The Royal Hospital for Neuro-disability, in Putney, South West London, is an independent medical charity that provides rehabilitation and long term care to people with complex neurological disabilities caused by damage to the brain or other parts of the nervous system. This damage is often caused by traffic accidents and progressive neurological conditions such as Huntingtons disease and multiple sclerosis. It is one of the 200 largest UK charitable organisations ranked by annual expenditure. The Royal Hospital for Neuro-disability (RHN) was established in July 1854 at a meeting held at the Mansion House, chaired by the Lord Mayor of London. The hospitals founder, Andrew Reed, had a record as a practical philanthropist, having previously set up four other charities, and Charles Dickens, the celebrated author, was one of the first high-profile figures to show his support by helping Reed raise funds for it. Members of the Board of Management (the Board) act as trustees of the charity. They are elected by the Governors at their Annual General Meeting to act on behalf of the charity in the management of its undertaking, property and affairs. The average number of people treated in our hospital at any one time is 261. The average number of beds occupied in the Specialist Nursing Home 121. The average number of people treated in Brain Injury Service at any one time is 45.