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« Highclere Estate (Setting of Downton Abbey): Property to Let
The World of Downton Abbey: A Book Review »

Downton Abbey Season 2: Country houses in medical service

January 16, 2012 by Vic

Lady Almina

Lady Almina, the Countess of Carnarvon, who lived at Highclere Castle during the turn of the century and through World War 1, had many qualities in common with the fictional Cora, Countes of Grantham in Downton Abbey. Upon Lady Almina’s marriage, her fortune staved off financial ruin for the 5th Earl of Carnarvon and helped to renovate the mansion.

Like Lady Cora, she allowed her house to be turned into a hospital for wounded soldiers, running it at her own expense.

WW1 soldier recuperating at Highclere Castle

On her orders, each wounded officer had the luxury of his own room, with down pillows and linen sheets. She  made beds and dressed wounds” (The Daily Mail).

Lady Almina put together a skilled orthopedic operation at Highclere Castle and she had very good nursing skills, so good that she was often sent some of the hardest cases.

Soldiers were nursed back to health on fresh linen sheets, propped up on fat down pillows so they could gaze out over a beautiful country park. Silver service dinners were followed by a game of cards in the library while sipping a glass of beer, naturally from the house’s very own brewery. A butler was even on hand to pour the convalescents a nip of whisky before dinner. – The Real Downton Abbey: How Highclere Castle Became a World War 1 Hospital (includes a video).

Playing games at Highclere Castle and enjoying home brewed beer

In this matter, Almina showed one of her kinder sides, for she was reportedly a terrible mother and lived largely a selfish and extravagant life until her fortune ran out. The war touched all lives and all class stratas, and not a family was left standing at its end that did not experience a loss:

“All their young men are gone,” lamented the architect Sir Edwin Lutyens of the sons of  Mells Manor, one super-romantic house in Somerset. That was in 1919 when he went to help choose the site of the village war memorial – a figure of St George on a column. The pain of the Horner family at the loss of their son Edward, the last of the male line, can be seen from his monument in the church: a moving statue of the young cavalry officer by Munnings. – The Telegraph, What Next For Downton Abbey?

For several centuries during wars and conflict, great country houses had been conscripted for medical services. One of the earliest country houses to be used as a hospital was Greenwich Palace, which was converted to a navel hospital in 1694.

During World War One:

A genuine sense of wanting to help led to many owners voluntarily turning over their houses as hospitals including the Earl of Harewood offering Harewood House, Lord Howard of Glossop Carlton Towers, Lady Baillie lent Leeds Castle and the 4th Marquess of Salisbury offering Hatfield House as he had done during WWI. – Houses as Hospital: the country house in medical service

The numbers of wounded soldiers who were returned from the battlefields of northern France and Belgium were unprecedented. It was enormously difficulty to remove wounded men from battlefields riddled with shell pocks and guarded by staggered rows of  barbed wire barriers that were miles long. Scores of soldiers who could have survived under immediate medical attention were left to die unattended.  Medics practiced triage, making instant decisions and leaving behind those who stood little chance of surviving or who could not withstand the rigors of being carried to safety. Even when soldiers were successfully brought back to camp, many had to suffer a long wait, for doctors and nurses were overwhelmed, supplies were short, and field hospital conditions were ghastly. A large number died behind the front waiting to be transported.

The soldiers who were brought back to England overwhelmed the hospitals and medical staff that were available. Auxiliary hospitals exploded around England,  many of them the country homes of aristocrats. These houses were not ideally suited for their new positions. During the late 19th century, Florence Nightingale influenced the design of hospitals, noting the importance of separating unsanitary scullery sinks from patient beds, for example, and improving cleanliness and introducing hygiene. While country houses did not provide antiseptic conditions, they became ideal havens for convalescents and for those who suffered from tuberculosis, for these patients required clean country air.

In the second episode of Series 2, the less seriously wounded soldiers or those whose injuries were healing and who needed convalescence were sent to Downton Abbey.  In real life, hospitals and convalescent houses were staffed by a commandant in charge, a quartermaster in charge of provisions, a matron in charge of the nursing staff, and the local voluntary aids, who were trained in first aid and home nursing.

