The official history of Southland Hospital, published in 1968, states that the first government hospital in Invercargill was located in The Crescent, near the corner of Dee and Tay Streets. It was established by the newly created Southland Provincial Council in 1861, while it planned a purpose-built hospital at Dee Street. Just what building this first hospital occupied is not known. Likewise, what Invercargill people did for medical care before the hospital was established is unknown. Invercargill was little more than a few streets and houses surrounded by bush, although the town was growing quickly.
The site at Dee Street, a block lined by four streets, was a short distance from central Invercargill and was set aside as a hospital reserve, probably in 1862, although exactly when is not known. The first building planned was to contain the hospital wards. Work probably began late in 1862, as by February 1863 it was well advanced.
The brick hospital will be completed, as regards the outer walls, in a month's time; it is the first wing of the building, which will be added to as required. When completed it will look well, be commodious, and is admirably situated as regards drainage, ventilation, &c.
This newspaper report confirms that the intention was to build a row of buildings, which is exactly what transpired. The use of the word 'wing' strongly suggests that three buildings (two wings and a central block) were to be built, although it is not certain if this was the plan. The 1863 building was the north wing and was situated about the middle of the property. It is not known who the architect was but Angus Kerr, who had premises in Spey Street, may have been responsible. He supervised the erection of a fence around the reserve in 1870. The builder and cost remain unknown, but it was constructed of brick and cement plaster, lined out to resemble stone. The building provided 24 beds in all. In 1870, a verandah was added to the front elevation of the building.
The following year, the Hospital came under focus when a commission (three doctors and a lay person) was appointed by the Provincial Superintendent to examine the future of the Hospital's operations and funding. Tellingly, one of the recommendations of this commission was a proposal that future funding be gained through a private / public partnership:
In order that the Hospital may be carried on at a less expenditure on the part of the Provincial Government, it is recommended that it be maintained by private contributions, and by a subsidy voted by the Provincial Council, and that for this purpose the provisions of the 'Hospital Ordinance, 1863' be applied to this institution, and the further management be conducted by a committee of management elected by contributors, according to the provisions of Rule 4 of the aforesaid Ordinance. The Commission consider that by this arrangement the Hospital will be regarded more as a public institution than as a Provincial one. And that it will receive public support and sympathy to a greater extent than it has hitherto done.
It is not known if the commission's recommendations were adopted by the Southland Provincial Council, but it seems likely they were. As Watt points out, a publicly funded hospital was not a concept that most people were familiar with or in favour of. General sentiment preferred patients paying their way, unless they were destitute. From that point on, few if any of the Dee Street Hospital's buildings were erected without public contributions, substantially so in most cases. Establishing the public as a stakeholder in the buildings' funding had the effect the commissioners intended. It reduced the cost of hospital building on provincial and central government, and it gave Southlanders a sense of pride in their hospital. Funds were raised in various ways including benefit concerts, street appeals, fairs, general calls for contributions and bequests. The friendly societies of Invercargill organised a concert every year.
The annual concert under the management of the Friendly Societies in aid of the funds of the Southland Hospital took place lately at the Theatre Royal, and resulted in an excellent evening's entertainment being provided for those who patronised the institution, and over £50 being added to the funds of the hospital.
In 1864, much was done improving the hospital grounds. Then, in 1866, the Porter's Lodge was built near the corner of Dee and Gala Streets. This is now the oldest building standing in the complex and reputedly Invercargill's oldest house. The porter was a gatekeeper, not an orderly who moves patients around a hospital, as is the common use of the word today. The reserve was almost certainly always fenced - Watt refers to the replacement of the 'gaol-like' timber fence in 1870- and this building was built close to what were always the main gates to the hospital reserve. This was necessary because the hospital operated day and night and presumably entry could be required at times when the gates were closed or security was required. Watt quotes a description of the lodge in 1866 as having two apartments and being allocated for the use of 'the head nurse, whose husband, although not connected with the establishment, is permitted to occupy it at night, and the insane female patient...is also accommodated.'
This small building has changed much over time. The most obvious change was the addition, about 1900, of a lean-to the west and a chimney on the south elevation. Two sets of casement windows were inserted on the north side (date unknown) and the slate roof was reinstated about 1989. There have also been numerous, unrecorded changes to the interior, including the addition of much pinex as a lining.
The fence was again replaced in 1900, this time in cast and wrought iron. According to file notes held by the NZHPT, the fence was built by prison labour and is identical in design to that surrounding the Invercargill Club in Don Street. If the south-east gates were, as may be assumed, built at the same time, Kerr credits them to a tradesman by the name of Macalister. It would appear that the fence and gates, which only occupy part of the perimeter of the block, were built in stages. However, the sequence of construction of the fence and gates is a confusing one and may require research that is beyond the scope of this project.
