1. Introduction
The former Cane Hill Hospital forms part of a portfolio of redundant NHS sites scheduled for disposal. It
has twice been inspected for listing: once as part of English Heritage's Thematic Review on Hospital Buildings (1990),
and secondly prompted by Croydon's Urban Design Team (2006). In both cases, English Heritage declined to
grant the buildings listed status.
The original document by the Urban Design Team isn't available, but from English Heritage's replies, it
would appear that several key facts in the proposal were incorrect, therefore the buildings lacked their significance and
historic context. Reading English Heritage's site inspection and summary, it would appear
some of the listing decisions hung on the inaccuracies introduced into the Urban Design Team's proposal.
This document is in two parts: in the first part, I've taken quotes from English Heritage's reply to the Urban
Design Team, in which there are inaccuracies or differences of opinion. By doing this I hope to strengthen
the building's case for listing.
In the second part, I've presented a longer, more formal, application as to why Cane Hill should be considered for listing. In
this way, English Heritage can either take the first part as an appeal against their decision,
or take the second part as a fresh proposal.
Simon Cornwell 16th April 2007 With thanks to Alex (Lillimouse) and Peter Cracknell

2. English Heritage's Reply To The Urban Design Team
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"The chapel at Cane Hill has a vibrant interior and the administration block a proud Queen Anne facade, and
for this together with the relatively earliness of the echelon plan type, the former asylum site has local interest. However,
there are earlier echelon plan asylums listed, and the overall quality and interest of the site is
not matched by the aforementioned components that stand out."
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The report cites several examples of echelon plan asylums. County Asylum (Giles and Gough, 1879) is considered
the first asylum to show elements of the echelon form, whilst High Royds (Edwards, 1888) is given as a pioneering
example, a superb building which has already been listed.
However, Cane Hill is not an echelon plan asylum. The listing of High Royds should have no bearing on
Cane Hill's status.
Proposals of the characterization of lunatic asylum design were initially by Sir Henry Burdett (1892) and expanded by
George Thomas Hine (1901). This classification system isn't perfect, as many transitional designs feature elements of
two or more types, or incomplete forms of others. But the categories of "Irregular/Conglomerate", "Corridor", "Corridor-Pavilion",
"Oblique/Broad Arrow (Echelon)", "Compact Arrow (Echelon)" and "Colony" provide a broad framework in which asylums may be classified.

Hereford And City Asylum (1871)
Red: Corridor Yellow: Ward Pink: Corridor/Ward
The plan above, Hereford and City Asylum (Griffiths, 1871) is a late “Corridor” plan asylum, and
representative of the ideas in asylum organization since the 1840s. It meets many of the criteria of corridor plan asylums:
- There is no separation of wards and arterial corridors.
- Sequential wards arranged perpendicularly.
- No discernable pavilion wards
By the 1870s the corridor plan was becoming increasingly critiqued:
- The mixing of day rooms and main corridors was undesirable.
- The design scaled poorly.
- The Nightingale inspired pavilion ward was a better design.
Therefore asylum buildings show great diversity and change in this period as the architects grappled with
the placement of the pavilion wards to suit the particular needs of the mentally ill. The period also coincided
with a fourfold increase in the size of asylums buildings with 2000 beds becoming the upper limit.
This period (1870-1890) epitomized the pavilion plan asylum, which saw the construction of many novel and unique
asylums. It led directly into the echelon plan era, but represented an important stepping stone in ideas between corridor and echelon.

High Royds Asylum (1888)
Red: Corridor Yellow: Ward Pink: Corridor/Ward
The plan above, High Royds (Edwards, 1888), represents the breakthrough in asylum design.
This "Oblique/Broad Arrow (Echelon)" asylum featured true pavilion wards, arranged in echelon, with corridors
and service routes separate from patient dayrooms, dormitories and single rooms. It was still transitional,
with only the southern four wards arranged in echelon, but Hine took this design and adapted it for
Claybury (Hine, 1892) before perfecting the "Compact Arrow (Echelon)" plan, which became the
template for asylum building for the next twenty years.

