How many deaths in St Andrews, Northampton? Who is accountable?

Whichhemaccountability-in-the-nhs-report-jun11

Who protects the vulnerable voiceless, like Bill, and Kristian, paying £6,000 (£4,500 tax free) per week, for their enforced ‘treatment’?

How many of them  have died in St Andrews?

A freedom of information request, revealed, the CQC, apparently, indicating, they were not prepared, to investigate the deaths at St Andrews,

“CQC was aware of the service’s own reviews, following the deaths and, following a meeting with the provider in 2011, we wrote asking for information about their clinical governance and assurance processes with regard to how natural-cause deaths are identified and investigated.”

http://www.theguardian.com/society/2013/jul/07/call-inquiry-deaths-psychiatric-hospital

But how can they be ‘natural deaths’?

A ‘natural death’ is defined as

‘death due to a disease running its full course with no other intervening factors’.

But nobody,  dying in St Andrews, appeared, to be suffering from any disease, as far as could be gleaned, from the hospital’s ‘routine’, if not refused, health check.

And if they were, why was their disease not treated, for the providers £4,500 per week payment ?

I was unable to find Care Quality Commission Reports for St Andrews for 2010/11.

But four years later, a CQC report stated it still

requires improvement’, https://www.google.co.uk/#q=st+andrews+health+care+care+quality+commission

Yet, St Andrews own website, appears to boast it is ‘outstanding’.

http://www.standrewshealthcare.co.uk/our-services

And, why is St Andrews, still the only alternative, particularly for young autistic/ learning disabled/ behavioural problems ?

And, as beds in public ATUs, are all to be phased out, on the much publicised excuse, of the abuse in Winterbourne View, (which was a private institution), together with huge political clout, St Andrews, along with Cygnet and a few others, all private, will be the only places mental patients can be sent.

And, its newly opened, 120 bed adolescent unit, was found, by the CQC, to be so understaffed, patients were forced to restrain each other.

http://www.communitycare.co.uk/2013/12/17/inadequate-staffing-supervision-young-peoples-mental-health-unit-finds-cqc/

How can this be ‘treatment’ and, how can it justify  £6,000 per week, per patient, when tax free element factored in.

So, we have a provider, being paid a fortune, for what, the scant, government controlled oversight of the CQC has, in its light touch inspections, revealed ‘inadequate’.

No accountability for services, and use of huge sums of public money, and no measure of outcomes for the service users.

The perfect business model.

As 3% of St Andrew’s patients, were residents of Northamptonshire.

The Local Healthwatch Northamptonshire, had a statutory right/duty, to go into  this publically funded, privately run local health  service, to assess the care provided, from the perspective of patients, and service users.

They visited St Andrews, and reported in 2014.

http://www.healthwatchnorthamptonshire.co.uk/sites/default/files/st_andrews_summary_dec_2014_ms.pdf

‘that the mix of staff means there are a high proportion of relatively inexperienced and unqualified staff meaning that patients are not always receiving the clinical expertise and knowledge’.

‘ staffing levels, ( 2 registered nurses per ward), are putting patient safety at risk.

Patients who talked about low staffing levels said this has a knock on effect on the quality of care including the ability to increase their level of relative freedom, for example being able to go out in the grounds.’

The Healthwatch, had particular concerns, about the physical healthcare of patients, finding 38% of physical complaints were upheld.

But then, surprisingly, in view of these findings,  Healthwatch concludes,

‘its expectation is that, as commissioners of the service, NHS England, is robustly holding SAH to account for the quality of all aspects of service provision, including physical healthcare’.

But it clearly isn’t holding SAH to account.

But, they do recommend, that SAH reviews, the 7, unexpected deaths during 2013/14, to establish whether there were any actions, that could have been taken, to prevent them.

One, would surely have thought, reviews, would automatically result from  a patient’s death, as a basic safety issue in respect to future treatment, and not need, an external body to recommend them.

Remember, these patients are only mentally ill, not physically, so why are they dying in such numbers ?

This surely says a lot about the lack of their care, and actual treatment ?

Keeping mentally disordered patients alive, surely should be the most basic requirement of care costing £6,000 per week.

And, if patients die, then the service provider should be held liable, particularly, if the patients care costs so much, and they are not physically ill.

Why is the NHS paying that amount. How could it be justified ?

It is unknown, why the report in para 6, states 7 deaths in 13/14.

6. We recommend that SAH reviews the 7 unexpected deaths during 2013/14 to establish whether there were any actions that could have been taken by SAH to prevent the unexpected deaths. We further recommend that SAH commissions an independent review into the 7 unexpected deaths’.  

When the only deaths revealed publically, that I could find, were the 5, in 2010/11.

