From the 1920's, when it was under the control of the Church of England Homes for Waifs and Strays, through the National Health Service period, the hospital received paying patients. In 1937 about two-thirds of its finance came from patient contributions, one-third from voluntary contributions. The hospital had a 10 bed convalescent home; St Agnes Home, Pevensey Bay, Sussex. In 1937 a 16-bed ward block was added to the hospital, bringing the total number of beds to about 180. This increased to 250 beds by 1948, but this was the high point and the number of beds fell steadily over the following years, until there were just 41 beds in 1991, shortly before the hospital closed.
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