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Royal Free Hospital Wiki2Web Clarity Challenge

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Study Guide: The Royal Free Hospital: History, Innovations, and Governance

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The Royal Free Hospital: History, Innovations, and Governance Study Guide

General Overview and Location

The Royal Free Hospital is located in the Westminster area of London and is part of the Imperial College Healthcare NHS Trust.

Answer: False

Explanation: The Royal Free Hospital is located in Hampstead, not Westminster, and is part of the Royal Free London NHS Foundation Trust, not Imperial College Healthcare NHS Trust.

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The Royal Free Hospital is easily accessible by car, with extensive parking facilities available for visitors.

Answer: False

Explanation: The Royal Free Hospital has limited car parking facilities, though it is well-served by public transport options.

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In which area of London is the Royal Free Hospital primarily located?

Answer: Hampstead

Explanation: The Royal Free Hospital is primarily located in the Hampstead area of the London Borough of Camden.

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Which public transport option is NOT mentioned as being conveniently located near the Royal Free Hospital?

Answer: A dedicated tram line

Explanation: The Royal Free Hospital is conveniently located near Belsize Park tube station, Hampstead Heath railway station, and several bus routes, but a dedicated tram line is not mentioned.

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Founding and Early Development (1828-1844)

William Marsden founded the Royal Free Hospital primarily to provide specialized care for infectious diseases, rather than general medical services.

Answer: False

Explanation: William Marsden founded the institution to provide free medical care to individuals of limited financial means, addressing a general lack of healthcare access, not primarily for infectious diseases.

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The Royal Free Hospital received its royal charter in 1837 due to its exceptional service during the 1826–1837 cholera epidemic.

Answer: True

Explanation: The Royal Free Hospital was granted its royal charter by Queen Victoria in 1837 specifically because it was the only hospital that remained open and actively cared for cholera victims during the 1826–1837 epidemic.

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The London General Institution for the Gratuitous Care of Malignant Diseases was the initial name of the hospital founded by William Marsden.

Answer: True

Explanation: The institution founded by William Marsden in 1828 was initially named the London General Institution for the Gratuitous Care of Malignant Diseases.

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The Royal Free Hospital was initially known as the Free Hospital before becoming the London Free Hospital in 1833.

Answer: False

Explanation: The institution became the London Free Hospital in 1833, then the Free Hospital in 1835, before receiving its royal charter in 1837.

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Who founded the Royal Free Hospital in 1828?

Answer: William Marsden

Explanation: The Royal Free Hospital was founded in 1828 by surgeon William Marsden.

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What was the initial name of the institution established by William Marsden?

Answer: The London General Institution for the Gratuitous Care of Malignant Diseases

Explanation: William Marsden initially established the London General Institution for the Gratuitous Care of Malignant Diseases.

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In what year did the institution founded by William Marsden receive its royal charter from Queen Victoria, officially becoming the Royal Free Hospital?

Answer: 1837

Explanation: The institution was granted a royal charter by Queen Victoria in 1837, officially becoming the Royal Free Hospital.

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What significant public health crisis led to the Royal Free Hospital receiving its royal charter?

Answer: The 1826–1837 cholera epidemic

Explanation: The Royal Free Hospital received its royal charter in 1837 due to its active role in caring for victims during the 1826–1837 cholera epidemic.

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What was William Marsden's personal motivation for founding the hospital?

Answer: His inability to secure help for a dying young girl.

Explanation: William Marsden's personal motivation for founding the hospital stemmed from his inability to secure help for a young girl dying from disease and hunger.

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What was the Royal Free Hospital's name in 1835, after it had been the London Free Hospital?

Answer: Free Hospital

Explanation: After being known as the London Free Hospital in 1833, the institution was simply called the Free Hospital in 1835.

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Gray's Inn Road Era and Wartime Impact (1844-1974)

The Royal Free Hospital's Gray's Inn Road site featured a north wing named after Prince Albert and a south wing named after Queen Elizabeth.

Answer: False

Explanation: At the Gray's Inn Road site, the north wing was named the Sussex Wing (after Prince Augustus Frederick) and the south wing was named the Victoria Wing (after Queen Victoria).

