Time Walk
From Borough High Street to Crucifix Lane




Walk St Thomas Street from its western end at Borough High Street and the story is written in stone at every step. The route runs south-eastwards along the flank of London Bridge station, Wikipedia's account of the street notes, before meeting Bermondsey Street and continuing on as Crucifix Lane. On the right, a low brick range holds the doorway to the Old Operating Theatre Museum and Herb Garret, reached by a spiral stair inside what was once St Thomas' Church. Further along, the eighteenth-century gateway to Guy's Hospital opens onto a courtyard where the statue of Thomas Guy stands among Grade I and II listed buildings, the Survey of London's list of Southwark's listed buildings records. Near the Borough High Street end, glass and steel rise sharply: the entrance to the Shard is set into the pavement here, a modern counterpoint to the Georgian brick that survives along much of the street.
Name Origin
St Thomas' Hospital, six centuries on the north side
St Thomas Street owes its name, plainly enough, to St Thomas' Hospital, which stood on the north side of the street for what the Survey of London describes as "over six centuries." Wikipedia's account confirms the same derivation: the hospital, already standing here when the street came into use soon after 1542, gave its name to the road that ran past its gates. The connection was formalised early. Under Edward VI, in the years 1547 to 1553, the hospital's own chapel was made the parish church of a newly created small parish of St Thomas's, embedding the saint's name in the local geography long before street directories thought it worth recording.
The street itself is elusive in the earliest cartographic record: the Survey of London notes that it does not appear on the earliest plan of the area, drawn up around 1542, suggesting the thoroughfare as later generations knew it had not yet fully taken shape. The earliest dated reference to "St. Thomas Street" by name in the surviving record comes from the early 1720s, when an entrance to the newly founded Guy's Hospital was cut through from the street across leased land. From then on the name recurs steadily through the eighteenth and nineteenth centuries in hospital leases and building accounts, always tied to the hospital that had stood there since the sixteenth century.
"over six centuries"Survey of London, Volume 22
History
A street shaped by two hospitals
The street's documented history is largely the history of two hospitals. St Thomas' Hospital held ground on the north side from the mid-sixteenth century, and when its chapel became the parish church of St Thomas's under Edward VI, a churchyard was laid out opposite it on the south side, the Survey of London records. Rebuilding gave the parish a new church around the turn of the eighteenth century — the Survey and Wikipedia both point to 1702 — and that building still stands, now serving as the Chapter House of Southwark Cathedral.
Guy's Hospital, founded on adjoining land, reshaped the street from the 1720s onward. An entrance was cut through from St Thomas Street across ground leased to a Thomas Barry in 1721–22, part of a warehouse being demolished to clear the passage, the Survey of London notes. Guy's continued to expand its footprint along the street's frontage: further ground on the north-west side was acquired from St Thomas's Hospital in 1756, when eight houses east of the churchyard path were also leased to Guy's. A substantial new terrace of four-storey brick houses, numbered 2–14, was built for St Thomas's Hospital in 1819 at a cost of about £7,000; No. 2, The Grapes, had originally been two separate houses. Two further large houses, Nos. 24 and 26, went up in 1863 on the site of the old beadle's house next to Guy's north-west wing.
The railway reshaped the street's northern edge in the Victorian period: land behind St Thomas Street was requisitioned in 1862 to enlarge the London Bridge station terminus, Southwark Council's conservation area appraisal records, fixing the tight relationship between street and station that survives today. Guy's Hospital's acquisition of the street continued into the twentieth century, when it purchased the frontage as far as Borough High Street in 1922, with the single exception of the pub called The Grapes. Southwark's appraisal now treats the street as Sub Area 4 of the Borough High Street Conservation Area, describing it as a primarily Georgian street anchored by the Guy's Hospital Medical School precinct, with its early eighteenth-century character particularly well preserved close to the Borough High Street junction.
The former St Thomas' Church on this street has served, in turn, as a parish church, part of a hospital operating theatre, an apothecary's herb store, the Chapter House of Southwark Cathedral, and now a public museum — all within the same building.
Culture
A museum in the garret, a poet over a chandler's shop
The street's most singular survival is tucked into the roof space of the former St Thomas' Church: the Old Operating Theatre Museum and Herb Garret now occupies the building, using space that once formed part of the operating theatre of St Thomas' Hospital and the garret where the hospital's herbs were stored. The church itself has led a layered second life, having also served as the Chapter House of Southwark Cathedral — a single structure doing hospital, ecclesiastical and museum duty in turn.