To accommodate the soldiers, family members were confined and restricted to certain rooms in their own home. One would assume this would not be a hardship, since the houses were so large, but the labor shortage and the need for injured soldiers to be housed in large rooms without going up the stairs would most likely necessitate some appropriation of a family’s favorite rooms.  Lord Grantham’s library was divided, so that most of the room became a recreational space and a small section was left to him. Downton Abbey’s central hall became a dining area. Such changes must have grated on the privileged class, who, while wanting to perform their patriotic duty, could not escape encountering the hoi polloi in their daily routine.

With so many men serving as soldiers, servants were stretched thin and forced to perform duties that normally were outside of their scope and that stepped over the boundaries of etiquette. Anna helped to serve at dinner, which would have been totally unacceptable during peace time. Carson, in an effort to maintain the status quo, ruins his health and thus worsens the situation when he is laid low in bed.

Due to the war and its many effects, society was in turmoil. Social change happened on many fronts and class barriers began to blur. As men fought and died in France, women, including those who formerly worked as servants, filled their positions in factories, corporations, and farms. Great houses began to feel the pinch of being short staffed, and genteel ladies who were accustomed to being served had to cook and sew for themselves.

To feed the army, country estates converted their flower gardens to grow fruits and vegetables. At Hatfield House, the Cecil family’s “fields and private golf course were filled with trenches and a man-made swamp to create a maneuvering ground for an experimental weapon under development, the tank.”*

Isobel Crawley, once a working middle class wife – until her son, Matthew, was suddenly propelled into the position of heir to the Earl of Grantham –  finds her true calling in ministering to injured soldiers. She was trained as a nurse and had performed charity work in caring for the sick. The need for her professional services made her feel like a valued woman again. Isobel’s zealousness in converting Downton Abbey into a convalescent home placed her in direct conflict with Cora, Lady Grantham, and continued her battle of wills with Violet, the dowager Countess. Isobel’s situation was not unusual, for during this war many people of the working classes who were professionally trained found themselves in positions of superiority over gently bred women who volunteered as nurses aids.  One Indian soldier remarked with some awe that a noble British lady had ministered to his wounds and treated him as an equal.*

It was only because of the war that a former footman like Thomas would dare enter through the front door or that a doctor could serve as head of the hospital and make decisions that overrode those of the owners of the house. Lady Sybil, whose support of the suffragettes was revealed in the first series, became a VAD (Voluntary Aid Detachment Nurse), for there simply weren’t enough professional nurses to go around.

VAD Poster

In many cases, women in the neighbourhood volunteered on a part-time basis, although they often needed to supplement voluntary work with paid labour, such as in the case of cooks. Medical attendance was provided locally and voluntarily, despite the extra strain that the medical profession was already under at that time. – History of British Red Cross

VADs were trained for only a few weeks before working under professional nurses.

Only the middle and upper classes could afford to work for free, and to pay for the courses and exams that were required to become a VAD. Growing up with servants, many of these young women had never had to wash a plate or boil an egg. One girl related how amusing it was to serve tea at the hospital and then return home to have her own tea served by the parlour maid. – The Great War As You May Not Know It

VADs changed linens, sterilized equipment, and served meals, but many were also exposed to the rawer side of war and at times, when the influx of casualties overwhelmed the staff, VADs were expected to perform the duties of a professional nurse.

Red Cross VADs

VADs were generally from genteel, sheltered, and chaperoned backgrounds. Some were aristocrats, like Lady Diana Manners – the “Princess Di” of her day – reputedly the most beautiful woman in England and expected to marry the Prince of Wales. Her mother was very much against Diana becoming a VAD, as Diana states in her memoir, The Rainbow Comes and Goes. “She explained in words suitable to my innocent ears that wounded soldiers, so long starved of women, inflamed with wine and battle, ravish and leave half-dead the young nurses who wish only to tend them,” The Duchess gave in, but “… knew, as I did, that my emancipation was at hand,” Diana says, and goes on to admit, “I seemed to have done nothing practical in all my twenty years.” Nursing plunged her and other young women into a life-altering adventure. – The Great War As You May Not Know It

Serving as a VAD changes Lady Sybil, giving her a direction and purpose. Lady Edith, too, finds new meaning in an otherwise predictable life consisting of dinners, parties, and long stretches of boredom. Lady Sybil advised her sister to find her talent and pursue it, which Edith did. One wonders if Lady Mary will  find a similar passion before she throws her life away and marries a man she does not love or (we suspect) respects.

