As far back as 1944, Dr Cairney, the Superintendent-in-Chief, proposed the erection of a new Outpatient building, to the north of the Front Block.   He envisaged that this would house outpatient services currently managed within the Front Block, and proposed that the existing outpatient area be remodelled into a Medical Records Department.   He also recommended that the new building provide for fracture cases, and have its own plaster room and Xray facility.

The orthopaedic staff thought that it would be preferable for site a Fracture Clinic in the area currently occupied by Physiotherapy, and they suggested moving Physiotherapy into the second floor of the new building.  Sketch plans were produced.

By 1948, the plans were revised to have the Fracture Clinic in the new building, as originally proposed by Dr Cairney.  A firm recommendation was made to the Board to proceed.

In 1951, Dr Richard Durand, the new Superintendent-in-Chief, proposed that rather than proceeding with the new Outpatient building, a new Casualty Building be erected instead.   He suggested converting the present Casulaty Department into an Orthopaediac Department and also a Medical Records area.  This idea was rejected by the Health Department.   The next proposal was to convert the ground floor of the 210-Block into Casualty, Orthopaedic & Psychiatric Departments.  However, this would have required relocating the Nurses' Preliminary Training School, the Urology Department and the Chest Clinic.

In the end, the building originally planned was erected, accommodating a Fracture Clinic, Medical Records Department and, on the upper storey, Administrative Offices,