St Andrews Healthcare’s recycled income


St Andrews Hospital, Northampton.

St Andrews Hospital, Northampton.

St Andrew’s Healthcare, employs more than 3,000, providing mental healthcare, for psychiatric illnesses, disabilities, and brain injuries.

Through residential and ‘community-based’ care, and training and research at four centres across England.

One of its centres, St Andrews Hospital in Northampton, is the largest psychiatrist residential unit in Europe.

St Andrews Healthcare’s expertise and training has little, if any, independent input.

And despite the danger that all its various roles, psychiatrists, nurses, researchers, trainers are  employed by St Andrews  and  there is therefore a conflict of interests between their professional independence, and their employer’s corporate overriding profit ethos albeit recycled .

More than 95% of its patients, are funded by the NHS.

The average public payment per week  is in the region of £12,000 a week for a secure ward per patient and a likely minimum of £900 a day .

St Andrew’s Healthcare, as a Charity, pays no tax, so  that equal to  £15,000 per week per patient..

Charity tax relief, was historically allowed because individual provided their own money for charitable purposes.

Professor Philip Sugaman, was the chief executive at St Andrew’s Healthcare until 2014.

Due to public criticism of his £653,000 basic salary,

Not the 5 unexpected deaths, in one year, of his service users.

Professor Sugaman dropped his title of chief medical officer, and, salary, to £625,000.

Accounts show that from April 2013 to when he left in February 2014 due to ill health, he had received £285,000.

An historically-agreed leaving package, saw him net an extra £465,000.

A total of £751,000 in a single year.

On top of a £500,000 pension.

At the time, the average pay, of an NHS chief executive was £164,000.

The latest Charity Commission accounts for St Andrews, show a total of 64 members of  staff earned £100,000, or more.

The executive directors and company secretary, earned £941,000 between them, in basic wages,

And, they claimed £19,000 in expenses, and were awarded bonuses totalling £195,000.

Professor Sugarman and Mr Pellington did not receive a bonus.

The accounts saying

Bonus payments are based on the performance of the charity, the quality of services and individual’s performances.”

But there is no measure of outcomes for service users and see inadequate CQC reports on services.’s%20Accounts%20for%202013%20to%202014%20(reduced%20size%20for%20web).pdf

This Company Report states,

during 2013/14 income continued to grow ( untaxed), reflecting growth in occupancy ( more long term residential )as well as an increasingly specialist mix of service users, with a particular emphasis on autistic spectrum disorder and learning disabled.’

So the autistic, and ‘learning disabled’ are now the new goldmine.

This record level of income is accompanied by successful management of costs and finding new and more efficient ways of working’

‘more efficient ways of working’ has resulted in 7 revealed deaths at least, in those paying £6,000 per week for mental health services.

As a society ,should we allow, our most vulnerable, to be removed by court order under MCA and MHA section in secret, to secret, unaccountable ‘treatment’, that is, the most efficient for maximum extortionate profit?

And why is such huge profit allowed, when  our NHS public services are cut to the bone and Trusts have huge deficits .


  1. You say this blog is about life with an autistic daughter but you haven’t mentioned Isabel since April. What’s going on?


  2. What do they do that is charitable? So many charities are actually businesses. How are they justifying the charity label?
    It seems that St Andrews senior staff are very expensively paid, and that isn’t in the spirit of a charity, is it, as they charge huge fees for patients, do not provide good quality food even, as they economise using cheaper brand products. It doesn’t add up to me. We should justify public money spending. The patients should be benefitting as it supposed to be about them, isn’t it?


    1. Charities, are not accountable for their services, or use of their money, except in very broad terms, see my article in the New Law Journal ‘Charity Matters’.

      They, if as here, are social care health, are very loosely regulated by the NHS, but, as they commission the services, there is a conflict of interests, as the NHS, will itself, be liable, if the service is inadequate, hence there is real pressure, not to find it is.

      The Care Quality Commission, as we have seen, is ineffective as a regulator, and does not, in any event, investigate independent complaints, if these were possible, certainly can’t come from Kristian and Mr Johnson service users, and their relatives have little access, let alone power of finding out, how their loved ones are being treated.

      The Charity Commission, merely check the Charities accounts, and provided their money is spent on charitable activities here health ie other purposes beneficial to the community, and, this will include the 375,000 salary they do not interfere.

      So, we have the perfect business model, no accountability, and it appears the government will pay any amount demanded, merely to encage and medicate. Which will cost little, particularly, in view of the lack of staff and facilities, and state of the inpatients.

      This is why the government want to privatise, and diagnose more with mental health problems, its a huge growth industry.

      Charities are now businesses and a huge con, as tax free, so supported by our taxes and public money, they are limited by guarantee not shares, but effectively same only profit recycled.

      The real charities smaller ones, sadly now find it hard to survive with the costs of registration red tape.

      And have disappeared, as the third sector under Blair became more commercialised.

      All Universities are also charities as they advance education.

      Thank you for taking your time to leave a comment it is much appreciated.

      Best Wishes,



  3. Thanks to you, Finola.

    I think that parents and good professionals should get together and set up as charities, employ our own managers and care staff, and act with integrity.

    You are doing a great public service by explaining the current so-called health and care scenario.

    The well paid professionals will have Christmas and New Year with their families, while we will struggle though another end of the year which is a very sad time, as we know it might never have had to be like this. We might have to find solutions or better ways of caring as we believe in our children – that’s if they still believe in us.


    1. Sadly, and terrifyingly, this would be the answer, but with our present political climate and law it is impossible.

      Funding would not be made available to these providers.

      Only those chosen by the commissioners are allowed to provide, now mainly adult residential care provision.

      Those providers are mainly 5 or 6, they are constantly being taken over, monopolies, increasingly USA and venture capital backed.

      There can be no competition, as there are only certain providers, these have taken over the smaller providers who have made millions on buy outs out of our public money.

      This has always been the planned modus by all political parties, and is now coming to fruition being 20 years in the making.

      And the same modus is being rolled out, eventually to all public services, we already have the same thing happening in child protection in fostering and adoption/

      Thank you for your comment, you are right but this solution is impossible, and sorry for late reply.

      best wishes Finola


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