groups, each with its own lifestyle, language and culture. I spent the placement shadowing the general medical team at Hospital Umum. After some initial delays processing ID badges, I began the placement. The days consisted of morning ward rounds followed by clinics on some afternoons. There was also an opportunity to attend teaching for the junior doctors who were called ‘houseman’. I was allocated to general medicine and shadowed consultants in geriatrics and general medicine who dealt with endocrine conditions. I learnt many things which added to my knowledge. It was fascinating being in a place where infectious disease is such a big killer. This is not the case in the UK and this experience was invaluable. Chronic diseases like diabetes and hypertension are also very prevalent, as in the UK. It was interesting to note the management of these conditions and also the attitudes of the patients. The health beliefs struck me as very different, with the doctor held in a more elevated position. Outside of the placement I was able to enjoy the surroundings of Borneo, which is one of only two locations with orangutans. I was also able to visit the rainforest. The doctors were also very hospitable and encouraged me to experience the local culture and cuisine.”
Saaima Umarhi, a fifth year dental student, writes: “I spent my elective placement in Singapore at the National University of Singapore (NUS) observing practices in the oral surgery department as I wished to make comparisons between third molar extractions in Singapore and at Barts and The London. I, therefore, spent time observing consultants performing surgical extractions. The first thing that struck me was the speed at which they carried out these procedures; I saw one surgical procedure carried out within 15 minutes. Their techniques were very similar to ours but it was very interesting to note that patients were blindfolded during such surgical extractions. I’d never seen this procedure before so it was fascinating to watch and see how the patients reacted. The Singaporean treatment consent process was also very different. During my time I did not observe anyone discussing consent in detail. Patients were asked to sign a standard consent form. There was just one sheet which listed all the possible risks and complications regardless of what kind of procedure they were having. This differs greatly from the consent process in the UK where the clinician writes all the risks relevant to the particular procedure being
performed and discusses each one in detail with the patient to ensure understanding. In the UK, third molars are only removed when they are symptomatic according to the NICE guidelines. However, during my observations in Singapore, I quickly discovered that most third molars were being removed prophylactically. The patients, all very young, opt to have them taken out to prevent problems in the future. I was equally surprised to discover that army officers have all of their wisdom teeth extracted before being sent on duty and that this was standard procedure. Singaporeans pay a great deal of money for their dental treatment. A small portion of their salary goes toward their medical insurance (Medisave) yet this does not cover any dental treatment except for the extraction of wisdom teeth – which is why I think most Singaporeans choose to have all of their wisdom teeth extracted! Monitoring retained wisdom teeth may be more expensive than an extraction in the long term. All in all, it was a thoroughly useful and enjoyable experience for me. I would like to thank all the consultants and staff in the oral surgery department at NUS for their kindness and hospitality. I would also like to thank the alumni for their generous contribution to my elective.”
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OMFS at Barts and The London Farhad Momeni, a fifth year dental student, writes: “Having been allocated two weeks to carry out my elective, I felt I should maximise the experience by observing something outside the scope of everyday dentistry. Spending my elective at Barts and the London NHS Trust observing Oral and Maxillofacial Surgery (OMFS) seemed the perfect option. Having the privilege to observe the life-changing care provided by renowned consultants was a once-in-a-lifetime experience. Following patients through their intense journey of care, from the time they are diagnosed with cancer through to their post-operative recovery, is truly an eye-opener in terms of their renewed appreciation for life; as is observing the remarkable skills and dedication of the multi-disciplinary team involved in caring for oncology patients. Having had an appreciation for the medical aspect of OMFS during dental training, I felt that I should also take the opportunity to experience the more aesthetic/functional rehabilitation involved in Orthognathic surgery. This proved to be the most fascinating aspect, particularly observing the pre-surgical planning stage. The level of accuracy, understanding and technical skill required in planning the model surgery and fine movements is captivating. The stress of making controlled fractures of the bones of the maxilla and mandible is immense, and requires a high degree of technical ability and experience. One may think that following such traumatic surgery, patients will require long hospitalised care; au contraire, all the patients were fit to go home the following morning. Orthognathic surgery is the perfect combination of science, art and surgery. The proof is in the expression of the young patients that see themselves for the first time following surgery: their smiles say it all!”
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A truly Thai experience Jon Nicholas, a fifth year dental student, writes:
“The support I received from BATLAA meant that I was able to travel to Thailand and spend my two week elective at the School of Dentistry at Chiang Mai University (CMU) in the Northern Province. CMU offered an amazing experience. From the moment we arrived at the airport, we were greeted by Ms Khansri, the secretary of the International Relations Officer, who took us straight to our student accommodation. The first thing that struck me on the journey to the university was the lack of obvious infrastructure, despite it being a major tourist centre for the north of the country. The dental hospital on first sight appeared run down, but this certainly did not reflect the attitudes of the students and tutors who worked within. We were invited to a variety of different clinical settings, including the Oral and Maxillofacial Surgery, Periodontal and Prosthodontic departments, and even the microbiological laboratory. I was able to speak with both students and tutors about pressing topics in the dentistry field. The open and friendly staff meant we were able to exchange an abundance of information ranging from dental-related issues to infection
control and even talk about each other’s cultures. An interesting point that I gleaned from my trip was that the hospital in Chiang Mai is, by comparison, economically much weaker than the Royal London and consequently infection control methods were slightly weaker and staff must improvise at times. For example, aluminium foil was used to cover working surfaces, as opposed to the disposable plastic covers used at The London. Furthermore, there was just one sharps bin for an entire department (20 bays) to share. The sharps bin was in fact an empty water bottle. Yet, what stood out, beyond the improvised infection control was that the dentists were taught to combine religion and dentistry together. The dominating religion in Thailand is Buddhism and I was educated by my colleagues that the art of compassion for one another is reinforced repeatedly within the religion. It was certainly reflected in the management of patients, and I believe that I have learnt to integrate this compassionate management into my own everyday practice.”
