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Hill End Adolescent Unit Settlement Scheme

Leigh Day is acting on behalf of former patients who were subjected to mistreatment and abuse at the Hill End Adolescent Unit in St Albans from 1969 to 1995. 

Hill End was a psychiatric in-patient treatment facility for children under the age of 16 in St Albans, Hertfordshire. It operated between 1969 and 1995.

The Hill End Settlement Scheme was established in July 2024 to help former patients of the Hill End Adolescent Unit to access justice and obtain compensation for mistreatment and/or abuse that they experienced at the unit.

The settlement scheme seeks to acknowledge the harm endured by those who were unlawfully sedated, mistreated, or subjected to physical and/or sexual abuse during their time at the unit.

Although the unit was originally intended to treat psychiatric disorders and mental health conditions, very few of the children who were admitted to Hill End had a mental health diagnosis or received treatment during their admission. Most patients were vulnerable or subject to care orders. Many former patients have come forward to share deeply troubling accounts of their experiences, including being strip-searched on arrival, subjected to intimate examinations, routinely sedated as a means of punishment or control and subjected to physical and sexual abuse.

To date, Leigh Day has assisted more than 90 individuals in bringing successful claims under the settlement scheme against the Secretary of State for Health and Social Care (which was responsible for the management of Hill End from 1969 to 31 March 1992) and Hertfordshire Partnership University NHS Foundation Trust (which ran the Unit from 1 April 1992 until its closure in November 1995). These claims have resulted in significant settlements, with damages obtained by Leigh Day on behalf of these individuals exceeding £5.3 million in total.

The Hill End Settlement Scheme  will be closing to new claimants in March 2026. If you believe you have a claim under the scheme, please contact Leigh Day’s specialist team via the ‘Contact Us button as soon as possible and by no later than Friday 27 February to ensure your claim can be filed in time.

  

 

Specialist human rights lawyers

We understand that coming forward can be a difficult and emotional decision. The specialist Hill End team at Leigh Day are here to provide a safe and supportive process for survivors to seek the justice and compensation that they deserve for their experiences at Hill End.

We are committed to handling every case with sensitivity, respect, and care.

If you or someone you know was a patient at Hill End and would like to learn more about the scheme, we encourage you to reach out. 

You are not alone, and we are here to help.

Questions about the scheme?

Specialist lawyers in Leigh Day’s human rights team represent former Hill End Adolescent Unit patients

The legal team is led by Leigh Day human rights partner and solicitor Emma Jones who is assisted in this case by associate solicitor Anna Flaherty and others.

The specialist team’s collective experience in handling claims under the Hill End Settlement Scheme is extensive. The team is highly skilled at obtaining the best possible outcomes for our clients. As well as monetary compensation, clients have also expressed the importance of being believed, having their feelings validated and achieving a sense of closure on a painful chapter of their lives. 

Survivors who suffered abuse at Hill End Adolescent Unit in St. Albans, Hertfordshire between 1969 and 1995 can confidentially contact Leigh Day’s human rights team at hillend@leighday.co.uk or call Karen Buckley, team Secretary on020 7650 1323.

IMPORTANT: after Friday 27th February 2026, we will NOT be able to process any new claims through the Scheme. 

Emma Jones

Partner

Emma Jones is a partner at Leigh Day, recognised as one of the UK’s leading claimant lawyers in human rights and public inquiries. She handles litigation across healthcare, social care, education and detention settings, combining human rights and public law expertise in both individual and group actions, and leads on complex cases such as the contaminated blood inquiry.

Here's what our clients, former patients had to say:

A client who we will refer to as Helen said:

Leigh Day were professional and pursued my claim for compensation for my experiences at Hill End Hospital in the 1970s in a tenacious yet caring way. Thank you to Emma, Josephine, Saoirse, Maddie for your support and hard work - you have given me closure from a traumatic and life changing experience in my youth many decades ago during the 1970s. I actually felt validated and believed after many many years and the compensation received is only part of it. It was a shameful episode in the history of mental health and the care of vulnerable young people from the 1960s to 1990s.

A client who we will refer to as Neil said:      

“Leigh Day gave me a voice that I never thought I would have.  

“All my life I have been affected by Hill End and felt that was it.  

“I initially felt very guarded about telling everything to Leigh Day, but now they have been a catalyst for me to get help to address the abuse that happened to me.” 


A former patient who we have called Catherine said: 

“The impact and consequences of that place and the aftermath have just been unmeasurable. I know for me this process has given me the safe space I needed to make my full disclosure and rid myself from the weight of carrying that alone for so many years.  
 
“It’s not the financial settlement but the empowerment, the voice, throwing that hideous baton of responsibility back at the system that failed and abused us so terribly and having some acknowledgement for that.  
  
“The scars inflicted will remain part of our fabric but not our definition. I hope for all of us we can find our peace and go on to live the best that we can.” 

Other survivors who suffered abuse at Hill End Adolescent Unit in St. Albans, Hertfordshire between 1969 and 1995 can confidentially contact Leigh Day’s human rights team at hillend@leighday.co.uk or call Karen Buckley, team Secretary on 020 7650 1323.

20.06.25  'Patients of psychiatric unit given £2.5m damages' (BBC) https://www.bbc.co.uk/news/articles/c93kp8d8el5o

23.08.24 'HILL END: Compensation scheme agreed for victims of abuse at St Albans youth facility' HILL END: Compensation scheme agreed for victims of abuse at St Albans youth facility - My Local News

06.08.24 'Compensation announced for Hill End adolescent unit abuse victims' (Herts Advertiser) https://www.hertsad.co.uk/news/24500830.compensation-announced-hill-end-adolescent-unit-abuse-victims/  

06.08.24 'Survivors of abuse at children's psychiatric hospital to receive huge compensation payouts' (The Sun) https://www.thesun.co.uk/news/29707018/survivors-abuse-hospital-compensation/  

26.10.20 'Former Hill End Hospital residents upset by end of police investigation' (BBC) https://www.bbc.co.uk/news/uk-england-beds-bucks-herts-54628464  

26.10.20 'Abuse survivors fight for justice after police drop investigation at child mental health unit' (the Independent) https://www.independent.co.uk/news/uk/crime/child-abuse-hill-end-mental-health-unit-investigation-sedation-police-b1281960.html  

06.06.18 'Hill End Hospital Adolescent Unit unit abuse allegations reach 74' (BBC) https://www.bbc.co.uk/news/uk-england-beds-bucks-herts-44386578  

10.02.18 'Hill End Hospital Adolescent Unit: Referrals continue in mental health abuse probe'

(BBC) https://www.bbc.co.uk/news/uk-england-beds-bucks-herts-42987411  

21.11.17 'Child abuse survivor reveals horrific treatment at mental health unit being investigated by police' (The Independent) https://www.independent.co.uk/news/uk/crime/hill-end-hospital-adolescent-unit-child-abuse-sexual-physical-police-investigation-hertfordshire-operation-meadow-a8063216.html    

09.11.17 'Hill End Hospital Adolescent Unit abuse probe begins' (BBC) https://www.bbc.co.uk/news/uk-england-beds-bucks-herts-41927117   

09.11.17 'Police investigating 30 years of alleged sexual and physical abuse against children at mental health unit (Independent) https://www.independent.co.uk/news/uk/crime/children-mental-health-unit-sexual-abuse-physical-assault-40-years-hill-end-hospital-adolescent-st-albans-hertfordshire-a8046771.html

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