The literary interest is thinner but has left its mark on local memory: Wikipedia's account records that John Keats, then a student at Guy's Hospital, is stated to have lodged over the shop of a tallow chandler named Markham on St Thomas Street in 1815 — though the Survey of London notes that the precise position of that shop has never been established, since the rate books for St Thomas's parish from that period do not survive. At the opposite end of the street's history, the arrival of the Shard in 2012 gave St Thomas Street a very different kind of landmark, its main entrance opening directly onto the pavement here.
People
The surgeons of No. 12
St Thomas Street's terraced houses filled through the nineteenth century with the surgeons and physicians of Guy's Hospital, and the Survey of London traces several of them by address. Sir Samuel Wilks, physician, occupied No. 17 (later absorbed into No. 2) from 1854 to 1860, then No. 14 from 1861 to 1869; he studied at Guy's, rose to curator of its museum and lecturer on pathology, edited the Guy's Hospital Reports between 1854 and 1865, and co-wrote the hospital's standard history before his death in 1911.
No. 12 St Thomas Street housed a remarkable run of Guy's surgeons in succession. Charles Aston Key, born in Southwark and a Guy's pupil from 1814, lived there from 1821 to 1823; he became a demonstrator of anatomy and later full surgeon at Guy's, married into a leading Guy's surgical family in 1818, and was among the first London surgeons to use ether as an anaesthetic. John Flint South followed at No. 12 from 1831 to 1833, having trained at St Thomas's from 1814, and went on to lecture on anatomy and write several works on surgery. John Hilton succeeded him from around 1834 to 1845; a Guy's student from 1824, he became professor of human anatomy and surgery there in 1860–62, and his dissections were preserved in wax in the hospital's anatomical museum. Frederick Henry Horatio Akbar Mahomed, later assistant physician at Guy's, lived at No. 12 from 1880 until his death in 1884.
Recent Times
Listing, conservation and the Shard
The twentieth century confirmed St Thomas Street as a hospital street with a growing skyline. Guy's Hospital's purchase of the frontage in 1922, extending its holdings almost to Borough High Street, sealed its dominance of the street's south side, while No. 9A St Thomas Street was recognised for its architectural interest with Grade II* listing on 6 December 1949, Historic England's National Heritage List for England records. Southwark Council's conservation appraisals for both Borough High Street and Bermondsey Street treat the street as a boundary and hinge point: it forms the northern edge of the Bermondsey Street Conservation Area, where the appraisal notes the section between St Thomas Street and Lamb Walk holds a particularly high proportion of listed shopfronts, and it is itself designated Sub Area 4 of the Borough High Street Conservation Area. The most dramatic recent change came in 2012, when the Shard opened with its principal entrance set into St Thomas Street — a twenty-first-century addition dropped directly onto a street whose fabric otherwise still reads as Georgian and Victorian hospital London.
Today
Hospital, station and skyscraper, side by side
St Thomas Street today reads as a working seam between transport, healthcare and heritage. London Bridge station runs along its northern flank, the Old Operating Theatre Museum and Herb Garret still welcomes visitors up into the former church roof space, and Guy's Hospital's eighteenth-century gateway, with its wrought-iron gates and the listed statue of Thomas Guy beyond, continues to mark the hospital's main courtyard entrance. The Shard's doors open onto the pavement a short walk toward Borough High Street, giving the street one of London's most abrupt contrasts of scale. Protected within two overlapping conservation areas, St Thomas Street's early eighteenth-century character survives best near its western end, Southwark Council's appraisal notes, even as the buildings around it continue to serve the same institutions — hospital, station, church-turned-museum — that shaped the street from the start.
On the Map
St Thomas Street Then & Now
Frequently Asked Questions
Why is it called St Thomas Street?
The street is named after St Thomas' Hospital, which stood on its north side from the mid-sixteenth century. The hospital's own chapel became the parish church of St Thomas's under Edward VI, and the street's earliest dated documented name, from the 1720s, already ties it to the neighbouring, newly founded Guy's Hospital.
What is St Thomas Street known for?
It's known for its concentration of hospital history: the former St Thomas' Church, now the Old Operating Theatre Museum and Herb Garret, Guy's Hospital's eighteenth-century gateway and courtyard, a well-preserved Georgian terrace, and, more recently, the entrance to the Shard, which opened here in 2012.
Which historic buildings survive on St Thomas Street?
Survivors include the former St Thomas' Church of 1702 (now the Old Operating Theatre Museum and Chapter House of Southwark Cathedral), the Grade II*-listed No. 9A, Guy's Hospital's listed North block, statue, gates and railings, and the 1819 terrace of brick houses built for St Thomas's Hospital.