St Andrew's Healthcare
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St Andrew's Healthcare is a large independent charity based at
St Andrew's Hospital St Andrews Hospital is a mental health facility in Northampton, England. It is managed by St Andrew's Healthcare. History Formation The facility was founded by public subscription for "private and pauper lunatics" and opened as the Northampton ...
in
Northampton Northampton () is a market town and civil parish in the East Midlands of England, on the River Nene, north-west of London and south-east of Birmingham. The county town of Northamptonshire, Northampton is one of the largest towns in England; ...
, which provides psychiatric services. It also has sites in Essex, Birmingham and Nottinghamshire. It runs specialist services for adolescents, men, women and older people with
mental illness A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitti ...
,
learning disability Learning disability, learning disorder, or learning difficulty (British English) is a condition in the brain that causes difficulties comprehending or processing information and can be caused by several different factors. Given the "difficult ...
,
brain injury An injury is any physiological damage to living tissue caused by immediate physical stress. An injury can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, or o ...
,
autism The autism spectrum, often referred to as just autism or in the context of a professional diagnosis autism spectrum disorder (ASD) or autism spectrum condition (ASC), is a neurodevelopmental condition (or conditions) characterized by difficulti ...
and
dementia Dementia is a disorder which manifests as a set of related symptoms, which usually surfaces when the brain is damaged by injury or disease. The symptoms involve progressive impairments in memory, thinking, and behavior, which negatively affe ...
and hosts the National Brain Injury Centre. It is a psychiatric hospital and service provider that caters for individuals requiring inpatient care and rehabilitation, and step-down housing. In 2016 over 95% of its revenue, and patients came from the
National Health Service The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
through referrals from NHS commissioners. It has the capacity to cater for around 900 patients across its various sites, having grown rapidly since 2000. Its accounts show turnover of £183 million in 2016/17. The charity's surpluses are reinvested in patient care.


Staffing

In 2016, it employed more than 4,500 people across the United Kingdom. In 2017, it partnered with the
University of Northampton The University of Northampton is a public university based in Northampton, Northamptonshire, England. It was formed in 1999 by the amalgamation of a number of training colleges, and gained full university status as the University of Northampton in ...
,
Northamptonshire Healthcare NHS Foundation Trust Northamptonshire Healthcare NHS Foundation Trust (NHFT) is an NHS Foundation Trust (NHFT) founded 1 May 2009 which provides mental health and community services across Northamptonshire, England, and specialist services in prisons. NHFT manage ...
,
Northampton General Hospital Northampton General Hospital is a district general hospital in Northampton, Northamptonshire, England. It is managed by the Northampton General Hospital NHS Trust. History The hospital was established in a townhouse on George Row in 1744. After ...
and
Kettering General Hospital Kettering General Hospital is an NHS hospital in Kettering, Northamptonshire, England. It is managed by the Kettering General Hospital NHS Foundation Trust. History The hospital, which replaced a small local dispensary, was opened after a fund- ...
, to encourage more mental health and learning disability nurses to move to the county and work in mental healthcare. In 2012/13, Professor Philip Sugarman, the then Chief Executive, was paid £653,000, which was an increase of more than 18% on his previous year's pay of £552,000. In February 2014 Prof. Sugarman brought forward his planned retirement for health reasons. Gil Baldwin, became Chief Executive, in 2014. Baldwin's basic salary was £328,000 in 2016. Following Baldwin's resignation in January 2018, Peter Winslow was appointed Executive Chairman until a permanent successor was identified. Katie Fisher, who succeeded Baldwin as CEO in 2018, resigned from her role in October 2021. She was replaced with Jess Lievesley, the deputy CEO, on an interim basis.
Paul Burstow Paul Kenneth Burstow (born 13 May 1962) is a British former politician who served as the Liberal Democrat Member of Parliament for Sutton and Cheam for 18 years, from 1997 to 2015, when he was defeated by Paul Scully. He was appointed Minis ...
was appointed as chair of the organisation in September 2020.