Have additional deaths, occurred under the radar, after the 5 in 2010/11?

http://www.northamptonchron.co.uk/news/health/health-news/appeal-for-st-andrew-hospital-deaths-report-to-be-public-1-6008003

The Healthwatch, wrote to NHS England, requesting  a published independent review. http://www.healthwatch.co.uk/sites/healthwatch.co.uk/files/letter_nhs_england_to_healthwatch_england_august_2014.pdf

But, how could this review, be independent, if commissioned, by NHS England, who themselves  commissioned 90% of St Andrews service?

This means they are investigating into their own chosen services.

If failings were to be revealed, NHS England as the commissioner ,would be liable for them.

The Healthwatch, further recommends a lay summary of the review be published.

As they want,

‘to be assured that SAH has a culture of continuous review and learning from unexpected deaths’.

How about  being  accountable, for them ?

They recommend, that SAH invite the charity Rethink, to talk to the senior management team and the Board about Rethink’s 2013 report “Lethal Discrimination”, which calls for action to tackle ‘premature mortality’ in secure mental health settings.

The latest guidance for investigation by coroners, into deaths of those subject to a DOL under MCA

see link http://www.no5.com/news-and-publications/publications/351-inquests-and-deprivation-of-liberty/

Gil Baldwin, Chief Executive Officer, St Andrew’s Healthcare, commented,

‘our charitable status means that any money we make is used to grow and improve our services for the benefit of our patients’.

But says nothing, of the executives’ huge salaries, as revealed in St Andrews Financial Report to the Charity Commission for 2013/14.

http://www.standrewshealthcare.co.uk/sites/default/files/documents/St%20%20Andrew’s%20Accounts%20for%202013%20to%202014%20(reduced%20size%20for%20web).pdf

So how many  more deaths per se let alone ‘unexpected’ deaths, in healthy people in a mental, not physical hospital,have there been in St Andrews since those in 2014 ?

And where were they revealed ?

And, why was there so much publicity, about the deaths in SLOVEN public provision and none about the deaths in private St Andrews provision

And worse still, this publicity, used to move all mental patients to St Andrews, or, other private provision, as a matter of NHS policy ?

Surely, patient safety, should be paramount not private profit.

 

 

 

 

Why are mental health patients herded to St. Andrews, in Northampton ?

Adults and children, are being, forcefully herded, under MHA section/’best interests’ MCA, from all over the UK, to St Andrews Northampton, on the pretext, of no local provision.

http://www.northampton-news-hp.co.uk/Europe-8217-s-largest-mental-health-facility/story-22905825-detail/story.html

The government policy is to phase out all NHS public mental health hospital admissions by 2017, so all will be private.

Anticipating this  multimillion pound units  were built at St Andrews to accommodate  hundreds of under 18s.

Here is a BIJ investigation into their under 18 provision of 110 beds each charging a minimum of £220,000 a year tax  free and parents forced to pay top up fees on top for basic facilities.

https://www.thebureauinvestigates.com/stories/2017-03-01/patients-at-major-mental-health-hospital-subjected-to-demeaning-conditions-say-families

St Andrews has the  largest under 18 mental facility in Europe.

Large means more efficient and therefore more profitable.

NHS England are paying this ‘charity’, £5,000, minimum, and yearly increasing, public money per week for each patient.

If under 25, more money can be claimed now under education funding.

Bi polar Sophie is a beautiful 21 year old ‘bi polar’ patient whose Mum  has a facebook and Petition to the PM for her release . Please sign.

https://www.change.org/p/rt-hon-david-cameron-mp-get-sophie-out-of-st-andrews-and-back-to-her-family?recruiter=250538761&utm_source=share_petition&utm_medium=facebook&utm_campaign=share_facebook_responsive&utm_term=mob-xs-share_petition-custom_msg

Read the sad story, of a mother miles from her 13 year old autistic daughter Maesie.

http://www.theguardian.com/society/2015/apr/09/children-mental-health-mother-campaign-daughters-side-hospital-unit#comment-50193694

Tom Costello, at 72, found himself being driven 100 miles from Hampstead, against his, and his family’s wishes, and detained illegally, for four months, because, St Andrews, was the only place, his difficulty, with the, most common form of dementia, could be contained.

A dementia spokeswoman commented, that such a patient, should be able to be treated at home.

http://www.camdennewjournal.com/news/2010/oct/%E2%80%98bring-our-tom-costello-home%E2%80%99

And, Tom would still be in St Andrews, but, for his family, and high profile.

http://www.camdennewjournal.com/news/2011/feb/tribunal-rules-tom-costellos-section-order-was-invalid-family-hope-he-may-be-able-come

Tianze, a high functioning autistic, poet, and piano player’s risperidol, was stopped at 16, when he started lactating, resulting in violent episodes.

When Tianze refused an assessment, he was forcefully removed, to Westlane Hospital Middlesbrough, 200 miles, from his home in Scotland.

He was to be sent to St Andrews, even further away, but campaigning, and publicity, appeared to have averted this move.

