A dispensary had been set up at Little Castle House, Castle Hill, in 1810, but it moved to St James Square in 1868 where it became the town's hospital, funded by local benefactors. Sir James Paget (Surgeon Extraordinary to Queen Victoria), who inspected the premises in 1873, said it was one of "the most convenient and best ventilated and arranged Institutions he had ever seen". It mainly benefitted the poor although it was the deserving poor as those on parish-relief were given a low priority. The Dispensary served as a cottage hospital, except that cases involving childbirth, hospice cases and those with mental diseases were turned away. The annual cost of each bed in 1868 was about £40; this was raised by donations made at Monmouth's banks or directly at the Dispensary. The waiting room displayed the names of major benefactors, which included a gift of £1,000 from John E. W. Rolls (a grandfather of Charles Rolls), who was President of the Institution. Rolls covered the cost of "The Hendre Bed" in perpetuity. The number of outpatients treated in 1876–1877 was over 1600; there were 60 inpatients. The Dispensary's catchment area extended to about eight miles outside Monmouth, including part of the Forest of Dean.Kissack, K. (1975) Monmouth – the Making of a County Town. Phillimore Press
