Harrogate hospital trust plans home care service to tackle bed blocking

Harrogate and District NHS Foundation Trust has revealed plans to become the second in the country to launch its own home care service in a bid to free up hospital beds.

Chief executive Jonathan Coulter said the problem of patients staying in hospital longer than they should because of a lack of private care services was the “biggest issue” that the trust currently faces.

Up to 90 patients were medically fit but could not leave Harrogate District Hospital in August, compared to around 20 before the covid pandemic.

The trust now wants to follow in the footsteps of the NHS in Northumbria and start providing care for patients in their own homes.

Russell Nightingale, chief operating officer at the trust, told a board meeting on Wednesday the move was a “huge change and big decision” for the trust, but one it had to take because the problem of bed blocking was “only going to get worse”.

He said: 

“If you are in a hospital bed and fit to leave but can’t, it is probably one of the worst places to be.

“In some instances, we have seen a degradation of people’s health in hospital beds when they do not need to be there, despite the great clinical service they receive.

“People want to be in their own homes as this is where they live and are comfortable.”

Mr Nightingale also said he was concerned the current situation would only get worse despite a recent government pledge of £500 million to help people get out of hospitals, which he described as a “drop in the ocean”.

Bed blocking has repeatedly been raised as a concern by hospital bosses who have warned of knock-on impacts on A&E waiting times.

This comes as Harrogate District Hospital has had an exceptionally busy summer and pressure on services is only likely to grow over winter as it tries to tackle long waiting lists and staffing shortages.


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The trust’s home care service will initially run as a six-month trial and cost around £146,000 to provide care for 36 patients.

If the trial is a success, it is estimated around 15 patients who otherwise would be stuck in hospital could be moved back into their own homes each day.

The trust – which already provides home care for some children – has been in dialogue with Northumbria Healthcare NHS Foundation Trust which this year became the first to launch such a scheme.

Some concerns have been raised over the high turnover of staff, as well the impact on the private care sector.

However, Wednesday’s meeting heard that care packages under the Harrogate plans would initially be offered to private care firms for 24 hours before the trust steps in.

More details of the scheme are set to be revealed in the coming weeks.

Majority support Harrogate fire station changes, consultation reveals

The majority of people support controversial changes to the number of fire engines based in Harrogate, according to consultation documents.

North Yorkshire Police Fire and Crime Commissioner Zoe Metcalfe confirmed yesterday Harrogate fire station will be reduced to one fire engine at night as part of a three-year blueprint for countywide fire services.

However, the station will have two fully operational appliances during the day rather than the current model of just one plus a smaller tactical response vehicle.

Ms Metcalfe’s decision followed a three-month consultation in which concerns were expressed that the loss of a second appliance from 10pm to 9am could put lives at risk.

But her 207-page consultation report, published yesterday, said 46% of respondents to an online survey supported the changes to Harrogate fire station whereas 40% oppose them.

PFCC fire consultation results

The report, however, also said 53% of respondents whose closest fire station is Harrogate disagreed with the changes. Additionally, it highlighted opposition within focus groups held as part of the consultation.

It said:

“Those who supported the proposals did so on the grounds that they are evidence-based and represent a better use of resources in offering better capability during the day when needed.

“However, even if they understood the rationale behind it, most focus group participants ultimately opposed the proposals.

“The main worries were around the ability to provide an adequate nighttime response, especially to incidents requiring two or more appliances. Related to this, many questionnaire comments centred on the potential for more severe incidents at night, including house fires.”


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Union claims questioned

Ms Metcalfe also rejected claims by the Fire Brigades Union, which opposed the proposals, that overnight fires are more severe.

“I have questioned this with the service previously, and they have provided me with evidence to show that in North Yorkshire, and in particular in Scarborough and Harrogate, over the last five years the more severe fires have almost all happened during the day, as have those fires which could have had a more severe outcome, ie those where a person required rescue.”

Zoe Metcalfe (centre), North Yorkshire Police, Fire and Crime Commissioner.