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The Helena Building, completed in 1915, initially served as a dedicated facility for treating tropical diseases before being converted into a maternity wing.

Answer: False

Explanation: The Helena Building initially served as the Royal Free Military Hospital for officers during the First World War before its conversion into the maternity wing.

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The Victoria Wing of the Royal Free Hospital was destroyed by a V-2 rocket during the Second World War.

Answer: False

Explanation: The Victoria Wing was severely damaged by a V-1 flying bomb in July 1944, not a V-2 rocket.

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The 'Royal Free disease' outbreak in 1955 was definitively proven to be caused by a novel bacterial infection, leading to the hospital's closure for over two months.

Answer: False

Explanation: The 'Royal Free disease' was later identified as a notable case of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), not a novel bacterial infection, though it did lead to the hospital's closure.

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The Eastman Dental Clinic opened in 1929 within the main Royal Free Hospital building on Gray's Inn Road.

Answer: False

Explanation: The Eastman Dental Clinic opened in 1929 in a building adjacent to, not within, the main Royal Free Hospital on Gray's Inn Road.

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The Alexandra Building at Gray's Inn Road was re-opened in 1895 by Queen Victoria.

Answer: False

Explanation: The Alexandra Building at Gray's Inn Road was re-opened in July 1895 by the Prince and Princess of Wales, not Queen Victoria.

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When did the Royal Free Hospital relocate to the former barracks on Gray's Inn Road?

Answer: 1844

Explanation: The Royal Free Hospital relocated to the former barracks on Gray's Inn Road in 1844 to accommodate the growing demand for in-patient facilities.

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Which royal figure was the Sussex Wing at the Gray's Inn Road site named after?

Answer: Prince Augustus Frederick, Duke of Sussex

Explanation: The Sussex Wing at the Gray's Inn Road site was named after Prince Augustus Frederick, Duke of Sussex, a benefactor of the hospital.

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Who re-opened the Alexandra Building at the Gray's Inn Road site in July 1895?

Answer: The Prince and Princess of Wales

Explanation: The Alexandra Building at the Gray's Inn Road site was re-opened in July 1895 by the Prince and Princess of Wales.

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What caused severe damage to the Victoria Wing of the Royal Free Hospital in July 1944?

Answer: A V-1 flying bomb

Explanation: The Victoria Wing of the Royal Free Hospital was severely damaged in July 1944 by a V-1 flying bomb during the Second World War.

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When did the Eastman Dental Clinic open adjacent to the main Royal Free Hospital on Gray's Inn Road?

Answer: 1929

Explanation: The Eastman Dental Clinic opened in a building adjacent to the main Royal Free Hospital on Gray's Inn Road in 1929.

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The 'Royal Free disease' outbreak in 1955 affected how many members of staff, leading to the hospital's closure?

Answer: Exactly 292

Explanation: The 'Royal Free disease' outbreak in 1955 affected 292 members of staff, leading to the hospital's closure for over two months.

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What was the 'Royal Free disease' later identified as a notable case of?

Answer: Myalgic encephalomyelitis/chronic fatigue syndrome

Explanation: The 'Royal Free disease' was later identified as a notable case of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS).

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Hampstead Relocation and Modern Expansion (1974-Present)

The Royal Free Hospital moved to its current Hampstead location in 1974 because its Gray's Inn Road site had become too small.

Answer: True

Explanation: The Royal Free Hospital relocated to Hampstead in 1974 because its Gray's Inn Road site had become too cramped and inadequate by the late 1960s.

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Queen Elizabeth II officially opened the new Royal Free Hospital in Hampstead in 1978, coinciding with the hospital's 150th anniversary.

Answer: True

Explanation: Queen Elizabeth II formally inaugurated the new Royal Free Hospital in Hampstead in 1978, an event that also marked the hospital's 150th anniversary.

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After the Royal Free Hospital moved to Hampstead, the Gray's Inn Road site was converted into residential apartments.

Answer: False

Explanation: After the Royal Free Hospital relocated to Hampstead, the Eastman Dental Hospital took over the entire Gray's Inn Road site.

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The Royal Free Hospital was the first in the UK to appoint a consultant in HIV medicine, a role filled by Professor Margaret Johnson in 1989.

