This section is from the book "Modern Buildings, Their Planning, Construction And Equipment Vol3", by G. A. T. Middleton. Also available from Amazon: Modern Buildings.
The basement shown in Fig. 27 has a separate low-level entrance in the front, where an ambulance is placed. A series of open areas and subways lead round the building to the courtyard at the back, just recently mentioned. Out of this there is also an archway to a back street, and close to the archway is the mortuary and the disinfection apparatus, following, on a small scale, the lines of that at Tooting already illustrated. There is also here a washhouse and ironing-room, forming a complete laundry, all the linen being disinfected before it is taken to it. Under one of the front ward-blocks there is a small isolation ward and attendant's room, but the space is mostly given up to stores and a large bathroom.
This building is one of somewhat unusual beauty for a hospital, in spite of its extreme simplicity, as will be seen by a reference to Plate II., in which it is shown in a coloured perspective, outlined in pencil - a remarkably fine example of such work.
Another hospital, planned upon the usual lines but upon a restricted site and to meet somewhat special circumstances, was that designed for erection at Aleppo, in Syria. The aspect allowed the wards to run north and south in the generally accepted correct way, but as the prevailing wind was south-west, and it was important to give it full play, the annexes were not placed in the usual position. The plan, too, was largely controlled by the fact that the hospital had to serve also as a private doctor's consulting establishment, and, as it was entirely a private affair, it was also necessary that it should be capable of division at some future date into at least two private houses. Internal partitions, as we understand them, were almost impossible of attainment, as both internal and external walls would be thick and built of stone, all the floors being pf stone arches between girders, and the roof being flat. The only water obtainable for drinking purposes was the rain-water caught on the roofs, and this had to be stored in a large tank in the basement, having windows of considerable size so as to admit the prevailing south-west wind to the tank. Water of a brackish character, for other purposes, such as washing, could be obtained by sinking deep wells through a rocky substratum. Two general wards containing ten beds each were required, but any other wards would be better if smaller, as they would probably be occupied by paying patients. With these conditions to meet, the plan shown in Fig. 28 was devised, and, like that of the last two hospitals considered, it was dominated by the requirements of the ward or second floor. This was of much the usual type, containing two ward-blocks and a central block also, in which the kitchen and dayroom were placed, the kitchen being somewhat exceptionally located on the upper floor, for the purpose of serving the wards easily. There were two main staircases on account of the stipulation for future division, but no lift, as such would have to be sent out from Europe together with the European workmen for its erection. The small spans of the rooms were also demanded by this consideration, as any steel work would have to be carried for a long distance up country. The air shaft shown was for ventilation of the rain-water tank, which was placed in the basement beneath the dayroom block, while the flat roof above was utilised as recreation ground. On the first floor one of the blocks was devoted to small wards, the central portion to a proper operation department, and the other block to consulting-rooms and surgeon's dressing-room for private patients, there being two waiting-rooms. One of these was for the use of the general lower class public, and the other for persons of a higher caste who would not mix with the common herd. It will be seen that the three blocks are on all floors perfectly disconnected by cross ventilation. On the ground floor there were two large entrances of sufficient width for carriages to drive or be backed right in, so that patients could be brought to the hospital in a carriage and the doors shut before they were taken out. Under the block of small wards was a laundry, while the central block was given up to stores and a servant's room, and the other to a dispensary for out-patients of the lower class, who had a small door by which they could obtain access or through which they might be dismissed.
Plate II British Hospital, Constantinople.
H. Percy Adams F.R.I.B.A.
Plan. Diptheria Block.
First floor Plan.
Plan. Laundry Block.
Scarlet Fever Block.