Fazakerley Cottage Homes for the Accommodation of Pauper Children were erected by the West Derby Union at Longmoor Lane, Fazakerley in 1888-9 to designs by C H Lancaster. Twenty five children were housed in each cottage supervised by a house-father and house-mother.

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It was as a result of the work carried out at the cottage homes that made the west derby guardians realise the need for another specialist hospital for children.

   

Alder Hey house and grounds had originally been bought in 1906 by the west derby board of guardians to build a workhouse for chronic infirm paupers. The foundation stone was laid on 30 March 1911 and opened in 1914 but the building was never used for chronic infirm paupers.

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Instead it was decided to use the building for sick children.

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During the First World War at least two of the hospital's blocks were given over to surgery for wounded soldiers under the control of Sir Robert Jones

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Wards dedicated to treating children still used for that purpose

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It had accommodation for 1000 chronic and bed bound patients

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At the end of World War 1 reverted to being a children’s hospital

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It Became the responsibility of Liverpool City Council in 1929

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Also housed injured military personnel in World War 2