Answer: True

Explanation: The Royal Free Hospital pioneered the appointment of the UK's first consultant in HIV medicine, a role filled by Professor Margaret Johnson in 1989.

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The out-patients' center of the Royal Free Centre for HIV Medicine is named after Sir Ian McKellen, who also opened it in 1992.

Answer: False

Explanation: The out-patients' center of the Royal Free Centre for HIV Medicine is named after actor Ian Charleson, though it was opened by Sir Ian McKellen in 1992.

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The Royal Free Hospital hosted a press conference in 1998 regarding a paper by Andrew Wakefield that claimed a link between the MMR vaccine and autism.

Answer: True

Explanation: In February 1998, the Royal Free Hospital hosted a press conference for Andrew Wakefield's paper in The Lancet, which controversially claimed a link between the MMR vaccine and autism.

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Andrew Wakefield was acquitted of all charges related to the MMR vaccine controversy and continued his medical practice in the UK.

Answer: False

Explanation: Andrew Wakefield was struck off the UK medical register by the General Medical Council following an investigation into the MMR issue, indicating serious professional misconduct.

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The Ekweremadu organ trafficking case involved an attempted kidney transplant at the Royal Free Hospital where a medical secretary falsely presented a man as an altruistic donor.

Answer: True

Explanation: The Ekweremadu organ trafficking case involved an attempted kidney transplant at a private renal unit at the Royal Free Hospital, where a medical secretary falsely presented a man as an altruistic donor.

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The Royal Free Hospital's current Hampstead site was built on the former location of the St. Andrew Church, Holborn.

Answer: False

Explanation: The Royal Free Hospital's current Hampstead site was built on the former location of the Hampstead General Hospital, not St. Andrew Church, Holborn.

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In what year did the new Royal Free Hospital facility on Pond Street, Hampstead, officially open?

Answer: 1974

Explanation: The new Royal Free Hospital facility on Pond Street, Hampstead, officially opened in 1974.

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Who officially opened the new Royal Free Hospital in Hampstead in 1978?

Answer: Queen Elizabeth II

Explanation: Queen Elizabeth II officially opened the new Royal Free Hospital in Hampstead in 1978.

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What happened to the Gray's Inn Road site after the Royal Free Hospital moved to Hampstead?

Answer: The Eastman Dental Hospital took over the entire site.

Explanation: After the Royal Free Hospital relocated to Hampstead, the Eastman Dental Hospital took over the entire Gray's Inn Road site.

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In what year did the Royal Free Hospital appoint the UK's first consultant in HIV medicine?

Answer: 1989

Explanation: The Royal Free Hospital appointed the UK's first consultant in HIV medicine in 1989.

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Who opened the Ian Charleson out-patients' center of the Royal Free Centre for HIV Medicine in 1992?

Answer: Sir Ian McKellen

Explanation: The Ian Charleson out-patients' center of the Royal Free Centre for HIV Medicine was opened in 1992 by actor Sir Ian McKellen.

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What was the primary claim of Andrew Wakefield's paper, published in The Lancet in 1998, which led to controversy at the Royal Free Hospital?

Answer: A possible link between the MMR vaccine and autism

Explanation: Andrew Wakefield's paper, published in The Lancet in 1998, controversially claimed a possible link between the MMR vaccine and autism.

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What was the ultimate consequence for Andrew Wakefield following the MMR vaccine controversy?

Answer: He was struck off the UK medical register.

Explanation: Andrew Wakefield was struck off the UK medical register by the General Medical Council following an investigation into the MMR vaccine controversy.

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In the Ekweremadu organ trafficking case, what role did a medical secretary at the Royal Free Hospital play?

Answer: She acted as an interpreter to falsely present the man as an altruistic donor.

Explanation: In the Ekweremadu organ trafficking case, a medical secretary at the Royal Free Hospital acted as an interpreter to falsely present a man as an altruistic donor for an attempted kidney transplant.

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Pioneering Medical Education and Research

The Royal Free Hospital was historically unique in London for allowing women to study medicine and complete their clinical studies.

Answer: True

Explanation: For a significant period, the Royal Free Hospital was the only hospital in London that permitted women to study medicine and complete their clinical studies, forming an important association with the London School of Medicine for Women.

