State Hospital

For the EP by Frightened Rabbit, see State Hospital (EP).

State Hospital
File:Carstairs State Hospital - geograph.org.uk - 162159.jpg
Shown in Scotland
Geography
Location	Carstairs, South Lanarkshire, Scotland
Coordinates
Organisation
Care system	NHS Scotland
Hospital type	Psychiatric
Services
Emergency department	No
Beds	140
Links
Website	http://www.tsh.scot.nhs.uk/
Lists	Hospitals in Scotland

The State Hospital is a psychiatric hospital providing care and treatment in conditions of high security for around 140 patients from Scotland and Northern Ireland who need to be detained in hospital under conditions of special security that can only be provided by the State Hospital. The hospital is located near the village of Carstairs, in South Lanarkshire, Scotland.

The hospital is run by the State Hospitals Board for Scotland which is a public body accountable to the First Minister of Scotland through the Scottish Government Health and Social Care Directorates. They are a Special Health Board, part of the NHS Scotland and the only hospital of its kind within Scotland. Following a restructuring of secure psychiatric services in Scotland a new hospital is being constructed on the current site at a cost of £60m.

The Board and the Hospital has around 700 staff.

Their aim is "to help patients recover sufficiently from their illness to enable them to be transferred to services closer to their homes. Where this is not possible, we strive to help them to cope with their disabilities, and to live their lives as fully as possible."

History

Carstairs Hospital was constructed during 1936–39. Although it was planned and financed as a facility for "mental defectives" (i.e. persons with a psychiatric disorder, the former term is no longer used) it was first used as an Army hospital, during World War II. The Army relinquished control of the hospital in 1948, when it opened as the State Institution for Mental Defectives. On 1 October 1957 there was a large transfer of 90 criminally insane prisoners from the criminal lunatic department at HM Prison Perth to Carstairs, and this new combined unit became the State Mental Hospital.

In 1994 the State Hospitals (Scotland) Act 1994 enabled management of the hospital to be transferred from the Secretary of State for Scotland to the Scottish NHS, coming under the control of the State Hospitals Board for Scotland.

Security

The hospital has an alarm system that is activated if any patient escapes to alert people in the vicinity, including those in the surrounding town of Lanark, and local villages such as Ravenstruther. This alarm system is based on World War II air-raid sirens, and a two-tone alarm sounds across the whole area in the event of an escape. The system is tested on the third Thursday of every month at 1300hrs when the all clear siren, consisting of three 30 second blasts, sounds.

One infamous incident of a break out happened in 1976, when two patients, Thomas McCulloch and Robert Mone, murdered a nurse, patient and a police officer with axes in an escape attempt.

Controversies

• In August 1999, a convicted killer walked free from Carstairs after his lawyers exploited a legal loophole. Noel Ruddle, who served seven years for shooting his next door neighbour with a semi-automatic Kalashnikov type rifle in 1991, was given an absolute discharge by a sheriff because his mental illness was deemed untreatable. He admitted that he has not been cured and has also boasted about beating the system. A year after his release, Ruddle escaped a prison sentence for threatening to kill a priest.

• In December 2004, paranoid schizophrenic Michael Ferguson was allowed an unsupervised visit to see his fiancée at East Kilbride Shopping Centre. He failed to report back to Carstairs staff two hours later as agreed. First Minister Jack McConnell ordered an urgent report into the decision to allow such a dangerous man to go on a public visit unguarded.

• In September 2008, it was revealed that there was a cost of £630,000 a year to provide the only female patient at Carstairs State Hospital a ward to herself. Labour health spokeswoman Margaret Curran said: "This defies common sense. This cannot be in the interests of the NHS or the patient... We need immediate explanation and action."

• In 2011, a nurse was accused of giving romantic messages to an inmate.

• In June 2013, a patient absconded while on an escorted outing to the McArthurGlen shopping centre in Livingston, and was later arrested and taken back into custody after being spotted by members of the public in Hamilton.

Notable patients of Carstairs – past and present

• Robert Mone

See also

• Scottish Prison Service
• Scots law
• Northern Ireland Prison Service
• Northern Ireland law

External links

• The State Hospitals Board for Scotland – official website, at NHS Scotland

Template:NHS Scotland