Performance

Reports on St Andrew's Healthcare, published by the
Care Quality Commission The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care services in England. I ...
, are publicly available. The organisation has won multiple awards, including: * Complex Care Provider of the Year 2017, Healthcare Investor Awards * Mental Health Hospital of the Year 2016, Laing Buisson Awards * Healthcare Caterer of the Year 2016, Catey Awards * Mental Health Provider of the Year 2012, Third Sector * Mental Health Provider of the Year 2011, Third Sector The organisation's Nottinghamshire hospital for men detained under the Mental Health Act which houses patients with learning disabilities and autism was given an ‘overall inadequate’ rating by the
Care Quality Commission The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care services in England. I ...
in January 2019 and placed in
special measures Special measures is a status applied by regulators of public services in Britain to providers who fall short of acceptable standards. In education (England and Wales) Ofsted, the schools inspection agency for England and some British Overseas Ter ...
because of concerns about the use of seclusion policies. The hospital was taken out of
special measures Special measures is a status applied by regulators of public services in Britain to providers who fall short of acceptable standards. In education (England and Wales) Ofsted, the schools inspection agency for England and some British Overseas Ter ...
in August 2019, and has been praised for the support offered to patients. In June 2019 the organisation's mental health hospital for children and adolescents in Northamptonshire was put in special measures by the
Care Quality Commission The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care services in England. I ...
because the patients were found to be treated in an “uncaring, undignified and disrespectful” way. People in seclusion were left to sit or lie on the floor in rooms with no chair, bed, pillow, mattress or blanket. In February 2020 after it had been rated “inadequate” for the second time the unit’s capacity was downsized from 99 to 30 and action was taken against some staff members. In 2018 the organisation was featured in BBC Two documentary entitled
Girls on the Edge
'. The programme followed three families whose adolescent daughters had been sectioned under the
Mental Health Act Mental Health Act is a stock short title used for legislation relating to mental health law. List Canada * Mental Health Act (Ontario) (Ontario) India *The Mental Health Care Act, 2017 Ireland *The Mental Health Act 2001 New Zealand *The Men ...
to protect them from harming themselves. The film, made b
Dragonfly Film and Television
won a Mind Media Award. in 2019 the Care Quality Commission found evidence of poor and selective reporting, falsifying of records, intimidation of staff, and active deception of their inspectors soon after the organisation had lost an
employment tribunal Employment tribunals are tribunal public bodies in England and Wales and Scotland which have statutory jurisdiction to hear many kinds of disputes between employers and employees. The most common disputes are concerned with unfair dismissal, red ...
against a nurse who had been wrongly dismissed for whistleblowing. In 2020 the
Charity Commission , type = Non-ministerial government department , seal = , seal_caption = , logo = Charity Commission for England and Wales logo.svg , logo_caption = , formed = , preceding1 = , ...
began an investigation into concerns raised by the Care Quality Commission. In 2022
Northamptonshire Healthcare NHS Foundation Trust Northamptonshire Healthcare NHS Foundation Trust (NHFT) is an NHS Foundation Trust (NHFT) founded 1 May 2009 which provides mental health and community services across Northamptonshire, England, and specialist services in prisons. NHFT manage ...
was co-ordinating efforts by five local community and mental health trusts to provide “targeted support” to improve the care quality provided by the charity.


