The railway left the Cuckoo Line at Hellingly Station. Although the railway joined the Cuckoo Line at both the northern and southern ends of the platform, virtually no through trains ever ran. Due to the arrangement of the lines at the junction between the Cuckoo Line and the Hospital Railway, passenger services to and from the hospital needed to reverse to the south of Hellingly station.
After leaving the mainline, immediately south of Hellingly, the railway passed over two gated level crossings, at Park Road and New Road. A single siding on the west of the line beyond the crossings, known as Farm Siding, was used as a collection point for the farm's agricultural produce in the early years of the railway, but later fell out of use. About halfway between Hellingly and the hospital the line entered the hospital grounds, passing to the west of Park House Siding, which served the hospital's Park House annexe.
As it approached the hospital, the line split; the southern fork led to a siding to the northwest of the hospital, while the other turned sharply east and south through almost 180° before splitting again. One fork ran into a large workshop and the other led to a short platform, which was initially used for passenger traffic. Following the suspension of passenger services it was converted into a coal dock.
The line had no signals or automatic points to control the switching between lines at the railway's junctions with the main line and with the sidings. On the approach to a level crossing the driver's mate ran ahead with a red flag, to stop the traffic; he also manually operated the points.
Read more about this topic: Hellingly Hospital Railway
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