Zoe Metcalfe and fire officials answer questions about her proposals.

Ms Metcalfe also suggested some people over-estimate the number of fires in North Yorkshire. She said:

“There is also some very different views of what and how high is the service’s demand versus the reality.

“The fact is that in North Yorkshire we are lucky that our service’s demand is low by comparison to the rest of the country. Moreover, what they attend has changed significantly, with fires making up a smaller proportion than before.”

The consultation, which ran for 12 weeks from May 23, 2022 to August 14, 2022, cost £30,000.

Savings made by the changes will be used to fund fire prevention work and boost on-call fire stations in rural areas.

Campaigner accuses Harrogate Spring Water of ‘greenwashing’ over expansion plans

A campaigner has accused Harrogate Spring Water of “greenwashing” over its latest plans to expand its plastic bottled water plant over a community woodland.

Sarah Gibbs, who has staged several protests dressed as a tree, said she had seen “no evidence” from the company on how it will manage the environmental impacts of the proposed expansion at Rotary Wood, which was planted by children 17 years ago.

Her comments come as Harrogate’s Green Party, Extinction Rebellion and other campaign groups are set to protest against the plans today.

Harrogate Spring Water, which is owned by French firm Danone, recently held a public consultation and is now “finalising” its proposals after a larger expansion was refused by Harrogate Borough Council last year.

Ms Gibbs said she took part in a recent consultation event, but added she was left with more questions than answers. She told the Local Democracy Reporting Service:

“I am interested to know how Harrogate Spring Water are finalising plans without a recent ecological survey.

“I attended the public consultation and saw no evidence of this, nor any evidence of an arboricultural impact assessment or tree protection plan.

“What I did see was a great deal of greenwashing, for example, launching a litter picking campaign.

“I have found Harrogate Spring Water bottles littering the streets of Harrogate and London.

“This is not a solution to a problem perpetuated by this industry.”


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In response, a Harrogate Spring Water spokesperson said the company would listen to all concerns from the community and that environmental impact assessments would be provided when the new proposals are revealed in full.

The spokesperson said:

“We remain committed to this approach and to taking on board people’s views about the design and landscaping of the proposed extension, which was granted outline planning permission by Harrogate Borough Council in 2017.

“We are currently putting together our updated proposals for how the new building will look and how the surrounding area will be landscaped.

“We intend to put these proposals on display to the public to gather their thoughts before we send our updated reserved matters proposals to the council.”

When the larger expansion plans were refused in January 2021, the council was accused of putting “profit and plastic before the environment” as the authority recommended approval.

This sparked a huge backlash by the community, and the plans were later rejected by members of the council’s planning committee who said they could not support the recommendation as approval would have been “damaging” for Harrogate’s image.

Harrogate Spring Water plant

Harrogate Spring Water, Harlow Moor Road in Harrogate.

Harrogate Spring Water then announced it would revert back to original plans for a smaller expansion, although questions remain over how much of Rotary Wood could be felled as the final designs have yet to be revealed.

Ms Gibbs, who will hold a protest walk from Harrogate Convention Centre to Rotary Wood on Sunday, said she was against the expansion altogether as the woodland needed to be protected because of its “great importance” to biodiversity and the community.

She said:

“If Harrogate Spring Water and Danone indeed listened to the community, they would not still be considering the deforestation of Rotary Wood.

“It is, in part, due to community action and outcry that the further expansion on the outline planning was refused.

“It is important that the people of the Harrogate district, and beyond, understand that they can be truly heard, and that their efforts to save Rotary Wood were not, and are not in vain. Still.”

Ripon and Harrogate car parks top list of spots for fines

The car parks where you are most likely to be hit with a fine in the Harrogate district have been revealed.

New figures show a total of 3,934 penalty charge notices (PCNs) were handed out at the district’s council-owned car parks over a two-year period, with Ripon’s Market Place car park topping the charts.

The hotspot saw 559 poorly-parked motorists hit with PCNs, followed closely by Harrogate’s Montpellier Shoppers car park with 545.