But, despite a tireless campaign by his parents, he was not returned to Scotland, and, they had to sell their home, and company, to live near him.

Tianze,is 18 next month, and despite a home care package, and promise of a return to the love of his family, another, adult hospital has been recommended.

http://www.fatherspledge.com/free-tianze.php

Leo Andrade-Martinez’s 17 year old son, was placed in St Andrews.

And, it took a very public, and political campaign, to move him to another more suitable hospital

http://www.huffingtonpost.co.uk/jo-worgan-/autism-and-parenting_b_5547357.html

What local provision, would be needed, for the learning disabled, self- harming, common dementia, the autistic, or, those suffering the after effects of a recent brain injury?

And how much of this behaviour is actually caused by the medication the patients are put on ?

Autism, is not a mental illness, but at most a development difference, yet it has recently be placed with learning disability in the Mental Health Act.

What these people need and would cost far less is a local NHS short stay, medication, if necessary, and then to be returned home to their family, where they can be individually monitored by, an independent of, a recycled profit making cabal?

Since when, did a learning disability/autistism/head injury, allow sectioning, under the MHA, or, incapacity encagement for life under the MCA ?

And warrant, the building of Europe’s largest, 16-18 year old residential unit ?

http://www.standrewshealthcare.co.uk/our-services

Since, it was realised, huge, stable, unaccountable profit from public funds, could be made by the mental health industry.

It costs the NHS at least £5,000 per week often much more per patient, for St Andrews commissioned care, which from CQR. and inspections is understaffed.

https://finolamoss.wordpress.com/2015/08/25/how-many-deaths-in-st-andrews-northampton-who-is-accountable/

Here is a you tube video of a young autistic man sent from Spectrum to St Andrews, he describes the very painful restraints and encagement he suffered.

The National Audit Office produced a report, 4 years after the Winterbourne abuse was revealed by uncover media.

It reports,

‘The scale of the problem remains unchanged. According to the HSCIC census, there were 3,230 hospital in-patients with learning disabilities, autism and or challenging behaviour on 30 September 2014, with an average length of stay of 547 days and living an average 34.4km from home. In 2013, equivalent figures were 3,250 in-patients (though this may have been an underestimate), 542 days and 34.5km.

http://www.theguardian.com/social-care-network/2015/jan/29/winterbourne-view-two-years-on-report?CMP=share_btn_tw

Doctors take an oath, ‘to do no harm’.

Yet, those ‘treating’ patients in St Andrews, use largely unproven, unnecessary medication.

Producing, apparently, little other than sedation and greatly worsening the patients mental and physical condition and quality of life..

Side effects of medication, can cause great harm, and,result in mental illness, and even death.

The physical health of the patients is not monitored, other than a routine by nurse health check, which, if any resistance is shown, is tick boxed refused.

Even were deaths on similar medication, and symptoms on the same ward occur , these are not even discussed, or prevention taken to avoid further deaths.

https://finolamoss.wordpress.com/2015/08/19/deaths-at-st-andrews-mental-hospital-Northampton/

Long term patients, will be subject to similar health concerns, as if, they were not mentally disabled.

And, are in a far more vulnerable position, because, they cannot describe their symptoms, and, the effects of their medication.

The anguish of pain, is indistinguishable from mental disturbance.

And, often made impossible by medication.

They will be given no pain killers, and may spend years in excruciating pain.

As my daughter did, with poo up to her chest internally, treated with Risperidol.

How must those in St Andrew’s, who died in similar circumstances have suffered?

Such vulnerable patients, need extra vigilant ,medical attention, not nursing oversight, easily refused.

That is why last year a staggering 1400 learning disabled died last year, probably more this year.

Mencap dismayed by lack of progress to stop avoidable deaths of people with a learning disability

That is 3 a day.

And, at least £7,000 and up to £13,000 per week, is paid for their care, the NHS is certainly paying for it.guilty_jpg312_910284464x220

Dr Paul Lelliott, CQC’s Deputy Chief Inspector of Hospitals (lead for mental health), said:
“Overall we rated St Andrew’s Healthcare as Requires Improvement.
“Many of the children and young people admitted to St Andrew’s Healthcare have severe mental health problems and have a history of behaviour that has put themselves or others at risk. Despite that, we were surprised at the number of occasions when staff had resorted to physical restraint. The staff at St Andrew’s Healthcare must ensure that when restraint is used it is by the safest means to minimise the possibility of harm to the patient.
“St Andrew’s Healthcare has had difficulty recruiting nursing staff and many posts were vacant. It has been relying heavily on the on the use of agency and bank nurses “The service has given us assurances that it is making the necessary improvements and we have already witnessed some of these in action.
“People deserve to be treated in services which are safe, caring, effective, well-led, and responsive to their needs and this is what we look at when we carry out our inspections. We will continue to monitor this service closely and this will include further inspections.”