Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that patients affected by changes to services at St Andrew’s Hospital in Northampton are transferred safely to appropriate alternative mental health provision.

The failings exposed at St Andrew’s Hospital in Northampton site are completely unacceptable. The accounts of poor care, patient harm, and sustained risks to vulnerable people are deeply distressing, and the safety and wellbeing of patients remains our foremost priority throughout this process.

NHS England has required commissioners to begin identifying alternative inpatient placements for patients at St Andrew’s Hospital in Northampton following ongoing concerns about patient safety. Transfers are being managed carefully and in phases, based on individual clinical assessments, and patients will only move when a suitable alternative placement has been identified that can safely meet their needs. Enhanced clinical oversight has been put in place at the site, and NHS England is working closely with placing commissioners and provider networks to ensure transfers prioritise patient safety, continuity of care and compliance with the Mental Health Act where applicable.

We recognise that many patients at St Andrew’s will have limited capacity to advocate for themselves. Their voices, and those of their families and representatives, must be central to this process. Enhanced advocacy provision is already in place, and patient communications including accessible and Easy Read formats are being developed to support understanding and reduce anxiety.

After discussing with the NHS, a patient’s placing commissioner will talk with them to explain the options being considered for the best place for them to go next. They will listen to each patient’s preferences and feed these back to the NHS so they can be taken into account when making plans. Advanced advocacy support for patients is also in place. However, the final decision will also depend on the care needs of each patient and what services are available.

Where a patient is receiving care in an adult secure service, decisions will also need to consider risk and any requirements from the Ministry of Justice that may apply. These factors help the team decide the most appropriate place for ongoing care.