Back to the route map

Stop Four

The Cumberland Infirmary

Where cannons once stood, and 195 years of caring for Carlisle

Listen — introduced by Year 6

Recorded by pupils at Belle Vue Primary School

The hill the Cumberland Infirmary sits on has a violent history. In 1745, during the Jacobite Rebellion, the Duke of Cumberland placed his cannons here to take Carlisle back from Bonnie Prince Charlie's army. Nearly a century later, in 1830, the same hill became the site of a hospital — and from that day to this, it has been at the centre of life and death in Carlisle for almost two hundred years.

Cannons on the hill

Before there was an infirmary, this hill had already seen battle. During the Jacobite Rebellion of 1744–45, Bonnie Prince Charlie's army marched south from Scotland and captured Carlisle. Soon afterwards, the Duke of Cumberland led his troops north to retake the city — and the hill where the infirmary now stands was used to place his cannons during the siege.

A pencil drawing of a Jacobite-era cannon on a wheeled wooden carriage, barrel raised and angled, with ground shading beneath
Jacobite cannon — by Bobby, Year 6

It's a strange thought: the same patch of ground that has saved so many lives once held the guns that took them.

A hospital for a sick city

The foundation stone for the Cumberland Infirmary was laid in 1830, in the middle of the Industrial Revolution. Carlisle was a fast-growing factory town. Mills, foundries and dye works packed in workers from across the country. With them came overcrowding, poor sanitation, and disease.

Before the infirmary was built, Carlisle's only hospital was a small "House of Recovery." The nearest proper public hospitals were a long way away — in Dumfries, Edinburgh and Glasgow. If you were poor and seriously ill, you would have struggled to reach help. The new hospital was built to change that.

The architect was Richard Tattersall — the same man who designed Shaddon Mill (you can still see its tall chimney over Carlisle from miles away). Tattersall's infirmary was funded by wealthy benefactors, and from the start it accepted charity patients who couldn't pay.

In 1847, a building nearby called Crozier Lodge (originally built in the 1820s) was converted into a fever hospital. It served that role until at least 1910.

A pencil drawing of a grand Georgian building with a central clock tower and dome, symmetrical windows, and arched entrance bays
The Cumberland Infirmary — by Alexia, Year 6
A pen outline drawing of a medical syringe, drawn diagonally on the page
Syringe — by Skyler, Year 6

The Gretna Troop Train disaster

On 22nd May 1915, just north of Carlisle, the worst rail disaster in British history took place at Quintinshill, near Gretna. Three trains collided, including a packed troop train carrying soldiers from the Royal Scots regiment on their way to fight in the First World War. More than 200 people died.

The Cumberland Infirmary took in 180 of the casualties. Doctors, nurses and volunteers worked together to deal with one of the most overwhelming days the hospital had ever faced. Many of the injured were young men in army uniform, far from home.

The hospital in wartime

During the First World War, Carlisle and the surrounding area set up a network of auxiliary hospitals staffed by volunteers — at Longtown, Brampton, Scotby, Hayton, Penrith, Dalston, Englethwaite, Castletown and at Murrell Hill here in Carlisle. Tullie has a 1919 hand-written poem called "Our Hospital Alphabet, From a Cook's Standpoint", written by someone serving in the Red Cross at Murrell Hill.

Later, in 1938 — even before the Second World War had begun — the Infirmary added two new wards in preparation for the wartime casualties everyone could see coming. War broke out the following year.

A pencil outline drawing of a nurse in uniform — nurse's cap with a cross, apron, two hip pockets and flat shoes — shown full-length
A wartime nurse — by Quinn, Year 6

Matron Emily Cummings

From 1903 to 1911, the matron of the Cumberland Infirmary was a remarkable woman called Emily Cummings. She didn't just run the hospital — she helped change British nursing forever. Emily Cummings played an important role in the formation of the Royal College of Nursing, the organisation that still represents nurses across the country today. Carlisle was lucky to have her.

A cartoon-style pencil drawing of a nurse figure with dark hair, nurse's cap, a medical bag and a syringe in her hand
Nurse — by Madison, Year 6

A modern hospital, and a Carlisle nurse

On 16th June 2000, the modern Cumberland Infirmary was officially opened by then-Prime Minister Tony Blair. The new hospital sits on the same site as the old one, on the same hill where Cumberland's cannons once stood.

In 2020, during the Covid-19 pandemic, a nurse called Evelyn Charlotte Nakachwa worked at the Cumberland Infirmary through the worst of the crisis. Her nurse's scrubs — blue cotton top, trousers and face shield — are now in Tullie's collection. They are one of the most modern objects in the museum, and a reminder that the work that began here in 1830 has never stopped.

A pen-and-pencil drawing of a medical syringe — plunger, barrel with measurement lines, and needle tip with drops below
Syringe — by Caitlin, Year 6

People to know

Richard Tattersall

Architect, 1830

Designed the original infirmary, funded by wealthy benefactors and made available to charity patients from the start. He also designed Carlisle's famous Shaddon Mill.

Emily Cummings

Matron, 1903–1911

Helped found the Royal College of Nursing — a national organisation that still represents nurses today. One of Carlisle's most important historical figures, though her name is little remembered.

Dr Josephine Ewbank

One of Cumbria's first female consultants, from 1948

A pioneer for women in medicine. When she retired, her colleagues gave her a silver-plated salver inscribed: "To Josephine with affectionate regard from her colleagues." It's now in Tullie's collection.

Evelyn Charlotte Nakachwa

Nurse during the Covid-19 pandemic, 2020

Worked at the Cumberland Infirmary through Covid. Her scrubs and face shield are preserved at Tullie — a record of a moment everyone lived through.

A final word from Year 6

Looking after the sick and unwell of Cumbria for nearly two centuries – an iconic landmark to be proud of on our walk…

— Isabella E, Year 6
Meet the Experts

Julie Bowman

Retired Matron, Cumberland Infirmary

Julie Bowman spent her career nursing at the Cumberland Infirmary, rising to the role of Matron. Now retired and living locally, she spoke to Year 6 about how the hospital has changed across nearly two centuries — from a small 52-bed building with no NHS and no antibiotics, to a modern facility treating tens of thousands of patients every month.

Hear a clip from the interview

How has the way people receive treatment at the hospital changed since it first opened in 1833?

When the infirmary first opened, it only had 52 beds and there was no National Health Service, meaning people had to pay for their care. Medical treatment was also far more dangerous — there were no antibiotics, and surgeons used chloroform masks to knock patients out for procedures like amputations or removing an appendix. Many patients, including children, did not survive these early operations because of the high risk of infection. Today the hospital has roughly 500 beds and treats a wide range of infectious diseases with vaccinations and antiviral drugs.

What happens to the hospital's original buildings as the facility expands?

Throughout its history, the hospital has constantly run out of space, leading to the continuous addition of new departments. The original building from 1833, which once housed the entire 52-bed hospital, is no longer considered fit for modern patient care and has been repurposed into offices. As medical needs grow — such as the increased demand for skin cancer surgeries — departments expand from having a single theatre to as many as six, to accommodate more procedures like skin grafts.

What is the scale of demand on the infirmary's services today, and how does the hospital manage it?

The demand is immense. In a single month, nearly 10,000 people attended the A&E departments, and 18,000 people received a scan or X-ray in April alone. To manage this, the hospital must operate 24 hours a day, 7 days a week, with staff working 12-hour shifts to provide acute care for the sickest patients. One of the biggest modern challenges remains the shortage of doctors and nurses required to provide this constant, complex level of care.

Trail Clue

MYSTERIES

No. 4 of 6 · Infirmary
Write it down — collect all six!