Other popular locations which feature among the top 10 spots for tickets between September 2020 and August 2022 include Harrogate’s Odeon car park and West Park car park.

They are all owned by Harrogate Borough Council, which is responsible for off-street parking, while North Yorkshire County Council looks after on-street spaces.

A borough council spokesperson said:

“The majority of residents and visitors who use our car parks do so correctly and we’d like to thank them for doing so.

“However, some people don’t and as such may receive a Penalty Charge Notice.

“Parking enforcement is carried out to ensure compliance with parking restrictions and provide fairness for all customers.”


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A penalty charge notice is either £50 or £70, depending on the type of offence that has taken place.

If a car has been parked for longer than the time on its pay and display ticket, the charge is £50.

However, it is considered more serious if a car is parked where it shouldn’t be – such as in a loading bay when not loading or in a disabled bay without a blue badge – and the charge is £70.

The figures in full for the two-year period were:

Confirmed: Harrogate to have just one night time fire engine

North Yorkshire Police Fire and Crime Commissioner Zoe Metcalfe has today confirmed Harrogate fire station will be reduced to one fire engine at night.

Ms Metcalfe’s decision comes after a three-month consultation that saw the proposal criticised for putting lives at risk.

The move is expected to save £180,000 in the Harrogate district, which will be used to fund fire prevention work, and could see five Harrogate firefighters redeployed to new prevention roles.

The Harrogate changes will be piloted for three years and then could be copied in Scarborough.

Ms Metcalfe, a Conservative who was elected commissioner last year, published her three-year blueprint for fire services in the county in May.

Today’s announcement will also see Huntington full-time fire station reduced to on-call, leaving North Yorkshire with just four full-time fire stations: Harrogate, Scarborough, York and Acomb.

Harrogate Fire Station, Skipton Road.

Change is coming to Harrogate fire station, on Skipton Road.

It follows a consultation that included 12 public events, three resident focus groups and an online survey which received 1,300 responses.

Me Metcalfe said:

“Some areas of the service will change, and I know change can be unsettling, but I remain confident that the right people, with be in the right place, with the right equipment at the right time, to support everyone in North Yorkshire and York.”

“I have made these decisions to support the transformation of our fire and rescue service based on extensive evidence and from listening to what is important to you, which you said was increasing and enhancing prevention and protection work to stop incidents from happening in the first place”

How Harrogate fire service will change

Currently, Harrogate fire station has one fire engine which can respond to all emergencies and a smaller tactical response vehicle. Both operate around the clock.

The smaller vehicle will be replaced by a larger fire engine but it will only be crewed during the day.

Ms Metcalfe’s risk and resource model said more fires occur during daytime, and having two fire engines at Harrogate would provide better daytime protection at key times.

But the second Harrogate appliance won’t be staffed between 10pm and 9am, meaning greater dependence on on-call firefighters in Knaresborough when a second fire engine is required at major incidents.

Jonathan Dyson, who has been selected as chief fire officer.

Jonathan Dyson

Jonathan Dyson, chief fire officer for North Yorkshire, said Ms Metcalfe’s proposals provided the correct strategic approach to resourcing fire risk. The service has a £31.5m annual budget for core spending.

He said:

“Our strong focus on prevention and protection activities are the primary way for us to reduce risk in our communities.”

Mr Dyson told the Stray Ferret second appliances from outside Harrogate were already mobilised to tackle major fires in Harrogate because they were better equipped to do so than the tactical response vehicle.


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But he acknowledged the change could “potentially” cause a delay when the main Harrogate fire engine attended an incident and requested back-up, which would now have to come from Knaresborough rather than Harrogate.

North Yorkshire Fire and Rescue Service does not have target response times and no calculations have been done on how long delays brought about by the changes could be.

Job talks to start with Harrogate firefighters

Asked about the impact on Harrogate firefighters, Mr Dyson said:

“We now start a phased approach to the changes because we now need to discuss and engage with the trade unions, we need to discuss and engage with the crews that are affected by this because people are at the centre of this.