Cane Hill Asylum (1882)
Red: Corridor Yellow: Ward Pink: Corridor/Ward
The plan above, Cane Hill (Howell, 1882) is radically different from either the corridor and echelon plans.
It is from the transitional period, being a pavilion plan asylum, but given its unique placement of wards, is often
placed in its own sub-category of radial pavilion.
Howell's novel design was probably inspired by the radial building design of workhouses
and prisons (based on the Panopticon or "all seeing eye"). This hadn’t been used for hospital or asylum design
for decades as it was deemed unsuitable: not only was the idea of being ‘observed’ unsavory, but there were
practical issues with wards being too closely spaced where they joined the hub and suffering from want of light and air.
In order to solve this spacing problem:
- Howell positioned the pavilion wards around a horseshoe shaped main corridor
- He staggered their placement so some were centrally connected and others connected at their tip
- He separated them by patient class (so the short, wide pavilion wards with large day rooms intermeshed
with the long thin pavilion wards comprising mostly of single rooms).
The last point needs further clarification. In the 1870s, work started on shaping each pavilion ward for
different classes of patient. With the introduction of epileptics to asylums in the 1870s, Howell designed an
epileptic ward which found universal favor with asylum architects, the design used in all subsequent asylum designs.
By the 1880s, the number of classes of patient had increased to eight; and the Cane Hill pavilion wards
designed to cater for all these classes (including infirm, epileptic, suicidal, acute, quiet and working). No other
asylum has catered for such a number of different classes of patient, still seen in the different shapes and sizes of each ward.
Hine (when the Consulting Architect for the Commissioners of Lunacy) cited the building as the most
important of Howell's work although was critical that some of the wards were too close together; Burdett
was disparaging; but the officers and staff who worked there regarded it as one of the best asylums hitherto erected.
In summary, Cane Hill has several unique characteristics:
- Pavilion wards arranged in a radial pattern around a split horseshoe shaped corridor.
- Pavilion wards staggered; some bisecting the corridor.
- Pavilion wards show the greatest number of patient class types of any UK asylum.
- It is considered the greatest achievement by C H Howell, County Surveyor of Bridges and Public
Works for Surrey, and Consultant Architect to the Commissioners Of Lunacy.
Furthermore consideration should be given to the more general class of pavilion plan asylums of which Cane Hill is a member.
It is a major player in asylum development and, in particular, the move toward the echelon plans (of which it is still distinctly different).
Secondly, although many pavilion plan hospitals have survived to be listed, no pavilion plan asylum (being very different in purpose
and therefore in implementation of design) has been cited for preservation. In fact aside from Hellesdon (which
is much altered and rather less pavilion like than Cane Hill) there are no other pavilion plan asylums left aside
from Cane Hill.
One of the criteria of successful listing is being an "exemplar of certain type": Cane Hill was the only radiating
pavilion asylum constructed, and now by merit of demolition of other pavilion plan asylums, is now the only example left of a
pavilion plan asylum.

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"Characteristic of the echelon plan were strict male and female segregations."
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Male and female segregation was present in the vast majority (if not all) asylum designs. It is not a characteristic of the echelon plan.

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"By 1883 many earlier asylums had rebuilt their chapels as free standing buildings."
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The location of the chapel was a long-standing matter of dispute for the Commissionaires of Lunacy. The positioning of
the chapel in the asylum complex itself reflects this, and when studying the plans of asylums, no conclusion as to any
rules of chapel placement can be drawn. For example, Claybury (Hine, 1888) and Cherry Knowle (Hine, 1895)
both attach the chapel to the main buildings, both post-dating Cane Hill, whilst the same architect chose to
build detached chapels at Horton (Hine, 1902) and Rauceby (Hine, 1897). It is perhaps more
due to the consulting superintendent and representatives of the county for which the asylum is being built as to chapel placement;
the architect merely acting as a guide.

When earlier asylums were extended, the original self-contained Chapel was usually deemed too small for the expanded patient
population, and because of its position within the asylum complex, it couldn't be easily expanded. Therefore replacement chapels
were often built as detached, self-contained units. Again, this was a matter of practicality and, mostly, not due to a dictat
by the Commissioners in Lunacy. Warley (Kendall, 1853) is a good example of this practice.
The chapel at Cane Hill followed a much older practice of placing the building within the central core of
the asylums. It stands in its own courtyard, attached to the main hospital by means of two lobbies and a single-storey corridor.
The radiating ward blocks are not attached to the chapel, as stated incorrectly in the report. Its status as a self supporting
structure was further reinforced by the Croydon's Planning Brief for Cane Hill of March 1998, which planned to retain both the
Administration Block and Chapel as free standing structures.


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"Internally it has been gutted as a result of being set on fire so that no staircase remains and a ground floor room has had its fireplace removed."
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Prior to the removal of security from the Administration Block of Cane Hill in 2002, this building (and the chapel) were
the most preserved of the whole structure. The front entrance was subsequently gutted by fire, but the rest of the building
remained undamaged. There is an elegant fanlight with multicolored stained glass (matching the colored glass in Chapel) in the
patient's reception area. Other original features may still exist, but remain hidden under 1960s and 1970s
boarding. The right wing of the block was damaged by explosion.

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"The interior has been gutted, and the building is embedded in the rest of the complex.""
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The Administration Block is connected to the rest of the hospital by a single storey corridor. It is not "embedded."