Student news BLSA President’s Report I hope this gives an overview of some of the main activities and triumphs of Barts and The London Students’ Association (BLSA) so far this academic year. BLSA appreciates greatly the support given by alumni, financially and otherwise; it really makes a real impact on the student experience. The year started well with the arrival of a good set of first years and we were able to utilise the newly refurbished Griffinn Bar in Whitechapel for a number of “Fresher Fortnight” celebrations. The building houses the Games Room, the fitting and furnishing of which was due to support from BATLAA. The space provides a relaxation space for students with a pool table, fussball, table-tennis and darts board. Furthermore, the walls are donned with products of RAG raids of old! In October 2012, the BLSA hosted the International Medical Society Conference, supported by BATLAA funding, and spearheaded by last year’s President, George Ryan. Focusing on the theme of ‘Medical Leadership’, the conference attracted students from all over the world to Barts and The London (BL). Around the Christmas period, a fantastic campaign led by BLSA and Student-Staff Liaison Committee Reps averted a planned drastic reduction in service provision at the Barts Hospital library. An alternative future for the library has been put into action, including lending facilities returned, altered (but still extensive) opening hours, with targeted weekend opening during exam periods. A further challenge has been the damaging changes enforced by BUCS (British Universities and Colleges Sport). They deemed the situation of the London medical schools competing separately to their partner universities unfair. After the lobbying of BUCS from the United Hospitals
MedGroup, a conglomerate of London medical school representatives, it has finally been agreed, pending review in 2015-16, that BL will maintain separation for the time being. It is vital that our clubs now make the most of this opportunity to maximise participation and performance. In sport, our rugby club retained the United Hospitals rugby cup for the second year in a row. This has not been achieved by a Barts and/or The London team since the 1970s (see Lucas Rehnberg’s match report opposite). Our netball first team were unbeaten this year, and the club as a whole dominated our varsity matches against Queen Mary. Our women’s hockey 1s have also been a standout team, with fantastic developments in more niche sports such as waterpolo and ultimate frisbee. Our societies have been just as productive. Surgical Society, under the leadership of next year’s BLSA President, Ali Jawad, has received recognition from the Royal College of Surgeons. In addition, a national conference was led by our Pre-Hospital Care program with symposiums by our NeuroSoc and newly established Rare Disease Society. Our Music Society has also had a good year with many staff purporting that this year’s concerts have been the best yet. Looking ahead, there are a few creases to iron out before the end of my tenure, with my attention turning now to some welfare issues to ensure that all students are supported during the upcoming exam period. We also have our annual Association Dinner to look forward to (and organise), as well as the graduation events, notably the Rites of Passage Ceremony and Graduation Dinner. As can be seen, BLSA and its students have had a very successful year. Much of this activity and infrastructure continues to rely on alumni support. I thank all those that have made donations and humbly request that you continue to do so. There is still a profound amount of passion for our historic hospitals that emanates from our students and staff; your support truly allows this identity to continue. Andrew Smith q Barts and The London, 2012 BLSA President 2012-13
UH RFC Cup Final 2013: Match Report Lucas Rehnberg reports Friday 8 March 2013 saw a wet evening at Richmond RFC ground for the 127th UH Cup Final between Barts and The London (BL) and St George’s. Unfortunately the weather got the better of the forwards at kick-off and St George’s turned over possession and got attacking ball. With two minutes gone BL were 0-5 down. With rousing words by the Captain, Jeff Hopkinson, under the posts, BL made their way back to the halfway line. From the restart, the forwards descended upon George’s, who managed to retain possession and tried to clear from their 22, only to give it to Sam Anthony who got the ball and pinned George’s back in their 22. This was soon followed by a penalty conversion from just inside George’s half. BL managed to get a bit more of the ball in the George’s half, but were sloppy at times around the breakdown with the wet surface causing the ball to spit out of the ruck. Continued overleaf
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Continued from page 35
The weight and strength of the BL front line in the scrum meant that George’s were in for a horrible time. Despite the weather, BL were determined to play their brand of rugby, get possession and unleash the backs! Pressure in the George’s 22 led eventually to the backs pulling off a nice training ground move five yards short, where the forwards used their strength and disciplined pods to allow Tim Lloyd to reach over and get the points. Some good patterns, followed by a slick backs move, enabled Lucas Rehnberg to lead the next attack before crashing into touch, he offloaded to Sam Anthony who, with quick hands, gave the ball to Charlie Warburton who fended off one and outpaced another George’s defender to cross the line for a try, which was duly converted. George’s managed to get one score back before the half ended. Yet BL were to have the last say with a converted penalty by Sam Anthony. Half-time: 16-10. The second half wasn’t a classic game of rugby, largely hindered by a slippery ball, but that should not take away from the hard work around the field put in by all the forwards. A handful of passages of good play made George’s defence look increasingly fragile. Tom Chance danced, and beat his man to put in Lloyd Rickard behind the defence. Selflessly he gave the ball to Adam Marshall in support, who shovelled it on to Peter Jenkins who thought to juggle the ball over the line before putting it down. The subs that came on looked to make an impact on the game but by then BL had the measure of George’s in the scrum but lacked the advantage in the line outs. A penalty into the corner followed by a well executed catch and drive saw George’s go over in the corner. The rest of the game was an exchange of kicks and absorbing the George’s attacks, but at this point there was no real threat of losing the lead and the BL lads knew that they had done it for the second year running. Final Score: 23-15.
An appreciation of Professor Sir Nicholas Wright Professor Brian Colvin (q The London, 1969), Dean for Student Affairs from 1998-2008, writes: Nick Wright arrived at Barts and The London having already had a distinguished career in Newcastle, Oxford, The Royal Postgraduate Medical School and Imperial College. An academic of his stature might have been willing to complete his career somewhere quiet but that was not Nick’s style. He came to the City and East End to do something special and he did it. In 2001 the combined School at Barts and The London was still struggling to establish an identity, both as a new School of Medicine and Dentistry and also as a Faculty of Queen Mary, University of London. Its first few years had been marked by controversy and dysfunction, which two Wardens had struggled to manage, and although much progress had been made, the research and educational profile of the School remained in its infancy and was showing signs of failure to thrive. Nick made relatively few changes to the structure forged by his immediate predecessor, Sandy McNeish, but preferred to use the resources already available to him and to lead by example and by delegation. He immediately identified the need to make the School a leading research institution and achieved this by continuing his own research output and by begging, borrowing and even, perhaps “stealing”, talent from wherever he could find it. He left no stone unturned in his search for academic excellence and within 10 years had built a School which performed spectacularly well in the Research Assessment Exercise of 2008. Meanwhile, he created around him a team that he felt he could trust and he relied on them to deliver their own portfolio. He had the extraordinary talent of leaving his colleagues to “get on with it” but would provide maximum support in the event of any and every difficulty. This unswerving loyalty could have led him into trouble, as could his occasional (actually, not so occasional) political incorrectness. Nevertheless he seemed to lead a charmed life, not least because his loyalty to his colleagues was so much reciprocated.
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Student support has always played an important part in Nick’s world and he was a passionate enthusiast for the Imperial Medicals Rugby Club, although he is now President of Barts and The London RFC, who have just won the UH Cup two years in a row after an interval of over 20 years. He and Vera would attend many sporting, cultural and dramatic events and he managed to find the time for a close and productive relationship with the undergraduate student body. He often said how much he admired our students and they certainly responded enthusiastically to his engagement. No appreciation of Nick can be complete without a word about Vera. Her support underpinned much of Nick’s success and she worked tirelessly for him and on behalf of the School, from the moment she arrived in the East End. The flat at Wapping saw many happy evenings in the company of staff and students and, at a personal level, I was often entertained there while my wife Kate was abroad from 2002-05. Nick’s legacy is a thriving School, and Queen Mary’s recent invitation to join the Russell Group of universities must owe much to his influence and success. Nick continues his research at Barts and The London and I know that he and Vera have been as pleased and proud to have worked and served here as we are to have had the privilege of their presence.
Alumni news Please keep in touch and tell us your news. You can submit your update using the enclosed form or by email to firstname.lastname@example.org 1945 Dr John York Moore (The London): Patron of Bosence Farm Community Drug Rehabilitation and Resettlement Unit, which he helped to establish.
1948 Dr John Cotes (Barts): Still doing groundbreaking research into the control of breathing in occupational lung diseases, which he says is “unexpected and very exciting!” Dr Michael Partington (Barts): Published his autobiography Barts & Beyond: Looking for GOLD) in 2010 (The Memoir Club, Durham) [ISBN: 978-1-84104-501-6]. It tells the story of his career in Medicine and how it took him from St Bartholomew’s Hospital to Canada and finally Australia, sharing his experiences of the British, Canadian and Australian healthcare systems and medical training methods.
1949 Dr Brian Foster (The London): Now retired. Living in Winchester and still “doing” a little medicine. Children spread widely – USA, Switzerland and Wales. Visit regularly. Dr David Stubington (The London): Continuing to teach medical students about heart sounds and electrocardiography while contemplating retirement. Still occasionally playing the organ at church.
1950 Mr Ian Burn (Barts): In retirement in the Oxford Cotswolds. Published memoirs in 2007. Keen attendee of the Welsh National Opera; plays croquet in summer. Dr Ion-Dan Edeleanu (Cambridge/The London): Having been retired for more than 20 years, still opens his nine acre garden to the public under the National Garden Scheme. Dr Geoffrey Isaac (The London): Had a Family Practice in a suburb of Toronto and have since enjoyed retirement with two daughters and five grandchildren.
In regular email contact with Edwin Dawe, (q 1948, The London), a retired psychiatrist and classmate, Geoffrey Forester, a retired internist, both in New York.
Dr Walter Chisholm-Batten CB (The London): Gradually retiring from general practice to have more time to spend with family and other interests. Currently does two/three sessions a week out-of-hours work.
1955 Mr Terence Boxall (Barts): Happily married (Golden anniversary in 2006). Active in local parish church. Dr John Davidson Parker (Cambridge/ Barts): Visited Kenya to see his daughter in 2010; nearly all drugs are available “over the counter (except barbiturates, of course).”
Dr Peter Ball (Cambridge/Barts): A member of NORM-UK, an educational charity which aims to advance the education of the public in all matters relating to circumcision. Dr Conor Carr (Cambridge/Barts): Between 1991 and 1994, was Chair of the Institute of Obstetricians and Gynaecologists, an integral part of the Royal College of Physicians of Ireland. He was also President of Connaught Rugby 1977-78. Since retiring, he became Secretary and now Trustee of his local golf club. Enjoys charity work and travelling, especially visiting three of his children in Australia. Dr Marion Liss (QMC/The London): Continues to enjoy her retirement visiting her nine grandchildren, all living abroad, and her hobbies.
Dr Judy Dewsbury (QMC/The London): Retired in December 2009 having phased it out over six years. Still lectures for BSCAH. Main interests are CBSO, other concerts in Birmingham and the Welsh National Opera.
1959 Dr Vernon Faber (Cambridge/Barts): Retired as a GP in 1994.
Mr (Gordon) Barry Jonas (q BDS, The London): Working part-time in a dental practice in Coventry.
Dr Elmer Clissold (Barts): Now retired and fully involved in village life in Cold Harbour. Spent 23 years as a GP and part-time anaesthetist in Dorking and 10 years as HM Inspector of Anatomy for England, Wales and Scotland.
Dr David Lloyd (Barts): Published The Family Doctors in Newbridge, 1900-2000 in 2007 (Ralph Allen Press, Bath) [ASIN: B001CRC1UC]. It relays the story of health care, general practitioners, nurses and pharmacists in Lower Weston during the 50 years before and after the beginning of the National Health Service.
Dr Dorothy Blackburn (The London): Retirement is not nearly as interesting as the practice of medicine!
Mr Brian King (Cambridge/The London): Now retired.
Dr Barbara Boucher (QMC/The London): Continues to be published (see PubMed) on Hypovitamin and Diabetes, Metabolic Syndrome and on betel chewing and Lyme disease.
Dr David Alder (Barts): Downsized to glorious Devon after 12 years of retirement from general practice. Replaced ostrich farming and passion for old motorcycles with voluntary assistance at Sidmouth Donkey Sanctuary giving disabled youngsters rides on donkeys (having passed criminal investigations!). Professor Tom Meade (Barts): Received an Honorary DSc from the University of London in 2010. Mr Paul Weaver (Barts): Retired from post as Consultant Surgical Oncologist at Portsmouth and SE Hants NHS Trust but
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continues to work part-time as Honorary Senior Lecturer in Medical Education and Training at the University of Portsmouth and Postgraduate Dean Representative on hospital inspection visits and SpR interview panels. Appointed Consultant Medical Advisor to NHS professionals. Dr Frank Wells (The London): Appointed National Research Ethics Adviser in October 2009 by the NHS National Patient Safety Agency (NPSA).
1962 Dr Geoffrey Clarke (The London): Received a Lifetime Achievement Award at the inaugural Barking, Havering and Redbridge University Hospitals Trust Outstanding Achievement awards in 2007.
1963 Mr David Fife (The London): Although retired, still takes an interest in his trainees (chaired the ENT Training Board North and RCS Regional Advisor for five years). Dr Djamchid Lotfi (Barts): Retired as Professor of Neurology at Tehran University, Iran. Now lives in Houston, Texas, where he works at St Jacinto Hospital. He has a daughter and a son, and two grandchildren.
Dr Jacqueline Pitt (The London): Moved to Beccles town after 33 years in the village. Still roams around the UK in motorhome along with the dog or the grandchildren.
1967 Professor Sir Mansel Aylward CB (The London): Chair of Public Health Wales since 2009; knighted in the 2010 Queen’s New Year Honours list for services to health and healthcare. Dr Nigel Grundy-Wheeler (The London): Has published his first work of fiction as an ebook, under the pen name ‘Nigel Wheeler’. “Available on Amazon Kindle for a very modest price, The Girlfriend is a story of love and war, set against a background of my own experiences as an RAMC doctor in locations with which I am familiar, adding a degree of authenticity. There has been a brilliant response from my own year but I should like to reach a wider readership from other years and/or disciplines.” Mr John King (The London): Received an Honorary Fellowship from Queen Mary, University of London in 2010. Dr Roger Porcherot (Barts): Retired as senior partner but continuing as a salaried partner with fewer hours.
Dr Richard Sloan MBE (The London): Awarded an MBE in the 2011 Queen’s Birthday Honours for services to healthcare.
1970 Dr Justin Blake James (Barts): Retired from NHS general practice in 2010 but continues to work in dermatology. Dr Jenifer Copeland (Barts): Practicing GP in Henley-on-Thames; decreased to part-time in 2008. She is married to Steve Copeland (Barts) and has four grandchildren. Dr Anthony John Wright (The London): Country GP who still enjoys some surgery and busy obstetric practice. He is also a keen sailor of a Beneteau 311.
1972 Mr Malcolm Gillard (Barts): Spent 18 years working for the NHS before retiring from Barts in 1991. Worked in a private practice until March 2009 before retiring completely after delivering 3,870 babies. Mr Alan Klidjian (Barts): Retired in 2010 after 25 years as a general and paediatric surgeon, firstly in Birmingham and Solihull, and since 1997 at Musgrove Park Hospital, Taunton. He now lives in beautiful South Hams at Bigbury-on-Sea.
1964 Professor John Griffin (The London): Edited and contributed to the sixth edition of the Textbook of Pharmaceutical Medicine, published in 2009. Several of the contributors were “Old Londoners” including Professor DW Vere and Dr AP Fletcher. The seventh edition, which he also edited, will be published in June 2013. Dr Alan Johnson (The London): Retired fully at the age of 68 after a career in the Royal Air Force and the Ministry of Defence.
1965 Dr Leslie Dobson (The London): Secretary of a GP health company offering occupational health to GPs in Teeside. JP (Chairman). Mr Nicholas Dudley (Barts): Leads a team of surgeons, physicians and paediatricians each year to Al-Quds University and hospitals in the West Bank to teach Palestinian final year medical students. Professor Bryan Lask (Barts): Emeritus Professor at the University of London and a Visiting Professor at the University of Oslo.
Dr Colin Sykes (Barts): Retired from full-time work in 2003, though occasional locums since. He obtained a BSc (Hons) in Geosciences from the Open University, as well as Fellowship of the Geological Society. Lives in the Lake District.
1968 Dr Anthony Fox (The London): Has enjoyed two successful careers – one with the NHS for and the other, privately.
1969 Dr Robert Brearley (Barts): Retired in 2008. Married (still) to ‘IBM Room’ Sally (Barts, Oncology). Two children at university. Living in the New Forest. Dr Stephen Brennan (Barts): Retired from NGH, Sheffield in 2010. Part-time at Rotherham DGH, South Yorkshire. Still work regularly in Mbarara, Uganda. Dr Ian Crabbe (Barts): The author of Sangreal: Holy Grail, which he handwrote in uncials, printed, bound and published himself in 2010. Do get in touch to receive more details.
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Dr John Laidlow (Barts): Consultant Radiologist in Winchester – still learning new skills. Dr Diana Rees (Barts): Worked as Clinical Director of Critical Care at Whipps Cross for 10 years. Now semi-retired; working two days a week as a Consultant Anaesthetist. Dr Rameet Singh (The London): Retired from Whipps Cross Hospital, where he had been an Anaesthetist, in 2009.
1973 Mr Joseph Cohen (q BDS, The London): Still globetrotting, visiting children and grandchildren in the UK, Europe and the USA. He now does a lot of voluntary work with the theatre and hospitals. Dr Andrew Marsden (The London): Has been working as a solo GP in Kununurra, a very remote town in the far northeast of Western Australia, for the last three years. He also works as a Consultant Occupational Physician to the nearby Argyle Diamond, Savannah Nickel and KMG Iron Ore mines. At the end of 2011, he moved back to Perth, to semi-retirement in a local general practice.
The rest of his time he plans to spend working on the restoration and maintenance of his small collection of classic cars. Dr Robert Mills (The London): Now works at the University of Edinburgh as a Consultant Otolaryngologist/Reader. He was previously the President of the Section of Otology at the Royal Society of Medicine. Dr Malcolm VandenBurg (Barts/Former staff, The London, 1974-80): After a successful career in the pharmaceutical industry, and a late flurry of private practice in Harley Street, now spends his life pontificating (in Hampstead) on the effects of prescription medicines and illegal drugs on behaviour and criminal intent or other legal matters, such as negligence. “I have appeared in criminal, civil and family courts on many occasions and have even worked for the IPCC, the RCP, and the armed forces. My career was written up in the BMJ as being controversial!” Planning a retirement in London, Mallorca and Cape Town. He would love to see any old (should that be “very old”) friends passing through NW3.