The hospital itself expanded three times the following decade. In 1874, a six-bed ward extension was built by a bricklayer of the name of Stewart, whose successful bid was £1428-10-. These were not considered sufficient and in 1876, with the lack of accommodation a pressing issue, a new wing was commissioned. This was the year provincial government was abolished and central government took over the administration of health services, but the building had already been long in the planning. In June 1876 the Otago Witness described progress:
The new addition to the Hospital is gradually approaching completion. The work has been some time in hand, and the inconvenience from want of adequate accommodation has been patent enough to every member of Committee, but the present advanced state of the new building now enables one to hope that in a few months the Institute will be able to afford the hospitality to indoor patients which private necessity demands the publics to supply. The Committee have (sic) been very fortunate in their appeals for funds, and the subscriptions to the Hospital are such to sustain the character which the district has already attained for liberality.
Designed by F.W. Burwell, who was the most influential of Invercargill's architects during the 19th century, it was erected alongside the first building (to the south). It appears to have mainly been used as the hospital's outpatient facility for some decades after it opened. According to Watt, during this period, the Central Block was home to the dispensary, board room and library. Upstairs were the female ward and the dispenser's quarters. Men were accommodated in the North Wing.
To illustrate the hospital's level of use at this time, 205 patients were admitted for treatment in the hospital during the year 1879 (known as 'indoor patients'), of whom 138 were discharged. The number of out patients ('out-door patients') was 1061. Twelve ('only') deaths occurred during the year.
In 1879, another building was constructed adjoining the second, again via a covered way and again designed by Burwell. The contractor's name was McKay. This was built as the home of the Resident Surgeon (later Medical Superintendent), perhaps as a way of attracting and keeping the hospital's senior staff member in the job. The province had difficulty retaining its key staff and a purpose-built house may have been a suitable inducement. An advertisement from 1883 reveals how the house was used to attract potential applicants, along with the prospect of practising privately on the side:
WANTED, for the Southland Hospital, via Invercargill: a duly-qualified Medical Practitioner as RESIDENT SURGEON. Average number of indoor patients for the past two years. Salary, £250 per annum with free horse (sic) of 10 rooms and liberty of private practise within a radius of one mile of the Hospital. Applications, with copies of certificate and testimonials, to be in the hands of the under-signed not later than SATURDAY, the 30th of June. ROBERT GILMOUR, President. Invercargill, Ist June 1883.
With the erection of this building, the row of hospital buildings was complete. With the exception of the verandah on the north wing, the group was symmetrical, additional confirmation that the hospital authorities had a firm plan in mind when they began the hospital. At the time of the South Wing's construction, The Southland Times reported that it was hoped to build a verandah on the building to complete the symmetry of the group. At the same time as the completion of the South Wing, a corridor was built connecting the three buildings; part of that corridor survives today. In 1886, (Watt says 1888) a fever ward was built near the west boundary of the property.
By 1889 the house steward was also living at the hospital and there were complaints that 'one half of the present buildings are occupied by the house surgeon and house steward, and...that both officers should be single men, thus throwing into the hospital the apartments now used by them as residences.' It has been suggested that two families were using the south wing, one on each floor.
By the early 1890s the hospital's cleanliness was coming under scrutiny. In 1893, the inspector-general of hospitals, Dr Duncan MacGregor, described Invercargill Hospital as 'surgically insanitary' and hospital's trustees resolved to pull down and rebuild the north wing. That opportunity was less than five years away.
In the meantime, in January 1895, the government agreed to help fund an expansion of the hospital to the tune of £1500. In March a contract for an extension to the hospital was designed by MacKenzie and Gilbertson, who designed, among other buildings, the Railway Hotel (1896) and the Invercargill Club (1892). The builder was Joseph Hewitt and the contract price £1665. The extension, for the use of female patients, was built to rear of the north wing.
In 1897 the local community and Hospital Board decided that the next extension to the hospital would be named after Queen Victoria, who was marking the Diamond Jubilee of her reign the following year. The Southland Hospital Board collected £2030 from the public and, together with a government subsidy, had £4400 to spend on the new wing. The foundation stone was laid on 9 June 1898 and the building was completed later that year or early the following. The Victoria Wing was designed by McKenzie and Wilson and built by contractor William Smith. With its long balconies and strong street presence, it became the best known of the hospital's buildings. It offered room for a further 32 male patients.
To construct the Victoria Wing, it was planned to pull down the men's ward, occupying the old North Wing. It is difficult to know exactly what happened to the North Wing. It would seem that most, if not all of it was demolished and the remainder considerably altered. This may help explain some anomalies in the layout of the buildings following the construction of the Victoria Wing. Images of the time show a curious conjunction of buildings. In the place of the corridor to the North Wing was a two-storey building. Photographs also do not help determine if any of the North Wing survived the construction of the Victoria Wing. However, as the buildings were all ultimately demolished, it is not an important matter today.
