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Under the provisions of the Lunacy Act of 1890 the London County Council was charged with the duty of providing and maintaining mental hospitals for rate-aided patients, and could also provide services for private paying patients. In 1937 the Council was maintaining 21 institutions with total accommodation of 33,823 beds. These institutions were often situated outside London and included:
Banstead Hospital, Sutton, Surrey
Bexley Hospital, Bexley, Kent
Cane Hill Hospital, Coulsdon, Surrey
Claybury Hospital, Woodford Bridge, Essex
Friern Hospital, New Southgate
Horton Hospital, Epsom, Surrey
Long Grove Hospital, Epsom, Surrey
Saint Bernard's Hospital, Southall
Saint Ebba's Hospital, Epsom, Surrey
West Park Hospital, Epsom, Surrey
The Maudsley Hospital, Denmark Hill
Brunswick House, Mistley, Kent
Darenth Park, Dartford, Kent
Farmfield, Horley, Surrey
The Fountain Hospital, Tooting Grove
The Manor, Epsom, Surrey
South Side Home, Streatham Common
Caterham Hospital, Caterham, Surrey
Leavesden Hospital, Abbots Langley, Hertfordshire
Tooting Bec Hospital, Tooting Bec Road.