St Andrew's Healthcare

St Andrew's Healthcare
St Andrew's Healthcare
Geography
Location Northampton, Northamptonshire, England, United Kingdom
Coordinates 52°14′17″N 0°52′26″W / 52.238°N 0.874°W / 52.238; -0.874Coordinates: 52°14′17″N 0°52′26″W / 52.238°N 0.874°W / 52.238; -0.874
Organisation
Care system Private
Hospital type Specialised
Affiliated university University of Northampton
Services
Emergency department Yes[1]
Beds 900[2]
History
Founded 1838
Links
Website www.stah.org
Lists Hospitals in England

St Andrew's Healthcare is a large independent charity based at St Andrew's Hospital in Northampton, 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, learning disability, brain injury, autism and dementia and hosts the National Brain Injury Centre. It caters for patients requiring open, locked, low or medium-secure accommodation.

In 2016 over 95% of its revenue, and patients came from the National Health Service 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.[3] The charity's surpluses are reinvested in patient care.[4]

Staffing

In 2016, it employed more than 4,500 people across the United Kingdom. In 2017, it partnered with the University of Northampton, Northamptonshire Healthcare NHS Foundation Trust, Northampton General Hospital and Kettering General Hospital, to encourage more mental health and learning disability nurses to move to the county and work in mental healthcare.[5]

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.[6] In February 2014 Prof. Sugarman brought forward his planned retirement for health reasons.[7] Gil Baldwin, became Chief Executive, in 2014. Baldwin's basic salary was £328,000 in 2016.[8] Following Baldwin's resignation in January 2018, Peter Winslow was appointed Executive Chairman until a permanent successor was identified.[9] Katie Fisher, Chief Executive of West Hertfordshire Hospitals NHS Trust was appointed Chief Executive in 2018.[10]

Performance

Reports on St Andrew's Healthcare, published by the Care Quality Commission, are publicly available.[11]

The organisation has won multiple awards, including:

  • Complex Care Provider of the Year 2017, Healthcare Investor Awards[12]
  • Mental Health Hospital of the Year 2016, Laing Buisson Awards[13]
  • Healthcare Caterer of the Year 2016, Catey Awards[14]
  • Mental Health Provider of the Year 2012, Third Sector
  • Mental Health Provider of the Year 2011, Third Sector

Controversies

Dispatches Exposure

In 2017, Channel 4 Dispatches aired Under Lock and Key[15], which highlighted that people with learning disabilities and autism were being kept in secure hospitals, in concerning conditions. The show detailed the experiences of several patients at St Andrew's Hospital, which is run by St Andrew's Healthcare. Concerns included the use of restraint, seclusion and frequent sedation, with one patient remaining mostly in segregation for 22 months, in a room with minimal natural light.  It was also revealed that four patients had died on one ward between October 2010 and May 2011 and that all had been prescribed Clozapine.[16] Information that highlighted the role of the use of Clozapine in the deaths of these patients was not shared with the coroner at the initial inquest into one of the deaths.[17]

In 2018, the Father of a girl who has autism and anxiety won a court case against Walsall Council, who had sought to prevent him from publicising details of the conditions his daughter was being detained under, in St Andrew's Hospital in Northampton, which is operated by St Andrew's Healthcare.  His daughter was being kept in a 12ft by 10ft room, with a mattress and chair, with family members being forced to communicate with her via a hole in the metal door, which she was also being fed through. An earlier assessment had concluded that “the current setting is not able to satisfactorily meet her individual care needs” and a recommendation was made suggesting she be moved to a residential setting in the community with high support, but she continued to remain in the conditions, whilst her Father was forced to defend legal action taken by Walsall Council to stop him publicly discussing his daughter and the conditions she was being detained under, at St Andrew's Hospital.[18]

Facilities

A multi-faith Chaplaincy and Spiritual Care team provides services for patients day and night.[19]

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's Workbridge Centre.[20]

Education opportunities are available for patients - from AQA Functional Skills[21] through to GCSEs, A-Levels and Higher Education. St Andrew's includes education for patients as part of care planning.[22]

St Andrew's College is a specialist school for young people within the Child and Adolescent Mental Health Service (CAMHS) in Northampton.[23] 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.[24]

Research

Research is a key element of St Andrew's strategy[25], 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.

History

The Northampton General Lunatic Asylum, founded by public subscription, opened to "private and pauper lunatics" on 1 August 1838. The hospital was built on land once owned by the Cluniac Priory of St Andrew's. Donations were given for the establishment of a building for the "care of the insane" including from the funds of the disbanded Northamptonshire Yeomanry and a gift from Earl Spencer.

