Outpatient Services

Updated 19 August 2025

At this inspection, we rated the service good. We rated the service as good because:

• The service is safe, well-governed, and clinically sound, with embedded systems for safeguarding, incident management, and continuity of care that reflect best practice and learning.
• People receive personalised, trauma-informed support from skilled practitioners who adapt care to individual needs, identities, and circumstances, underpinned by a strong therapeutic ethos.
• Clinical governance is effective and proportionate, with regular audits, supervision, and outcome monitoring in place to support service delivery and drive continuous improvement.
• The service demonstrates inclusive, values-led leadership, fostering a positive culture where staff feel heard, supported, and enabled to perform safely and compassionately.
• The service operates within a clear and consistent clinical framework, underpinned by strong systems, reflective practice, and a culture that supports personalised care and timely, needs-led interventions.

People told us they consistently experience timely, respectful, and coordinated care, with strong links to external partners and feedback systems that inform meaningful service development.

Mental Health Act and Mental Capacity Act Compliance

Staff were trained in and had a good understanding of the Mental Health Act, the Code of Practice and the guiding principles. The provider had relevant policies and procedures that reflected the most recent guidance. Staff had had training in the Mental Capacity Act. Staff had a good understanding of the Mental Capacity Act, in particular the five statutory principles. Staff took all practical steps to enable patients to make their own decisions

Updated 6 February 2025

We assessed St Andrew's Healthcare Outpatient Services on 11 and 12 March 2025.

St Andrew's Healthcare Outpatient Service location was registered with the Care Quality Commission on 31 January 2013. The service had a registered manager at the time of our inspection. The Outpatient Service location had an office base with treatment rooms on St Andrew's Healthcare Northampton site. This location is registered separately from the main inpatient divisions at St Andrew's Healthcare Northampton.

St Andrew's Healthcare Outpatient Service location provides the following services:

• The Veterans Mental Health and Wellbeing Service is commissioned via Op COURAGE, an NHS mental health specialist service designed to help serving personnel due to leave the military, reservists, veterans and their families. It brings together 3 services previously known as: Veterans Mental Health Transition, Intervention and Liaison Service (TILS), Veterans Mental Health Complex Treatment Service (CTS) and Veterans Mental Health High Intensity Service (HIS). It supports people of any age who have served in any of the armed forces at any time, for any duration. Op COURAGE can help with common problems like anxiety, depression and substance misuse, as well as more advanced mental health conditions and psychological trauma. It can also help address other issues that may be affect wellbeing, such as housing, finances and relationships, and can provide support to families too. Each member of the team has either a military background or experience working with the armed forces community.
• The Assertive Transitions Service (ATS) supports people to transition from secure in-patient mental health care services into the community across Northamptonshire, Leicestershire, Derbyshire, Nottinghamshire and Lincolnshire. The service provides enhanced ward in-reach and integrated community support delivered by 2 multidisciplinary teams in the north and the south of the East Midlands region. The service work with patients, their families, existing care teams and community providers, such as supported-living organisations, to proactively overcome many of the barriers which patients transitioning from secure care face.
• The Criminal Justice Service is commissioned to provide screening/assessment in court. The purpose is to support the service user and in doing so have a positive impact on reducing reoffending. The interventions are specifically designed for offender's post sentence and aim to address mental health issues and offending behaviour.
• Outpatient and Community Services primarily offering private therapies and more recently supporting NHS trusts with mental health assessments for autistic spectrum disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) or tailored psychological therapies.

St Andrew's Healthcare Outpatients is registered to provide the following regulated activities:

• Treatment of disease, disorder or injury

This service was last inspected in December 2021 under the Care Quality Commission's previous methodology. At that inspection the service was rated good overall, with Requires Improvement in Safe. Requirement notices were issued due to the following concerns:

• Staff had not recorded action taken following a service user presenting as high risk at the Outpatient and Community service.
• Managers had not ensured all staff completed basic life support and immediate life support training.

We conducted a comprehensive, unannounced inspection. We assessed 1 assessment service group; Community-based mental health services for adults of working age to review the progress made against the requirement notices. At this inspection, we found that work had been completed to address these concerns, and we were satisfied that the risks posed by these concerns had reduced.