The strength of Downton Abbey’s plot threads this year is how they incorporate the roiling changes in class structure during a complex political time in which the necessities of war, the dissatisfaction of the working classes, and the continued growth of the women’s movement influenced the lives of the series’ characters. More on this topic later.

If you missed Episodes 1 & 2, they can be viewed on PBS’s site through March, 2012 at this link: http://www.pbs.org/wgbh/masterpiece/watch/index.html

Please note: You can watch Downton Abbey Season 1 on Netflix as a DVD or streaming.

Other links and references:

  • Also read: Downton Abbey, Nursing and Military Hospitals on the Home Front – Edwardian Promenade
  • *To End All Wars: A Story of Loyalty and Rebellion 1915-1918, Adam Hoschschild, Houghton Miflin Harcourt, New York, 2011.
  • The Great War As You May Not Know It
  • Royal Victoria Hospital
  • British Red Cross: Historical Fact Sheet
  • Hooton Hall 
  • Telegraph: What’s next for Downton Abbey? 
  • Scandalous Women: Almina, Countess of Carnarvon
  • Almina, Countess of Carnarvon, A History of Preston in Hertfordshire

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Posted in Film review, Jane Austen's World, Movie review, PBS Movie Adaptation, Popular culture, Upper Class, Working class | Tagged 20th century England, Cora Crawley, Country House, Country House Hospitals, Downton Abbey Season 2, Downton Abbey Series 2, Edith Crawley, Highclere Castle, Isobel Crawley, Lady Almina Countess of Carnarvon, PBS Masterpiece Classic, Sybil Crawley, VAD, Voluntary Aid Detachment Nurse | 29 Comments

29 Responses

  1. on January 16, 2012 at 15:01 LaurenG

    This is very well-done, and presents lots of information about issues that are largely forgotten or glossed over now. (How many of us buy a poppy without knowing its relationship to WWI?) It is so important to know these things-how we live today owes so much to these unsettled, and unsettling, times in history. Thank you, Vic!


    • on January 16, 2012 at 15:04 Vic

      You’re welcome, Lauren. Thanks for stopping by. I have become so interested in this era that I have been reading books about WW1 and watching WW1 videos. What a terrifying yet exciting time. Our great grandparents went through so many bewildering changes that I can now appreciate them and the events they lived through better.


  2. on January 16, 2012 at 15:31 The Woodgie

    if I could convalesce like that I would be in the prime of health. hats off to the soldiers who fought and were able to be treated so well.


  3. on January 16, 2012 at 15:53 Linda Merrill

    As usual, Vic, you distill an enormous amount of historical fact into a few brief paragraphs – I am always in awe of that! Thanks for all this back story. I loved learning that Highclere was also a medical hospital during the war.


    • on January 16, 2012 at 18:04 Vic

      Thanks, Linda. I hope people visit your lovely blog and read your Downton Abbey related posts. http://chameleon-interiors.blogspot.com/2012/01/get-that-look-downton-abbey-servants.html


  4. on January 16, 2012 at 15:55 Delia H Iglesias

    Thanks for this great article! As usual really interesting and full of interesting information


  5. on January 16, 2012 at 15:56 Delia H Iglesias

    sorry about the redundance


  6. on January 16, 2012 at 16:05 Ruth

    I always recommend Vera Brittain’s “Testament of Youth” for those interested in this topic. Brittain was a gently bred (not aristocratic, though) girl who served as a VAD nurse for much of the war, losing her fiance, brother, and friends along the way. It’s a classic.


    • on January 16, 2012 at 18:03 Vic

      Thanks, Ruth. What a great recommendation!


  7. on January 16, 2012 at 17:34 Sherry

    Thanks for the article. This was most interesting.


  8. on January 16, 2012 at 17:41 dentelline

    Hi Vic,
    Je viens de te décerner un award pour ton blog!
    Si tu veux comprendre, fais un tour sur mon blog!
    Have a good evening!


    • on January 16, 2012 at 18:05 Vic

      Bonjour Dentelline, thank you for stopping by! I love the changes you’ve made in your blog. Vic


  9. on January 16, 2012 at 18:07 Tony Grant

    Lovely article Vic. I really enjoyed reading it. You have researched it all brilliantly.

    A book that was a best seller over here is Birdsong by Sebastian Faulkes.

    It is an excellent novel and is set in WW1 and touches on all the issues you have discussed. It’s main theme though takes us through the little known war of the mining activities under the trenches on the Western Front. Of course the great denouement of all the mining activity that went on was the battle for Messine Ridge. The British created the biggest explosion recorded in WW1 at Messine, killing 10,000 Germans in one blast.


    • on January 16, 2012 at 18:23 Vic

      Thanks, Tony. Coming from you that is a compliment, as you know so much about this era. I can’t wait to read your article about WW1 on your blog.

      When I was in France with my family, we noted several areas where huge craters are still noticeable. Unfortunately, we concentrated on WW2 battlegrounds, but couldn’t help but notice how diligently the French still maintained WW1sites as well, and with such tender respect. I will never forget those endless rows of crosses meant for men in their late teens and twenties and the senseless slaughter they represent.


  10. on January 16, 2012 at 19:37 Downton Abbey Cast | Seven Day Fool

    […] Downton Abbey Season 2: Country houses in medical service (janeaustensworld.wordpress.com) […]


  11. on January 16, 2012 at 20:05 Downton Abbey popularity boosts vintage clothing sales « HartfordYork Hats

    […] course, the war changes life (not just fashion) dramatically in every way imaginable. Read Country Houses in Medical Service for a great overview on how each aspect of society was irrevocably […]


  12. on January 16, 2012 at 20:38 Highclere Castle: Convalescent Home | Diana Overbey

    […] can learn more about Highclere’s castle’s turn as a convalescent home here, and see a video about it here.  There’s also a really an interesting article about the […]


  13. on January 16, 2012 at 23:43 Kelley Bartee Dees

    Are you watching Downton Abbey? This is great history…


    • on January 17, 2012 at 00:06 Vic

      Thank you! Yes, I am watching Downton Abbey! I am researching some background material to give more depth about the series for viewers.


  14. on January 17, 2012 at 12:47 Evelyn

    That is amazing to learn that Highclare Castle was actually used as a hospital during WWI! Makes the story of Downton Abbey so much more affecting!


  15. on January 17, 2012 at 22:07 Andrea

    Excellent info. I believe the correct spelling is Carnarvon.


    • on January 17, 2012 at 23:56 Vic

      Thank you. Neither I nor spell check caught that!


  16. on January 18, 2012 at 01:06 Karen Field

    Fascinating!


  17. on January 18, 2012 at 13:32 Barbara Kidder

    Thank you for putting this all together in such an interesting article and with such a good choice of familar pics., too!


  18. on January 19, 2012 at 11:33 Spygirl7

    There’s a point where you refer to Violet as the Dowager Duchess, but I believe she’s a Dowager Countess.
    Thanks for pulling together all these links and sources with commentary.


    • on January 19, 2012 at 22:51 Vic

      Indeed! I need an editor!!!!


  19. on February 9, 2012 at 22:18 Sophy

    During WWI, Lord and Lady Strathclyde, parents of the Queen Mother, volunteered their country house for service as a convalescent home. The Queen Mother, then a very young Elizabeth Bowes-Lyon, performed the sort of convalescent services offered by Edith in Downton Abbey season 2, and was encouraged in this activity by her very patriotic parents. See more about this by reading William Shawcross’s biography of the Queen Mother.


  20. on May 4, 2012 at 10:39 Nicole

    I have two postcards that are hand painted and signed MELO the date on them is 1918 some one has studied them and on a piece of paper the wrote “Painted by French Soldiers in Trucks or Hospital” 1914-1918 Corrle also appears on the one that has a man walking with a mule that has miners gear or something like that on it and the other is just a landscape also signed MELO if anyone knows more about these please let me know @nikkistupin@gmail.com


  21. on March 9, 2013 at 02:43 Frank

    An absolutely beautiful estate with a rich and great heritage. Truly it is
    a wondrous place that should be preserved and maintained for as long as possible. Once the majesty of such a place is gone it will be lost forever.



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