When the Front Block and Wards 8, 9 and 10 were designed in 1925/26, outline plans were also made for future development of the Hospital.    However, no further action was taken for the next 10 years.   Nevertheless, by 1931 there was a realisation that extra patient accommodation was urgently needed and at around this time, additions to the Victoria Hospital were contemplated.  These were not proceeded with.
By 1935, the position was becoming serious, and it was proposed that a 4-storey 100-bed block be built immediately adjacent to and to the north of the Main Entrance Block.

In October 1936, the Board had second thoughts about the siting of the proposed new block, and asked the architects to consider a site to the north of the Pathology block, and to add 2 more storeys