Front and Main Rear Range of St Andrews Hospital and Attached Walls

The front and main rear range of St Andrew's Hospital, along with its attached walls, is a building originally constructed as a workhouse between 1857 and 1859, with many later additions. It is built from square limestone rubble, featuring freestone quoins, plinths, and dressings, and has hipped slate roofs, all designed in the Tudor Revival style. The original plan consisted of two parallel ranges connected by a bar, though it has since been considerably infilled. The building has two-light stone-mullioned cast-iron casement windows with hexagonal panes, some of which remain.

The front range, which flanks the gatehouse, is a single storey and is terminated by Dutch gabled ranges. The gatehouse itself has a two-unit plan. The exterior features two storeys and a three-bay range, with the central bay stepping forward under a Dutch gable that has an oculus at the apex. The central bay is flanked by 20th-century windows and includes a semicircular-arched carriage entrance. The rear of the building retains its cast-iron windows.

The courtyard at the rear is enclosed by high attached walls that have chamfered freestone doorways leading to the gable ends of outhouses. The central block of the rear range has a three-window layout that is splayed at the first floor, forming an octagon topped with a large lantern featuring two semicircular-arched lights with keystones and imposts on each facet, supporting a cornice and Dutch gabled parapets on all sides. The double entrance doors, which have sidelights and an overlight, are set beneath a hoodmould with block stops.

The interior has been altered over time. Originally built as a workhouse, the building transitioned to a hospital in 1947.