NHS England has ordered the immediate relocation of 287 patients from a mental health hospital in Northampton.
The decision follows a series of police investigations, staff arrests, and a formal determination by health officials that patient safety at the facility is not improving at an acceptable rate.
The move comes after the BBC revealed that 15 staff members have been arrested since October 2024.
Allegations against personnel include rape, ill-treatment, and neglect.
Ten of those individuals remain under investigation and have been bailed or released pending further inquiries.
Unacceptable issues
In a letter sent to health bosses across the country, NHS England stated it had "no confidence" in the current management's ability to ensure welfare.
The letter cited "unacceptable issues" and noted that despite previous enforcement actions in December, adequate assurance of improvement was missing.
Evidence cited in the decision includes:
To manage the transition, the NHS has implemented 24/7 "enhanced oversight" at the hospital.
This monitoring will remain in place until every patient has been moved to an alternative placement.
Departure of chief executive
The charity’s chief executive Dr Vivienne McVey, announced her departure in an email to staff on Monday afternoon shortly after the NHSE decision was made public.
St Andrew’s Healthcare stated it is "working through the implications" for its staff and patients and intends to work with the NHS on a long-term plan.
The relocation of nearly 300 patients presents a significant logistical challenge for the NHS.
While some families expressed relief at the intervention — with one mother stating she feared her slightly-built child would not leave the facility alive — others have highlighted the strain this will place on an existing mental-health bed shortage.