3. Listing Applicaion: Cane Hill Hospital
(I couldn't find any example listing applications to use as a template. Therefore the format of this section
was compiled using English Heritage's "Listing Has Changed" document as a guide.
See http://www.english-heritage.org.uk/upload/pdf/listinghaschanged2.pdf.)
- 3.1 Address Of The Building
- Cane Hill Hospital
- Coulsdon
- Surrey
- CR5 3YL

- 3.2 The Reasons Cane Hill May Merit Listing
- See below.

- 3.3 Clear Original External And Interior Photographs
- See below.

- 3.4 Owner
- English Partnerships
- 10th Floor
- 2 Exchange Tower
- Harbour Exchange Square
- London
- E14 9GS
- Also see: http://www.englishpartnerships.co.uk/epaddresses.htm for a full list of regional addresses.

3.5 Location Map

Direct link using Multimap

- 3.6 The History Of The Buildings Of Cane Hill Hospital
- In the 1860s and 1870s, the two county pauper lunatic asylums of Surrey were severely crowded. In 1875, architect
Charles Henry Howell, County Surveyor of Bridges and Public Works for Surrey between 1860 and 1893, and
more importantly, consultant architect to the Commissioners in Lunacy, recommended building a new asylum rather than
expanding the other two. The county agreed in 1878 and work began on a new asylum at Cane Hill in Couldson, Surrey.
- Due to the gross underestimation of the number of pauper lunatics, and the growth of the cities and towns, a new era
of asylum planning and design begin, with designs catering for thousands of patients instead of hundreds. The existing
preferred design, the corridor plan, had inherent design problems, and was difficult to enlarge. As the consulting architect
for the Commissioners In Lunacy, and eager to solve the problem, Howell's design for Cane Hill was novel,
experimental and contemporary: he used the relatively new Nightingale-inspired Pavilion ward, each shaped to cater for eight
different classes of mental ill patient, and arranged them in a radial pattern.
- The hospital was huge, originally designed on double the size of other contemporary designs (1124 patients - 644 female, 480 male).
The female division had eight pavilion ward blocks, whilst in the male there were six. Howell's specialized ward design
catered for infirm, epileptic, suicidal, acute, quiet and working. Although the carved stone block of the Administration Block
states 1882, the hospital first received patients on December 4th 1883, and opened as "The Third Surrey County Pauper Lunatic Asylum".

- In 1888, the hospital was transferred to the newly created London County Council, and was already overcrowded. Howell had
foreseen this, leaving room for further extensions. The hospital was quickly then expanded using the same radial placing of wards; these
showed a change in style and design and if not influenced by GT Hine (the incumbent Consultant Architect to the Commissioners
in Lunacy), could have been designed by him.
- In 1954, the hospital reached its peak of 2400 patients; then they started to decline, to 600 by 1985 and to less
than 200 by April 1991. By late 1991, the hospital closed.
- The whole site stands in the London green belt. It is not in the local list, nor is it in a conservation area.

- 3.7 The Reasons Cane Hill Merits Listing
- Most of the buildings of Cane Hill are neither decorative nor picturesque. As a functional set
of Victorian buildings, funded by the public purse, Cane Hill would've been judged along the guidelines of the
Commissioners Of Lunacy, and conform to a certain austerity. That is not to say, all the buildings lack charm or attractiveness;
the Administration Block, Chapel and water tower have all been cited as having strong local interest.
- Cane Hill is the principle work of architect C H Howell, County Surveyor of Bridges and Public Works
for Surrey, Consultant Architect to the Commissioners In Lunacy, as judged by his successor, GT Hine, the most prominent
and successful of the asylum architects. Cane Hill's design, the so called 'radiating pavilion plan' was a novel,
experimental and contemporary solution to the scaling of lunatic asylum design; and turns out to be unique, as subsequent architects
adopted the echelon plan. No other building shares the staggered arrangement of pavilion wards around a central horseshoe shaped
service corridor. The designs of the wards themselves are notable for catering for the greatest number of classes of mental
patient; Cane Hill had eight different designs.
- The buildings are testament to the emerging ideas in mental healthcare, mirroring the social changes of the period.
Cane Hill was one of the first steps towards a new scale of asylum planning and design; the 'super' asylums
in which thousands of patients could be treated and cared for.
- During the hundreds of years it was open, the hospital was only indirectly associated with well-known characters or events.
The most famous was a depletion of the hospital's Administration Block on the front cover of the American edition of David Bowie's
The Man Who Sold The World album of 1972. The album deals in part with madness, and in particular, draws on Bowie's
brother, who was a patient at the hospital.