Engraving of Northampton General Lunatic Asylum, 1849

Thomas Octavius Prichard was appointed as the hospital’s first medical superintendent: he was one of the pioneers of "moral management", the humane treatment of the mentally ill. The asylum was originally intended to house 70 patients and was made a charitable trust. By the mid-1840s St Andrew's was caring for over 260 people; by 1860 this had risen to 317 and five years later to 414; in 1869 there were 40 nurses and attendants caring for 450 patients.

In 1876, the separate St Crispin's Hospital for pauper patients was opened at Berrywood near Duston and the original General Lunatic Asylum changed its name to Northampton General Lunatic Asylum for the Middle and Upper Classes. It was renamed St Andrew's Hospital for mental diseases in 1887.

At the foundation of the National Health Service, St Andrew's sought exemption and was one of four Registered Psychiatric Hospitals allowed to function outside the NHS, maintaining its charitable status.

Many of the hospital buildings enjoy Listed Building status including the Hospital Chapel which was designed by Sir George Gilbert Scott and opened in 1863.

Notable patients

See also

References

  1. ↑ St Andrew's Healthcare: Psychiatric Intensive Care Unit
  2. ↑ St Andrew's Healthcare: Who we are
  3. ↑ St Andrew's Healthcare: Annual Report 2016/17
  4. ↑ St Andrew's Healthcare: Governance
  5. ↑ Best of Both Worlds: A joined up approach to recruitment
  6. ↑ "Charity chief's £653,000 pay reignites row". Independent. London. 20 October 2013. Retrieved 15 December 2013.
  7. ↑ "Hospital chief executive steps down due to 'health'" Northampton Chronicle, 14 February 2014
  8. ↑ St Andrew's Chief Executive given £99,000 bonus
  9. ↑ "Changes to the Executive Leadership team" St Andrew's Healthcare, 4 January 2018
  10. ↑ "Hospital chief executive to head up charity". Health Service Journal. 28 March 2018. Retrieved 28 May 2018.
  11. ↑ St Andrew's Healthcare: Latest CQC reports
  12. ↑ Health Investor Awards: Complex Care Provider of the Year
  13. ↑ St Andrew's Healthcare: Health Hospital of the Year
  14. ↑ The Caterer: Healthcare Caterer of the Year 2016
  15. ↑ "Rethink Mental Illness". Retrieved 2018-10-13.
  16. ↑ "Channel 4 Broadcast Dispatches Under Lock and Key".
  17. ↑ Doward, Jamie (2013-07-06). "Call for inquiry into deaths of four men at psychiatric hospital". the Guardian. Retrieved 2018-10-13.
  18. ↑ Social Affairs Editor, Greg Hurst (2018-10-13). "Father beats legal bid to silence him over autistic girl in hospital 'cell'". The Times. ISSN 0140-0460. Retrieved 2018-10-13.
  19. ↑ St Andrew's Healthcare: Holistic Care
  20. ↑ Workbridge: A charity with a difference
  21. ↑ AQA: Functional Skills
  22. ↑ St Andrew's Healthcare: Patient education and work experience
  23. ↑ https://www.youtube.com/watch?v=jVTtJRz11Ig St Andrew's Fitzroy House opens its doors]
  24. ↑ St Andrew's College: Ofsted report
  25. ↑ "Research Centre - St Andrew's Healthcare" St Andrew's Healthcare
  26. ↑ http://www.british-history.ac.uk/vch/northants/vol3/pp30-40
  27. ↑ Mussolini's nose, bbc.co.uk; accessed 8 July 2014.
  28. ↑ "Josef Hassid". psychosurgery.org. July 2005. Retrieved 2012-08-08.
  29. ↑ Sean O'Hagan (16 May 2004). "''The Observer'' Private dancer, 16 May 2004". London: Books.guardian.co.uk. Retrieved 2012-08-08.
  30. ↑ Jonathan Glancey (9 December 2002). "''The Guardian'' The man between". London: Arts.guardian.co.uk. Retrieved 2012-08-08.
  31. ↑ Gladys, Duchess of Marlborough: the aristocrat with attitude, telegraph.co.uk; accessed
  32. ↑ University of Toronto - Representative Poetry Online Archived 2009-10-15 at the Wayback Machine.
  • St Andrew's Hospital, Northampton: The First One Hundred and Fifty Years, 1838-1988 Foss, Arthur & Trick, Kerith (Granta 1989)
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.