1974 Dr Damian Trafford (The London): Secretary of the Association of Local Authority Medical Advisors from 2003-08. He was also awarded a Fellowship from FOM in 2009. Now a Medical Director for Health Management UK Ltd in Altrincham.
1975 Brigadier Timothy Finnegan (Barts): Left the army and moved to Inverness in mid-2011 to work part-time in occupational medicine. Dr Nicholas Kitson (Barts): After 18 years as Consultant Psychiatrist to St George’s Deaf Mental Health Service (Clinical Director), moved to Cornwall and retired after seven years. Now doing locum work. Mrs Margaret Reynolds (née Goldstraw) (q BDS, The London): Retired. Now assisting her Baptist husband with his church work in Swansea.
1976 Dr Martyn Proctor (Barts): Retired from full-time general practice after 30 years in 18 Lemon Street, Truro. Now doing part-time occupational health in the private sector and loving it!
Dr Susan Smith (née Evans) (Barts): After having her three children, she worked in General Practice for eight years, followed by over 20 years working in the Occupational Health Service based in Camden and Islington NHS as an Associate Specialist. She is now retired and living the ‘good life’ in the country near Saffron Walden, spending time with family, doing ceramic sculpture and a bit of voluntary work for the Citizens Advice Bureau as an Advisor. “I have a lovely home with chickens in the orchard and love being granny.”
1977 Professor Michael Li (Barts): Chief of Service in Surgery and Director of the Minimal Access Surgery Training Centre at the Pamela Youde Nethersole Eastern Hospital in Hong Kong. He was awarded The Hunterian Professorship for 2009-10 by the Royal College of Surgeons of England for his work on laparoscopic rectal cancer surgery.
1978 Dr Roma Fernandez (née Kanitkar) (The London): Practice in Finchley Central, London in a two doctor practice – her practice partner, Dr JA Cavendish, qualified from Barts three years before her. Also a GP Tutor for students from UCH, London.
Dr Stuart Rudge (Barts): Married with three children.
1982 Dr Michele Badenoch (Barts): Working in corporate medicine in a busy City of London General Practice. Four children also keep her busy! Dr Piyush Patel (Barts): CEO of AllerPharma, a pharmaceutical company for which he was named ‘E & Y Entrepreneur of the Year’ for Canada in 2008. He also founded a large CRO (Allied Research International – Cetero Research) with over 800 employees that operates in three continents and which he sold to a private equity fund in 2007. The CRO is a world leader, specialising in clinical trials in allergy and asthma using patented Environmental Exposure Chamber technology.
1983 Dr Tim Campion (The London): GP in Kidderminster since 1988. Would love to hear from anyone he knew from The London, especially his year. Dr Mark Duthie (The London): Been a consultant in Leicester. He is looking to meet up with people from his year who studied at The London.
Dr Michael Cohen (The London): GP in Bristol. Enjoys working in the Community Endoscopy Unit in Westbury on Trym. Still loves the Spurs (Bristol City are rubbish), Ralph McTell and, above all, his family.
1984 Dr Michael Davies (Barts): Married to Caroline and has two children, Tom and Caitlin. He practices as a GP in Berkshire and also enjoys playing the trumpet and golf.
1980 Dr Richard Waldron (Barts): Appointed Clinical Director for Dorset Community Health Services (provider arm of Dorset PCT) in November 2009.
1981 Dr Huw Eilian Davies (The London): Practiced for 24 years as a GP in Cross Hands, Llanelli. He now has two granddaughters. Mrs Penelope McWilliams (née Moss) (q BDS, The London): Married a Paisley buddy, before moving to south-west Scotland, where she still lives, working as Director of Primary Care Dental Services. “Dumfries is now not so much of a dental backwater as it once was. It now has an outreach centre for dental undergraduates from Glasgow University and is a dual site for dental therapist students as part of the UHI
School or Oral Health Science. This is all sited in an environmentally award-winning Dental Centre.”
Dr Natalie Albala (Barts): Currently a board-certified physician in Internal Medicine practicing in North Carolina, USA. After completing her residency in Internal Medicine at Yale and the University of Connecticut. After this, she practiced in Connecticut for 16 years before she was appointed Associate Professor of Medicine at the University Medical School where she taught both residents and students. She met her American husband in Colchester where she was a HO and he was a medical student. They now have three children: Benjamin, Owain and Eleora.
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Mr Simon Wood (The London): Specialising in reconstruction for cancer of the head and neck and breast at Charing Cross Hospital. Married to Melanie Corbett (The London, 1987); children, Matthew and Sophie. Still keen on tennis, squash, swimming and skiing.
Dr Emma Merry (Barts): Spent five years re-training in Palliative Medicine and returned to ICU with a unique perspective.
Dr Melanie Corbett (The London): Specialising in corneal ocular surface and cataract surgery at the Western Eye Hospital.
Dr Mark Pietroni (Cambridge/The London): Appointed Medical Director at the International Centre for Diarrhoeal Disease Research, Bangladesh. Happy treating more than 100,000 a year with cholera!
Dr William Maxwell (The London): Deployed twice to Afghanistan: in 2008, working on the pre-hospital helicopter and, in 2009, in hospitals through the Territorial Army.
Dr Charles Lockyer (The London): Consultant Urologist in Southampton since 2008. Married to Ros, a part-time GP. “Two great kids and 400 yards to the sailing club from our house – I cannot complain!”
Mr Nigel Rossiter (The London): Has been a consultant in Basingstoke since 2003 after he retired from the army.
1989 Dr Jonathan Goldman (Barts): Completed his CCST in Cardiology in 1999, before moving to UCSF in San Francisco, California where he has managed a dual track career in academic medicine and the biopharmaceutical industry. He currently lives in Mill Valley with his wife, Georgina, and their two sons, Max and Oliver. Mr Ian Stuart Hugh McNab (The London): Appointed as a consultant orthopaedic hand and wrist surgeon in Oxford in 2000, Honorary Senior Clinical Lecturer in the Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science at the University of Oxford and as an Honorary Lecturer in Clinical Medicine at Wadham College. In 2007, Mr McNab was awarded and undertook the prestigious British Society of the Surgery of the Hand Stack Travelling Fellowship in New Zealand, Australia, Singapore and the USA.
1990 Professor Simon Gregory (Barts): Appointed as Postgraduate Dean for the East of England Multi-Professional Deanery in July 2009. Dr Peter Thompson (The London): Enjoying life in regional central Queensland, where he is involved in developing emergency medicine and transfer/telehealth services across the district. He is willing to help anyone who is looking for a career, life change, challenge or those just travelling through and keen to see the area.
Dr Nicholas Herodotou (Barts): Appointed as Macmillan Consultant in Palliative Medicine for Luton and South Beds in 2009. Based at Luton & Dunstable Hospital, but also covers the community and a weekly ward round in the local hospice. Now lives in St Albans, Hertfordshire with his four children. Married to Zvart, an ex-dentist who trained at Guy’s. “Would be great to hear from anyone who knows me. I am still very much a Christian and not ashamed to speak about Jesus. Contact me for more information.”
1996 Dr Andrew Ryan (Barts and The London): Moved to Australia to join a great GP practice by the sea. Learning to surf and loving life.
1997 Mr Marc Pacifico (Barts and The London): Appointed Consultant Plastic and Reconstructive Surgeon at Queen Victoria Hospital, East Grinstead in July 2009. Dr Fiona Waters (Barts and The London): Works as a part-time GP in Melbourne, Australia, with her husband, Jeff, who is a journalist for ABC Australia. They have two children, Zoe and Jonathan.
1998 Dr James Porter (Barts and The London): See Kathryn Porter (Barts and The London) 2001.
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2000 Dr Graham Adlard (q BDS, The London): Principal Dentist at Larkham House Dental Practice. He is also a tutor at EBL and clinical tutor at the new PD School. Dr Christopher Tofield (Barts and The London): Enjoying the perks of living by the sea – sun, swimming and fun.
2001 Dr Kathryn Porter (Barts and The London): James (Barts and The London, 1998), Katie and their five daughters live in Surrey, where James is rector of St Mary’s, West Horsley.
2004 Dr Kelly Collins (Barts and The London): Works as a GP in the army. She lives in Portsmouth with her husband, Iain, who also serves in the army.
2006 Dr Sandeep Mohal (q BDS, Barts and The London): Progressing with implants and Ortho in practice as a Practice Principal in Sandhurst.
2008 Dr Emma Court (Barts and The London): Secured a surgical training post at the ripe old age of 41. “Married in July 2010 after just four months together (although we went to school together and lost touch in 1985).”
2009 Dr Alexander Owen (Barts and The London – elective): After a very enjoyable elective term at Barts and The London in 2009 in Gastroenterology with Professor Parveen Kumar and Dr S Preston, he graduated in Medicine and is working in Sydney, Australia. Dr Murtaza Siddiqui (q BDS, Barts and The London): Has recently been awarded a two-year NIHR In Practice Research Fellowship, which will enable him to complete an MSc in Dental Public Health at UCL. The Fellowship is designed to support GPs and GDPs who are interested in developing a future career in clinical research; Dr Siddiqui is the first dentist to receive the award in London/ South East England.
Dr Harold Francis Hope-Stone LRCP MRCS MB BS FRCR (1926-2008)
Harold Hope-Stone, Consultant Radiotherapist and Oncologist at The Royal London Hospital, passed away on 2 September 2008. His colleagues and friends have collated this appreciation of him. Born in August 1926 in Wallasey, Merseyside, Harold was educated at the Liverpool Institute Grammar School for Boys before being evacuated to Canada during the start of the Blitz in 1940. He had passed the entrance exam to read Medicine at McGill University but returned to England in 1943 upon learning of his mother’s poor health, arriving only weeks before her death. Upon completing his studies at the Liverpool Institute, Harold was accepted to study Medicine at The London in 1944.
Its preclinical school was then in Cambridge and Harold went on to The London to do his anatomy, physiology and clinical training. Following qualification in 1951, Harold took a couple of house jobs at Poplar and The London Hospital, before returning to the latter to train as a Radiotherapist, shortly thereafter meeting his future wife, Shelagh Gallimore. The following year he joined the Royal Army Medical Corps (RAMC) and saw service in Malaya during the communist insurrection and in Kenya during the Mau Mau Uprising. Once demobilised, Harold returned to The London as a Registrar, eventually becoming Consultant Radiotherapist and Oncologist in 1963, where he made major contributions to the literature on nonHodgkin’s Lymphoma, Medulloblastoma and urological malignancy, the latter in collaboration with John Blandy. He took administrative charge of the Department of Radiotherapy from 1975 until his retirement. In his more senior years, he served as Chairman of the Medical Council, playing a major role in establishing the London Independent Hospital and in developing the Helicopter Emergency Medical Service. Harold retired in 1991 but continued in private practice for another five years. He remained active as both an avid skier and tennis player and also continued to pursue his passion for travel and archaeology. Many of his former colleagues from
The London have fondly recollected Harold Hope-Stone’s “impeccable medical career” and his being a “charming, witty and erudite companion at social events.” The late Sid Watkins, Professor of Neurosurgery, said of him, “There are few men in the world |ike Harold with such a zest for work and pleasure.” Dr Graeme Mair, Consultant Radiotherapist and Oncologist, recalled, “He was intensely loyal to his junior staff and colleagues and was very supportive of them. Harold achieved success by being a versatile all-rounder who thrived on challenge and confrontation and never gave less than 100 per cent effort.” Professor George Jenkins, Emeritus Professor of Haematology, added, “He worked tirelessly at The Royal London and in the Regional Hospitals and did much to develop the Department of Radiotherapy in Whitechapel to a very high standard. I shall always remember him as a firm friend and a very loyal Londoner.” His colleague, Peter McKelvie, Consultant ENT Surgeon, who Harold had helped to appoint in 1971, described him as “a stickler for high standards”, with “a commanding voice and presence.” Peter concluded, “He was a joy to work with. The world is a duller and emptier place without Harold.” Edited from contributions by the late Professor John Blandy (q The London, 1951); Professor George Jenkins (q Barts, 1950); Dr Graeme Mair; Peter McKelvie; Professor Michael Swash (q The London, 1962) and the late Professor Sid Watkins.
Dr (James) Ralph Grundy (1928-2012) Many generations of dentists owe much to the inspirational teaching of Ralph Grundy during their undergraduate years. This was especially so for the fortunate dental students at The London between the years of 1953-58, when Ralph was a lecturer in the Conservation department. Ralph, who died in August 2012, had spent a couple of years in the RADC and then general practice before coming to The
London, after which he went on to Manchester, where he received the MDS degree by research. He then returned as senior lecturer and consultant at Birmingham Dental School, his alma mater. Ralph was innovative and pioneered new techniques in teaching, identifying the hazards of the air turbine spray whilst at The London. His peers recognised his contribution to the speciality and he was President of
the British Society for Restorative Dentistry in 1980. He had a passion for sailing and extended hospitality to many friends; he will long be remembered for convivial evenings at the Black Bull and Good Samaritan. We extend sympathy to his widow, Margaret, a former distinguished consultant in paediatric dentistry. Dame Margaret Seward CBE q BDS, The London, 1959
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Professor John Peter Blandy CBE MA DM MCh FRCS FACS (1927-2011)
John Blandy, Professor Emeritus in Urology, who died on 23 July 2011 was one of the outstanding urologists of his generation, a surgeon of great ability, a caring physician and a wonderful teacher. The excellence of his written English, an exception in the medical world, meant he was able to communicate to a wide audience both nationally and internationally and he became a household name in urology worldwide. Being a highly talented painter and sculptor, also meant that John could have made a career in writing or art rather than surgery. The son of a senior civil servant, John was born on 11 September 1927 in Calcutta. He received his early schooling in England returning to Calcutta with the outbreak of World War Two. It was during his time at prep school in the hills near Darjeeling, that he was first stimulated to become a doctor but also in parallel to draw and paint. John’s father, Sir Nicolas, sadly died at the young age of 56 and John returned to England for further education to Clifton where he excelled in biology and was encouraged to develop his natural talent for drawing and painting. In 1946, John received a scholarship to follow in his father’s footsteps to Balliol College, Oxford. From there he went on to undertake his clinical studies at The London Hospital, the start of a lifelong association. The London had a long and distinguished surgical reputation and it was not surprising that after he had qualified
and worked in the coveted medical and surgical professorial unit house posts, that John was encouraged to pursue a career in surgery by his chiefs, Professor Victor Dix and Mr Sam Richardson. In 1953, John married Anne Mathias, the sister of an old friend David Mathias who had been at Clifton and at The London with John. This was the start of a lifelong love and an exceptionally happy and rewarding marriage. Surgical training was combined with national service, after which John returned to London to work with Professor Dix. After a spell at King George’s in Ilford he returned to The London to work in thoracic and general surgery. John won a Robertson Fellowship to the Presbyterian St Luke’s Hospital in Chicago in 1959. His project was to look into the practicalities of bladder replacements, the initial idea coming from his friend and future colleague, Richard Turner-Warwick. The work was laboratory-based and provided the foundation for two scientific papers and his DM thesis. On return to England in 1962, John took up position as lecturer on the surgical unit of The London, spending the following year as RSO at St Paul’s Hospital, then one of three specialist urological hospitals. In 1964, having received his DM and MCh degrees from Oxford, John successfully applied for the consultant surgeon’s position at The London which had become available. Initially having to perform general surgical takes, as well as urology, John rapidly
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developed his reputation, showing that specialist urological surgeons produced better results than their general surgical counterparts. He popularised transurethral resection of the prostate in the UK teaching by demonstration (the first television endoscopic demos) and also through his excellent textbook on the subject. Working closely with Harold Hope-Stone, he also developed an expertise and interest in testicular cancer, while at the same time learning the then new technique of renal transplantation from Ken Owen at St Mary’s Hospital and Roy Calne at Cambridge. John was subsequently appointed Professor of Urology at The London in 1969, the first departmental chair in urology in London; this followed his prior appointment to the staff at St Peter’s Hospital, the world’s oldest urological hospital. Over the next 20 years, John fully developed his urological interests. As well as transplantation, renal stone disease, benign prostatic disease, bladder and testicular cancer, he also maintained interest in male infertility and urethral stricture describing a new operative technique for this age-old problem. His gift of language to question and introduce innovative ideas to urology saw his international reputation grow; his many books became standard texts and he travelled extensively all over the world. John was elected honorary fellow to virtually every urological society and surgical college in the world and was a key player in reforming postgraduate urological training in the UK. All the while, he continued to fulfil his heavy clinical workload at The London and St Peter’s where he trained several generations of urologists. Upon retirement in 1992, John helped to launch the European Board of Urology and was elected Vice President of the Royal College of Surgeons of England. He also indulged his artistic talents through membership of the London Sketch Club and the Medical Art Society. John’s professional life was distinguished and highly fruitful; he was a true polymath, questioning, innovative and challenging, yet retaining warmth, humour and humanity. For the full unedited version, please visit www.qmul.ac.uk/alumni/batlaa David Badenoch q Barts, 1975
Dr Alastair Hugh McDonald BSc MB BS FRCP (Edin) FRCP (Lon) (1937-2012)
Alastair McDonald was born in Arbroath, educated at The Bathgate Academy, and then read medicine at Edinburgh, where he took a BSc in Physiology, and was an active President of the Students’ Union. Following work in the Cardiac Department at the
Edinburgh Royal Infirmary, he was Registrar/Lecturer at the National Heart Hospital and in 1968 was appointed Senior Registrar in Cardiology at The London Hospital for Drs Wallace Brigden and Lawson McDonald. Subsequently he became Senior Lecturer in Cardiology at The London Hospital Medical College, then Consultant Cardiologist and Head of Department and Clinical Director of Cardiac Services. Other posts included appointment as Civil Consultant in Cardiology to the Royal Navy. He was throughout hugely supportive of medical education and medical students and was Sub-Dean for Clinical Medicine and President of the Staff-Students’ Association. His research interests included an association with the Department of Engineering at Imperial College. Alastair was politically astute, making him ideal as Chair of the North East Thames Regional Postgraduate Committee (1989-91); Chair of the Clinical Ethics Committee, The Royal Hospitals Trust; Chair of the Medical Council, The Royal London Hospital (1991-94), and Non-
Executive Director of Lambeth, Southwark and Lewisham Health Authority (1992-98). After retirement from clinical cardiology he became Chair of the North West London Hospitals NHS Trust (1999-2004). He enjoyed playing squash, walking and, above all, skiing, at which he became very proficient. He was a great lover of classical music, theatre and literature. Alastair was a fine clinician and administrator who generated quiet intelligent benevolent interest in all with whom he came into contact, be they patients, colleagues, juniors or friends but he was not afraid to speak his mind and had a wonderfully developed dry wit. He was always the source of good counsel and a model physician whose contribution to the life of the Hospital and Medical School will be sadly missed. A trust fund has been established in Alastair’s name at Barts and The London School of Medicine and Dentistry to award a prize for medical students in clinical ethics (see page 6). Peter Freedman q The London, 1969
The Rt Hon Sir (Arthur) Michael Palliser GCMG (1922-2012) Sir Michael Palliser, Patron of the Barts and The London Alumni Association since its inception in 2000, died on 19 June 2012 aged 90. Sir Michael had a long and distinguished career in the Diplomatic Service. He was the first British Permanent Representative to the European Community and his service culminated in appointment as Permanent Under-Secretary at the Foreign and Commonwealth Office and Head of the Diplomatic Service from 1975 to 1982. He was the recipient of many honours, including CMG, KCMG, GCMG and membership of the Privy Council, as well as the Legion d’Honneur. During his retirement, Sir Michael took on numerous honorary roles, including
chairmanship of a new body – The City and East London Confederation for Medicine and Dentistry – established in 1985 by Queen Mary College (QMC) and Barts and The London medical colleges to promote closer working and cooperation in medical education following the transfer to QMC of the pre-clinical departments. The Confederation remained in existence until the full merger of the three colleges in 1995. Sir Michael was much respected by the heads and chairmen of the three colleges and he was awarded an Honorary Fellowship of Queen Mary in 1990. He remained involved with Barts and The London as Patron of the Alumni Association and was a supporter of both BATLAA and Queen Mary activities.
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Professor Donald Jeffries CBE (1941-2011)
Don Jeffries, Professor of Virology and later Head of the merged Department of Virology at Barts and The London School of Medicine and Dentistry (1990-2006), died unexpectedly in December 2011. Prior to this, Don had run the diagnostic and clinical department in virology at St Mary’s, Paddington, where he was also Director of Clinical Studies at their medical school. Don and his team were recruited with Tony Pinching, to establish, inter alia, the emerging discipline of HIV medicine. For the NHS, Don was also Head of Service until retirement. This naturally
coincided with the need to amalgamate academic and medical departments; no easy task in the tense atmosphere of the Tomlinson/Bottomley years. However, Don’s easy charm, dedication, patience and diplomacy were major factors in achieving this. It is not surprising, therefore, that he was also elected as Vice-Chairman of the Barts Medical Council. On a wider and national scene, Don Jeffries worked on various committees and advisory groups, including the Committee on Safety in Medicines, the DoH Expert Advisory Group on AIDS, the Transmissible Spongiform Working Group, the CJD Incidents Panel and the Advisory Committee on Dangerous Pathogens. Don’s contributions, whether from the chair or from the body of the group, were always based on encyclopaedic knowledge of the various aspects of the infections involved and an ability to develop sensible and workable guidelines. With HIV and other blood borne infections, the risks, particularly to health care workers, and in pregnancy and childbirth to mothers and babies, were of concern. Don’s input into these areas was of fundamental importance in clarifying such issues, “defusing” many of the anxieties which were then widely prevalent.
Don Jeffries made a significant contribution to the Royal College of Pathologists; from being the first candidate to sit the new examination in Virology, he was promoted to Examiner and went on to become Vice-President. He was appointed CBE in 2007. Don enjoyed teaching and his immaculate delivery at all levels made him a popular and respected teacher. It would be quite wrong to infer that Don had few outside interests; he was a fine sportsman. In his time, a keen cricketer; he was an opening batsman who exhibited monumental patience and application. Teammates said that he was a thoughtful and constructive captain, with, in the 1980s when he played at village level, a personal average of over 40. Don was at his happiest outdoors. A keen hill walker and fisherman from boyhood, in later life he took up game fishing, and landed a 15lb salmon in Cumbria just weeks before his death. Don had a lifelong passion for natural history, particularly ornithology, and also enjoyed gardening and classical music. Don’s many friends miss him, and we extend our sincere condolences to his wife, Mary, their three children and six grandchildren. Professor Jangu Banatvala CBE (q The London, 1958) and Professor Chris Hudson (q Barts, 1955)
Professor Peter George Cull MBE FMAA HonFIMI OBSt J (1927-2012) Sometimes words seem to have been created specifically for an individual. For the late Peter Cull, Emeritus Professor of Medical Art at the University of London, I would say that word was ‘charisma.’ Because of his impressive manner and bearing, instinctively one felt he was owed respect. Nevertheless, here was a person with consummate skills as a medical artist but he represented much more even than that. Peter Cull was a visionary in his own profession, bringing it to prominence in the medical world, and
an inspiring mentor to countless students of medical art. Yes, he was dignified but not so lofty that he couldn’t treat people of all ranks equally and make them feel valued. He was a friend – a very good friend. Working with him you sensed a colleague with a clearly defined ethos that he invited you to share. Peter was also notably a family man. His marriage of nigh-on 60 years to Bettine was a partnership of immense strength. He was a loving and loved-in-return husband, father, grandfather and great-grandfather – very much the figurehead of the ‘Clan Cull’.