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The London School of Medicine for Women was renamed the London Royal Free Hospital School of Medicine for Women in 1920.

Answer: False

Explanation: The London School of Medicine for Women was renamed the London Royal Free Hospital School of Medicine for Women in 1896, not 1920.

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The Royal Free Hospital's medical school merged in 1998 and is now known as the Imperial College School of Medicine.

Answer: False

Explanation: The Royal Free Hospital's medical school merged in 1998 to form the Royal Free and University College Medical School, which was later renamed the UCL Medical School in 2008.

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The Royal Free Hospital has a high-level isolation unit capable of treating highly infectious diseases like Ebola and Crimean–Congo hemorrhagic fever.

Answer: True

Explanation: The Royal Free Hospital is equipped with a high-level isolation unit specifically designed to treat highly infectious diseases, including Ebola virus disease and Crimean–Congo hemorrhagic fever.

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William Pooley and Pauline Cafferkey were successfully treated for Crimean–Congo hemorrhagic fever at the Royal Free Hospital's isolation unit.

Answer: False

Explanation: William Pooley and Pauline Cafferkey were successfully treated for Ebola virus disease at the Royal Free Hospital's isolation unit, not Crimean–Congo hemorrhagic fever.

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The Royal Free Hospital is recognized for significant advances in cardiology and neurology.

Answer: False

Explanation: The Royal Free Hospital is recognized for significant advances in liver medicine (hepatology) and transplantation, renal disease and dialysis, and haematology and haemophilia, not specifically cardiology and neurology.

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Professor Dame Sheila Sherlock founded the Royal Free Hospital's department of liver medicine, which is a globally recognized research unit.

Answer: True

Explanation: Professor Dame Sheila Sherlock founded the department of liver medicine at the Royal Free Hospital, which is internationally recognized as a leading research unit.

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The Royal Free Hospital's trust is responsible for providing all dialysis services across the entire London metropolitan area.

Answer: False

Explanation: The Royal Free Hospital's trust is responsible for providing dialysis services in north and central London, not across the entire London metropolitan area.

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The Royal Free Hospital's high-level isolation unit successfully treated a patient with Lassa fever.

Answer: False

Explanation: The Royal Free Hospital's high-level isolation unit has successfully treated patients with Ebola virus disease and Crimean–Congo hemorrhagic fever, but Lassa fever is not mentioned in the provided information.

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What was the Royal Free Hospital's historical significance regarding women in medicine?

Answer: It was the only hospital in London for a period that permitted women to study medicine.

Explanation: For a considerable period, the Royal Free Hospital was unique in London for permitting women to study medicine and complete their clinical studies.

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Who was the dean of the London School of Medicine for Women when it became part of the University of London?

Answer: Elizabeth Garrett Anderson

Explanation: Elizabeth Garrett Anderson, one of its founders, was the dean of the London School of Medicine for Women when it became part of the University of London.

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What is the current name of the medical school that resulted from the merger involving the London Royal Free Hospital School of Medicine for Women in 1998?

Answer: UCL Medical School

Explanation: The medical school that resulted from the 1998 merger, initially named Royal Free and University College Medical School, was subsequently renamed the UCL Medical School in 2008.

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Which specialized facility does the Royal Free Hospital possess for treating highly infectious diseases?

Answer: A high-level isolation unit

Explanation: The Royal Free Hospital is equipped with a high-level isolation unit specifically designed for treating highly infectious diseases.

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Which two British health workers were successfully treated for Ebola virus disease at the Royal Free Hospital's isolation unit?

Answer: William Pooley and Pauline Cafferkey

Explanation: British health workers William Pooley and Pauline Cafferkey were successfully treated for Ebola virus disease at the Royal Free Hospital's high-level isolation unit.

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What medical field is Professor Dame Sheila Sherlock recognized for pioneering at the Royal Free Hospital?

Answer: Hepatology (liver medicine)

Explanation: Professor Dame Sheila Sherlock is recognized for pioneering the field of hepatology (liver medicine) at the Royal Free Hospital, establishing a globally leading research unit.

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The Royal Free Hospital's trust is responsible for treating all patients requiring dialysis in which specific areas of London?

