Founded in 1838, St Andrew’s Healthcare is a charity which provides specialist mental healthcare for people with complex mental health needs. With over 3,000 permanent staff caring for 600 inpatients in Northampton, Birmingham and Essex, its purpose remains to relieve suffering, give hope and promote recovery.
The people who use St Andrew's services come from different backgrounds and places, and have various mental and physical health needs. Some individuals need short–term, intensive support following a mental health crisis or breakdown, and some people stay for longer periods; for these individuals, the Charity can provide not just medical interventions, but also therapy and support to help them get their lives back on track. Some patients come to St Andrew’s towards the end of their life, and expert staff care for them in as comfortable an environment as possible.
What St Andrew's does
The headquarters and largest site of St Andrew's Healthcare is in Northampton, but it also has hospitals in Birmingham and Essex, and two residential homes in Derbyshire and Nottinghamshire, which provide specialist, locally-focussed mental healthcare. The Charity offers care across a number of services, including Men’s and Women’s Mental Health, Child and Adolescent Mental Health Services (CAMHS), Neuropsychiatry, Autistic Spectrum Disorder and Learning Disabilities.
Across three hospitals, St Andrew's currently provides treatment and care for around 620 inpatients who face challenges of mental illnesses, developmental disorders, brain injuries and neurological conditions. It also offers treatment and support for individuals within community settings and as outpatients to different groups, including former members of the Armed Forces and people within the Criminal Justice System. In 2021/22, the Charity supported c. 2,000 community patients via various outpatient activities, and also worked with other services to support individuals as they leave hospital care.
Challenges
It has been a challenging year for the healthcare sector. As an organisation, St Andrew's is still feeling the impact of the pandemic, and - much like its colleagues in the NHS - the national shortage of healthcare staff is a challenge. A recently launched Thrive Programme focusses on investing in frontline staff in order to ensure that patients have the support they need and the best quality care possible, and can access the full breadth of therapies and activities, seven days per week.
Despite providing some exceptional high quality services, this is not consistently the case across all the Charity's services and has been reflected in some CQC ratings in previous years. Whilst recognising significant improvements have been made, St Andrew's is not delivering the services consistently in a manner for which it strives. As such, and to support the ongoing improvements required, a new Quality Strategy has been agreed. This is being implemented with a focus on: workforce capacity and capability; strengthened clinical governance processes and procedures; patient safety and the implementation of the new national Patient Safety Incident Response Framework (PSIRF); and the embedding of the Co-Production Strategy to increase the involvement of patients and carers in all that it does do.
Strategy
St Andrew's is in the process of adopting a new strategic direction, which will see the Charity through until 2028. Over the next five years, its vision is to create a society in which everyone living with a mental health need is heard, valued, and has hope for their future. By 2028, it aims to be a leading voice in helping people with complex mental health needs transform their lives. St Andrew's has exciting plans to help achieve its ambitions, which include a focus on quality, providing more care in the community, and investing more in research and education which will improve the lives of those it serves.
As part of this new strategic direction, St Andrew's is looking to maximise all its available resources to drive forward the new strategy. This includes maximising the use and income of a substantial and historic estate so that it can invest in diversification of its services and respond to the future direction of mental health policy, which is increasingly to provide services for those with complex challenges in the community.