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The Billingsgate Christian Mission was founded in 1878. The mission incorporated the humanitarian aims of the former Billingsgate District Association with Christian missionary work within Billingsgate Fish Market. The dispensary was established in 1897 when the need for medical work within the market became evident. Free first aid treatment was offered to those engaged in or about the market and the mission was subsequently renamed the Billingsgate Christian Mission and Dispensary. The mission also trained nurses and missionary students prior to undertaking missionary work abroad until the mid-1950's.
Until 1890 the mission met at the Weigh House Chapel, 31 King Street. In this year the building work begun in July 1889 was completed and the mission moved into its own premises at 19 St Mary at Hill, opposite the market gates.
The mission was a registered charity (No. 225189) and was predominately funded by subscriptions and donations from companies and businessmen associated with the market. It was closed on 31 December 1990, the majority of its work and its income having been relocated with the Fish Market in 1982.