The game, with a variety of interpretations over the rules employed, had become popular in many of the public schools of the British Isles and this had extended to the universities as well.

With the exception of breaks for the two world wars of the twentieth century, the United Hospitals Challenge Cup has been played for without interruption since that first final.

The exception to the tide of mergers and renaming is St George’s RFC which is still a stand-alone institution, although it has moved premises.

Unfortunately due to the rise of the individual school clubs and the commitment to their respective leagues, the UH team has declined over recent years and is no longer the force it once was, but still has a place in London rugby.

In December 2013, Sydney University Football Club played UH RFC as part of their 150th Anniversary Tour to the UK.

UH, which has as one of its components Guy's Hospital RFC, the oldest club in the world (founded 1843), played the tourists at Blackheath's ground.