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Professor (Bernard) Roy Jerome Simpson (1922-2012)
Roy Simpson, who was Professor of Anaesthetics at The London Hospital Medical College between 1967 and 1975, died in Dallas, Texas on 23 June 2012, aged 89. His wife, Ann, to whom he was married for 60 years, and his three children survive him. Roy was born on 20 November 1922 in South Wales and qualified in Medicine at The London in 1950. He was an excellent all round sportsman, a national sprinter, cricketer, and he played rugby for the Hospital to a sufficiently high standard to be selected for the Barbarians. After qualification he joined the Royal
Canadian Air Force and became interested in anaesthesia. He returned to England and obtained a PhD at Oxford as a member of the Nuffield Department of Anaesthesia, then headed by Professor Sir Robert Mackintosh, a pioneer of anaesthesia at that time. He returned to The London in 1962 as consultant and was responsible for the establishment of the Intensive Therapy Unit in 1965 at a time when physicians and surgeons alike regarded the concept of intensive therapy with suspicion, if not active hostility. Roy’s personal charm, forceful personality, organisational ability, encyclopaedic knowledge of the current literature and sheer determination eventually overcame this deep prejudice and made a very significant contribution to patient care. At about this time he also helped John Weaver to establish the cardiac surgery programme. After his appointment as Professor of Anaesthesia, he recruited Leo Strunin and together they created the Academic Department of Anaesthesia. Despite their clinical workload, they created a significant research programme, initially concerning the effect of volatile anaesthetics on liver function. Roy had a talent for political organisation, fundraising for his department and recruiting clinical and academic talent.
As an intensive therapy clinician he had a very keen eye for detail and a disconcerting talent for uncovering sins of omission or commission that the on-call registrar would have preferred to conceal. Subsequent one-to-one interviews that followed these misdemeanours were both legendary and memorable. Over the next few years the department grew rapidly, establishing an international reputation for research. In 1975 Roy was recruited by the Baylor University Medical Centre in Dallas, Texas to chair their Department of Anaesthesia. It says much for his ability to inspire personal loyalty that he took three very talented anaesthetists from The London with him. When he eventually retired in 1989 he left a legacy of excellence in clinical practice and research that remains to this day. Roy Simpson had a profound influence on the way my practice of anaesthesia developed and this was true of many others. He not only created opportunities at The London but his extensive international network of contacts meant that he was always able to offer the possibility of working abroad. I have much to thank him for personally and I remember him with both affection and respect for his many qualities. Peter Colvin q The London, 1965
Here I can give you only a glimpse of a life full of interest and achievement. With an art school scholarship while aged 13 and beginnings as a commercial artist, Peter Cull progressed through the war years and later, being conscripted, first realised the potential of surgical illustration in a military hospital. He then studied medical art at Guy’s Hospital. Afterwards, while at Great Ormond Street Hospital, he collaborated with the Home Office Pathologist, Sir Francis Camps on the infamous Christie murders. Subsequently opening a department of medical art at the Royal Marsden Hospital, he formed a strong professional partnership with the head and neck surgeon, Ronald Raven. Accepting an invitation to the Makerere College Medical School at the University of Kampala, Uganda, Peter became Medical Artist, Head of Medical
Photography and Museum Curator. On return to Britain he joined St Bartholomew’s Hospital Medical College, working initially with the anatomist Professor AJE Cave. Opening his own art department at Barts, he created an audio-visual teaching unit, making many teaching programmes. He designed the Robin Brook Centre for Medical Education, instigated an educational research unit, pioneered early teaching videodiscs and created a Clinical Skills Laboratory. In 1991 he was awarded an MBE for services to medical art and a Chair in Medical Art of the University of London, the first and still the only one of its kind in Europe. Cedric Gilson Director of Medical and Dental Media Resources, Barts and The London School of Medicine and Dentistry (1986-2000)
Detailed, meticulous, accurate: dissection of the temporo-mandibular joint (P Cull)
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Dr Ian McArthur Jackson MRCS LRCP (1921-2012) Born in Salford in 1921, Ian Jackson’s early childhood was spent in the North before his father’s work took the family to Hertfordshire. He attended Aldenham School where he clearly demonstrated something which was to mark him out all his life, his ability to make strong and enduring friendships. Ian decided to pursue a career in medicine at Barts where, in his penultimate year of training, an appeal went out for newly or nearly qualified medical students to be flown out to Germany where the British Army had just liberated Belsen. Ian volunteered and was assigned a hut of severely ill and dying inmates. This experience had a profound effect on him; a subsequent visit to Belsen in 1999 with his sons helped him to come to terms with this in later life. Ian qualified in 1946 and found himself drawn to anaesthesia. In 1953 he became a consultant at Barts where he remained all his working life, ending his time as head of
the anaesthetic department. He struggled in the early days with medical exams, an experience which made him particularly supportive of those who were not academic high flyers. Later, when he was to have a say in the appointment of young doctors, he took particular pride in ensuring that applicants were assessed on their empathy and commitment as much as their exam grades. He really valued Barts being a teaching hospital and greatly enjoyed mentoring young doctors. Early on he made a particular speciality of neurosurgical anaesthesia, experience later gathered into a textbook on this speciality which he wrote with his long-time friend and colleague, Bob Ballantine. It resulted too in his working with John O’Connell, one of the country’s leading neurosurgeons, and his taking part in a ground breaking operation to separate Siamese twins joined at the head. Ever practical, he used to
make pieces of anaesthetic equipment and put together a very early version of what we now know as the syringe driver. Ian valued the opportunity to work at a number of other hospitals, particularly the variety offered by a regular operating list at Wormwood Scrubs prison. He worked closely with another leading neurosurgeon, John Currie, who became a great friend. Ian and John enjoyed their foreign trips to countries where neurosurgery as a speciality was unknown and their expertise sought. Ian’s hospitality and warmth was greatly appreciated, not just by family friends but by his children, nine grandchildren and growing band of great-grandchildren. He deeply valued life to the full; one of his oft repeated phrases in the last few years of his life was “I’ve been a very lucky chap.” Edited by Alan Bailey (q Barts, 1966) from a tribute by Reverend Michael Jackson (Ian’s son).