Piercey quotes (without reference, unfortunately) a description of the hospital from the early 1900s.
The buildings are divided into three main blocks built on the pavillion (sic) plan, the northern block includes the hospital proper being sub-divided into male and female wards. The central block is set apart for relieving outdoor patients and contains a well appointed dispensary under the charge of a competent dispenser. Adjoining the dispensary is the operating room, fitted up with the latest surgical appliances. The southern block forms the residence of the Medical Superintendent. Situated at the rear and detached from the main buildings are the laundry and other domestic offices all of which are suitably provided. The buildings are connected by corridors, the wards running east and west with double storied verandahs carried to their full length.
Piercey states that more accommodation was built in 1902, including an out-patients and consulting rooms. In 1909-10 a surgical block was added to the design of E.R. Wilson. Both of these buildings were constructed towards the rear of the block and do not appear on historic images of the main elevation.
As mentioned earlier, the Dee Street site struggled with overcrowding for most of its history. Each extension barely improved the situation. The proximity of the site to the central city meant that growth would always be constrained to little more than the block itself and that it would ultimately struggle to meet the city's future needs. The first attempt to alleviate the pressure came in 1901 when a children's ward was built at Lorne Farm, although a combined home for old people and destitute boys had been built at Bowmont Street in 1886. Lorne Farm later housed and old people's home and was still functioning after the main hospital opened. In 1907, land was purchased at Kew from farmer H. Suferts for £2000 and a fever hospital opened there the following year. It was the forerunner of the permanent relocation of the Southland Hospital, which opened at Kew in 1937. A move to Kew was first mooted by the Inspector-General of Hospitals, Dr T.H.A. Valintine, in 1917, who described as one of the best sites in the country.
Although the decision was made to build a medical hospital at Kew as early as 1918, it took a very long time before construction commenced. In the meantime, the situation got worse at Dee Street. This situation prompted the hospital board to plan a complete hospital at Kew. This did not transpire either, at least not until 1979.
In the meantime, more improvements and changes took place at Dee Street. Guided by architect E.R. Wilson, who would later design Kew Hospital, the board undertook work in 1912, 1914, 1920 and a new X-Ray room in 1922. More renovations took place in 1937, when the new hospital at Kew opened. From 1942, the same year that the buildings' appearance was upgraded, it was renamed the Queen Victoria Hospital. At this stage, the South Wing was known as the Social Services Block, while the Central Block was known as the Administration Block. The Hospital Board also built its administrative offices in the north-west corner of the reserve, but the date of that building's construction is not yet known.
In 1949, it was suggested in a report to the Southland Hospital that the Queen Victoria Hospital should be converted into a maternity hospital. At this point, Queen Victoria had a capacity of 80 beds and although maternity services were undertaken there, utilising 45 beds on the ground floor, there was unused capacity upstairs that was used for general patients and known as Ward 10. In 1957, with the opening of the west wing at Kew Hospital, Queen Victoria became solely a maternity hospital. However, that same year the Southland Hospital Board made the decision that it would eventually abandon Dee Street and transfer maternity services to Kew.
By the late 1960s the emphasis at Dee Street had changed. Gone went the name Queen Victoria and it became known as Dee Street Maternity Hospital. Along with the maternity function, the hospital was home to the ante natal clinic, blood bank, hearing aid clinic and the board's head office. The top storey of the South Wing is thought to have remained accommodation throughout its last period of hospital use.
The decision to eventually leave Dee Street did take a considerable period to become a reality, but the move to Kew began to take shape in the 1970s. The Gazette Notice on the hospital reserve was lifted in 1972. With the completion of the Obstetrics Unit at Kew in 1979, Dee Street was closed. In the years following, the Hospital Board looked at various options for the disposal of the property and the demolition or retention of buildings. In 1982, in a letter to the Southland Regional Committee of the NZHPT, the chairman of the Board's buildings committee indicated that its preference was to retain the buildings visible from Dee Street (presumably excluding the Board's administrative offices) and demolishing everything west of the rear of the Central and South Wings, including the rear portion of the Victoria Wing. One of the issues the Board had to deal with was the push to extend Leven Street through the reserve to provide an alternative to Dee Street for traffic moving north-south (and vice versa). The building committee's proposal accommodated this.
The Southland Regional Committee undertook research into the block of buildings so that it could understand the sequence of construction better and in 1983, the Trust's Buildings Classification Committee came to Invercargill to inspect the hospital buildings (among others). Following that visit, the Trust indicated its intention, to the Hospital Board, to classify the fences and gates, porter's cottage, south wing and Victoria Wing (front part only) as 'C'. It recommended that the Central Block be classified 'B'. The Board meeting was held in June 1984.