“No current staff or jobs are at jeopardy in any form. We are transitioning resources from response into prevention and protection.

“There are a range of duty systems that can introduced to meet the demand that the service requires under the commissioner’s decision.”

Mr Dyson added today’s overall measures had the “potential” to save £1.5m a year across North Yorkshire by 2025 although the calculation was done before recent high inflation.

He added the decision “isn’t about cuts, it’s about transition of funding from response into prevention” and savings would also be spent on improving on call stations in rural areas.

 

 

Harrogate hospital staff selling days off to cope with cost of living crisis

Some staff at Harrogate District Hospital are selling their annual leave and applying for further financial help in a desperate bid to make ends meet.

The hospital is allowing NHS workers to trade time off for extra payments until the end of the year, while a hardship fund has also been set up to help with the soaring costs of energy, fuel and food.

This comes at a time when staff are set to vote on strike action over a below-inflation pay offer which unions have described as another real-terms pay cut.

Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, told a board meeting today that he had “always been against” staff selling annual leave, but the cost of living crisis now meant that providing support was “absolutely vital”.

He said:

“My justification for this is that the financial position of some staff is putting them under more stress than the benefit of having a holiday.”

A total of 17 staff have so far applied for extra payments instead of time off, while 271 applications have been made to the hospital’s hardship fund, which is offering grants of up to £500.


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Wallace Sampson, hospital trust board member and chief executive of Harrogate Borough Council, said he had “mixed feelings” about staff being able to sell annual leave as he believes it is “very much needed” to help with their wellbeing.

In response, Mr Coulter said he agreed but this was the preference of some workers and that a five-day limit on the amount of time off that can be traded would ensure staff do get some down time.

He said:

“There is an absolute maximum of five days, so staff can’t sell all of their annual leave.

“We have agreed the policy for this year as a one-off, partly recognising that people have a lot of annual leave because of covid.

“We will need to review the initiatives, but at the moment they are absolutely vital.”

Winter strike possible

His comments come as strike action could span across several months this winter after the Royal College of Midwives union notified hospital bosses that it will ballot its members over pay.

Other unions including GMB and Unison are also said to be making preparations for a vote.

The prospect of staff striking at what is always a busy time for under-strain services in winter has been described as “worrying” by senior officials at Harrogate District Hospital, which has begun making contingency plans.

Around 100 of the hospital’s lowest-paid staff will see an uplift from a rise in the legal minimum wage to £10.90 in October.

However, Dr Suzanne Tyler, executive director at the RCM union, said the government needed to go further and give all workers a better pay rise after its members rejected a 4% increase offer.

Dr Tyler said in a statement:

“Our members have spoken and just like us they believe a below inflation pay award is not good enough, they deserve more.

“The results and turnout speaks volumes about the feelings of a fragile, exhausted, and undervalued workforce, because taking industrial action is always the very last resort for midwives and maternity staff.

“They obviously now see no other alternative to getting a fair and just pay award from their governments.”

Electric-powered gritters coming to Harrogate district roads

Two gritters powered by electricity are to join North Yorkshire’s winter fleet to save money and reduce carbon emissions.

The North Yorkshire County Council-owned company NY Highways has bought the gritters, which are supplied by Dorking-based Bucher Municipal.

According to the council, the vehicles have an anticipated fuel saving of up to 20 per cent compared to standard, diesel-powered gritters. It said in a media release:

“The gritting bodies which deploy the salt will run on an electric battery that can charge in just over 30 minutes. The battery will be able to do multiple runs before needing to be recharged.”

North Yorkshire has a 5,753-mile network of roads. The council’s winter gritting programme to maintain key routes lasts from October to April.

Keane Duncan

Cllr Keane Duncan

Cllr Keane Duncan, the council’s executive member for highways and transportation, said:

“The electric-bodied gritters are a first for the council’s winter service delivery.

“Innovation is high on our agenda and it is another way we are showing our commitment to achieving net carbon neutrality by 2030.