Facilities

A multi-faith Chaplaincy and Spiritual Care team provides services for patients day and night. Patients have the opportunity to take part in occupational and creative therapies, including arts, horticulture, ceramics, woodwork, textiles and catering. To help patients return to work when they are discharged, many gain work skills and experience at the charity'
Workbridge Centre
Education opportunities are available for patients - from AQA Functional Skills through to
GCSEs The General Certificate of Secondary Education (GCSE) is an academic qualification in a particular subject, taken in England, Wales, and Northern Ireland. State schools in Scotland use the Scottish Qualifications Certificate instead. Private sc ...
,
A-Levels The A-Level (Advanced Level) is a subject-based qualification conferred as part of the General Certificate of Education, as well as a school leaving qualification offered by the educational bodies in the United Kingdom and the educational au ...
and
Higher Education Higher education is tertiary education leading to award of an academic degree. Higher education, also called post-secondary education, third-level or tertiary education, is an optional final stage of formal learning that occurs after completi ...
. St Andrew's includes education for patients as part of care planning. St Andrew's College is a specialist school for young people within the Child and Adolescent Mental Health Services (CAMHS) in Northampton. The College provides education sessions for around 100 students at a purpose-built independent college within FitzRoy House. The College was rated 'outstanding' by Ofsted in 2016 and 2017. It plans to sell Mansfield Hospital, a 64-bed hospital site with three units for men with autism spectrum disorder and learning disabilities, to
Nottinghamshire Healthcare NHS Foundation Trust Nottinghamshire Healthcare NHS Foundation Trust, based in Nottinghamshire, England, manages the UK’s largest and most integrated Forensic High Secure facility Rampton Hospital near Retford (which covers specialist services such as the High Se ...
in 2020.


Research

Research is a key element of St Andrew's strategy, and is grouped by three top level themes: 1) Transition: Exploring mental health systems across the patient’s life span to enable individuals to live with the least restriction possible. 2) Personalisation: Designing and delivering health related activities (from spirituality through to genomics) that contribute to a positive change in health status for the individual. 3) Mental and physical: Enabling integrated mental and physical health care and treatment that prevents adverse health outcomes, including physical disability, lost life years and reduced quality of life. A joint research project between St Andrew's and the
University of Kent , motto_lang = , mottoeng = Literal translation: 'Whom to serve is to reign'(Book of Common Prayer translation: 'whose service is perfect freedom')Graham Martin, ''From Vision to Reality: the Making of the University of Kent at Canterbury'' ...
recently explored if
virtual reality Virtual reality (VR) is a simulated experience that employs pose tracking and 3D near-eye displays to give the user an immersive feel of a virtual world. Applications of virtual reality include entertainment (particularly video games), educ ...
(VR) technology could vastly improve the lives of patients living with
dementia Dementia is a disorder which manifests as a set of related symptoms, which usually surfaces when the brain is damaged by injury or disease. The symptoms involve progressive impairments in memory, thinking, and behavior, which negatively affe ...
. The results showed that
virtual reality Virtual reality (VR) is a simulated experience that employs pose tracking and 3D near-eye displays to give the user an immersive feel of a virtual world. Applications of virtual reality include entertainment (particularly video games), educ ...
can increase well-being, help to recall past memories and reduce challenging behaviour, with ongoing psychological benefits.


Podcast

In 2019, St Andrew's launched a unique
podcast A podcast is a program made available in digital format for download over the Internet. For example, an episodic series of digital audio or video files that a user can download to a personal device to listen to at a time of their choosing ...
called ''On the Ward'', recorded from inside the organisation's psychiatric hospital in Essex. ''
The Guardian ''The Guardian'' is a British daily newspaper. It was founded in 1821 as ''The Manchester Guardian'', and changed its name in 1959. Along with its sister papers ''The Observer'' and ''The Guardian Weekly'', ''The Guardian'' is part of the Gu ...
'' featured the podcast in a feature entitled "'People think of straitjackets': the podcast unveiling reality in a psychiatric hospital", and it has been shared by celebrities including
Russell Brand Russell Edward Brand (born 4 June 1975) is an English comedian and actor known for his flamboyant, loquacious style and manner. Brand has received three British Comedy Awards: Best Newcomer (2006), Best Live Stand-Up (2008), and the award for ...
.


See also

*
List of hospitals in England The following is a list of hospitals in England. For NHS trusts, see the list of NHS Trusts. East Midlands * Arnold Lodge, Leicestershire *Babington Hospital – Belper, Derbyshire *Bassetlaw District General Hospital – Worksop, Nottinghams ...


References


External links

* {{DEFAULTSORT:Saint Andrews Healthcare Private providers of NHS services Psychiatric hospitals in the United Kingdom