In the meantime, the Hospital Board's architect suggested that the old complex be used as the Board's offices, which were at that time still sited in the north-east corner of the reserve. Although there was support for this proposal from within the Board, it was not prepared to commit itself to the concept. The Trust duly classified the buildings but the Hospital Board complained that it could find no useful purpose for the buildings. As a result, it told the Trust that it was going to pull down all the buildings not classified plus the Victoria Wing. Work was underway in September 1985 and when finished, just a fraction of the former hospital remained.
The remaining portion of the hospital (essentially, the south-western corner) was put on its own title, Leven Street was extended through to Gala Street and the Hospital Board disposed of the remainder of the land. At one point, it was prepared to offer the remaining hospital buildings to the NZHPT in a 'peppercorn sale'. The Southland Regional Committee was keen to acquire the building, but the Trust national office was reluctant to take on another property, being overburdened as it was. It said no. One curiosity that arises from the demolition and road extension is the fate of the fence. Today, it extends some distance along Leven Street from the north, suggesting it was rebuilt on the new after the boundaries of the reserve were changed.
With the demolition of the bulk of the hospital, the Southland Hospital Board (or Southland Area Health Board as it became) had a largely clear site to sell. In 1990 it sold part of the land to McDonald's (McDonald's System of New Zealand Ltd.), and it built a restaurant near the Dee Street side of the block, with a carpark behind. Today, the block is divided into three parcels, with the Southland District Health Board retaining ownership of the land that the remaining hospital buildings occupy.
With the NZHPT no longer interested in the old buildings, the Southland Museum and Art Gallery entered the picture. It negotiated a lease on the property and in 1988 formulated a plan for the future of the two main buildings. It proposed some level of restoration and refurbishment for the buildings, including the reuse of a spiral staircase salvaged from the Victoria Wing. It sought an assurance from the NZHPT that it would not obstruct the Museum in carrying out its plan.
The extent to which this plan was enacted is not clear. Externally, considerable work was certainly done, and in summary was as follows:
Tidying of the area on the north side of the Central Block where the connection with the rest of the complex was severed
The removal of a porch over the entrance to the Central Block
Removal of four fire escapes (two each) on the first floor of both wings
Removal of the infill between the two wings on the east elevation
Bricking up (and plastering and painting) of three apertures on the rooms on the west side of the corridor
Insertion of arched sash window over stair in South Wing
Restoration of missing external features such as decorative plaster
In addition, much work was done to restore missing decorative plaster on the building's exterior and this work was undertaken by Michael Forrest, Southland Museum and Art Gallery technician. Internally, the poor shape of the Central Block suggests it had little done to it, while the renovation of the South Wing did not happen until 2000.
From the time the Southland Museum and Art Gallery acquired the buildings, it used the Central Block for storage. Today the building is filled with an extraordinary collection of museum artefacts, building parts, exhibits, bones and general museum related material. There is no evidence of any work having been undertake on the interior within the past 20 years.
The South Wing was a different matter, but it was not until 2000 that work began on improving the interior. Again, the Southland Museum and Art Gallery drove the project, which was intended to turn the old resident surgeon's house into accommodation for a resident artist under the William Hodges Fellowship, and the wing renamed Burwell House, in honour of architect F.W. Burwell. Considerable work was done both to restore features in the interior and to provide a comfortable living environment for the resident artists. The work was again done under the supervision of Michael Forrest.
A summary of the key parts of the work is as follows:
Reinstatement of lath and plaster in various places, including ground floor hall
Reinstatement of newel and balusters at bottom of stairs
Removal of cupboard built at top of landing and reinstatement of balusters and newel of stairs
Fixing of salvaged fireplace and surround in living room (first floor) Reinstatement of dado in key areas - hall, staircase etc.
Papering, painting and staining
At present, the South Wing remains in use as accommodation for the artist-in-residence. The Central Block is still used for storage by the Southland Museum and Art Gallery, and its interior remains in relatively poor condition.
The history of the Porter's Lodge is a little uncertain following its period housing a gatekeeper. It was later used as the home of the Hospital Board's blood bank service and from the mid-1980's it was occupied by the Invercargill home of the Citizen's Advice Bureau, which remains the occupant. It sub-leases the building from the Southland Museum and Art Gallery.
In December 2005 the Southland District Health Board began consultation about the potential sale of Dee Street Hospital. The Board received a number of submissions, who, while not objecting to the sale, did want to ensure that the heritage classifications were protected and respected by any new owner. Discussions continued in June 2007, with the Community Trust of Southland hosting a meeting of interested parties to discuss options. Conversation again centred on the heritage classification and the issues of maintenance. Southland District Health Board continues to be committed to the disposal of the buildings, while discussion continues about their future in 2008.