Lodge, Gate, Piers and Railings to St Charles' Hospital

The lodge, gates, piers, and railings to St Charles' Hospital, built in 1883, were designed by Henry Saxon Snell as part of the infirmary for the St Marylebone Board of Guardians. The structure is primarily made of brick with some painted stone dressings and features slate roofs with decorative crestings. It has an asymmetrical two-storey layout, presenting a three-bay gable front to the private hospital road, with a projecting one-bay wing to the right and a high dormer in the roof to the left.

The front includes a three-light central bay window beneath a flat painted stone band and a datestone in the parapet. The other windows are pointed, with two in the first-floor gable paired under a large hoodmould featuring decorative brickwork in the tympanum. A pointed arch is present over the flat-headed door, which has herringbone brickwork. All windows are double-hung sashes without glazing bars, except for the elevation facing Exmoor Street, where two small windows soften the solid wall's appearance.

Attached to the gatehouse are cast-iron railings and gates set on a stone plinth, adorned with bulbous decorative spearheads and alternating shorter rails below the mid-rail. The composition includes five large brick and stone square piers, with two serving as gatepiers topped by 1950s lights that lack intrinsic value, and three others spaced irregularly. The gatepiers feature chamfered stone waists, all topped with pyramidal and gableted designs. The lodge, gates, and piers are significant components of the cohesive design of St George's Hospital, visually framing its taller elements on the compact site.