In the early 1850s, pressure on workhouse accommodation increased, partly due to an influx of Irish and Scots. In 1853-5, the new workhouse was built at at the site near Hylton Road. It received it first occupants on October 13th, 1855, when 306 inmates were transferred from the old workhouse.
In 1867, an additional 12-acre site was purchased adjacent to the workhouse and new hospital buildings were erected. By 1930, the workhouse site had become known as the Highfield Institute and Municipal Hospital. Under the National Health Service, the hospital became Sunderland General Hospital. Many of the 1855 workhouse blocks were demolished in the 1970s to make way for new buildings but a few parts survive.
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