Answer: North and Central London

Explanation: The Royal Free Hospital's trust is responsible for treating all patients requiring dialysis in north and central London.

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Which of the following medical advancements is NOT specifically highlighted as a significant contribution of the Royal Free Hospital?

Answer: Cardiovascular surgery

Explanation: The Royal Free Hospital is recognized for advancements in liver medicine, renal disease, and haematology, but cardiovascular surgery is not specifically highlighted.

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The London School of Medicine for Women began allowing its students to complete clinical studies at the Royal Free Hospital starting in which year?

Answer: 1877

Explanation: The London School of Medicine for Women began allowing its students to complete clinical studies at the Royal Free Hospital starting in 1877.

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Which highly infectious disease, besides Ebola, has been treated at the Royal Free Hospital's high-level isolation unit?

Answer: Crimean–Congo hemorrhagic fever

Explanation: In addition to Ebola, the Royal Free Hospital's high-level isolation unit has treated a patient suffering from Crimean–Congo hemorrhagic fever.

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Governance, Performance, and Accessibility

In September 2017, the Royal Free Hospital received an 'outstanding' rating from the Care Quality Commission.

Answer: False

Explanation: In September 2017, the Royal Free Hospital received a 'good' rating from the Care Quality Commission, not an 'outstanding' rating.

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The Royal Free Hospital's surgical safety rating was downgraded in May 2019 due to a high number of 'never events' and management failures.

Answer: True

Explanation: A Care Quality Commission report in May 2019 downgraded the Royal Free Hospital's surgical safety rating due to a 'large number' of 'never events' and failures in the Trust's management.

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'Never events' are minor patient safety incidents that are largely unavoidable in complex healthcare settings.

Answer: False

Explanation: 'Never events' are defined as serious, largely preventable patient safety incidents that should not occur if appropriate preventative measures are implemented.

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Rachael Annie Cox-Davies, a matron at the Royal Free Hospital, was a founding member of the Royal College of Physicians.

Answer: False

Explanation: Rachael Annie Cox-Davies was a founding member of the Royal College of Nursing, not the Royal College of Physicians.

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The Royal Free London NHS Foundation Trust is a founder member of the UCLPartners academic health science center.

Answer: True

Explanation: The Royal Free London NHS Foundation Trust is a founder member of the UCLPartners academic health science center, a collaboration integrating research, education, and clinical care.

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The Royal Free Hospital's trust manages healthcare services at Barnet Hospital and Chase Farm Hospital.

Answer: True

Explanation: The Royal Free London NHS Foundation Trust manages healthcare services at Barnet Hospital, Chase Farm Hospital, and North Middlesex University Hospital, among other locations.

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Which of the following hospitals is NOT managed by the Royal Free London NHS Foundation Trust?

Answer: St. Thomas' Hospital

Explanation: The Royal Free London NHS Foundation Trust manages Barnet Hospital, Chase Farm Hospital, and North Middlesex University Hospital, but not St. Thomas' Hospital.

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In September 2017, how was the Royal Free Hospital rated by the Care Quality Commission?

Answer: Good

Explanation: In September 2017, the Royal Free Hospital received a 'good' rating from the Care Quality Commission.

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What term describes serious, largely preventable patient safety incidents that should not occur in healthcare settings?

Answer: Never events

Explanation: 'Never events' are serious, largely preventable patient safety incidents that should not occur if available preventative measures have been implemented.

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Rachael Annie Cox-Davies served as the matron of the Royal Free Hospital during which period?

Answer: 1905 to 1922

Explanation: Rachael Annie Cox-Davies served as the matron of the Royal Free Hospital from 1905 to 1922.

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The Royal Free London NHS Foundation Trust is a founder member of which academic health science center?

Answer: UCLPartners

Explanation: The Royal Free London NHS Foundation Trust is a founder member of the UCLPartners academic health science center.

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In May 2019, the Royal Free Hospital's surgical safety rating was downgraded to 'requires improvement' due to what primary factors?

Answer: A large number of 'never events' and failures in Trust management.

Explanation: The Royal Free Hospital's surgical safety rating was downgraded in May 2019 primarily due to a 'large number' of 'never events' and failures in the Trust's management.

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