Ward security level: 
Limited beds available

Harper wardHarper is an 11-bed unit providing high quality specialist services to women at all stages of Huntington’s disease (HD), including those detained under the Mental Health Act.




Harper offers assessment, treatment and care within a locked environment and has been adapted to meet the unique needs of people with HD. It is fully accessible and on the ground floor with a large garden, suitable for those patients requiring wheelchair access, and has specialist equipment including walking aids, hoists, specialist seating and bathing options.



Individualised treatment and assessment

Our staff are experienced at supporting patients with HD and their goal is to facilitate and maximise function and quality of life, whilst ensuring the best possible support for individual autonomy. Each patient is provided with a tailored treatment programme that is designed in conjunction with the multidisciplinary team (MDT) and in line with our treatment aims, to maximise functional independence and good physical and mental health in order to promote the best quality of life possible.

A variety of activities are available, with easy access to the local town centre on foot, or within a short drive by St Andrew's transport. In addition to activities within Harper, we also provide the following on-site services within our landscaped parkland setting:

  • therapeutic outings
  • garden centre and cafés
  • extensive grounds
  • swimming pool and jacuzzi
  • sports facilities
  • activity centre
  • library
  • hairdresser
  • beautician
  • vocational rehabilitation centre
  • patient recreation centre.


Specialist outcome tools and research

Our outcome tools including the SASBA and OAS-MNR have been created through an active research programme within St Andrew’s. Our practices are regularly audited against professional and industry standards and our team have a close working relationship with the Huntington’s Disease Association (HDA). Read more here...


Our internationally recognised specialist MDT

Our MDT is expert in the assessment, treatment and management of HD and is permanently based on-site to meet the daily needs of patients. In addition to a full nursing team the clinical team consist of:

  • Consultant Neuropsychiatrist
  • Senior Speciality Doctor
  • Neuropsychologist
  • Social Worker
  • Occupational Therapist
  • Speech and Language Therapist
  • Physiotherapist
  • Dietician.

The team also has access to allied professionals such as a Dentist, Physical Healthcare Nurse, Self-care Therapist, Chaplaincy and on-site GP clinincs.


Discharge plans

Discharge is considered at admission and our clinical and social work teams work with appropriate case managers and community teams to support transition to the least restrictive environment.