“The two gritters don’t have any hydraulics which mean there’s less chance of mechanical failure. This increased reliability is vital when we are against the clock trying to deliver the best winter service that we can.”

Picture shows: From left, Andrew Park and Chris Mitchell of Bucher Municipal, Nigel Smith, head of highway operations at North Yorkshire County Council, Rory Hanrahan and Craig Winter of NY Highways, and Mike Francis, operations manager at NY Highways.


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Harrogate Knight Frank directors set up North Residential estate agency

The directors of Harrogate-based estate agency Knight Frank have set up an independent business.

The change will see the directors launch a new company with a fresh identity called North Residential.

Harlan Pollitt and Daniel Rigg secured independent ownership of the business after operating in Harrogate for 15 years.

The team will continue to be located on Harrogate’s Albert Street, with the office currently undergoing refurbishment.

Emma Kingham has been promoted to director, Harriet Cheshire has also become a director and Fiona Lippell, who has been with the business for over 15 years, remains office manager.

A statement by North Residential said that although it was independent, it would “maintain an amicable working relationship and continue to collaborate as necessary” with Knight Frank, which operates internationally.

Mr Pollitt said:

“Whilst retaining our position as the leading estate agent in Harrogate, we have plans to invest considerably to expand into more regions over the next few years.

“We are thrilled that our existing, highly valued team, that have become known and respected within the local community over many years, will each have an incentive in helping to make it even more successful.”


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Harrogate gym to lift one million kilos in memory of Jamie Leese

Members of a Harrogate gym are to attempt to lift one million kilograms to raise money in memory of former client Jamie Leese.

Jamie died in May aged 30 following a long battle with a brain tumour. After his diagnosis at the age of 21, he trained regularly at Fitness Garage with personal trainer Guy Lister.

From midday on October 8, Fitness Garage personal trainers, clients, family and friends will take part in the Lift For Jamie challenge to raise money for Yorkshire’s Brain Tumour Charity.

They will work in pairs to lift their choice of weights — whether that is deadlifts, bench presses or squats.

The event is designed to be inclusive with no time limits or weight requirements for participants.

Andy Gardner, co-owner of Fitness Garage said:

“As a community, we wanted to come together to remember Jamie.

“Given his regular workouts for the nine years he was undergoing treatment, a weightlifting challenge seemed like a fitting tribute to Jamie whilst also raising funds for a charity that was close to his heart and that of his family.”

The event aims to raise £2,500 for the local charity, which supported Jamie during his treatment.

Harrogate district estate agents Verity Frearson are supported the event through their 100 Days of Giving campaign, which supports local causes as part of its 100th anniversary celebrations.

You can donate here.


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Are the Beech Grove planters set for a comeback?

More than six weeks have passed since Beech Grove in Harrogate reopened to through traffic.

But the planters that blocked the highway remain by the side of the road — prompting speculation that they might be brought back.

Beech Grove was closed to through traffic for 18 months from February last year to encourage cycling and walking in the area.

When the experimental order implementing the measure expired in August, the planters were moved to the side and traffic could once again use the route to travel between Otley Road and West Park.

A no-through road sign also remains in place, prompting questions about whether measures to restrict traffic on Beech Grove could be brought back.

Beech Grove is regarded as a key part of wider plans to create a traffic-free route for cyclists between Harrogate train station and Cardale Park on Otley Road.

Beech Grove sign

The Stray Ferret asked North Yorkshire County Council, the highways authority, why the planters and sign had not been removed and whether there were any plans to once again prohibit traffic on Beech Grove.

Melisa Burnham, highways area manager at the council, said the council was still considering what to do. She said:

“The planters are safely placed at the side of the road but will not be removed until we have considered the potential links from Otley Road to the town centre further.

“The sign was missed in error and we will remove it as soon as possible.”

Last month Cllr Keane Duncan, the council’s executive member for highways and transport, said it would “bring forward a detailed and coordinated plan, connecting active travel initiatives such as Otley Road and Station Gateway together”.

How Beech Grove figures in these plans remains to be seen.