As you will be aware, following our recent communications to all patients, families and carers, there have been some significant changes here at St Andrew’s Healthcare.

Changes effecting St Andrew's Northampton

Recently, NHS England published a letter stating that it has taken the decision to find alternative placements for our inpatients at Northampton*. 

Shortly after receiving this information, we shared it with you as quickly as we could. We are sorry if you may have already seen or heard about it in the news before we had the chance to speak with you.

We are currently engaged with NHS England to understand the full implications of this decision and what their timelines are. We will continue to share information with you when we have it

*Our sites in Birmingham and Essex are not affected by this decision. 

What happens next for inpatients in Northampton?

Patients will stay at St Andrew’s Northampton while their needs are assessed. Suitable placements will then be arranged, and moves will happen in phases based on clinical need. Timelines will be shared once confirmed.

When will this happen?

The transition of patients from Northampton is expected to take several months, but exact timelines have not yet been confirmed. We will update you as soon as NHS England provides the information.

How do patients know the next place will be right and safe?

Patients will only move to placements that can meet their clinical needs in a safe environment.

Who is responsible for patient care now?

St Andrew’s remains responsible for patient care until each person is safely discharged or transferred to another provider.

How will patient transfers happen?

Patients will stay at Northampton until NHS England identifies a safe and appropriate placement. Transfers will be coordinated and overseen by NHS commissioners, support by patient’s MDT (Multidisciplinary Teams).

Will patients be moved further from home?

The NHS aims to keep people as close to home as possible. However, some specialist services may require a move further away to ensure the right level of care.

How much notice will people get before being moved?

Care teams will plan moves with each patient, ensuring they are informed, involved and supported throughout the process.

Will patients have a say in where they move?

Patients and carers will be involved in discussions about their care and future placement wherever possible.

How will people be supported through this?

Care teams, advocacy organisations and NHS England’s Mental Health Quality team will provide support, guidance and oversight during the transition.

What does this mean for patients at Birmingham and Essex?

There are no plans to move patients from those sites.

What about Ministry of Justice patients?

Their future placement will depend on legal requirements and clinical assessments. 

What about patients who have already been waiting a long time for discharge?

NHS England has asked provider collaboratives and Integrated Care Boards (ICBs) to identify appropriate placements and solutions for these patients.

Latest CQC report

Furthermore, the latest CQC report has been published following their inspection in October and November, and although we have worked hard to make improvements, it is with deep regret that this remains an ‘Inadequate’ rating.

We remain committed to improving the quality and consistency of patient care on all our wards and we will continue to roll out our 'Safe Today' programme, which puts patients at the centre of everything we do. We will provide more information on this in due course.

We want to assure you that in the four months since the inspection, we have delivered urgent and far‑reaching change to improve patient care across every ward.

What changes have been made so far?

The changes we have already made include:

  • Reducing agency staff to near zero 
  • Increasing permanent nursing levels per patient 
  • Providing more highly trained staff on wards, covering specialist therapies and sign language; 
  • New leadership and reduced layers of management
  • Establishing an open, speak-up culture across the charity
  • Day-to-day changes to how each ward operates

During this challenging period for our patients, their carers, and our staff, we hope to keep you informed as best and quickly as possible about any significant updates.

Support for patients and carers

In light of these recent changes, patients and carers are encouraged to raise their concerns through the following means:  

  • Community meetings  
  • Patient forums  
  • Ward managers 
  • Peer Support Workers  
  • My Voice feedback on ward tablets 
  • The Patient and Carer Experience Team 
  • PALS – 01604 616829pals&complaints@stah.org
  • Patient Advocacy Service – 0300 456 2370

We are here to support you through this challenging period. Please do attend the forums mentioned above and contact the relevant teams should you wish to discuss any questions or concerns further.

Mental Health support for family and carers

We know these changes will not only be worrying for our patients, but also their families and carers. Below, we have listed several charities that provide support for mental wellbeing: