The hospital is located at Independence Drive in Banjul and has over 540 beds as the biggest state health facility with state-of-the-art equipment. It was originally built by the British during colonisation of Africa in about 1853. The operational status of Royal Victoria Hospital (RVH) was improved with the help of the Sisters of St. Joseph of Cluny in 1903.

The Hospital’s name was extended to Royal Victoria Teaching Hospital in the late 1990s since it became part of the newly founded faculty of the school of medicine of the University of the Gambia and therefore includes the training of medical doctors and other medical professionals. The first 15 students of medical students started schooling in November 2002 at RVTH. The Hospital furthermore engage in participation in international research-studies concerning the fight against malaria and hepatitis B.

Chief Medical Director
The position of the Chief Medical Director (CMD) is equivalent to the Director-General in other institutions of government sectors. He is responsible for the day –to-day running affairs of the hospital, he has a team that helps him to carry out the tasks known as Management Team.
He always consults with his management team on major issues concerning the day-to-day affairs of the hospital issues. He also holds regular periodic meetings with his management team as well.
Apart from the management team, the CMD is essentially helped by the heads of departments and units in executing major functions of the hospital as well, who are very vital for his success.