- The functional and barely decorated Water Tower is a constant reminder of the genre by which these buildings became known i.e.
"water tower hospitals." Unlike some, it lacks embellishment and/or decoration, but has become a local landmark.
- One of the criteria of listings is "exemplar of certain type", and Cane Hill is the only example of a
radiating pavilion asylum. It is also the last of the pavilion plan asylums, the transitional group of buildings between the corridor
plan asylums of the 1870s and previous, and the echelon plan asylums which would dominate asylum building for the next thirty years.
All the other pavilion plan asylums are demolished.
- 3.7.1 Overview Of The Buildings
- Cane Hill hospital is one large building complex (with an few smaller ancillary buildings), standing on the hill
overlooking Coulsdon. It features bi-lateral symmetry, separating female and male wards, arranged in a radial pattern
spaced along a horseshoe, shaped corridor between a central service block comprising of an administration block, chapel, main hall,
kitchens, stores and laundry.
- The radiating wards show differentiation in size, number of storeys and layout. This was to cater for different
classes of patient.

- Most of the asylum buildings are in the Queen Anne style, with the administration block and chapel being the most
opulent (but only when compared to the other buildings, as asylums were austere by Victorian standards).
- The administration block, chapel and wards are free standing structures connected by single storey corridors. The chapel,
whilst standing in the centre of the complex, actually stands in its own small courtyard, connected to various single storey
corridors by two lobbies.
- The Chapel and Water Tower are both of gothic style.
- The buildings are constructed from stock brick with polychrome brick dressings and slate roofs.
- 3.7.2 Administration Block

- It's attractive Queen Anne design and facade was apparently inspired by the Brighton Pavilion. It comprises of a central
recessed section of ten bays with domed cupola, clock faces (now missing) and weather vane. The three bays on either side
have pedimented dormers and round-headed openings on the ground floor.

- The central round headed French windows lead onto a cast iron balcony, oculi and round headed doorcase.
- At each end of the central recessed section are projecting pavilions of greater height, with pediments, some round headed windows
and wooden blind boxes.

- Internally, banisters and some fireplaces have been removed although a multi-colored glass fanlight, doors and other features
remains in situ. The number of original features hidden behind 1960s and 1970s chipboard modernization remains unknown.
- The front room is fire damaged; whilst the eastern projecting pavilion is damaged by the result of an explosion.
- (Previous reports suggest the interior is completely gutted which is untrue).
- 3.7.3 Chapel
- The chapel stands in a courtyard behind the Administration Block. It is not connected to the main hospital apart
from small single storey corridor access via two lobbies and two doors.
- The exterior is stock brick with red brick window dressing to the lancet windows and slate roof.
- It comprises a nave with clerestory and gabled transepts and an apsidal-headed chancel. It has a vibrant polychromatic
brick interior with pointed arcaded arcade with octagonal marble columns, roof or arch-braced type with two purlins.
- The nave fittings were removed in 2002 after fire destroyed the neighboring Main Hall.
- The chancels retains brick and stone reredoes with elaborate gilded cross and some mosais floral and geometrical panles.
Sedlia in pointed arched recess and multi-colored plain and patterned tiles.

- The windows are fitted with stained glass of multi-colored square glass.
- It's gothic style is an interesting and inspiring Victorian take on the 'traditional Parish church'; a familiar environment for
many of the patient's which Howell was attempting to replicate. Its interior is completely different to the rest
of the hospital.
- 3.7.4 Wards

- These are stark, stock brick wings of two and three storey blocks in stock brick with red brick dogtooth cornice and lintels.
- They are fitted with multipane sash windows including some bay windows. Some of the ground floor windows are round-headed.

- The interiors have been little altered and retain Howell's original ward designs including day rooms,
single rooms (cells), other rooms and plain staircases.

- The 1888 extensions had tile-hung upper floors (south facing only). Whilst these wards share the same round-headed windows,
their internal organization is slightly different to the original wards.

- 3.7.5 Water Tower
- It has five stages tapering towards the top with two lancet windows to each side, except for the top stage which has six lancets to each side.
- The top of the tower has round headed arcading. The doorcase is round headed.
- It is unusually brutal and plain for such an overbearing structure, and landmark.

- Other buildings in the complex such as the connecting corridors and utilities (kitchens, stores, laundry etc) are bleak, functional
and utilitarian. Architecturally they are not of interest. The ballroom, the original central hub of the hospital, was destroyed by fire,
and has since been demolished.

- 3.8 Summary
- Cane Hill has several unique characteristics:
- Last remaining pavilion plan asylum.
- Pavilion wards arranged in a radial pattern around a split horseshoe shaped corridor making it the only example of a radiating pavilion plan asylum.
- Pavilion wards staggered; some bisecting the corridor.
- Pavilion wards show the greatest number of patient class types of any UK asylum.
- It is considered the greatest achievement by C H Howell, County Surveyor of Bridges and Public Works for Surrey, and Consultant Architect to the Commissioners Of Lunacy.
- Administration Block, Chapel and Water Tower have strong local interest.

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