Edward Russell Telfer (1917-2011)
Edward Telfer (right) at work with Dr TW Lumsden in the laboratory overlooking Whitechapel Road
Edward Telfer, a long standing servant of The London Hospital, passed away on 28 December 2011, aged 94 years. Edward Telfer was a senior laboratory technician who will be remembered fondly by many doctors who worked as house officers or registrars at The London. He had worked there since at least the late 1930s, when he had been an assistant to Dr TW Lumsden, Director of Cancer Research at The London between 1930 and 1941. Following World War Two and a career hiatus as a farm labourer and later Assistant Estate Manager on the Overbury Estate on the Worcestershire/Gloucestershire border, he returned to the labs at The London. For several years, he worked the night shift in the clinical labs, covering biochemistry, microbiology and haematology. Edward was a godsend to young house officers. He was so experienced and knowledgeable that he became a “second opinion” to many young doctors in the middle of the night when faced
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by an emergency. It also meant that we did not have to bother a senior doctor. I well remember going down to the lab to discuss a case with him. He would suggest possible tests and help interpret the results. He was always friendly and unflappable; thank you Mr Telfer. Edward stayed on at The London until his retirement in 1982. I had not heard of him for many years until I became friendly with a fellow family history researcher who also knew him. In the course of discussing my research with Edward, my name, ‘Harrod’ was mentioned, and was immediately recognised by Edward as one of numerous house officers he must have helped. Sadly Edward died following a long battle with cancer. His family have said that right to the end he was an avid reader, whose interests spanned many fields, from science to the theatre. Robin Harrod q The London, 1969
We regret to report the death of the following alumni and former staff For a comprehensive list, please visit ‘Alumni Remembered’ on our website at www.qmul.ac.uk/alumni/batlaa Obituaries printed in the BMJ can be read online at www.bmj.com and in the BDJ at www.nature.com/bdj Professor Harry Allred Professor of Conservative Dentistry and Dean of Dental Studies, London Hospital Dental School b 04 07 29, d 20 08 12 BDJ 08 03 13 Professor Hugh Henry Bentall q Cambridge/Barts, 1942 First Professor of Cardiothoracic Surgery, Imperial College b 1920, d 09 09 12 BMJ 03 12 12 Dr Christopher John Henry Bland q Cambridge/Barts, 1979 Radiologist b 1954, d 27 12 12 BMJ 17 04 13 Dr Peter Charles Collinson q Barts, 1939 GP, Rotherham, South Yorkshire b 1913, d 23 09 12 BMJ 12 12 12 Professor Griffith Edwards CBE q Oxford/Barts, 1955 Psychiatrist and addiction specialist b 03 10 28, d 13 09 12 BMJ 28 10 12
Dr George Gasson q The London, 1952 d 11 10 12 Mr William Forbes Hendry Consultant Urologist, St Bartholomew’s Hospital b 15 06 38, d 03 10 12 BMJ 16 01 13 Mr Justin Howse Orthopaedics, St Bartholomew’s Hospital b 13 05 29, d 27 12 12 BMJ 28 03 13 Dr Roger Alexander Johnson q The London, 1966 GP, Manchester b 1944, d 20 11 12 BMJ 23 01 13 Professor Ian Renwick McWhinney q Cambridge/Barts, 1949 Professor Emeritus, Department of Family Medicine, School of Medicine and Dentistry, University of Western Ontario, Canada b 1926, d 28 09 12 BMJ 05 11 12
Mr John Sutton Pippard q Cambridge/The London, 1942 Former Consultant Psychiatrist, Claybury Hospital, Essex b 1919, d 21 12 12 BMJ 17 04 13 Mr Gary Royston Pollock q BDS, The London, 1981 Consultant and Senior Registrar in Restorative Dentistry, The Royal London Hospital; President, British Society for Restorative Dentistry (2012) b 08 01 59, d 24 09 12 BDJ 23 11 12 Dr Carl Ludwig Scholtz Senior Lecturer in Neuropathology, The Royal London Hospital b 1939, d 04 01 13 BMJ 01 05 13 Dr Christopher Patrick Silver Consultant in Geriatric Medicine, The Royal London Hospital and Tower Hamlets Health District b 21 04 20, d 12 11 12 BMJ 27 02 13
Dr Ian Greville Tait q Cambridge/Barts, 1954 GP, Aldeburgh, Suffolk b 1926, d 04 02 13 BMJ 25 02 13 Dr David Howell Clason Thomas q Cambridge/Barts, 1950 GP, Newport, Gwent b 06 03 26, d 09 09 12 BMJ 16 01 13 Professor (Eric) Sidney Watkins OBE First Professor of Neurosurgery, The Royal London Hospital; Head, on-track Formula One Medical Team (1978-2004); President, FIA Institute for Motor Sport Safety (2007) b 1928, d 12 09 12 BMJ 24 10 12 Dr Marcia Isobel Pamela Wilkinson Nuffield Research Fellow, Bernhard Baron Institute of Pathology, The Royal London Hospital b 1919, d 04 02 13 BMJ 05 03 13
Your a lma m ater needs you! Barts Health NHS Trust is applying for Foundation status Foundation Trusts have members who can elect representatives to a Council of Governors, and who can also stand for election themselves. Besides constituencies for patients, carers and staff, the public constituency now consists of all residents of England and Wales. This change came about as a result of a combined petition to the Trust Board by the Barts Guild,
the Friends of The Royal London Hospital and the two Leagues of Nurses, supported by the School of Medicine and Dentistry. Most alumni are now eligible to apply for membership and this will be particularly important in the expanded Trust. Members receive regular information about the Hospitals and may offer advice
and assistance to the Trust. There is no membership fee and no specific time commitment – just being a member would demonstrate your support for our Hospitals. For more information, including how to join, visit www.bartshealth.nhs.uk/ members Alternatively you can email email@example.com or telephone +44 (0)870 707 1598.
Barts Health NHS Trust • www.bartshealth.nhs.uk/members
Summer 2013 | Barts and The London Chronicle | 47
Forthcoming events Below is a selection of events taking place over the coming months. To book, or to find out more, contact alumni@qmul. ac.uk unless otherwise stated. For up-to-date listings, visit www.qmul.ac.uk/alumni/events
Alumni Receptions in East Asia All Barts and The London alumni in East Asia are welcome. Monday 24 June...................Hong Kong Tuesday 25 June........................ Beijing Friday 28 June........................ Shanghai Monday 1 July..................Kuala Lumpur Tuesday 2 July.......................Singapore
Tuesday 25 June 2013 – Barts and Queen Mary Science Festival Held in the Octagon on our Mile End campus from 11-2.30pm, this festival is open to all and will feature a lively science market with exhibition stands and talks presenting science in fun and interesting ways. We are particularly keen to attract secondary schools – do get in touch if you know of any schools who may be interested in participating. Register online
at http://bartsqueenmarysciencefestival. eventbrite.com For more information, email firstname.lastname@example.org Thursday 27 June 2013 – Inaugural Lecture: ‘Do androids dream of electric sheep?’ Anthony Mathur, Professor of Cardiology, William Harvey Institute This lecture will commence at 5.30pm in the Morris Lecture Theatre, Robin Brook Centre, West Smithfield. Friday 28 June 2013 – Barts Golf Society The next meeting will be held at Berkshire Golf Club (see page 9). All medical and dental alumni and past and present staff of Barts and The London are eligible to join. Contact Michael Wareing at mike.wareing@ bartshealth.nhs.uk or +44 (0)20 7935 1304. Thursday 3 October 2013 – 25th Anniversary of the Griffin Community Trust A celebratory dinner will be held at Drapers’ Hall in the City of London. For more
information see page 9 or email email@example.com Wednesday 16 October 2013 – William Harvey Day A showcase of cutting edge research currently being undertaken at Barts and The London School of Medicine and Dentistry and our partner NHS Trusts. Held at St Bartholomew’s Hospital, the day will conclude with the traditional St Luke’s-tide Service at St Bartholomew the Great, followed by a subscription dinner. To register your interest, email firstname.lastname@example.org Wednesday 16 October 2013 – BATLAA Annual General Meeting All members of BATLAA are invited to attend the AGM, held over lunch during William Harvey Day. Friday 7 – Saturday 8 March 2014 – London Hospital Dental Club Annual Clinical Meeting This two-day CPD accredited event, held on our Whitechapel campus, will be curated by Dr Judith Jones (q BDS, The London, 1987). The programme will include a number of guest speakers who will talk about topical issues in dentistry. A dinner will be held on Friday evening; reunion groups are welcome to attend.
For the up-to-date College events programme, including inaugural and public lectures, visit www.qmul.ac.uk/events
Dyslexia & Dyspraxia in the workplace
Working in the Information-Sharing World of Medicine, Dentistry and Healthcare An increasing number of our students are being diagnosed with dyslexia and related specific learning disorders who, although able to perform well in their undergraduate programme, have concerns about postgraduate clinical practice. We would like to make contact with clinicians who have dyslexia in order to put together guidance materials on strategies for coping with specific learning disorders once qualified. If you feel that you are able to help us, please contact Olwyn Westwood, Professor of Medical Education in confidence. Centre for Medical Education, Garrod Building, Barts and The London School of Medicine and Dentistry, Turner Street, London E1 2AD; email: email@example.com; Tel: +44 (0)20 7882 2219
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forthcoming Reunions 2013 For more information about the following reunions, or to promote your event, email firstname.lastname@example.org or call +44 (0)20 7882 7790. For an up-to-date list, visit www.qmul. ac.uk/alumni/events Thursday 3 October 50th Anniversary of The London (Medics and Dentists) 1963 intake Organiser: Robin Harrod Saturday 5 October 30th Anniversary of Barts q 1983 Organiser: Paul Carter
Saturday 19 October 35th Anniversary of Barts q 1978 Organiser: Liz Cox Saturday 23 November 30th Anniversary of The London (Medics) q 1983 Organiser: Andrew Fernando Saturday 23 November 40th Anniversary of Barts q 1973 Organisers: Peter Acres and Richard Wells
The magazine for the alumni community of Barts and The London School of Medicine and Dentistry In this issue… Supporting us The Fountain: A...