Nurse education qualification courses have graduate status. Traditionally, from the times prior to Florence Nightingale, nursing was seen as an apprenticeship, often undertaken in religious institutes such as convents by young women, although there has always been a proportion of male nurses, especially in mental health services. In 1860 Nightingale set up the first nurse training school at St Thomas' Hospital, London. Nightingale's curriculum was largely base around nursing practice, with instruction focused upon the need for hygiene and task competence. Her methods are reflected in her "Notes on Nursing", (1898). Some other nurses at that time, notably Ethel Gordon Fenwick, were
King's College London had become independent of King's College Hospital at the foundation of the National Health Service in 1948, mergers with Queen Elizabeth College and Chelsea College of Science and Technology in 1985, and the Institute of Psychiatry in 1997. In 1998 the United Medical and Dental Schools of Guy's and St Thomas' Hospitals merged with King's to form the King's College London GKT School of Medical Education. Also in 1998 Florence Nightingale's original training school for nurses merged with the King's Department of Nursing Studies as the Florence Nightingale School of Nursing and Midwifery. The same year King's acquired the former